﻿FN Clarivate Analytics Web of Science
VR 1.0
PT J
AU Aydin, Cristina
   Tibbo, Philip G.
   Ursuliak, Zenovia
TI Psychosocial Interventions in Reducing Cannabis Use in Early Phase
   Psychosis: A Canadian Survey of Treatments Offered
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 61
IS 6
BP 367
EP 372
DI 10.1177/0706743716639931
PD JUN 2016
PY 2016
AB Objective: Cannabis use in people with early phase psychosis (EPP) can
   have a significant impact on long-term outcomes. The purpose of this
   investigation was to describe current cannabis use treatment practices
   in English-speaking early intervention services (EISs) in Canada and
   determine if their services are informed by available evidence.
   Method: Thirty-five Canadian English-speaking EISs for psychosis were
   approached to complete a survey through email, facsimile, or online in
   order to collect information regarding their current cannabis use
   treatment practices.
   Results: Data were acquired from 27 of the 35 (78%) programs approached.
   Only 12% of EISs offered formal services that targeted cannabis use,
   whereas the majority (63%) of EISs offered informal services for all
   substance use, not specifically cannabis. In programs with informal
   services, individual patient psychoeducation (86%) was slightly more
   common than individual motivational interviewing (MI) (76%) followed by
   group patient psychoeducation (52%) and information handouts (52%).
   Thirty-seven percent of EISs offered formal services for substance use,
   and compared to programs with informal services, more MI,
   cognitive-behavioural therapy, and family services were offered, with
   individual treatment modalities more common than groups. No EISs used
   contingency management, even though it has some preliminary evidence in
   chronic populations. Evidence-based service implementation barriers
   included appropriate training and administrative support.
   Conclusions: While most English-speaking Canadian EIS programs offer
   individual MI and psychoeducation, which is in line with the available
   literature, there is room for improvement in cannabis treatment services
   based on current evidence for both people with EPP and their families.
OI Tibbo, Philip/0000-0002-2070-6495
Z8 0
ZR 0
ZB 2
ZA 0
TC 5
ZS 0
Z9 5
U1 0
U2 3
SN 0706-7437
EI 1497-0015
UT WOS:000376196900008
PM 27254846
ER

PT J
AU McBride, Kate A.
   Schlub, Timothy E.
   Ballinger, Mandy L.
   Thomas, David M.
   Tattersall, Martin H. N.
TI International survey of awareness of genetic risk in the clinical
   sarcoma community
SO ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
VL 12
IS 2
BP 133
EP 142
DI 10.1111/ajco.12457
PD JUN 2016
PY 2016
AB Aim: Integration of clinical genetics into oncology is variable.
   Sarcomas have a strong genetic component, with up to 1/30 patients
   carrying germline TP53 mutations. This study aimed to define genetic
   risk awareness among sarcoma physicians. Outcomes were attitudes toward
   genetic testing, level of cancer risk and awareness of risk reduction
   measures.
   Methods: An online survey was administered to members of the Connective
   Tissue Oncology Society and the Australasian Sarcoma Study Group.
   Results: Sarcoma physicians ( N = 124) from 21 countries participated,
   40% of whom favored TP53 mutation testing in children regardless of
   family history, increasing to similar to 83% for all age groups if a
   family history was present and similar to 85% if multiple primary
   cancers were present. However, 33% were not aware that risk reduction
   strategies might identify some cancers at a more curable stage in
   carriers.
   Conclusion: Clinical genetics is not yet standard of care for
   multidisciplinary management of sarcoma. Awareness of genetic risk is
   important among sarcoma physicians. Attitudes among the sarcoma
   community were generally positive, but education on genetic risk in
   sarcoma patients and collaboration with clinical genetics services might
   improve quality of care. Sarcoma physicians need routine access to
   clinical genetics services so that potential germline TP53 mutation
   carriers are recognized.
RI Thomas, David/AAD-2877-2019; Schlub, Timothy/; Ballinger, Mandy/; Thomas, David/
OI Schlub, Timothy/0000-0001-7746-9649; Ballinger,
   Mandy/0000-0002-9706-0514; Thomas, David/0000-0002-2527-5428
TC 2
ZA 0
ZS 0
ZR 0
ZB 0
Z8 0
Z9 2
U1 0
U2 7
SN 1743-7555
EI 1743-7563
UT WOS:000380004200027
PM 26923110
ER

PT J
AU Fage-Butler, Antoinette M.
   Jensen, Matilde Nisbeth
TI Medical terminology in online patient-patient communication: evidence of
   high health literacy?
SO HEALTH EXPECTATIONS
VL 19
IS 3
BP 643
EP 653
DI 10.1111/hex.12395
PD JUN 2016
PY 2016
AB BackgroundHealth communication research and guidelines often recommend
   that medical terminology be avoided when communicating with patients due
   to their limited understanding of medical terms. However, growing
   numbers of e-patients use the Internet to equip themselves with
   specialized biomedical knowledge that is couched in medical terms, which
   they then share on participatory media, such as online patient forums.
   ObjectiveGiven possible discrepancies between preconceptions about the
   kind of language that patients can understand and the terms they may
   actually know and use, the purpose of this paper was to investigate
   medical terminology used by patients in online patient forums.
   DesignUsing data from online patient-patient communication where
   patients communicate with each other without expert moderation or
   intervention, we coded two data samples from two online patient forums
   dedicated to thyroid issues.
   ResultsPrevious definitions of medical terms (dichotomized into
   technical and semi-technical) proved too rudimentary to encapsulate the
   types of medical terms the patients used. Therefore, using an inductive
   approach, we developed an analytical framework consisting of five
   categories of medical terms: dictionary-defined medical terms,
   co-text-defined medical terms, medical initialisms, medication brand
   names and colloquial technical terms. The patients in our data set used
   many medical terms from all of these categories.
   Discussion and conclusionsOur findings suggest the value of a situated,
   condition-specific approach to health literacy that recognizes the
   vertical kind of knowledge that patients with chronic diseases may have.
   We make cautious recommendations for clinical practice, arguing for an
   adaptive approach to medical terminology use with patients.
OI Fage-Butler, Antoinette/0000-0002-4849-0227; Nisbeth Brogger,
   Matilde/0000-0001-5133-1529
ZS 0
Z8 1
ZR 1
ZB 1
ZA 0
TC 25
Z9 26
U1 0
U2 23
SN 1369-6513
EI 1369-7625
UT WOS:000375158100013
PM 26287945
ER

PT J
AU Bae, Crystal
   Geduld, Heike
   Wallis, Lee A
   Smit, De Villiers
   Reynolds, Teri
TI Professional needs of young Emergency Medicine specialists in Africa:
   Results of a South Africa, Ethiopia, Tanzania, and Ghana survey.
SO African journal of emergency medicine : Revue africaine de la medecine
   d'urgence
VL 6
IS 2
BP 94
EP 99
DI 10.1016/j.afjem.2016.02.005
PD 2016-Jun
PY 2016
AB INTRODUCTION: Emergency Medicine (EM) residency programmes are new to
   Africa and exist in only a handful of countries. There has been no
   follow up on faculty development needs nor training of these graduates
   since they completed their programmes. The African Federation for
   Emergency Medicine (AFEM) aims to explore the needs of recent EM
   graduates with respect to the need for resources, mentorship, and
   teaching in order to develop a focused African faculty development
   intervention.
   METHODS: As part of the AFEM annual survey, all those who have graduated
   since 2012 from a Sub-Saharan African EM residency programme were
   approached. These included Muhimbili University of Health and Allied
   Sciences (MUHAS) in Tanzania, Addis Ababa University (AAU) in Ethiopia,
   Komfo Anokye Teaching Hospital (KATH) in Ghana, the University of Cape
   Town (UCT) in South Africa, the University of Pretoria (UP) in South
   Africa, the University of Witswatersrand (Wits) in South Africa, and the
   University of KwaZulu-Natal (UKZN) in South Africa.
   RESULTS: The 47 respondents rated themselves as most confident medical
   experts in knowledge, procedural skills, and communication. Overall
   graduates felt least equipped as scholars and managers, and requested
   more educational materials. They reported that the best way for AFEM to
   support them is through emergency care advocacy and support for their
   advocacy activities and that their most critical development need is for
   leadership development, including providing training materials.
   CONCLUSION: Recent graduates report that the best ways for AFEM to help
   new EM graduates is to continue advocacy programmes and the development
   of leadership and mentorship programmes. However, there is also a demand
   from these graduates for educational materials, especially online.
AB INTRODUCTION: Les programmes dinternat en medecine durgence (MU) sont
   nouveaux en Afrique et nexistent que dans quelques pays. Aucun suivi na
   ete constate sur les besoins en formation des enseignants ni sur la
   formation de ces diplomes depuis le moment oo ils ont acheve leur
   cursus. La Federation africaine de medecine durgence (AFEM) sest donne
   pour objectif detudier les besoins des diplomes recents en MU en termes
   de besoins en ressources, en mentorat et en enseignement dans le but
   delaborer une intervention en matiere de formation ciblee des
   enseignants en Afrique.
   METHODES: Dans le cadre de lenquete annuelle de lAFEM, tous les
   etudiants issu dun programme dinternat de MU en Afrique subsaharienne
   qui ont obtenu un diplome depuis 2012 ont ete contactes. Les
   etablissements incluaient lUniversite Muhimbili de la sante et des
   sciences connexes (MUHAS) en Tanzanie, lUniversite dAddis-Abeba (AAU) en
   Ethiopie, lHopital universitaire Komfo Anokye (KATH) au Ghana,
   lUniversite du Cap (UCT) en Afrique du Sud, lUniversite de Pretoria (UP)
   en Afrique du Sud, lUniversite du Witwatersrand (Wits) en Afrique du Sud
   et lUniversite du KwaZulu-Natal (UKZN) en Afrique du Sud.
   RESULTATS: Les 47 personnes interrogees se sont evaluees comme etant
   totalement confiantes en tant quexperts medicaux dans les domaines des
   connaissances, des competences procedurales et de la communication. Dans
   lensemble, les diplomessestimaient moins bien equipes que les
   universitaires et les gestionnaires, et ont demande plus de materiel
   educatif. Ils ont signale que, pour lAFEM, les meilleures facons de les
   soutenir etaient par le plaidoyer en matiere de soins durgence et le
   soutien a leurs activites de plaidoyer, et que leur besoin en
   developpement le plus essentiel est un developpement du leadership,
   notamment en fournissant du materiel de formation.
   CONCLUSION: Les diplomes recents signalent que, pour lAFEM, la meilleure
   facon daider les nouveaux diplomes en MU est la poursuite des programmes
   de plaidoyer ainsi que du developpement des programmes de leadership et
   de mentorat. Cependant, il existe egalement une demande de la part de
   ces diplomes en matiere de materiel educatif, en particulier en ligne.
OI Geduld, Heike/0000-0001-6512-1274; Wallis, Lee/0000-0003-2711-3139
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 10
Z9 10
U1 0
U2 2
EI 2211-4203
UT MEDLINE:30456073
PM 30456073
ER

PT J
AU Lee, A. R.
   Wolf, R.
   Contento, I.
   Verdeli, H.
   Green, P. H. R.
TI Coeliac disease: the association between quality of life and social
   support network participation
SO JOURNAL OF HUMAN NUTRITION AND DIETETICS
VL 29
IS 3
BP 383
EP 390
DI 10.1111/jhn.12319
PD JUN 2016
PY 2016
AB BackgroundThere is little information available on the use of social
   support systems for patients with coeliac disease (CD). We performed a
   cross-sectional study aiming to examine the association between
   participation in different types of social support networks and quality
   of life (QOL) in adults with CD.
   MethodsA survey including a validated CD specific QOL instrument was
   administered online and in-person to adults with CD who were following a
   gluten-free diet. Participation in social support networks (type,
   frequency and duration) were assessed.
   ResultsAmong the 2138 participants, overall QOL scores were high,
   averaging 68.9 out of 100. Significant differences in QOL scores were
   found for age, length of time since diagnosis and level of education.
   Most (58%) reported using no social support networks. Of the 42%
   reporting use of social support networks (online 17.9%, face-to-face
   10.8% or both 12.8%), QOL scores were higher for those individuals who
   used only face-to-face social support compared to only online support
   (72.6 versus 66.7; P<0.0001). A longer duration of face-to-face social
   support use was associated with higher QOL scores (P<0.0005). By
   contrast, a longer duration and increased frequency of online social
   support use was associated with lower QOL scores (P<0.03).
   ConclusionsParticipation in face-to-face social support networks is
   associated with greater QOL scores compared to online social support
   networks. These findings have potential implications for the management
   of individuals with CD. Emphasis on face-to-face support may improve
   long-term QOL and patient outcomes.
Z8 0
TC 21
ZA 0
ZS 2
ZB 10
ZR 0
Z9 21
U1 0
U2 10
SN 0952-3871
EI 1365-277X
UT WOS:000374135400012
PM 26194359
ER

PT J
AU Garley, Ashley
   Eckert, Erin
   Sie, Ali
   Ye, Maurice
   Malm, Keziah
   Afari, Edwin A.
   Sawadogo, Mamadou
   Herrera, Samantha
   Ivanovich, Elizabeth
   Ye, Yazoume
TI Strengthening individual capacity in monitoring and evaluation of
   malaria control programmes to streamline M&E systems and enhance
   information use in malaria endemic countries
SO MALARIA JOURNAL
VL 15
AR 300
DI 10.1186/s12936-016-1354-y
PD MAY 28 2016
PY 2016
AB Background: Malaria control interventions in most endemic countries have
   intensified in recent years and so there is a need for a robust
   monitoring and evaluation (M&E) system to measure progress and
   achievements. Providing programme and M&E officers with the appropriate
   skills is a way to strengthen malaria's M&E systems and enhance
   information use for programmes' implementation. This paper describes a
   recent effort in capacity strengthening for malaria M&E in sub-Saharan
   Africa (SSA).
   Methods: From 2010 to 2014, capacity-strengthening efforts consisted of
   organizing regional in-person workshops for M&E of malaria programmes
   for Anglophone and Francophone countries in SSA in collaboration with
   partners from Ghana and Burkina Faso. Open-sourced online courses were
   also available in English. A post-workshop assessment was conducted
   after 5 years to assess the effects of these regional workshops and
   identify gaps in capacity.
   Results: The regional workshops trained 181 participants from 28
   countries from 2010 to 2014. Trained participants were from ministries
   of health, national malaria control and elimination programmes,
   non-governmental organizations, and development partners. The average
   score (%) for participants' knowledge tests increased from pretest to
   posttest for Anglophone workshops (2011: 59 vs. 76, 2012: 41 vs. 63,
   2013: 51 vs. 73; 2014: 50 vs. 74). Similarly, Francophone workshop
   posttest scores increased, but were lower than Anglophone due to higher
   scores at pretest. (2011: 70 vs. 76, 2012: 74 vs. 79, 2013: 61 vs. 68;
   2014: 64 vs. 75). Results of the post-workshop assessment revealed that
   participants retained practical M&E knowledge and skills for malaria
   programs, but there is a need for a module on malaria surveillance
   adapted to the pre-elimination context.
   Conclusion: The workshops were successful because of the curriculum
   content, facilitation quality, and the engagement of partner
   institutions with training expertise. Results from the post-workshop
   assessment will guide the curriculum's development and restructuring for
   the next phase of workshops. Country-specific malaria M&E capacity needs
   assessments may also inform this process as countries reduce malaria
   burden.
RI Ye, Maurice/AAG-8660-2021; Eckert, Erin/; Kabardiev, Sadrutdin/; SIE, Ali/
OI Eckert, Erin/0000-0003-4116-0900; Kabardiev,
   Sadrutdin/0000-0001-6129-8371; SIE, Ali/0000-0002-3959-2520
Z8 0
ZA 0
ZS 0
ZB 2
ZR 0
TC 5
Z9 5
U1 0
U2 2
EI 1475-2875
UT WOS:000377180200003
PM 27233243
ER

PT J
AU Luckett, Tim
   Disler, Rebecca
   Hosie, Annmarie
   Johnson, Miriam
   Davidson, Patricia
   Currow, David
   Sumah, Anthony
   Phillips, Jane
TI Content and quality of websites supporting self-management of chronic
   breathlessness in advanced illness: a systematic review
SO NPJ PRIMARY CARE RESPIRATORY MEDICINE
VL 26
AR 16025
DI 10.1038/npjpcrm.2016.25
PD MAY 26 2016
PY 2016
AB Chronic breathlessness is a common, burdensome and distressing symptom
   in many advanced chronic illnesses. Self-management strategies are
   essential to optimise treatment, daily functioning and emotional coping.
   People with chronic illness commonly search the internet for advice on
   self-management. A review was undertaken in June 2015 to describe the
   content and quality of online advice on breathlessness self-management,
   to highlight under-served areas and to identify any unsafe content.
   Google was searched from Sydney, Australia, using the five most common
   search terms for breathlessness identified by Google Trends. We also
   hand-searched the websites of national associations. Websites were
   included if they were freely available in English and provided practical
   advice on self-management. Website quality was assessed using the
   American Medical Association Benchmarks. Readability was assessed using
   the Flesch-Kincaid grades, with grade 8 considered the maximum
   acceptable for enabling access. Ninety-one web pages from 44 websites
   met the inclusion criteria, including 14 national association websites
   not returned by Google searches. Most websites were generated in the USA
   (n = 28, 64%) and focused on breathing techniques (n = 38, 86%) and
   chronic obstructive pulmonary disease (n = 27, 61%). No websites were
   found to offer unsafe advice. Adherence to quality benchmarks ranged
   from 9% for disclosure to 77% for currency. Fifteen (54%) of 28 written
   websites required grade. 9 reading level. Future development should
   focus on advice and tools to support goal setting, problem solving and
   monitoring of breathlessness. National associations are encouraged to
   improve website visibility and comply with standards for quality and
   readability.
RI Phillips, Jane/A-7780-2015; Luckett, Tim/; Davidson, Patricia M./; Johnson, Miriam/; Hosie, Annmarie/; Disler, Rebecca T/; Currow, David/
OI Phillips, Jane/0000-0002-3691-8230; Luckett, Tim/0000-0001-6121-5409;
   Davidson, Patricia M./0000-0003-2050-1534; Johnson,
   Miriam/0000-0001-6204-9158; Hosie, Annmarie/0000-0003-1674-2124; Disler,
   Rebecca T/0000-0003-3084-1516; Currow, David/0000-0003-1988-1250
TC 4
ZB 0
ZS 0
Z8 1
ZA 0
ZR 0
Z9 5
U1 1
U2 4
SN 2055-1010
UT WOS:000391956500001
PM 27225898
ER

PT J
AU Mitchell, John T.
   Sweitzer, Maggie M.
   Tunno, Angela M.
   Kollins, Scott H.
   McClernon, F. Joseph
TI "I Use Weed for My ADHD": A Qualitative Analysis of Online Forum
   Discussions on Cannabis Use and ADHD
SO PLOS ONE
VL 11
IS 5
AR e0156614
DI 10.1371/journal.pone.0156614
PD MAY 26 2016
PY 2016
AB Background
   Attention-deficit/hyperactivity disorder (ADHD) is a risk factor for
   problematic cannabis use. However, clinical and anecdotal evidence
   suggest an increasingly popular perception that cannabis is therapeutic
   for ADHD, including via online resources. Given that the Internet is
   increasingly utilized as a source of healthcare information and may
   influence perceptions, we conducted a qualitative analysis of online
   forum discussions, also referred to as threads, on the effects of
   cannabis on ADHD to systematically characterize the content patients and
   caregivers may encounter about ADHD and cannabis.
   Methods
   A total of 268 separate forum threads were identified. Twenty percent
   (20%) were randomly selected, which yielded 55 separate forum threads
   (mean number of individual posts per forum thread = 17.53) scored by
   three raters (Cohen's kappa = 0.74). A final sample of 401 posts in
   these forum threads received at least one endorsement on predetermined
   topics following qualitative coding procedures.
   Results
   Twenty-five (25%) percent of individual posts indicated that cannabis is
   therapeutic for ADHD, as opposed to 8% that it is harmful, 5% that it is
   both therapeutic and harmful, and 2% that it has no effect on ADHD. This
   pattern was generally consistent when the year of each post was
   considered. The greater endorsement of therapeutic versus harmful
   effects of cannabis did not generalize to mood, other (non-ADHD)
   psychiatric conditions, or overall domains of daily life. Additional
   themes emerged (e.g., cannabis being considered sanctioned by healthcare
   providers).
   Conclusions
   Despite that there are no clinical recommendations or systematic
   research supporting the beneficial effects of cannabis use for ADHD,
   online discussions indicate that cannabis is considered therapeutic for
   ADHD-this is the first study to identify such a trend. This type of
   online information could shape ADHD patient and caregiver perceptions,
   and influence cannabis use and clinical care.
RI Sweitzer, Maggie/GPK-2525-2022; Kollins, Scott/AAD-6291-2020; Sweitzer, Maggie/
OI Kollins, Scott/0000-0001-6847-6935; Sweitzer, Maggie/0000-0002-5085-3752
ZR 0
ZA 0
Z8 1
ZB 10
ZS 0
TC 47
Z9 47
U1 0
U2 30
SN 1932-6203
UT WOS:000376882500160
PM 27227537
ER

PT J
AU Vetter, Monica H
   Carter, Mary
TI Differences between first and fourth year medical students' interest in
   pursuing careers in academic medicine.
SO International journal of medical education
VL 7
BP 154
EP 7
DI 10.5116/ijme.571b.af3d
PD 2016 May 24
PY 2016
AB OBJECTIVE: The purpose of this pilot study was to assess the differences
   in the attitudes of first and fourth-year medical students regarding
   careers in academics. We also sought to identify any factors associated
   with an increased interest in academic medicine.
   METHODS: A cross-sectional study was conducted during October 2013 at
   the University of Louisville. All first and fourth year medical students
   were invited to complete an online survey utilizing a survey instrument
   developed through literature review. Demographic data and information
   about background experiences were collected in addition to participants'
   perceptions regarding careers in academia using a 5-point Likert scale.
   Participants were also queried about their current interest in a career
   in academics and the likelihood they would pursue academic medicine.
   RESULTS: Of the 330 potential participants, 140 (42.4%) agreed to
   participate. Overall, fourth-years reported a higher likelihood of
   pursuing an academic career than first-years. Research experience,
   publications, distinction track interest or involvement, and belief that
   a career in academics would reduce salary potential were positively
   correlated with reported likelihood of pursuing academic medicine.
   CONCLUSIONS: Findings from this pilot study demonstrate differences in
   interest in academic medicine between junior and senior medical
   students. Additionally, several factors were associated with a high
   likelihood of self-reported interest in academic. Based on these
   findings, efforts to increase medical students' interest in academic
   medicine careers could be supported by providing more research and
   teaching opportunities or distinction track options as a structured part
   of the medical school curriculum.
ZS 0
Z8 0
ZB 2
ZR 0
ZA 0
TC 9
Z9 9
U1 0
U2 2
EI 2042-6372
UT MEDLINE:27219295
PM 27219295
ER

PT J
AU Hartley, Kathy
TI Untangling approaches to management and leadership across systems of
   medical education
SO BMC HEALTH SERVICES RESEARCH
VL 16
AR 180
DI 10.1186/s12913-016-1391-9
SU 2
PD MAY 24 2016
PY 2016
AB Aims: How future doctors might be educated and trained in order to meet
   the population and system needs of countries is currently being debated.
   Incorporation of a broad range of capabilities, encompassed within
   categories of management and, increasingly, leadership, form part of
   this discussion. The purpose of this paper is to outline a framework by
   which countries' progress in this area might be assessed and compared.
   Methods: Key databases and journals related to this area were reviewed.
   From relevant articles potential factors impacting on the incorporation
   of aspects of management and leadership within medical education and
   training were identified. These factors were tested via an online survey
   during 2013 with six members of a European Association of doctors who
   promote medical involvement in hospital management, including members
   from countries less represented in the health management literature.
   Results: A framework for analysing how management and leadership
   education is being approached within different systems of healthcare is
   developed and presented.
   Conclusions: More systematic work across a wider range of countries is
   needed if we are to have a better understanding of how countries within
   and beyond Europe are approaching and progressing the education of
   doctors in management and leadership.
OI Hartley, Kathryn (Kathy)/0000-0001-5517-5578
ZS 0
TC 12
Z8 0
ZA 0
ZR 0
ZB 0
Z9 12
U1 1
U2 11
SN 1472-6963
UT WOS:000381319100004
PM 27230432
ER

PT J
AU Navalpakam, Aishwarya
   Dany, Mohammed
   Hussein, Inaya Hajj
TI Behavioral Perceptions of Oakland University Female College Students
   towards Human Papillomavirus Vaccination
SO PLOS ONE
VL 11
IS 5
AR e0155955
DI 10.1371/journal.pone.0155955
PD MAY 20 2016
PY 2016
AB Human Papillomavirus (HPV) vaccination decreases the risk for cervical
   cancer. However, the uptake of HPV vaccine remains low when compared
   with other recommended vaccines. This study evaluates the knowledge and
   attitudes towards HPV infection and vaccination, and the readiness for
   the uptake of HPV vaccine amongst female students attending Oakland
   University (OU) in Michigan, United States. This is a cross-sectional
   study targeting a randomized sample of a 1000 female OU students using
   an online questionnaire. The data were statistically analyzed using SPSS
   software. A total of 192 female students, with the mean age of 24 years
   completed the survey. The majority of participants had previous sexual
   experience with occasional use of contraceptives (78.1%), were
   non-smokers (92.7%), and non-alcohol drinkers (54.2%). The participants
   had a mean knowledge score of 53.0% with a standard error of 2.3%
   translating to a moderately informed population. The majority agreed
   that HPV is life threatening (79%), the vaccine prevents cervical cancer
   (62%), and that side effects would not deter themfrom vaccination (63%).
   Although two thirds (67%) believed that, based on sexual practices in
   the United States, female college students in Michigan have a higher
   chance of contracting HPV, about 50% did not believe they themselves
   were at risk. Higher knowledge correlated with increased recommendation
   for the vaccine (correlation-factor 0.20, p = 0.005). Results suggested
   that the best predictor for improvement of vaccination was the awareness
   level and health education. This indicates a need for an educational
   intervention to raise awareness, increase HPV vaccine uptake, and
   decrease the incidence of cervical cancer.
OI Dany, Mohammed/0000-0002-7060-5385
ZA 0
TC 14
ZB 5
ZS 0
Z8 0
ZR 0
Z9 14
U1 0
U2 8
SN 1932-6203
UT WOS:000376291500034
PM 27203284
ER

PT J
AU Calear, Alison L.
   Batterham, Philip J.
   Poyser, Carmel T.
   Mackinnon, Andrew J.
   Griffiths, Kathleen M.
   Christensen, Helen
TI Cluster randomised controlled trial of the e-couch Anxiety and Worry
   program in schools
SO JOURNAL OF AFFECTIVE DISORDERS
VL 196
BP 210
EP 217
DI 10.1016/j.jad.2016.02.049
PD MAY 15 2016
PY 2016
AB Background: Anxiety is a common mental health problem in youth. The
   current study aimed to test the effectiveness of an online self-directed
   anxiety prevention program in a school-based sample and to compare two
   methods of implementing an anxiety program in schools.
   Methods: A three-arm cluster stratified randomised controlled trial was
   conducted with 30 Australian schools. Each school was randomly assigned
   to receive: (1) externally-supported intervention, (2) teacher
   -supported intervention, or (3) wait-list control. All consenting
   students (N=1767) were invited to complete pre-intervention,
   post-intervention, 6- and 12-month follow-up questionnaires measuring
   generalised anxiety, social anxiety, anxiety sensitivity, depressive
   symptoms and mental wellbeing. Intervention participants completed the
   e-couch Anxiety and Worry program over 6 weeks.
   Results: At post-intervention, 6- and 12-month follow-up no significant
   differences were observed between the intervention and control
   conditions for generalised anxiety (Cohen's d=-0.14 to 0.15), social
   anxiety (d=0.04-0.23), anxiety sensitivity (d= 0.07 to 0.07), depressive
   symptoms (d= 0.05 to 0.04) or mental wellbeing (d=-0.06 to 0.30).
   Limitations: The current study only included self-report measures that
   may have been influenced by situational factors or biases.
   Conclusions: The e-couch Anxiety and Worry program did not have a
   significant positive effect on participant mental health or wellbeing.
   The addition of a mental health education officer to support classroom
   teachers in the delivery of the program also had no effect on
   intervention outcomes. Future prevention research should look to develop
   briefer and more interactive interventions that are more engaging for
   youth. (C) 2016 Elsevier B.V. All rights reserved.
RI Calear, Alison L/D-4191-2009; Christensen, Helen/F-5053-2012; Batterham, Philip/
OI Calear, Alison L/0000-0002-7028-725X; Christensen,
   Helen/0000-0003-0435-2065; Batterham, Philip/0000-0002-4547-6876
ZR 0
Z8 1
TC 22
ZS 0
ZA 0
ZB 0
Z9 23
U1 1
U2 33
SN 0165-0327
EI 1573-2517
UT WOS:000372716800025
PM 26926660
ER

PT J
AU van de Mortel, Thea F.
   Silberberg, Peter L.
   Ahern, Christine M.
   Pit, Sabrina W.
TI Supporting near-peer teaching in general practice: a national survey
SO BMC MEDICAL EDUCATION
VL 16
AR 143
DI 10.1186/s12909-016-0662-9
PD MAY 12 2016
PY 2016
AB Background: Training bodies see teaching by junior doctors and
   vocational trainees in general practice (family medicine) as integral to
   a doctor's role. While there is a body of literature on teacher training
   programs, and on peer and near-peer teaching in hospitals and
   universities, there has been little examination of near-peer teaching in
   general practice. Near-peer teaching is teaching to those close to
   oneself but not at the same level in the training continuum. This study
   investigated the perceptions of key stakeholders on near-peer teaching
   in general practice, their current near-peer teaching activities, and
   methods of recruitment and support.
   Methods: A national anonymous online survey was used to obtain data on
   Australian stakeholders' perceptions of, and processes related to,
   near-peer teaching in general practice. Recruitment occurred via
   electronic invitations sent by training providers and stakeholder
   associations. Separate questionnaires, which were validated via several
   cycles of review and piloting, were developed for supervisors and
   learners. The survey included both fixed response and open response
   questions.
   Results: Responses (n = 1,122) were obtained from 269 general
   practitioner supervisors, 221 general practice registrars, 319
   prevocational trainees, and 313 medical students. All stakeholder groups
   agreed that registrars should teach learners in general practice, and 72
   % of registrars, 68 % of prevocational trainees, and 33 % of medical
   students reported having done some teaching in this setting.
   Three-quarters of supervisors allowed learners to teach. Having another
   learner observe their consultations was the most common form of teaching
   for registrars and prevocational trainees. Eight percent of registrars
   received some remuneration for teaching. The approach used to determine
   teaching readiness and quality varied greatly between supervisors.
   Conclusions: Near-peer teaching was supported by the majority of
   stakeholders, but is underutilised and has poor structural support.
   Guidelines may be required to help supervisors better support learners
   in this role and manage quality issues related to teaching.
OI Achilova, Diyora/0000-0002-7645-9497
ZR 0
ZA 0
ZB 0
TC 9
Z8 0
ZS 0
Z9 9
U1 1
U2 15
EI 1472-6920
UT WOS:000375685500001
PM 27176859
ER

PT J
AU Talwalkar, Jaideep S
   Fahs, Deborah B
   Kayingo, Gerald
   Wong, Risa
   Jeon, Sangchoon
   Honan, Linda
TI Readiness for interprofessional learning among healthcare professional
   students.
SO International journal of medical education
VL 7
BP 144
EP 8
DI 10.5116/ijme.570d.7bd8
PD 2016 May 12
PY 2016
AB OBJECTIVE: The purpose of this study was to investigate attitudes toward
   interprofessional learning among first year medical, nursing, and
   physician associate students at an American university at the start of
   their training.
   METHODS: First year medical (n=101), nursing (n=81), and physician
   associate (n=35) students were invited to complete an anonymous online
   survey which included items related to demographic information and the
   Readiness for Interprofessional Learning Scale. Scores were compared by
   the general linear model and Duncan's multiple range test while
   controlling for demographic differences.
   RESULTS: All three groups scored in the high range, indicating readiness
   for shared learning. Female students, those with advanced degrees, and
   those with healthcare experience prior to enrolment in health
   professional school had significantly higher scores than their
   counterparts. After controlling for differences in demographic factors,
   nursing students scored significantly higher than physician associate
   and medical students (F = 6.22, 0.0025).
   CONCLUSIONS: Health professions students demonstrated readiness for
   interprofessional learning early in their academic programs, however
   important differences in baseline readiness emerged. These findings
   suggest that educators consider baseline attitudes of students when
   designing interprofessional education curricula, and use caution when
   extrapolating data from other geographies or cultures.
RI Kayingo, Gerald/ABG-9693-2021; Jeon, Sangchoon/E-3800-2013; Talwalkar, Jaideep/; Wong, Risa/
OI Jeon, Sangchoon/0000-0003-2855-2053; Talwalkar,
   Jaideep/0000-0003-2471-8159; Wong, Risa/0000-0003-1658-9465
TC 25
ZR 0
ZA 0
ZS 0
Z8 0
ZB 1
Z9 25
U1 0
U2 1
EI 2042-6372
UT MEDLINE:27171559
PM 27171559
ER

PT J
AU Ahluwalia, Aneeta
   Crossman, Tim
   Smith, Helen
TI Current training provision and training needs in oral health for UK
   general practice trainees: survey of General Practitioner Training
   Programme Directors
SO BMC MEDICAL EDUCATION
VL 16
AR 142
DI 10.1186/s12909-016-0663-8
PD MAY 11 2016
PY 2016
AB Background: In the UK the incidence of oral cancers has risen by a third
   in the last decade, and there have been minimal improvements in survival
   rates. Moreover, a significant proportion of the population no longer
   access dental health services regularly, instead presenting their oral
   health concerns to their General Medical Practitioner. Therefore,
   General Practitioners ( GP) have an important role in the diagnosis of
   oral health pathologies and the earlier detection of oral cancers. This
   study aims to understand the current provision of training in oral
   health and cancer for GP trainees and to identify how unmet training
   needs could be met.
   Methods: A cross-sectional survey of GP Training Programme Directors
   using an online questionnaire asking about current oral health education
   training ( hospital placements and structured teaching), the
   competencies covered with trainees and ways to improve oral health
   training. Quantitative data were analysed using descriptive statistics
   and content analysis was undertaken of free text responses.
   Results: We obtained responses from 132 GP Training Programme Directors
   (GPTPDs), from 13 of the 16 UK medical deaneries surveyed. The majority
   of respondents (71.2 %) indicated that their programmes did not provide
   any structured oral health training to GP trainees and that <= 10 % of
   their trainees were undertaking hospital posts relevant to oral health.
   GPTPDs were of the view that the quality of oral health training was
   poor, relative to the specified competencies, and that teaching on
   clinical presentations of 'normal' oral anatomy was particularly poor.
   It was envisaged that oral health training could be improved by access
   to specialist tutors, e-learning programmes and problem-based-learning
   sessions. Respondents highlighted the need for training sessions to be
   relevant to GPs. Barriers to improving training in oral health were time
   constraints, competing priorities and reluctance to taking on the
   workload of dentists.
   Conclusions: This UK-wide survey has identified important gaps in the
   training of GP trainees in relation to oral health care and cancer
   detection. Addressing these knowledge and skill gaps, particularly in
   the identification of oral cancers, will help to improve oral health
   and, more importantly, the timely diagnosis of oral cancer.
RI Smith, Helen E/M-2449-2016
OI Smith, Helen E/0000-0003-1883-6124
Z8 0
ZS 0
TC 16
ZR 0
ZB 2
ZA 0
Z9 16
U1 0
U2 11
EI 1472-6920
UT WOS:000375685300001
PM 27169796
ER

PT J
AU Byrne, E.
   Donaldson, L.
   Manda-Taylor, L.
   Brugha, R.
   Matthews, A.
   MacDonald, S.
   Mwapasa, V.
   Petersen, M.
   Walsh, A.
TI The use of technology enhanced learning in health research capacity
   development: lessons from a cross country research partnership
SO GLOBALIZATION AND HEALTH
VL 12
AR 19
DI 10.1186/s12992-016-0154-z
PD MAY 10 2016
PY 2016
AB Background: With the recognition of the need for research capacity
   strengthening for advancing health and development, this research
   capacity article explores the use of technology enhanced learning in the
   delivery of a collaborative postgraduate blended Master's degree in
   Malawi. Two research questions are addressed: (i) Can technology
   enhanced learning be used to develop health research capacity?, and:
   (ii) How can learning content be designed that is transferrable across
   different contexts?
   Methods: An explanatory sequential mixed methods design was adopted for
   the evaluation of technology enhanced learning in the Masters programme.
   A number of online surveys were administered, student participation in
   online activities monitored and an independent evaluation of the
   programme conducted.
   Results: Remote collaboration and engagement are paramount in the design
   of a blended learning programme and support was needed for selecting the
   most appropriate technical tools. Internet access proved problematic
   despite developing the content around low bandwidth availability and
   training was required for students and teachers/trainers on the tools
   used. Varying degrees of engagement with the tools used was recorded,
   and the support of a learning technologist was needed to navigate
   through challenges faced.
   Conclusion: Capacity can be built in health research through blended
   learning programmes. In relation to transferability, the support
   required institutionally for technology enhanced learning needs to be
   conceptualised differently from support for face-to-face teaching.
   Additionally, differences in pedagogical approaches and styles between
   institutions, as well as existing social norms and values around
   communication, need to be embedded in the content development if the
   material is to be used beyond the pilot resource-intensive phase of a
   project.
RI Matthews, Anne/ABC-9580-2021; Manda-Taylor, Lucinda/AAK-2116-2021; Byrne, Elaine/E-2458-2012; Macdonald, Stephen/; Walsh, Aisling/; Brugha, Ruairi/C-8420-2012; Mwapasa, Victor/
OI Matthews, Anne/0000-0002-4845-869X; Manda-Taylor,
   Lucinda/0000-0001-8149-0897; Byrne, Elaine/0000-0001-7322-277X;
   Macdonald, Stephen/0000-0001-6306-8035; Walsh,
   Aisling/0000-0002-5312-5101; Brugha, Ruairi/0000-0003-0729-0197;
   Mwapasa, Victor/0000-0002-2748-8902
ZS 0
TC 7
ZA 0
ZR 0
Z8 0
ZB 0
Z9 7
U1 0
U2 13
EI 1744-8603
UT WOS:000376380800002
PM 27160242
ER

PT J
AU Shaban, Sami
   Elzubeir, Margaret
   Al Houqani, Mohammed
TI Online assessment standard setting for multiple choice questions.
SO International journal of medical education
VL 7
BP 142
EP 3
DI 10.5116/ijme.5715.3481
PD 2016 May 05
PY 2016
ZA 0
ZR 0
ZB 0
Z8 0
TC 1
ZS 0
Z9 1
U1 0
U2 3
EI 2042-6372
UT MEDLINE:27149419
PM 27149419
ER

PT J
AU Kim, Yongjoo
   Kawachi, Ichiro
TI School- and Individual-level Predictors of Weight Status Misperception
   among Korean Adolescents: A National Online Survey
SO PLOS ONE
VL 11
IS 5
AR e0154826
DI 10.1371/journal.pone.0154826
PD MAY 4 2016
PY 2016
AB Background
   Growing body of literature has reported that weight status estimation
   pattern, including accurate-, under-, and overestimation, was associated
   with weight related behaviors and weight change among adolescents and
   young adults. However, there have been a few studies investigating the
   potential role of school contexts in shaping adolescents' weight status
   estimation pattern among Korea adolescents.
   Objective
   The aim of the present study was to investigate the association between
   weight status misperception patterns and factors at individual-,
   family-, and school-level, simultaneously, and whether there was
   significant between schools variation in the distribution of each weight
   status misperception pattern, underestimation and overestimation
   respectively, among Korean adolescents aged 12-18 years.
   Method
   Data from the Eighth Korea Youth Risk Behavior Web-based Survey (KYRBS),
   2012, a nationally representative online survey of 72,228 students (boys
   = 37,229, girls = 34,999) from a total of 797 middle and high schools
   were used. Sex stratified multilevel random intercept multinomial
   logistic models where adolescents (level 1) were nested within schools
   (level 2) were performed.
   Results
   At the school level, attending a school with higher average BMI
   (kg/m(2)) was positively associated with weight status underestimation,
   and inversely associated with weight status overestimation among boys
   and girls. Single-sex schooling was positively associated with weight
   status underestimation among girls. At the family level, higher
   household income (high/middle versus low) was inversely associated with
   both weight status under- and overestimation among boys and girls.
   Higher maternal education (equal to or more than college graduate versus
   equal to or less than high school graduate) was positively associated
   with weight status overestimation among boys, and living with both
   parents (compared to not living with both parents) was inversely
   associated with weight status underestimation among girls. At the
   individual level, high academic achievement (compared to low) was
   positively associated with weight status underestimation among boys and
   girls.
   Conclusions
   While further research with prospective designs and objectively measured
   anthropometric information is needed, school environmental factors such
   as sex composition and school average BMI, as well as, family contexts
   such as socioeconomic status need to be considered when developing and
   implementing obesity prevention programs.
RI Kim, Yongjoo/N-9751-2019
OI Kim, Yongjoo/0000-0002-0768-9256
ZS 0
Z8 0
ZA 0
ZB 4
ZR 0
TC 12
Z9 12
U1 1
U2 9
SN 1932-6203
UT WOS:000375676400079
PM 27144319
ER

PT J
AU Stoszkowski, John
   Collins, Dave
TI Sources, topics and use of knowledge by coaches
SO JOURNAL OF SPORTS SCIENCES
VL 34
IS 9
BP 794
EP 802
DI 10.1080/02640414.2015.1072279
PD MAY 2 2016
PY 2016
AB In recent years, the value of social learning approaches as part of the
   design and delivery of formalised coach development initiatives has
   gained credence in the literature. However, insight is currently lacking
   into the fundamental social dimensions that underpin coach learning.
   Accordingly, this study aimed to explore coaches' perceptions of their
   actual and preferred methods of acquiring new coaching knowledge, the
   types of knowledge they currently acquire and/or desire, and their
   application of new knowledge. Responses to an online survey, completed
   by practicing coaches (N=320) in a range of sports and contexts, were
   analysed descriptively and inductively. Results revealed that coaches
   preferred, and mostly acquired, coaching knowledge from informal
   learning activities, especially when these permitted social interaction.
   Notably, however, formal coach education courses were also reported
   relatively frequently as a source of recent knowledge acquisition.
   Nevertheless, critical justification for and application of acquired
   knowledge was largely absent. Based on the findings, we suggest that,
   before social learning activities such as mentoring schemes and
   communities of practice are placed at the centre of formalised coach
   development provision, coach educators must put in place the support
   structures to better enable coaches to recognise and deal with the
   potentially mixed influences of the social milieu on coach learning,
   aiming to ensure that their informal development is sufficiently
   open-minded, reflective and critical.
RI Stoszkowski, John/AAM-2403-2020
OI Stoszkowski, John/0000-0002-1968-5770
TC 107
Z8 0
ZR 0
ZA 0
ZB 4
ZS 9
Z9 116
U1 6
U2 57
SN 0264-0414
EI 1466-447X
UT WOS:000370880200002
PM 26222481
ER

PT J
AU Guraya, Salman Y
   Guraya, Shaista S
   Mahabbat, Nehal Anam
   Fallatah, Khulood Yahya
   Al-Ahmadi, Bashaer Ahmad
   Alalawi, Hadeel Hadi
TI The Desired Concept Maps and Goal Setting for Assessing Professionalism
   in Medicine.
SO Journal of clinical and diagnostic research : JCDR
VL 10
IS 5
BP JE01
EP 5
DI 10.7860/JCDR/2016/19917.7832
PD 2016-May
PY 2016
AB Due to the multi-dimensional characteristics of professionalism, no
   single assessment modality has shown to reliably assess professionalism.
   This review aims to describe some of the popular assessment tools that
   are being used to assess professionalism with a view to formulate a
   framework of assessment of professionalism in medicine. In December
   2015, the online research databases of MEDLINE, the Educational
   Resources Information Center (ERIC), Elton Bryson Stephens Company
   (EBSCO), SCOPUS, OVID and PsychINFO were searched for full-text English
   language articles published during 2000 to 2015. MeSH terms
   "professionalism" AND "duty" AND "assessment" OR "professionalism
   behavioural" AND "professionalism-cognitive" were used. The research
   articles that assessed professionalism across medical fields along with
   other areas of competencies were included. A final list of 35 articles
   were selected for this review. Several assessment tools are available
   for assessing professionalism that includes, but not limited to, mini
   clinical evaluation exercise, standardised direct observation of
   procedural skills, professionalism mini-evaluation exercise,
   multi-source feedback and 360 degree evaluation, and case based
   discussions. Because professionalism is a complex construct, it is less
   likely that a single assessment strategy will adequately measure it.
   Since every single assessment tool has its own weaknesses, triangulation
   involving multiple tools can compensate the shortcomings associated with
   any single approach. Assessment of professionalism necessitates a
   combination of modalities at individual, interpersonal, societal, and
   institutional levels and should be accompanied by feedback and
   motivational reflection that will, in turn, lead to behaviour and
   identity formation. The assessment of professionalism in medicine should
   meet the criteria of validity, reliability, feasibility and
   acceptability. Educators are urged to enhance the depth and quality of
   assessment instruments in the existing medical curricula for ensuring
   validity and reliability of assessment tools for professionalism. 
RI Guraya, Shaista Salman Salman/AAW-7561-2021; Guraya, Salman/ABC-9493-2021; Guraya, Salman/AEN-6633-2022
OI Guraya, Shaista Salman Salman/0000-0003-2903-8697; Guraya,
   Salman/0000-0001-5183-023X; Guraya, Salman/0000-0001-5183-023X
ZR 0
ZS 0
Z8 0
TC 5
ZA 0
ZB 2
Z9 5
U1 0
U2 6
SN 2249-782X
UT MEDLINE:27437247
PM 27437247
ER

PT J
AU Rangarajan, Nandhini
   Balasubramanian, Shanthi
   Pang, Jing
   Watts, Gerald F
TI Knowledge and Awareness of Familial Hypercholesterolaemia among
   Registered Medical Practitioners in Tamil Nadu: Are They Suboptimal?
SO Journal of clinical and diagnostic research : JCDR
VL 10
IS 5
BP OC52
EP 6
DI 10.7860/JCDR/2016/18798.7893
PD 2016-May
PY 2016
AB INTRODUCTION: Familial Hypercholesterolaemia (FH) is the most common
   monogenic disorder causing premature Coronary Artery Disease (CAD).
   However, the majority of people with FH are undiagnosed and under
   treated.
   AIM: To determine awareness, knowledge and practices of registered
   medical practitioners regarding FH in India.
   MATERIALS AND METHODS: Physicians from a southern state of India (Tamil
   Nadu) who see the general cases were requested to complete a structured
   online survey questionnaire based on the outcomes on screening,
   diagnostic and service aspects of FH.
   RESULTS: A total of 133 physicians were surveyed, 27.9% perceived
   themselves to have above average familiarity with FH and 71.4% correctly
   described FH. 41.4% of physicians were unaware and unsure whether they
   had FH patients under their care. The awareness of specific aspects of
   FH were as follows: heritability 35.3%, prevalence 31.6%, typical lipid
   profile 34.6%, CVD relating to FH13.5%, genetic testing 33.1%, cascade
   screening 41.4%, preventive, management and referral services for FH
   12.8%, 49.6% of them thought that the age for screening young people for
   FH should be 13 to 18 years. 84.2% selected GP's as the most effective
   health care provider for the early detection and care of FH as being
   useful. 69.2% selected interpretive commenting on lipid profile to
   highlight patients at risk of FH. 91.7% and 19.5% of physicians
   identified statins as monotherapy and statin with ezetimibe as
   combination therapy for FH, respectively.
   CONCLUSION: The study identified substantial deficit in the awareness
   and knowledge of FH among primary care physicians in Tamil Nadu.
   Extensive and continuous medical education programs are required to
   close the gap in coronary prevention.
RI Pang, Jing/T-6397-2019; Watts, Gerald/
OI Pang, Jing/0000-0002-9700-6948; Watts, Gerald/0000-0003-2276-1524
ZA 0
ZR 0
ZS 0
Z8 0
TC 14
ZB 6
Z9 14
U1 0
U2 0
SN 2249-782X
UT MEDLINE:27437273
PM 27437273
ER

PT J
AU Kumar, Satish
   Jena, Lingaraja
   Vagha, Jayant
TI Need Assessment of Enhancing the Weightage of Applied Biochemistry in
   the Undergraduate Curriculum at MGIMS, Sevagram
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 44
IS 3
BP 230
EP 240
DI 10.1002/bmb.20934
PD MAY-JUN 2016
PY 2016
AB In order to review the need assessment of enhancing the weightage of
   Applied Biochemistry in the undergraduate curriculum at Mahatma Gandhi
   Institute of Medical Sciences (MGIMS), Sevagram, a validated
   questionnaire was sent to 453 participants which include 387
   undergraduate students, 11 interns, 23 postgraduate students, and 32
   faculty members. A web-based data collection and analysis tool was
   designed for online questionnaire distribution, data collection, and
   analysis. Response rate was 100%. Most of the respondents agreed that
   the subject Biochemistry has relevance in clinical practice (81.24%) and
   applied based learning of Biochemistry by medical undergraduates would
   help in overall improvement in the health standards/patients care
   (83.44%). According to 65.12% respondents, most of the medical
   undergraduates read Biochemistry just for examination purpose only.
   Nearly half of the respondents agreed that minute details of biochemical
   reactions were not much useful in clinical practice (53.86%) and the
   vast majority of diagrammatic cycles memorized by the medical
   undergraduates had no relevance in clinical practice (51.21%), the
   decreased interest in learning the Applied Biochemistry was due to more
   amount of clinically irrelevant information taught to medical
   undergraduates (73.51%), there was a need to rethink for removing the
   diagrammatic biochemical cycles from curriculum for medical
   undergraduates (48.12%), the less learning of Applied Biochemistry or
   competencies would affect the clinical skills and knowledge of medical
   undergraduates (70.42%). The result of this study suggests that there is
   need for restructuring the Biochemistry curriculum with more clinical
   relevance. (C) 2016 by The International Union of Biochemistry and
   Molecular Biology, 44:230-240, 2016.
RI Kumar, Satish/AAA-3123-2022; Vagha, Jayant/
OI Kumar, Satish/0000-0003-0128-7245; Vagha, Jayant/0000-0001-8494-3759
ZA 0
TC 5
ZR 0
ZB 1
ZS 0
Z8 0
Z9 5
U1 0
U2 1
SN 1470-8175
EI 1539-3429
UT WOS:000380265400003
PM 26900873
ER

PT J
AU Arthur, Peter
   Ludwig, Martha
   Castelli, Joane
   Kirkwood, Paul
   Attwood, Paul
TI Prepare, Do, Review: A Skills-Based Approach for Laboratory Practical
   Classes in Biochemistry and Molecular Biology
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 44
IS 3
BP 276
EP 287
DI 10.1002/bmb.20951
PD MAY-JUN 2016
PY 2016
AB A new laboratory practical system is described which is comprised of a
   number of laboratory practical modules, each based around a particular
   technique or set of techniques, related to the theory part of the course
   but not designed to be dependent on it. Each module comprises an online
   recorded pre-lab lecture, the laboratory practical itself and a post-lab
   session in which students make oral presentations on different aspects
   of the practical. Each part of the module is assessed with the aim of
   providing rapid feedback to staff and students. Each laboratory
   practical is the responsibility of a single staff member and through
   this "ownership," continual review and updating is promoted. Examples of
   changes made by staff to modules as a result of student feedback are
   detailed. A survey of students who had experienced both the old-style
   laboratory course and the new one provided evidence of increased
   satisfaction with the new program. The assessment of acquired shills in
   the new program showed that it was much more effective than the old
   course. (C) 2016 by The International Union of Biochemistry and
   Molecular Biology, 44:276-287, 2016.
RI Arthur, Peter/H-8765-2014; Arthur, Peter/AAD-4594-2020; Ludwig, Martha/
OI Arthur, Peter/0000-0002-1257-8200; Arthur, Peter/0000-0002-1257-8200;
   Ludwig, Martha/0000-0002-0324-7602
ZB 0
ZA 0
ZS 0
Z8 0
ZR 0
TC 4
Z9 4
U1 1
U2 23
SN 1470-8175
EI 1539-3429
UT WOS:000380265400008
PM 27161811
ER

PT J
AU Brown, James A. L.
TI Evaluating the Effectiveness of a Practical Inquiry-Based Learning
   Bioinformatics Module on Undergraduate Student Engagement and Applied
   Skills
SO BIOCHEMISTRY AND MOLECULAR BIOLOGY EDUCATION
VL 44
IS 3
BP 304
EP 313
DI 10.1002/bmb.20954
PD MAY-JUN 2016
PY 2016
AB A pedagogic intervention, in the form of an inquiry-based peer-assisted
   learning project (as a practical student-led bioinformatics module), was
   assessed for its ability to increase students' engagement, practical
   bioinformatic skills and process-specific knowledge. Elements assessed
   were process-specific knowledge following module completion, qualitative
   student-based module evaluation and the novelty, scientific validity and
   quality of written student reports. Bioinformatics is often the starting
   point for laboratory-based research projects, therefore high importance
   was placed on allowing students to individually develop and apply
   processes and methods of scientific research. Students led a
   bioinformatic inquiry-based project (within a framework of inquiry),
   discovering, justifying and exploring individually discovered research
   targets. Detailed assessable reports were produced, displaying data
   generated and the resources used. Mimicking research settings,
   undergraduates were divided into small collaborative groups, with
   distinctive central themes. The module was evaluated by assessing the
   quality and originality of the students' targets through reports,
   reflecting students' use and understanding of concepts and tools
   required to generate their data. Furthermore, evaluation of the
   bioinformatic module was assessed semi-quantitatively using pre-and
   post-module quizzes (a non-assessable activity, not contributing to
   their grade), which incorporated process-and content-specific questions
   (indicative of their use of the online tools). Qualitative assessment of
   the teaching intervention was performed using post-module surveys,
   exploring student satisfaction and other module specific elements.
   Overall, a positive experience was found, as was a post module increase
   in correct process-specific answers. In conclusion, an inquiry-based
   peer-assisted learning module increased students' engagement, practical
   bioinformatic skills and process-specific knowledge. (C) 2016 by The
   International Union of Biochemistry and Molecular Biology, 44:304-313
   2016.
RI Brown, James/H-3437-2019
OI Brown, James/0000-0002-3155-0334
ZR 0
Z8 0
ZA 0
TC 12
ZS 0
ZB 4
Z9 13
U1 2
U2 35
SN 1470-8175
EI 1539-3429
UT WOS:000380265400011
PM 27161812
ER

PT J
AU Subramaniam, Mythily
   Chua, Boon Yiang
   Abdin, Edimansyah
   Pang, Shirlene
   Satghare, Pratika
   Vaingankar, Janhavi A.
   Verma, Swapna
   Ong, Say How
   Picco, Louisa
   Chong, Siow Ann
TI Prevalence and Correlates of Internet Gaming Problem among Internet
   Users: Results from an Internet Survey
SO ANNALS ACADEMY OF MEDICINE SINGAPORE
VL 45
IS 5
BP 174
EP 183
PD MAY 2016
PY 2016
AB Introduction: The current study aimed to establish the prevalence of
   internet gaming disorder (IGD) and its association with demographic
   characteristics, game genre, game use (time spent on gaming), as well as
   psychological distress, social phobia and well-being among current
   online gamers in Singapore. Materials and Methods: A total of 1251
   participants aged 13 to 40 years completed the study which was
   administered as a web survey. The online questionnaire was designed
   using QuestionPro, and consisted of 8 sections and 105 questions. The
   9-item Internet Gaming Disorder Questionnaire was used to establish the
   prevalence of IGD in the study. A series of logistic regression models
   were used to examine the associations between IGD, demographic
   characteristics and game genre, as well as IGD and psychological
   distress, social phobia and well-being. Results: The prevalence of IGD
   established using a cutoff of 5 among those who were current online
   gamers was 17.7 A. Multiple logistic regressions revealed that those
   meeting criteria of IGD were more likely to be older, reported an
   earlier age of onset of playing online games, had primary and secondary
   education versus tertiary education, were currently students versus
   being currently employed and played massively multiplayer online
   role-playing games. Distress and social anxiety were higher while
   satisfaction with life was significantly lower among those who met
   criteria for IGD than those who did not meet the criteria. Conclusion:
   The prevalence of IGD and its negative consequences in our sample of
   current online gamers was significant and point towards the need for
   further clinical studies and innovative interventions to address the
   problem.
RI Abdin, Edimansyah/E-6451-2011; Picco, Louisa/AAD-6236-2022; Picco, Louisa/
OI Abdin, Edimansyah/0000-0002-1016-3298; Picco, Louisa/0000-0001-7593-3209
TC 23
ZR 0
ZS 0
ZA 0
Z8 0
ZB 5
Z9 23
U1 0
U2 14
SN 0304-4602
UT WOS:000379196200002
PM 27383716
ER

PT J
AU Herth, Natalie
   Kuenzel, Ulrike
   Liebl, Patrick
   Keinki, Christian
   Zell, Joerg
   Huebner, Jutta
TI Internet Information for Patients on Cancer Diets - an Analysis of
   German Websites
SO ONCOLOGY RESEARCH AND TREATMENT
VL 39
IS 5
BP 273
EP 281
DI 10.1159/000445861
PD MAY 2016
PY 2016
AB Background: In recent years, the Internet has become an important source
   of information for cancer patients. Various cancer diets that are
   publicized on the Web promise significant benefits. The aim of our study
   was to evaluate the quality of online patient information about cancer
   diets. Materials and Methods: A patient's search for 'cancer diets' on
   German websites was simulated using the search engine Google. The
   websites were evaluated utilizing a standardized instrument with formal
   and content aspects. Results: An analysis of 60 websites revealed that
   websites from nonprofit associations as well as self-help groups offer
   the best content and formal ranking. Websites whose owners aim to make a
   profit, practices that offer cancer diet therapies, and newspapers
   received the poorest quality score. The majority of content provided on
   the Web gets published by profitoriented content groups. Conclusion: The
   divergence between profit-driven websites offering low-quality content
   and the few trustworthy websites on cancer diets is enormous. The
   information given online about cancer diets may turn out to be a
   hazardous pitfall. In order to present evidence-based information about
   cancer diets, online information should be replenished to create a more
   accurate picture and give higher visibility to the right information.
   (C) 2016 S. Karger GmbH, Freiburg
RI HÃbner, Jutta/AAY-5396-2020; Keinki, Christian/
OI Keinki, Christian/0000-0001-9569-7346
ZB 1
ZS 0
ZA 0
Z8 0
ZR 0
TC 6
Z9 6
U1 0
U2 6
SN 2296-5270
EI 2296-5262
UT WOS:000375776800004
PM 27173518
ER

PT J
AU Brown, Kyle G.
   Stautz, Kaidy
   Hollands, Gareth J.
   Winpenny, Eleanor M.
   Marteau, Theresa M.
TI The Cognitive and Behavioural Impact of Alcohol Promoting and Alcohol
   Warning Advertisements: An Experimental Study
SO ALCOHOL AND ALCOHOLISM
VL 51
IS 3
BP 354
EP 362
DI 10.1093/alcalc/agv104
PD MAY-JUN 2016
PY 2016
AB Aims: To assess the immediate effect of alcohol promoting and alcohol
   warning advertisements on implicit and explicit attitudes towards
   alcohol and on alcohol seeking behaviour.
   Methods: We conducted a between-participants online experiment in which
   participants were randomly assigned to view one of three sets of
   advertisements: (a) alcohol promoting, (b) alcohol warning, or (c)
   unrelated to alcohol. A total of 373 participants (59.5% female) aged
   18-40 (M= 28.03) living in the UK were recruited online through a
   research agency. Positive and negative implicit attitudes and explicit
   attitudes towards alcohol were assessed before and after advertisements
   were viewed. Alcohol seeking behaviourwas measured by participants'
   choice of either an alcohol-related or non-alcohol-related voucher
   offered ostensibly as a reward for participation. Self-reported past
   week alcohol consumption was also recorded.
   Results: There were no main effects on any of the outcome measures. In
   heavier drinkers, viewing alcohol promoting advertisements increased
   positive implicit attitudes (standardized beta = 0.15, P = 0.04) and
   decreased negative implicit attitudes (standardized beta = -0.17, P =
   0.02). In heavier drinkers, viewing alcohol warning advertisements
   decreased negative implicit attitudes (standardized beta = -0.19, P =
   0.01).
   Conclusions: Viewing alcohol promoting advertisements has a cognitive
   impact on heavier drinkers, increasing positive and reducing negative
   implicit attitudes towards alcohol. Viewing alcohol warning
   advertisements reduces negative implicit attitudes towards alcohol in
   heavier drinkers, suggestive of a reactance effect.
RI Winpenny, Eleanor/AAF-1595-2020; Brown, Kyle/; Marteau, Theresa/; Hollands, Gareth/
OI Winpenny, Eleanor/0000-0003-1933-0168; Brown, Kyle/0000-0003-4515-9659;
   Marteau, Theresa/0000-0003-3025-1129; Hollands,
   Gareth/0000-0002-0492-3924
ZB 2
ZR 0
ZA 0
Z8 0
TC 16
ZS 0
Z9 16
U1 0
U2 11
SN 0735-0414
EI 1464-3502
UT WOS:000376098900017
PM 26391367
ER

PT J
AU Buse, Dawn C.
   Scher, Ann I.
   Dodick, David W.
   Reed, Michael L.
   Fanning, Kristina M.
   Adams, Aubrey Manack
   Lipton, Richard B.
TI Impact of Migraine on the Family: Perspectives of People With Migraine
   and Their Spouse/Domestic Partner in the CaMEO Study
SO MAYO CLINIC PROCEEDINGS
VL 91
IS 5
BP 596
EP 611
DI 10.1016/j.mayocp.2016.02.013
PD MAY 2016
PY 2016
AB Objective: To assess the impact of migraine on family members,
   activities, and relationships from the perspectives of the person with
   migraine and his or her spouse/domestic partner.
   Patients and Methods: The Chronic Migraine Epidemiology and Outcomes
   (CaMEO) study is a longitudinal, Web-based study conducted from
   September 2012 to November 2013. Quota sampling from an online panel
   identified respondents who met modified International Classification of
   Headache Disorders, version 3 beta migraine criteria. The Family Burden
   Module included 24 items covering 6 domains. Findings for respondents
   with episodic migraine (EM) and chronic migraine (CM) are presented for
   both the affected individuals and their partners.
   Results: Among 13,064 Family Burden Module respondents (65.7% response
   rate), there were 4022 migraineur-spouse dyads, including 2275 dyads
   with children. Burden increased with headache frequency across all 6
   domains. People with migraine reported higher family burden due to
   migraine than did their spouse/partner. Reduced participation in family
   activities due to migraine was reported 1 or more times a month among
   48.2% to 57.4% of migraineurs, depending on headache frequency
   (days/month). Many (low-frequency to high-frequency EM, 24.4%-40.4%; CM,
   43.9%) perceived that their spouse/partner did not believe the
   severity/impact of their headaches. One-third of migraineurs stated that
   they worried about long-term financial security for themselves or their
   family because of their headaches. Many migraineurs felt they would be
   better parents without headaches (low-frequency to high-frequency EM,
   29.9%-58.0%; CM, 71.7%).
   Conclusion: This analysis quantified the pervasive burden of migraine on
   the family, highlighting the impact on family activities and
   relationships. Not surprisingly, the impact was greatest in families of
   people with CM. (C) 2016 Mayo Foundation for Medical Education and
   Research. Published by Elsevier Inc. This is an open access article
   under the CC BY-NC-ND license
   (http://creativecommons.org/licenses/by-nc-nd/4.0/).
RI Lipton, Richard Bruce/AAY-2818-2021; Lipton, Richard B/B-5060-2011; Scher, Ann/
OI Scher, Ann/0000-0003-4599-9834
ZS 1
ZB 37
TC 76
ZA 0
Z8 0
ZR 0
Z9 76
U1 0
U2 7
SN 0025-6196
EI 1942-5546
UT WOS:000375877200012
PM 27132088
ER

PT J
AU Ryu, Justine H.
   Yi, Paul H.
TI Readability of Spine-Related Patient Education Materials From Leading
   Orthopedic Academic Centers
SO SPINE
VL 41
IS 9
BP E561
EP E565
DI 10.1097/BRS.0000000000001321
PD MAY 2016
PY 2016
AB Study Design. Cross-sectional analysis of online spine-related patient
   education materials from leading academic centers.
   Objective. To assess the readability levels of spine surgery
   relatedpatient education materials available on the websites of academic
   orthopedic surgery departments.
   Summary of Background Data. The Internet is becoming an increasingly
   popular resource for patient education. Yet many previous studies have
   found that Internet-based orthopedic related patient education materials
   from subspecialty societies are written at a level too difficult for the
   average American; however, no prior study has assessed the readability
   of spine surgery-related patient educational materials from leading
   academic centers.
   Methods. All spine surgery relatedarticles from the online patient
   education libraries of the top five US News & World Report ranked
   orthopedic institutions were assessed for readability using the
   Flesch-Kincaid (.12K) readability test. Mean readability levels of
   articles amongst the five academic institutions and articles were
   compared. We also determined the number of articles with readability
   levels at or below the recommended sixth- or eight-grade levels.
   Intraobserver and interobserver reliability of readability assessment
   were assessed.
   Results. A total of 122 articles were reviewed. The mean overall 1:1
   grade level was 11.4; the difference in mean 1:1 grade level between
   each department varied significantly (range, 9.3-13.4; P < 0.0001).
   Twenty-three articles (18.9%) had a readability level at or below the
   eighth grade level, and only one (0.8%) was at or below the sixth grade
   level. Intraobserver and interobserver reliability were both excellent
   (intraclass correlation coefficient of 1 for both),
   Conclusion. Online patient education materials related to spine from
   academic orthopedic centers are written at a level too high for the
   average patient, consistent with spine surgery related patient education
   materials provided by the American Academy of Orthopaedic Surgeons and
   spine subspecialty societies. This study highlights the potential
   difficulties patients might have in reading and comprehending the
   information in publicly available education materials related to spine.
ZR 0
ZS 0
TC 18
ZA 0
Z8 0
ZB 4
Z9 18
U1 0
U2 3
SN 0362-2436
EI 1528-1159
UT WOS:000375623200009
PM 26641845
ER

PT J
AU Kowalski, C.
   Ferencz, J.
   Benz, S.
   Post, S.
   Seufferlein, T.
   Stinner, B.
   Penzes, O.
   Wesselmann, S.
TI Obstacles and facilitators of conducting studies - the perspective of
   colorectal cancer centers' coordinators
SO ZEITSCHRIFT FUR GASTROENTEROLOGIE
VL 54
IS 5
BP 409
EP 415
DI 10.1055/s-0041-111633
PD MAY 2016
PY 2016
AB Introduction: Clinical trials and health services research are crucial
   pillars for improving patient care. This paper examines factors
   inhibiting and promoting the study activity and the knowledge and use of
   trial registries (e.g. DRKS, StudyBox) as an opportunity to learn about
   existing studies.
   Material and methods: The coordinators of 274 cancer center sites
   certified according to the requirements of the German Cancer Society
   were surveyed using a standardized online questionnaire. Data were
   analyzed using descriptive and bivariate statistics to identify
   associations with characteristics of the sites (e.g. patient volume,
   ownership, teaching status).
   Results: 176 sites participated in the survey (64.2 %). The central
   obstacle to study participation from the centers' view is the low number
   of existing studies. General knowledge of the population about studies
   was considered low. Trial registries are known to almost all
   respondents, but are rarely used.
   Discussion: The results of the survey suggest that comprehensive
   measures are needed to sustainably increase the study activity. These
   include, for example, better information about studies, for example
   through appropriate databases, and (industry-independent) research
   funding. One possible way to sensitize patients for studies could be the
   comprehensive education of the population about the purpose of studies.
RI Seufferlein, Thomas TW/P-7147-2018; Kowalski, Christoph/AAA-2509-2020
Z8 0
ZA 0
ZS 0
TC 2
ZB 1
ZR 0
Z9 2
U1 0
U2 5
SN 0044-2771
EI 1439-7803
UT WOS:000376658600016
PM 27171330
ER

PT J
AU Brown, G. Mark
   Lang, Eddy
   Patel, Kamala
   McRae, Andrew
   Chung, Brian
   Yoon, Philip
   Dong, Sandy
   Blouin, Danielle
   Sherbino, Jonathan
   Hicks, Christopher
   Bandiera, Glen
   Meyers, Christine
TI A National Faculty Development Needs Assessment in Emergency Medicine
SO CANADIAN JOURNAL OF EMERGENCY MEDICINE
VL 18
IS 3
BP 161
EP 182
DI 10.1017/cem.2015.77
PD MAY 2016
PY 2016
AB Objectives: Emergency physicians who work in academic settings enjoy an
   expanding number of roles beyond that of the skilled clinician. Faculty
   development (FD) encompasses the broad range of activities that
   institutions use to renew skill-sets and assist faculty members in these
   multiple roles. This study seeks to define the current FD needs and
   interests of Canadian academic emergency physicians (AEPs).
   Methods: An online survey was administered to 943 AEPs in eight centers
   across Canada to determine their current FD activities, provide a
   detailed understanding of their FD needs and interests, elucidate the
   perceived barriers to and motivation for engaging in FD, and identify
   preferred methods of delivery for FD activities.
   Results: This national, cross-sectional survey was completed by 336
   respondents. It shows that need for FD is universally high, particularly
   in traditional domains of scholarship, leadership and education (79%,
   80%, 87% overall interest, respectively). However, the study also
   suggests that there is increasing need for FD in areas where current
   participation is lowest, namely research and social accountability (12%
   and 13% more interest, respectively). Senior and junior faculty evince
   equivalent overall FD interest (p>0.05), whereas female AEPs expressed
   greater overall FD needs in leadership (1.82 vs 1.44 activities,
   p=0.003) than males. Continued participation in FD activities is best
   promoted by offering relevant topics, at convenient times and locations.
   Conclusions: This study reports the first comprehensive national FD
   needs assessment of Canadian academic emergency physicians.
RI Lang, Eddy/AAS-2080-2020; Blouin, Danielle/AAF-9083-2019; Patel, Kamala D/AAX-1245-2021; Lang, Eddy/I-4759-2014
OI Lang, Eddy/0000-0003-0850-4337
ZS 0
ZR 0
TC 4
ZB 0
Z8 0
ZA 0
Z9 4
U1 0
U2 3
SN 1481-8035
EI 1481-8043
UT WOS:000377467900001
PM 26350557
ER

PT J
AU Waseem, Muhammad
   Uffer, Harrison
   Josephson, Elaine
TI An Audit of Top Citations Published in Pediatric Emergency Care
SO PEDIATRIC EMERGENCY CARE
VL 32
IS 5
BP 279
EP 285
DI 10.1097/01.pec.0000482892.63177.a1
PD MAY 2016
PY 2016
AB Objective: The aim of this study was to identify and compare the 100
   articles published in Pediatric Emergency Care (PEC) from its inception
   in 1985 to date that are most often cited.
   Methods: Three online citation indices, Scopus, Web of Science, and
   Google Scholar, were examined to identify the 100 top cited articles
   from PEC. Mean citation numbers were used to rank the studies, due to
   differences in the results among the 3 citation indexes. Median citation
   number, country of origin, study topic within the field of pediatric
   emergency medicine, and year of publication were compiled, compared, and
   analyzed. Those articles that had an outcome with the same mean citation
   number were listed in the table in alphabetical order according to the
   last name of the primary author of the publication.
   Results: Mean citation numbers were used to identify the 100 most often
   cited articles from PEC. The citation counts ranged from a high of 132
   to a low of 42 citations, the median being 55. Research for 84 of the
   100 articles was conducted in the United States with no other country
   contributingmore than 3 articles each. The top subjects of these
   articles (and their frequencies) included infectious disease (12),
   resuscitation (11), anesthesia (10), and toxicology (9). The number 1
   ranked article was graduate medical education (GME) related and
   evaluated resident training/education, with respect to the field of
   resuscitation. All articles in the top 100 cited were published between
   1985 and 2010. The top publication years included 1997, 2000, and 2001,
   wherein 9 articles were published in each of those 3 years. Of the top
   100 articles cited, 78% were published in 1997 and later.
   Conclusions: In reviewing the literature and to our knowledge, this
   study is the first of its kind in the field of pediatric emergency
   medicine to determine the influence of articles in a journal by
   evaluating citation number. It identified the 100 articles with the
   highest number of citations that were utilized in subsequent journal
   articles and published in PEC since 1985. The clinical relevance of
   identifying the most popular article topics cited supports the value to
   the pediatric emergency medicine readership of emphasizing subjects of
   core curriculum content for further education. In addition, reviewing
   the literature using PEC as a source for articles published 10 to 15
   years ago can be helpful because these articles may be considered
   benchmark articles that many authors choose to cite, creating an impact
   in their more recent publications.
OI Uffer, Harrison/0000-0002-0778-0498
ZB 1
ZS 0
ZA 0
ZR 0
Z8 1
TC 5
Z9 5
U1 0
U2 4
SN 0749-5161
EI 1535-1815
UT WOS:000377502600001
PM 27139288
ER

PT J
AU Rosanowski, S. M.
   Scott, I.
   Sells, P. D.
   Rogers, C. W.
   Bolwell, C. F.
TI Cross-sectional survey of parasite control practices on Thoroughbred and
   Standardbred training yards in New Zealand
SO EQUINE VETERINARY JOURNAL
VL 48
IS 3
BP 387
EP 393
DI 10.1111/evj.12558
PD MAY 2016
PY 2016
AB Reasons for performing studyThere is growing concern worldwide regarding
   anthelmintic resistance in equine parasites. In order to improve
   parasite control practices and reduce the selection for resistant
   parasites, baseline data are required.
   ObjectivesTo describe the current parasite management and control
   practices used for racehorses.
   Study designCross-sectional survey.
   MethodsThoroughbred and Standardbred trainers were surveyed online
   regarding demographics, parasite control methods, grazing management and
   quarantine, and the use of faecal egg counts (FEC), with questions
   stratified by horse type, i.e. racehorses (horses in training) and
   spellers (racehorses on a break from training), and industry
   (Thoroughbred and Standardbred). Multivariable logistic regression was
   used to examine associations with FEC use.
   ResultsIn total, 234 respondents completed the survey for an estimated
   response rate of 16%. In total, 50.5% of trainers treated horses on an
   interval treatment strategy and treated a median of 6 (interquartile
   range (IQR) 4-7) and 6 (IQR 4-8) times annually for Thoroughbred and
   Standardbred racehorses, respectively. A total of 62.5% (130/208) of
   respondents reported seeking veterinary advice for deworming products,
   and FEC had been done by 20.1% (39/194) of respondents. The odds of a
   trainer doing FEC were 4 times higher if the trainer had consulted a
   veterinarian, compared with those that had not.
   ConclusionsThis study has highlighted an industry-wide overuse of
   anthelmintic products and few trainers were using surveillance-based
   control strategies. The relationship between veterinarians and trainers
   should be explored further to enhance information dissemination and
   implement effective control strategies, to maintain horse health and
   delay the advance of anthelmintic resistance.
RI Bolwell, Charlotte/AGZ-4348-2022; Rogers, Chris W./D-9812-2012; Rosanowski, Sarah/H-5374-2016; Scott, Ian/
OI Bolwell, Charlotte/0000-0001-9995-8232; Rogers, Chris
   W./0000-0002-4253-1825; Rosanowski, Sarah/0000-0002-7950-0029; Scott,
   Ian/0000-0002-2095-4392
ZR 0
ZA 0
ZB 5
Z8 1
ZS 0
TC 6
Z9 7
U1 0
U2 22
SN 0425-1644
EI 2042-3306
UT WOS:000373926100024
PM 26708731
ER

PT J
AU Jones, Eric
   Mathieson, Kathleen
TI Radiation Safety among Workers in Health Services
SO HEALTH PHYSICS
VL 110
IS 5
BP S52
EP S58
DI 10.1097/HP.0000000000000485
SU 2
PD MAY 2016
PY 2016
AB The purpose of this study was to survey health service workers regarding
   their radiation safety knowledge and practice. Participants were health
   service workers (n = 721) who received an anonymous online survey by
   email to test their radiation safety knowledge. A knowledge test of 15
   questions was completed by 412 respondents. The overall average percent
   correct was 77.9%. Health physicists/medical physicists had the highest
   average percent score (93.5%), while physician assistants scored the
   lowest (60.0%). Of all the respondents, only 64.0% reported they
   participated in periodic radiation safety training at their place of
   employment. The most common topic selected where participants wanted
   additional training was in biological effects of radiation (41.0%). In
   conclusion, radiation safety training and education needs to be
   developed and planned effectively. Areas or specialties with poor
   radiation safety knowledge need to be addressed with corresponding
   safety measures.
ZA 0
ZS 0
TC 2
ZB 2
Z8 0
ZR 0
Z9 2
U1 0
U2 10
SN 0017-9078
EI 1538-5159
UT WOS:000373920200002
PM 27023151
ER

PT J
AU Sanderson, Saskia C.
   Suckiel, Sabrina A.
   Zweig, Micol
   Bottinger, Erwin P.
   Jabs, Ethylin Wang
   Richardson, Lynne D.
TI Development and preliminary evaluation of an online educational video
   about whole-genome sequencing for research participants, patients, and
   the general public
SO GENETICS IN MEDICINE
VL 18
IS 5
BP 501
EP 512
DI 10.1038/gim.2015.118
PD MAY 2016
PY 2016
AB Background: As whole-genome sequencing (WGS) increases in availability,
   WGS educational aids are needed for research participants, patients, and
   the general public. Our aim was therefore to develop an accessible and
   scalable WGS educational aid.
   Methods: We engaged multiple stakeholders in an iterative process over a
   1-year period culminating in the production of a novel 10-minute WGS
   educational animated video, "Whole Genome Sequencing and You"
   (https://goo.gl/HV8ezJ). We then presented the animated video to 281
   online-survey respondents (the video-information group). There were also
   two comparison groups: a written-information group (n = 281) and a
   no-information group (n = 300).
   Results: In the video-information group, 79% reported the video was easy
   to understand, satisfaction scores were high (mean 4.00 on 1-5 scale,
   where 5 = high satisfaction), and knowledge increased significantly.
   There were significant differences in knowledge compared with the
   no-information group but few differences compared with the
   written-information group. Intention to receive personal results from
   WGS and decisional conflict in response to a hypothetical scenario did
   not differ between the three groups.
   Conclusions: The educational animated video, "Whole Genome Sequencing
   and You," was well received by this sample of online-survey respondents.
   Further work is needed to evaluate its utility as an aid to informed
   decision making about WGS in other populations.
OI Sanderson, Saskia/0000-0001-8427-724X; Jabs, Ethylin/0000-0001-8983-5466
ZS 2
ZB 9
ZR 0
TC 29
ZA 0
Z8 0
Z9 29
U1 0
U2 2
SN 1098-3600
EI 1530-0366
UT WOS:000375263600011
PM 26334178
ER

PT J
AU Lampkin, Darryl
   Crawley, Adam
   Lopez, Teresa P.
   Mejia, Christopher M.
   Yuen, Wesley
   Levy, Vivian
TI Reaching Suburban Men Who Have Sex With Men for STD and HIV Services
   Through Online Social Networking Outreach: A Public Health Approach
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 72
IS 1
BP 73
EP 78
DI 10.1097/QAI.0000000000000930
PD MAY 1 2016
PY 2016
AB Background: Technology-enabled approaches may reach suburban and rural
   men who have sex with men (MSM) who lack physical venues, where they
   live for sexually transmitted disease (STD)/HIV prevention efforts. We
   evaluated using Grindr, an all-male social networking platform, for
   STD/HIV prevention services to MSM by a suburban Public Health
   department.
   Methods: Phase 1 (October 2012-March 2013) focused on acceptability of
   prevention messages by MSM on Grindr and phase 2 (October 2013-March
   2014) Grindr use for implementing testing and linkage-to-care. We
   compared the number of Public Health encounters with MSM before and
   after initiation of Grindr use and the proportion of users who remained
   engaged with Public Health staff after being told they were interacting
   with a health educator.
   Results: For a 6-month period before Grindr outreach, Public Health had
   60 contacts with MSM. Contacts increased to 305 MSM in phase 1, of which
   168/213 (79%) remained engaged. In phase 2, among 903 MSM contacts, 69%
   remained engaged. Asian and Hispanic MSM were more likely to remain
   engaged with outreach staff; white men were more likely to be not
   engaged. No significant difference in age between engaged and nonengaged
   MSM was seen.
   Conclusions: Grindr outreach by Public Health in a suburban county seems
   acceptable to MSM and leads to a 14-fold increase in MSMreached for
   counseling and education compared with a traditional outreach period.
   Further evaluation of technology-enabled approaches for STD/HIV
   prevention in suburban and rural MSM is warranted.
ZB 12
ZR 0
Z8 1
ZA 0
ZS 1
TC 28
Z9 29
U1 0
U2 6
SN 1525-4135
EI 1077-9450
UT WOS:000375067600020
PM 27097365
ER

PT J
AU Norris, Emma
   Hamer, Mark
   Stamatakis, Emmanuel
TI Active Video Games in Schools and Effects on Physical Activity and
   Health: A Systematic Review
SO JOURNAL OF PEDIATRICS
VL 172
BP 40
EP +
DI 10.1016/j.jpeds.2016.02.001
PD MAY 2016
PY 2016
AB Objective To assess the quality of evidence for the effects of school
   active video game (AVG) use on physical activity and health outcomes.
   Study design Online databases (ERIC, PsycINFO, PubMed, SPORTDiscus, and
   Web of Science) and gray literature were searched. Inclusion criteria
   were the use of AVGs in school settings as an intervention; assessment
   of at least 1 health or physical activity outcome; and comparison of
   outcomes with either a control group or comparison phase. Studies
   featuring AVGs within complex interventions were excluded. Study quality
   was assessed using the Effective Public Health Practice Project tool.
   Results Twenty-two reports were identified: 11 assessed physical
   activity outcomes only, 5 assessed motor skill outcomes only, and 6
   assessed both physical activity and health outcomes. Nine out of 14
   studies found greater physical activity in AVG sessions compared with
   controls; mostly assessed by objective measures in school time only.
   Motor skills were found to improve with AVGs vs controls in all studies
   but not compared with other motor skill interventions. Effects of AVGs
   on body composition were mixed. Study quality was low in 16 studies and
   moderate in the remaining 6, with insufficient detail given on blinding,
   participation rates, and confounding variables.
   Conclusions There is currently insufficient evidence to recommend AVGs
   as efficacious health interventions within schools. Higher quality AVG
   research utilizing randomized controlled trial designs, larger sample
   sizes, and validated activity measurements beyond the school day is
   needed.
RI Hamer, Mark/AAJ-6814-2021; Stamatakis, Emmanuel/C-4958-2009; Hamer, Mark/C-1602-2008; Norris, Emma/
OI Hamer, Mark/0000-0002-8726-7992; Stamatakis,
   Emmanuel/0000-0001-7323-3225; Hamer, Mark/0000-0002-8726-7992; Norris,
   Emma/0000-0002-9957-4025
TC 31
ZS 0
ZA 0
ZB 3
ZR 0
Z8 1
Z9 32
U1 0
U2 47
SN 0022-3476
EI 1097-6833
UT WOS:000375209600008
PM 26947570
ER

PT J
AU Tang, Eric C.
   Galea, Jerome T.
   Kinsler, Janni J.
   Gonzales, Pedro
   Sobieszczyk, Magdalena E.
   Sanchez, Jorge
   Lama, Javier R.
TI Using conjoint analysis to determine the impact of product and user
   characteristics on acceptability of rectal microbicides for HIV
   prevention among Peruvian men who have sex with men
SO SEXUALLY TRANSMITTED INFECTIONS
VL 92
IS 3
BP 200
EP 205
DI 10.1136/sextrans-2015-052028
PD MAY 2016
PY 2016
AB Objectives Men who have sex with men (MSM) are in need of novel and
   acceptable HIV prevention interventions. In Peru, a Phase II clinical
   trial was recently completed evaluating rectally applied tenofovir gel
   among Peruvian MSM and transgender women. If deemed safe and acceptable,
   the product could move into efficacy testing, but acceptability data for
   similar products are needed now in order to prepare for future
   implementation. Peru is in need of expanded, national acceptability data
   among likely users.
   Methods Using conjoint analysis of an online cross-sectional survey
   taken by 1008 Peruvian MSM and transgender women, we tested the
   acceptability of eight hypothetical rectal microbicide (RM) products
   comprising six, dual-value attributes. We also assessed the relationship
   of select product attributes with sample characteristics.
   Results Highest acceptability was found for a RM that was 90% effective,
   used before and after sex, without side effects, costing approximately
   $0.30, had no prescription requirement and had a single-use applicator.
   Product effectiveness and presence of side effects were the factors most
   likely to drive RM acceptance and use. Education, sexual orientation,
   sexual role and concern for HIV infection were also related to aspects
   of RM acceptability.
   Conclusion RM acceptability was high, confirming the results of earlier,
   smaller studies and placing confidence in the acceptability of RMs.
   Analysis of the relationships with product attributes and sample
   characteristics underscore the need to consider the impact of factors
   such as sexual orientation, sexual role, level of education and concern
   for HIV acquisition on RM acceptability.
RI Tang, Eric/AAB-6745-2020; Galea, Jerome T./AAF-2172-2019
OI Galea, Jerome T./0000-0001-8732-6959
ZB 4
ZR 0
ZA 0
Z8 0
TC 11
ZS 0
Z9 11
U1 0
U2 7
SN 1368-4973
EI 1472-3263
UT WOS:000375094400010
PM 26574569
ER

PT J
AU Khodyakov, Dmitry
   Mikesell, Lisa
   Schraiber, Ron
   Booth, Marika
   Bromley, Elizabeth
TI On using ethical principles of community-engaged research in
   translational science
SO TRANSLATIONAL RESEARCH
VL 171
BP 52
EP 62
DI 10.1016/j.trsl.2015.12.008
PD MAY 2016
PY 2016
AB The transfer of new discoveries into both clinical practice and the
   wider community calls for reliance on interdisciplinary translational
   teams that include researchers with different areas of expertise,
   representatives of health care systems and community organizations, and
   patients. Engaging new stakeholders in research, however, calls for a
   reconsideration or expansion of the meaning of ethics in translational
   research. We explored expert opinion on the applicability of ethical
   principles commonly practiced in community-engaged research (CEnR) to
   translational research. To do so, we conducted 2 online, modified-Delphi
   panels with 63 expert stakeholders who iteratively rated and discussed 9
   ethical principles commonly used in CEnR in terms of their importance
   and feasibility for use in translational research. The RAND/UCLA
   appropriateness method was used to analyze the data and determine
   agreement and disagreement among participating experts. Both panels
   agreed that ethical translational research should be "grounded in
   trust." Although the academic panel endorsed "culturally appropriate"
   and "forthcoming with community about study risks and benefits," the
   mixed academic-community panel endorsed "scientifically valid" and
   "ready to involve community in interpretation and dissemination" as
   important and feasible principles of ethical translational research.
   These findings suggest that in addition to protecting human subjects,
   contemporary translational science models need to account for the
   interests of, and owe ethical obligations to, members of the
   investigative team and the community at large.
OI Mikesell, Lisa/0000-0001-6410-2805
ZR 0
ZB 3
Z8 0
ZA 0
ZS 0
TC 24
Z9 24
U1 0
U2 12
SN 1931-5244
EI 1878-1810
UT WOS:000374723600005
PM 26773561
ER

PT J
AU Roy, Andreanne
   Breton, Mylaine
   Loslier, Julie
TI Providing continuity of care to a specific population Attracting new
   family physicians
SO CANADIAN FAMILY PHYSICIAN
VL 62
IS 5
BP E256
EP E262
PD MAY 2016
PY 2016
AB Objective To analyze the factors that influence newly licensed family
   physicians in their decision to provide continuity of care to a specific
   primary care population.
   Design Mixed-methods study that included a self-administered online
   questionnaire for family physicians followed by individual interviews.
   Setting Monteregie, the second-most populated region of Quebec, with
   rural and urban areas.
   Participants All family physicians with 10 or fewer years of work
   experience who were practising in Monteregie were contacted (366
   physicians). Of this group, 118 completed the online questionnaire
   (response rate of 32.2%). Of the respondents, 10 physicians with varied
   continuity of care profiles were selected for individual interviews.
   Main outcome measures The percentage of work time spent on continuity of
   care analyzed in conjunction with factors that support or present
   barriers to continuity of care at the contextual and organizational
   levels and for family physicians and patients.
   Results The main factors that facilitate continuity of care are the
   physician-patient relationship, interest in clinical continuity of care
   activities, positive role models, working alongside a nurse, and
   adequate access to resources, specifically mental health resources. The
   main barriers are the scope of administrative duties, interest in a
   comprehensive practice, a negative experience of continuity of care
   during training, a sense of inadequacy with respect to continuity of
   care, a heavy case load, and a lack of support in the first years of
   practice.
   Conclusion Possible ways to encourage newly licensed family physicians
   to provide continuity of care to a specific population are offered.
   Areas for improvement include medical training, administrative support,
   and human resources.
OI Breton, Mylaine/0000-0001-5713-9618
TC 8
Z8 0
ZS 0
ZA 0
ZB 0
ZR 0
Z9 8
U1 0
U2 3
SN 0008-350X
EI 1715-5258
UT WOS:000376126000006
PM 27255634
ER

PT J
AU Meruvia-Pastor, Oscar
   Patra, Pranjal
   Andres, Karen
   Twomey, Creina
   Pena-Castillo, Lourdes
TI OMARC: An online multimedia application for training health care
   providers in the assessment of respiratory conditions
SO INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
VL 89
BP 15
EP 24
DI 10.1016/j.ijmedinf.2016.02.007
PD MAY 2016
PY 2016
AB Objectives: OMARC, a multimedia application designed to support the
   training of health care providers for the identification of common lung
   sounds heard in a patient's thorax as part of a health assessment, is
   described and its positive contribution to user learning is assessed.
   The main goal of OMARC is to effectively help health-care students
   become familiar with lung sounds as part of the assessment of
   respiratory conditions. In addition, the application must be easy to use
   and accessible to students and practitioners over the internet.
   System description: OMARC was developed using an online platform to
   facilitate access to users in remote locations. OMARC's unique
   contribution as an educational software tool is that it presents a
   narrative about normal and abnormal lung sounds using interactive
   multimedia and sample case studies designed by professional health-care
   providers and educators. Its interface consists of two distinct
   components: a sounds glossary and a rich multimedia interface which
   presents clinical case studies and provides access to lung sounds placed
   on a model of a human torso. OMARC's contents can be extended through
   the addition of sounds and case studies designed by health-care
   educators and professionals.
   Validation and results: To validate OMARC and determine its efficacy in
   improving learning and capture user perceptions about it, we performed a
   pilot study with ten nursing students. Participants' performance was
   measured through an evaluation of their ability to identify several
   normal and adventitious/abnormal sounds prior and after exposure to
   OMARC. Results indicate that participants are able to better identify
   different lung sounds, going from an average of 63% (S.D. 18.3%) in the
   pre-test evaluation to an average of 90% (S.D. of 11.5%) after
   practising with OMARC. Furthermore, participants indicated in a user
   satisfaction questionnaire that they found the application helpful, easy
   to use and that they would recommend it to other persons in their field.
   Conclusions: OMARC is an online multimedia application for training
   health care students in the assessment of respiratory conditions. The
   software integrates multimedia technology and health-care education
   concepts to facilitate learning, while being useful and easy to use.
   Results from a pilot study indicate that OMARC significantly helps to
   improve the capacity of the users to correctly identify lung sounds for
   different respiratory conditions. In addition, participants' opinions
   about OMARC were quite positive: users were likely to recommend the
   application to other persons in their field and found the application
   easy to use and helpful to better identify lung sounds. (C) 2016
   Elsevier Ireland Ltd. All rights reserved.
OI Pena Castillo, Lourdes/0000-0002-0643-2547
Z8 0
ZA 0
ZS 0
ZB 1
ZR 0
TC 3
Z9 3
U1 1
U2 9
SN 1386-5056
EI 1872-8243
UT WOS:000374074100003
PM 26980355
ER

PT J
AU Drudi, Laura
   Hossain, Sajjid
   Mackenzie, Kent S.
   Corriveau, Marc-Michel
   Abraham, Cherrie Z.
   Obrand, Daniel I.
   Vassiliou, Melina
   Gill, Heather
   Steinmetz, Oren K.
TI A National Survey on Teaching and Assessing Technical Proficiency in
   Vascular Surgery in Canada
SO ANNALS OF VASCULAR SURGERY
VL 33
BP 220
EP 226
DI 10.1016/j.avsg.2015.11.028
PD MAY 2016
PY 2016
AB Background: This survey aims to explore trainees' perspectives on how
   Canadian vascular surgery training programs are using simulation in
   teaching and assessing technical skills through a cross-sectional
   national survey.
   Methods: A 10-min online questionnaire was sent to Program Directors of
   Canada's Royal College of Physicians and Surgeons' of Canada approved
   training programs in vascular surgery. This survey was distributed among
   residents and fellows who were studying in the 2013-2014 academic year,
   Results: Twenty-eight (58%) of the 48 Canadian vascular surgery trainees
   completed the survey. A total of 68% of the respondents were part of the
   0 + 5 integrated vascular surgery training Program. The use of
   simulation in the assessment of technical skills at the beginning of
   training was reported by only 3 (11%) respondents, whereas 43% reported
   that simulation was used in their programs in the assessment of
   technical skills at some time during their training. Training programs
   most often provided simulation as a method of teaching and learning
   endovascular abdominal aortic or thoracic aneurysm repair (64%).
   Furthermore, 96% of trainees reported the most common resource to learn
   and enhance technical skills was dialog with vascular surgery staff.
   Conclusions: Surveyed vascular surgery trainees in Canada report that
   simulation is rarely used as a tool to assess baseline technical skills
   at the beginning of training. Less than half of surveyed trainees in
   vascular surgery programs in Canada report that simulation is being used
   for skills acquisition. Currently, in Canadian training programs,
   simulation is most commonly used to teach endovascular skills.
TC 5
ZS 0
Z8 0
ZR 0
ZA 0
ZB 0
Z9 5
U1 0
U2 2
SN 0890-5096
EI 1615-5947
UT WOS:000375824200034
PM 26965813
ER

PT J
AU Mackie, Jane E.
   Bruce, Catherine D.
TI Increasing nursing students' understanding and accuracy with medical
   dose calculations: A collaborative approach
SO NURSE EDUCATION TODAY
VL 40
BP 146
EP 153
DI 10.1016/j.nedt.2016.02.018
PD MAY 2016
PY 2016
AB Background: Accurate calculation of medication dosages can be
   challenging for nursing students. Specific interventions related to
   types of errors made by nursing students may improve the learning of
   this important skill.
   Objective: The objective of this study was to determine areas of
   challenge for students in performing medication dosage calculations in
   order to design interventions to improve this skill.
   Design: Strengths and weaknesses in the teaching and learning of
   medication dosage calculations were assessed. These data were used to
   create online interventions which were then measured for the impact on
   student ability to perform medication dosage calculations.
   Setting: The setting of the study is one university in Canada.
   Participants: The qualitative research participants were 8 nursing
   students from years 1-3 and 8 faculty members. Quantitative results are
   based on test data from the same second year clinical course during the
   academic years 2012 and 2013.
   Methods: Students and faculty participated in one-to-one interviews;
   responses were recorded and coded for themes. Tests were implemented and
   scored, then data were assessed to classify the types and number of
   errors.
   Results: Students identified conceptual understanding deficits, anxiety,
   low self-efficacy, and numeracy skills as primary challenges in
   medication dosage calculations. Faculty identified long division as-a
   particular content challenge, and a lack of online resources for
   students to practice calculations. Lessons and online resources designed
   as an intervention to target mathematical and concepts and skills led to
   improved results and increases in overall pass rates for second year
   students for medication dosage calculation tests.
   Conclusion: This study suggests that with concerted effort and a
   multi-modal approach to supporting nursing students, their abilities to
   calculate dosages can be improved. The positive results in this study
   also point to the promise of cross-discipline collaborations between
   nursing and education. (C) 2016 Elsevier Ltd. All rights reserved.
ZS 0
TC 20
ZR 0
Z8 0
ZB 0
ZA 1
Z9 21
U1 1
U2 20
SN 0260-6917
EI 1532-2793
UT WOS:000376051200024
PM 27125165
ER

PT J
AU Alhinai, Zaid
   Molloy, Leah M.
   Wang, Bo
   McGrath, Eric
TI The Antibiogram Project: Using the Hospital Antibiogram to Introduce
   Antimicrobial Stewardship to Pediatric Medical Residents
SO CLINICAL PEDIATRICS
VL 55
IS 5
BP 483
EP 487
DI 10.1177/0009922815594648
PD MAY 2016
PY 2016
OI McGrath, Eric/0000-0003-1542-6488
TC 0
ZA 0
Z8 0
ZS 0
ZB 0
ZR 0
Z9 0
U1 0
U2 4
SN 0009-9228
EI 1938-2707
UT WOS:000374232200013
PM 26156980
ER

PT J
AU Guarner, Jeannette
   Nino, Silvia M.
TI Microbiology Learning and Education Online
SO JOURNAL OF CLINICAL MICROBIOLOGY
VL 54
IS 5
BP 1203
EP 1208
DI 10.1128/JCM.03176-15
PD MAY 2016
PY 2016
AB The ubiquity of devices that connect to the Internet has exploded,
   allowing for easy dissemination of information. Many teachers from
   kindergarten to universities use the information obtained online or post
   material they want their students to access. Online media readily places
   articles, books, videos, and games at our fingertips. The public in
   general also gathers health information from the Internet. The following
   review will explore what has been published regarding microbiology
   education and learning online and the use of electronic media by
   microbiologists for scientific purposes.
RI Guarner, Jeannette/B-8273-2013
OI Guarner, Jeannette/0000-0001-5610-3541
ZB 1
Z8 0
ZA 0
ZS 0
TC 8
ZR 0
Z9 8
U1 0
U2 4
SN 0095-1137
EI 1098-660X
UT WOS:000374955700008
PM 26935727
ER

PT J
AU Edwards, Paul C.
   Graham, Jasmine
   Oling, Rebecca
   Frantz, Kate E.
TI The Patient Educator Presentation in Dental Education: Reinforcing the
   Importance of Learning About Rare Conditions
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 5
BP 533
EP 541
PD MAY 2016
PY 2016
AB The aim of this study was to determine whether a patient educator
   presentation (PEP) on pemphigus vulgaris would increase second-year
   dental students' awareness of the importance of learning about rare
   conditions and improve their retention of rare disease knowledge. The
   study involved students' subjective assessments of a PEP experience at
   two U.S. dental schools. In this mixed methods study, cross-sectional
   data were obtained by surveys and in-depth interviews. Questions focused
   on students' assessment of the messages acquired from the PEP and its
   likely impact on their future clinical care. At University 1, students
   completed paper surveys with open-ended questions and participated in a
   focus group. At University 2, students completed an online survey
   consisting of rating scale and open-ended questions. Responses to
   open-ended questions were categorized into themes. At University 1, 79
   students (out of a possible 102; response rate 77.5%) completed the
   survey, and an additional ten students participated in a focus group. At
   University 2, 30 students (out of a possible 104; response rate 28.8%)
   completed the survey. At Universities 1 and 2, 88% and 100%,
   respectively, of respondents stated the PEP would influence their future
   clinical decision making. The vast majority of respondents (94% and 100%
   at University 1 and University 2, respectively) were of the opinion that
   the personal testimonial from a patient would help them recall
   information about pemphigus vulgaris in five years' time. Respondents
   from both universities commented that the PEP emphasized the importance
   of not dismissing a patient's concerns. These results suggest that a
   presentation by a patient with a rare condition can be an effective
   educational tool for preclinical dental students.
RI Edwards, Paul/E-1075-2013
OI Edwards, Paul/0000-0001-7884-8480
ZB 0
TC 0
ZA 0
ZS 0
ZR 0
Z8 1
Z9 1
U1 1
U2 1
SN 0022-0337
EI 1930-7837
UT WOS:000375892000005
PM 27139204
ER

PT J
AU Engelman, Glenn
   Koutures, Chris
   Provance, Aaron
TI The Current State of Pediatric Sports Medicine: A Workforce Analysis
SO PHYSICIAN AND SPORTSMEDICINE
VL 44
IS 2
BP 112
EP 118
DI 10.1080/00913847.2016.1149425
PD MAY 2016
PY 2016
AB Objective: Pediatric sports medicine is an evolving pediatric
   subspecialty. No workforce data currently exists describing the current
   state of pediatric sports medicine. The goal of this survey is to
   contribute information to the practicing pediatric sports medicine
   specialist, employers and other stakeholders regarding the current state
   of pediatric sports medicine.Methods: The Workforce Survey was conducted
   by the American Academy of Pediatrics (AAP) Division of Workforce and
   Medical Education Policy (WMEP) and included a 44-item standard
   questionnaire online addressing training, clinical practice and
   demographic characteristics as well as the 24-item AAP Council on Sports
   Medicine and Fitness (COSMF) questionnaire. Descriptive statistics were
   used to summarize all survey responses. Bivariate relationships were
   tested for statistical significance using Chi square.Results: 145
   surveys were returned, which represented a 52.7% response rate for
   eligible COSMF members and board certified non-council responders. The
   most common site of employment among respondents was university-based
   clinics. The respondents board certified in sports medicine were
   significantly more likely to perform fracture management, casting and
   splinting, neuropsychological testing and injections compared to those
   not board certified in sports medicine. A large proportion of
   respondents held an academic/medical school appointment. Increases were
   noted in both patient volume and the complexity of the injuries the
   specialists were treating.Conclusion: This pediatric sports medicine
   workforce study provides previously unappreciated insight into practice
   arrangements, weekly duties, procedures, number of patients seen,
   referral patterns, and potential future trends of the pediatric sports
   medicine specialist.
Z8 0
ZB 2
ZS 0
TC 2
ZR 0
ZA 0
Z9 2
U1 0
U2 5
SN 0091-3847
EI 2326-3660
UT WOS:000374597700004
PM 26832067
ER

PT J
AU Evans, Kambria H.
   Thompson, Atalie C.
   O'Brien, Colin
   Bryant, Madika
   Basaviah, Preetha
   Prober, Charles
   Popat, Rita A.
TI An Innovative Blended Preclinical Curriculum in Clinical Epidemiology
   and Biostatistics: Impact on Student Satisfaction and Performance
SO ACADEMIC MEDICINE
VL 91
IS 5
BP 696
EP 700
DI 10.1097/ACM.0000000000001085
PD MAY 2016
PY 2016
AB Problem
   There is little understanding of the impact of teaching clinical
   epidemiology and biostatistics in a flipped or blended format. At
   Stanford University School of Medicine, the quantitative medicine (QM)
   curriculum for first-year students was redesigned to use a blended
   format, in response to student feedback.
   Approach
   The blended QM curriculum introduced in 2013 integrated self-paced,
   online learning with small-group collaborative learning. The authors
   analyzed the blended format's impact on student satisfaction and
   performance, comparing the pilot cohort of students (n = 101) with
   students who took the traditional curriculum in 2011 and 2012 (n = 178).
   They also analyzed QM resource utilization in 2013.
   Outcomes
   The blended curriculum had a positive impact on satisfaction and mastery
   of core material. Comparing the 2013 blended cohort with the 2011-2012
   traditional cohort, there were significant improvements in student
   satisfaction ratings (overall, P < .0001; organization, P < .0001;
   logical sequence, P = .008; value of content, P < .0001). The mean (SD)
   overall satisfaction rating for small-group sessions increased: 3.40
   (1.03) in 2013 versus 2.79 (1.00) in 2011 and 2.83 (1.06) in 2012.
   Performance on the QM final exam showed no significant changes in 2013
   versus 2011 and 2012. The majority of students in 2013 reported using
   the QM online videos as their primary learning resource (69%-85% across
   modules).
   Next Steps
   The positive impact of the curricular elements studied will inform
   continued development of the QM curriculum. Features of the curriculum
   could serve as a model for future blended courses.
ZS 1
Z8 1
ZR 0
ZA 0
TC 28
ZB 4
Z9 29
U1 0
U2 20
SN 1040-2446
EI 1938-808X
UT WOS:000375153500029
PM 26796089
ER

PT J
AU Attardi, Stefanie M.
   Choi, Suwhan
   Barnett, John
   Rogers, Kem A.
TI Mixed methods student evaluation of an online systemic human anatomy
   course with laboratory
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 3
BP 272
EP 285
DI 10.1002/ase.1584
PD MAY-JUN 2016
PY 2016
AB A fully online section of an existing face-to-face (F2F) systemic human
   anatomy course with a prosection laboratory was offered for the first
   time in 2012-2013. Lectures for F2F students (N=365) were broadcast in
   both live and archived format to online students (N=40) using virtual
   classroom software. Laboratories were delivered online by a teaching
   assistant who manipulated 3D computer models in the virtual classroom
   environment. An exploratory sequential mixed methods approach was
   undertaken to determine the most important deciding factors that drive
   students' preferences for a given format and then to generate theory on
   the strengths and weaknesses of the online format. Students (20 online;
   310 F2F) volunteered to participate in a crossover period of one week to
   expose them to the course section in which they were not originally
   registered. Open ended interviews (20 online; 20 F2F) and quantitative
   surveys (270 F2F) were conducted following a crossover. Students valued
   pace control, schedule, and location flexibility of learning from
   archived materials and being assessed online. In the online laboratory
   they had difficulty using the 3D models and preferred the unique and
   hands-on experiences of cadaveric specimens. The F2F environment was
   conducive to learning in both lecture and laboratory because students
   felt more engaged by instructors in person and were less distracted by
   their surroundings. These results suggest the need to improve the online
   experience by increasing the quality of student-instructor communication
   and in turn student-content interaction with the 3D models. Anat Sci
   Educ 9: 272-285. (c) 2015 American Association of Anatomists.
RI Attardi, Stefanie M/AFC-2547-2022; Rogers, Kem/
OI Attardi, Stefanie M/0000-0003-3291-490X; Rogers, Kem/0000-0002-6234-2634
TC 41
ZS 1
ZA 0
ZB 1
Z8 0
ZR 0
Z9 41
U1 0
U2 26
SN 1935-9772
EI 1935-9780
UT WOS:000375156300008
PM 26588051
ER

PT J
AU Ettarh, Rajunor
TI A practical hybrid model of application, integration, and competencies
   at interactive table conferences in histology (ITCH)
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 3
BP 286
EP 294
DI 10.1002/ase.1591
PD MAY-JUN 2016
PY 2016
AB Significant changes have been implemented in the way undergraduate
   medical education is structured. One of the challenges for component
   courses such as histology in medical and dental curricula is to
   restructure and deliver training within new frameworks. This article
   describes the process of aligning the purpose and experience in
   histology laboratory to the goal of applying knowledge gained to
   team-based medical practice at Tulane University School of Medicine.
   Between 2011 and 2015, 711 medical students took either a traditional
   laboratory-based histology course (353 students) or a team-based hybrid
   histology course with active learning in laboratory (358 students). The
   key difference was in the laboratory component of the hybrid course -
   interactive table conferences in histologyduring which students
   developed new competencies by working in teams, reviewing images,
   solving problems by applying histology concepts, and sharing learning.
   Content, faculty and online resources for microscopy were the same in
   both courses. More student-student and student-faculty interactions were
   evident during the hybrid course but student evaluation ratings and
   grades showed reductions following introduction of table conferences
   when compared to previous ratings. However, outcomes at National Board
   of Medical Examiners((R)) (NBME (R)) Subject Examination in Histology
   and Cell Biology showed significant improvement (72.4 +/- 9.04 and 76.44
   +/- 9.36 for percent correct answers, traditional and hybrid courses,
   respectively, P<0.0001). This model of table conferences to augment the
   traditional histology laboratory experience exemplifies the extent that
   restructuring enhancements can be used in currently taught courses in
   the undergraduate medical curriculum. Anat Sci Educ 9: 286-294. (c) 2016
   American Association of Anatomists.
Z8 0
TC 8
ZB 0
ZA 0
ZR 0
ZS 0
Z9 8
U1 0
U2 13
SN 1935-9772
EI 1935-9780
UT WOS:000375156300009
PM 26749245
ER

PT J
AU Wakefield, Daniel V.
   Manole, Bogdan A.
   Jethanandani, Amit
   May, Michael E., Jr.
   Marcrom, Samuel R.
   Farmer, Michael R.
   Ballo, Matthew T.
   VanderWalde, Noam A.
TI Accessibility, availability, and quality of online information for US
   radiation oncology residencies
SO PRACTICAL RADIATION ONCOLOGY
VL 6
IS 3
BP 160
EP 165
DI 10.1016/j.prro.2015.10.016
PD MAY-JUN 2016
PY 2016
AB Purpose: Radiation oncology (RO) residency applicants commonly use
   Internet resources for information on residency programs. The purpose of
   this study is to assess the accessibility, availability, and quality of
   online information for RO graduate medical education.
   Methods and materials: Accessibility of online information was
   determined by surveying databases for RO residency programs within the
   Fellowship Residency Electronic Interactive Data Access System (FREIDA)
   of the American Medical Association, the Accreditation Council for
   Graduate Medical Education (ACGME), and Google search. As of June 30,
   2015, websites were assessed for presence, accessibility, and overall
   content availability based on a 55-item list of desired features based
   on 13 program features important to previously surveyed applicants.
   Quality scoring of available content was performed based on previously
   published Likert scale variables deemed desirable to RO applicants.
   Quality score labels were given based on percentage of desired
   information presented.
   Results: FREIDA and ACGME databases listed 89% and 98% of program
   websites, respectively, but only 56% and 52% of links routed to a RO
   department-specific website, respectively. Google search obtained
   websites for 98% of programs and 95% of links routed to RO
   department-specific websites. The majority of websites had program
   descriptions (98%) and information on staff. However, resident
   information was more limited (total number [42%], education [47%],
   previous residents [28%], positions available [35%], contact information
   [13%]). Based on quality scoring, program websites contained only 47% of
   desired information on average. Only 13% of programs had superior
   websites containing 80% or more of desired information.
   Conclusions: Compared with Google, the FREIDA and ACGME program
   databases provide limited access to RO residency websites. The overall
   information availability and quality of information within RO residency
   websites varies widely. Applicants and programs may benefit from
   improved content accessibility and quality from US RO program websites
   in the residency application process. (c) 2016 American Society for
   Radiation Oncology. Published by Elsevier Inc. All rights reserved.
RI Marcrom, Samuel/K-5034-2019
ZA 0
ZB 2
Z8 0
TC 7
ZS 0
ZR 0
Z9 7
U1 0
U2 3
SN 1879-8500
UT WOS:000374668400007
PM 26723548
ER

PT J
AU Gulati, Rishabh
   Nawaz, Mohammad
   Pyrsopoulos, Nikolaos T.
TI Comparative analysis of online patient education material pertaining to
   hepatitis and its complications
SO EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY
VL 28
IS 5
BP 558
EP 566
DI 10.1097/MEG.0000000000000588
PD MAY 2016
PY 2016
AB Background and aims Approximately 50% of patients leave the doctor's
   office with a poor understanding of their diagnosis. Online patient
   education websites are becoming a major source of information for many
   of the patients. Here, we determine the reading grade level of online
   patient education materials on hepatitis B, hepatitis C, cirrhosis, and
   hepatocellular cancer and compare it with the National Institutes of
   Health-recommended reading grade level of sixth to seventh grade or
   under.
   Methods A Google search was performed to retrieve patient reading
   materials. Text was modified to remove medical terms that were defined
   within the article. Documents were then divided into categories of
   introduction, risk factors, symptoms, diagnosis, treatment, and
   prevention. Each document was then analyzed using six validated
   readability tests to determine the grade level and complexity on the
   basis of the number of words, syllables, or number of uncommon words.
   Results Modified documents had a mean readability score of 10.23,
   although the recommended score is less than 7.0. Cirrhosis had the
   highest reading grade level, with a median of 11.3, whereas hepatitis B
   and hepatocellular carcinoma had the easiest readability, with a median
   of 9.5. Furthermore, treatment subsection was the most difficult, with a
   median score of 10.8.
   Conclusion Patient reading materials reviewed in this study were written
   well above the recommended reading grade level. These findings suggest
   review of patient education materials in an effort to close the gap
   between the average reading level and the reading materials. Copyright
   (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
Z8 0
ZR 0
TC 6
ZS 0
ZB 0
ZA 0
Z9 6
U1 1
U2 9
SN 0954-691X
EI 1473-5687
UT WOS:000374759800011
PM 26982338
ER

PT J
AU Bijol, Vanesa
   Farag, Youssef M. K.
   Shah, Sudhir
   Feehally, John
   Singh, Ajay K.
TI The International Society of Nephrology (ISN) and the American
   Nephrologists of Indian Origin (ANIO) Online Clinical Nephropathology
   Certificate (CNC) program
SO KIDNEY INTERNATIONAL
VL 89
IS 5
BP 966
EP 968
DI 10.1016/j.kint.2015.11.035
PD MAY 2016
PY 2016
RI Singh, Ajay/AAF-4414-2020
Z8 0
ZS 0
ZB 0
ZR 0
TC 2
ZA 0
Z9 2
U1 0
U2 2
SN 0085-2538
EI 1523-1755
UT WOS:000374724200001
PM 27083269
ER

PT J
AU Shah, Rupal
   Sibbald, Matthew
   Jaffer, Nasir
   Probyn, Linda
   Cavalcanti, Rodrigo B.
TI Online self-study of chest X-rays shows no difference between blocked
   and mixed practice
SO MEDICAL EDUCATION
VL 50
IS 5
BP 540
EP 549
DI 10.1111/medu.12991
PD MAY 2016
PY 2016
AB ContextChest radiograph interpretation is a complex skill and learners
   may benefit from deliberate instructional design modalities, such as
   mixed practice. Proposed benefits of mixed over blocked practice include
   the elimination of cueing and the highlighting of contrasting features.
   However, current evidence for the superiority of mixed practice is
   conflicting.
   ObjectivesThis study compares mixed versus blocked practice, after the
   initial teaching of concepts, among medical students using online
   self-study chest X-ray (CXR) modules.
   MethodsTwo online CXR modules were developed that cover identical
   content but differ in the organisation of practice images. Blocked
   modules provided practice CXRs after each category, whereas mixed
   modules randomly ordered practice radiographs after all categories had
   been taught. Medical students in Years1-3 were randomised to either
   module and were tested on 20 new CXRs immediately after completion and
   at 2weeks. The primary outcome was immediate diagnostic accuracy.
   Secondary outcomes included diagnostic accuracy at 2weeks, time per
   module and reported module difficulty.
   ResultsA total of 58 medical students participated (32 in the blocked
   and 26 in the mixed module). Level of training and previous CXR
   experience were similar across the groups. Totals of 1160 and 1120
   answers were evaluated for immediate and 2week post-test scores,
   respectively. There were no significant differences in mean diagnostic
   accuracy between the blocked (mean score: 11.7/20) and mixed (mean
   score: 11.0/20) practice groups on immediate testing (t=0.83, d.f.=56,
   p=0.41) or at 2weeks (mean score: 11.2/20 versus 10.9/20; t=0.518,
   d.f.=54, p=0.61). Post-test scores showed no correlation with training
   level (R=0.23, p=0.09) or completion time (R=-0.09, p=0.5). Reported
   module difficulty was similar between the mixed (3.22/5) and blocked
   (3.19/5) groups. On multivariable linear regression controlling for
   completion time, training level and CXR experience, between-group
   differences remained non-significant.
   ConclusionsPerformance after mixed practice was similar to that after
   blocked practice. Results may reflect similarities between modules in
   teaching, which emphasised contrast learning, greater effect of initial
   teaching rather than practice, or absence of tutor-led instruction.
   Alternatively, results may reflect the higher cognitive load in mixed
   practice imposed by contrasting multiple diagnoses.
   Discuss ideas arising from the article at discuss.
OI Sibbald, Matthew/0000-0002-0022-2370; Shah, Rupal/0000-0003-3944-287X;
   Cavalcanti, Rodrigo B/0000-0001-8980-159X
ZS 0
TC 6
Z8 0
ZR 0
ZB 1
ZA 0
Z9 6
U1 1
U2 10
SN 0308-0110
EI 1365-2923
UT WOS:000374562700009
PM 27072443
ER

PT J
AU Griewatz, Jan
   Lammerding-Koeppel, Maria
   Bientzle, Martina
   Cress, Ulrike
   Kimmerle, Joachim
TI Using simulated forums for training of online patient counselling
SO MEDICAL EDUCATION
VL 50
IS 5
BP 576
EP 577
DI 10.1111/medu.13040
PD MAY 2016
PY 2016
RI Kimmerle, Joachim/ABE-8803-2020; Cress, Ulrike/AAB-4264-2020; Cress, Ulrike/A-5615-2013; Griewatz, Jan/
OI Cress, Ulrike/0000-0002-8996-8303; Cress, Ulrike/0000-0002-8996-8303;
   Griewatz, Jan/0000-0002-9731-3171
Z8 0
ZR 0
ZA 0
ZB 0
ZS 0
TC 5
Z9 5
U1 0
U2 3
SN 0308-0110
EI 1365-2923
UT WOS:000374562700028
PM 27072462
ER

PT J
AU Randhawa, Amarita S.
   Babalola, Olakiitan
   Henney, Zachary
   Miller, Michele
   Nelson, Tanya
   Oza, Meerat
   Patel, Chandni
   Randhawa, Anupma S.
   Riley, Joyce
   Snyder, Scott
   So, Sherri
TI A Collaborative Assessment Among 11 Pharmaceutical Companies of
   Misinformation in Commonly Used Online Drug Information Compendia
SO ANNALS OF PHARMACOTHERAPY
VL 50
IS 5
BP 352
EP 359
DI 10.1177/1060028016635196
PD MAY 2016
PY 2016
AB Background: Online drug information compendia (ODIC) are valuable tools
   that health care professionals (HCPs) and consumers use to educate
   themselves on pharmaceutical products. Research suggests that these
   resources, although informative and easily accessible, may contain
   misinformation, posing risk for product misuse and patient harm.
   Objective: Evaluate drug summaries within ODIC for accuracy and
   completeness and identify product-specific misinformation. Methods:
   Between August 2014 and January 2015, medical information (MI)
   specialists from 11 pharmaceutical/biotechnology companies
   systematically evaluated 270 drug summaries within 5 commonly used ODIC
   for misinformation. Using a standardized approach, errors were
   identified; classified as inaccurate, incomplete, or omitted; and
   categorized per sections of the Full Prescribing Information (FPI). On
   review of each drug summary, content-correction requests were proposed
   and supported by the respective product's FPI. Results: Across the 270
   drug summaries reviewed within the 5 compendia, the median of the total
   number of errors identified was 782, with the greatest number of errors
   occurring in the categories of Dosage and Administration, Patient
   Education, and Warnings and Precautions. The majority of errors were
   classified as incomplete, followed by inaccurate and omitted.
   Conclusion: This analysis demonstrates that ODIC may contain
   misinformation. HCPs and consumers should be aware of the potential for
   misinformation and consider more than 1 drug information resource,
   including the FPI and Medication Guide as well as
   pharmaceutical/biotechnology companies' MI departments, to obtain
   unbiased, accurate, and complete product-specific drug information to
   help support the safe and effective use of prescription drug products.
OI Nelson, Tanya/0000-0001-6261-2430
ZR 0
ZS 0
TC 11
Z8 0
ZB 1
ZA 0
Z9 11
U1 0
U2 13
SN 1060-0280
EI 1542-6270
UT WOS:000374114700002
PM 26917822
ER

PT J
AU Davis, Jennifer M.
   Finke, Erinn
   Hickerson, Benjamin
TI Service Delivery Experiences and Intervention Needs of Military Families
   with Children with ASD
SO JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
VL 46
IS 5
BP 1748
EP 1761
DI 10.1007/s10803-016-2706-8
PD MAY 2016
PY 2016
AB The purpose of this study was to describe the experiences of military
   families with children with autism spectrum disorder (ASD) specifically
   as it relates to relocation. Online survey methodology was used to
   gather information from military spouses with children with ASD. The
   finalized dataset included 189 cases. Descriptive statistics and
   frequency analyses were used to examine participant demographics and
   service delivery questions. Results indicated the larger sample of
   military spouses largely confirmed the experiences reported
   qualitatively in previous studies and contributed information that was
   previously unknown about variables associated with the access,
   availability, quality, and frequency of intervention services for
   military families with children with ASD.
TC 13
ZB 4
ZR 0
Z8 0
ZA 0
ZS 0
Z9 13
U1 1
U2 11
SN 0162-3257
EI 1573-3432
UT WOS:000373995500022
PM 26780908
ER

PT J
AU Shin, Doo Chul
   Song, Chang Ho
TI Smartphone-Based Visual Feedback Trunk Control Training Using a
   Gyroscope and Mirroring Technology for Stroke Patients: Single-blinded,
   Randomized Clinical Trial of Efficacy and Feasibility
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 5
BP 319
EP 329
DI 10.1097/PHM.0000000000000447
PD MAY 2016
PY 2016
AB Objective The purpose of this study was to assess the preliminary
   efficacy and feasibility of smartphone-based visual feedback trunk
   control training (SPVFTCT) for improving balance and trunk performance
   in stroke patients.
   Design Twenty-four patients who had experienced a stroke more than 6
   months previously and could sit and walk independently participated in
   the study. The participants were allocated to a SPVFTCT (n = 12) or to a
   control group (n = 12). Both groups completed five 80-minute sessions
   per week of conventional rehabilitation for 4 weeks. The SPVFTCT group
   additionally received three 20-minute sessions per week of SPVFTCT for 4
   weeks. The outcome was assessed using static balance assessment, the
   modified functional reach test, the timed up and go test, and the trunk
   impairment scale. Feasibility of SPVFTCT was evaluated by retention,
   adherence, acceptability, and safety.
   Results The static balance assessment, modified functional reach test,
   timed up and go test, and trunk impairment scale scores in the SPVFTCT
   group improved significantly compared to those in the control group (P <
   0.05). In the SPVFTCT group, retention and adherence rates were 100% and
   97%, respectively. All participants reported that SPVFTCT was enjoyable,
   easy to use, and helpful for their recovery.
   Conclusions The SPVFTCT approach is a feasible method to improve balance
   and trunk performance in stroke patients.
   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 role of trunk control in postural stability
   and functional improvement; (2) Describe the benefits of
   smartphone-based visual feedback trunk control training (SPVFTCT); and
   (3)Discuss the feasibility of incorporating smartphone-based visual
   feedback trunk control training in stroke rehabilitation.
   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 Shin, Doochul/0000-0002-8873-9541
ZB 0
Z8 1
ZR 0
ZA 0
TC 8
ZS 0
Z9 9
U1 3
U2 35
SN 0894-9115
EI 1537-7385
UT WOS:000374872700008
PM 26829087
ER

PT J
AU Lee, Andy C. H.
   Drake, David B.
   DeGeorge, Brent R., Jr.
TI Medical Student and Primary Care Physician Perception of the Surgical
   Management of Upper- and Lower-Extremity Peripheral Nerve Entrapment
SO ANNALS OF PLASTIC SURGERY
VL 76
IS 5
BP 524
EP 531
DI 10.1097/SAP.0000000000000680
PD MAY 2016
PY 2016
AB Background Upper- and lower-extremity peripheral neuropathies are
   commonly encountered in the primary care setting and account for 14.3
   million specialist referrals in the United States annually. Despite the
   integral role of plastic surgeons in the development of the field of
   peripheral nerve surgery, plastic surgeons are not commonly recognized
   as peripheral nerve specialists. The purpose of this study was to
   investigate the pattern of diagnosis, treatment, and referral of upper-
   and lower-extremity peripheral nerve entrapment syndromes by both
   medical students and primary care providers.
   Methods An online survey including 5 peripheral nerve entrapment
   clinical scenarios (2 upper extremity and 3 lower extremity) was
   administered to medical students and primary care providers at a large
   academic medical center. Respondents were surveyed for level of
   training, prior clinical exposure, initial diagnostic studies of choice,
   initial therapeutic modalities of choice, need for subspecialty
   referral, and appropriate surgical subspecialists for management of the
   peripheral nerve entrapment.
   Results Overall, 248 medical students (38.3% response rate) and 54
   primary care providers (13.5% response rate) completed the study. The
   majority of medical students and primary care providers indicated prior
   clinical experience with upper-extremity peripheral nerve entrapment in
   contrast to lower-extremity peripheral nerve entrapment with 26.2% and
   39.9% of medical students and primary care physicians reporting prior
   clinical exposure, respectively. Medical students and primary care
   providers identified orthopedic surgery as the preferred choice for
   subspecialty referral for both upper- and lower-extremity peripheral
   nerve entrapment. Primary care physicians are more inclined to initially
   manage upper-extremity nerve entrapment without referral to other
   specialties than for the management of lower-extremity nerve entrapment;
   38.0% and 61.1% of the primary care physicians surveyed would refer to
   another specialty for the initial management of carpal tunnel and
   cubital tunnel syndromes, in contrast to 83.0%, 90.0%, and 88.2% for the
   management of common peroneal nerve compression, sural nerve
   compression, and deep peroneal nerve compression, respectively.
   Conclusions We contend that early education of medical students and
   primary care providers regarding the role of plastic surgeons as
   peripheral nerve specialists may improve future referral patterns.
RI Lee, Andy Chao Hsuan/AHA-5096-2022
OI Lee, Andy Chao Hsuan/0000-0002-9338-7886
ZR 0
ZA 0
ZS 0
TC 5
Z8 1
ZB 0
Z9 6
U1 0
U2 5
SN 0148-7043
EI 1536-3708
UT WOS:000375070600012
PM 26808761
ER

PT J
AU Spach, David H.
   Wood, Brian R.
   Karpenko, Andrew
   Unruh, Kenton T.
   Kinney, Rebecca G.
   Roscoe, Clay
   Nelson, John
TI Creating a National HIV Curriculum
SO JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
VL 27
IS 3
BP 261
EP 273
DI 10.1016/j.jana.2016.02.002
PD MAY-JUN 2016
PY 2016
AB In recent years, the HIV care provider workforce has not kept pace with
   an expanding HIV epidemic. To effectively address this HIV workforce
   shortage, a multipronged approach is needed that includes high-quality,
   easily accessible, up-to-date HIV-education for trainees and practicing
   providers. Toward this objective, the University of Washington, in
   collaboration with the AIDS Education and Training Center National
   Coordinating Resource Center, is developing a modular, dynamic
   curriculum that addresses the entire spectrum of the HIV care continuum.
   Herein, we outline the general principles, content, organization, and
   features of this federally funded National HIV Curriculum, which allows
   for longitudinal, active, self-directed learning, as well as real-time
   evaluation, tracking, and feedback at the individual and group level.
   The online curriculum, which is in development, will provide a free,
   comprehensive, interactive HIV training and resource tool that can
   support national efforts to expand and strengthen the United States HIV
   clinical care workforce. Copyright (C) 2016 Association of Nurses in
   AIDS Care
RI Nelson, John/AAI-2111-2019; Roscoe, Clay/
OI Nelson, John/0000-0002-6647-0908; Roscoe, Clay/0000-0003-4237-5452
ZB 2
Z8 0
ZR 0
ZS 0
ZA 0
TC 6
Z9 6
U1 0
U2 2
SN 1055-3290
EI 1552-6917
UT WOS:000375069800008
PM 27086188
ER

PT J
AU Balkin, Emily M.
   Thompson, Daria
   Colson, K. Ellicott
   Lam, Catherine G.
   Matthay, Katherine K.
TI Physician Perspectives on Palliative Care for Children With
   Neuroblastoma: An International Context
SO PEDIATRIC BLOOD & CANCER
VL 63
IS 5
BP 872
EP 879
DI 10.1002/pbc.25900
PD MAY 2016
PY 2016
AB BackgroundStudies have shown that children with cancer globally lack
   access to palliative care. Little is known regarding physicians'
   perceptions of palliative care, treatment access, and self-reported
   competence in providing palliative care.
   ProcedureMembers of the Global Neuroblastoma Network (online tumor
   board) were surveyed. Eighty-three respondents met inclusion criteria;
   53 (64%) completed the survey.
   ResultsMost respondents trained in high-income countries (HIC) but
   practice in low- and middle-income countries (LMIC), and care for more
   than five patients with neuroblastoma annually. WHO Essential Medicines
   in palliative care varied in availability, with incomplete access across
   LMIC centers. Nonpharmacologic therapies were inconsistently available.
   Contrary to international definitions, 17% of respondents
   inappropriately considered palliative care as that initiated only after
   curative therapy is stopped. Mean physician competence composite score
   (Likert scale 1-5, 5 = very competent) in providing symptomatic relief
   and palliative care across phases of care was 2.93 (95% CI 2.71-3.22).
   Physicians reported significantly greater competence in symptom
   management during cure-directed therapy than during end-of-life (P =
   0.02) or when patients are actively dying (P = 0.007). Practicing in
   HIC, prior palliative care training, having access to radiotherapy, and
   not having to turn patients away due to bed shortages were significantly
   predictive of perceived competence in providing palliative care at end
   of life.
   ConclusionsAn international sample identified gaps in treatment and
   palliative care service availability, in understanding the definition of
   palliative care, and in self-reported competence in providing palliative
   care. Increased perceived competence was associated with training, which
   supports the need for increased palliative care education and advocacy,
   especially in LMIC.
RI Lam, Catherine/K-6328-2014
OI Lam, Catherine/0000-0003-1363-5331
Z8 0
ZR 0
ZA 0
TC 4
ZB 0
ZS 0
Z9 4
U1 0
U2 11
SN 1545-5009
EI 1545-5017
UT WOS:000372947900018
PM 26784890
ER

PT J
AU Zaidi, Zareen
   Verstegen, Danielle
   Naqvi, Rahat
   Morahan, Page
   Dornan, Tim
TI Gender, religion, and sociopolitical issues in cross-cultural online
   education
SO ADVANCES IN HEALTH SCIENCES EDUCATION
VL 21
IS 2
BP 287
EP 301
DI 10.1007/s10459-015-9631-z
PD MAY 2016
PY 2016
AB Cross-cultural education is thought to develop critical consciousness of
   how unequal distributions of power and privilege affect people's health.
   Learners in different sociopolitical settings can join together in
   developing critical consciousness-awareness of power and privilege
   dynamics in society-by means of communication technology. The aim of
   this research was to define strengths and limitations of existing
   cross-cultural discussions in generating critical consciousness. The
   setting was the FAIMER international fellowship program for mid-career
   interdisciplinary health faculty, whose goal is to foster global
   advancement of health professions education. Fellows take part in
   participant-led, online, written, task-focused discussions on topics
   like professionalism, community health, and leadership. We reflexively
   identified text that brought sociopolitical topics into the online
   environment during the years 2011 and 2012 and used a discourse analysis
   toolset to make our content analysis relevant to critical consciousness.
   While references to participants' cultures and backgrounds were
   infrequent, narratives of political-, gender-, religion-, and other
   culture-related topics did emerge. When participants gave accounts of
   their experiences and exchanged cross-cultural stories, they were more
   likely to develop ad hoc networks to support one another in facing those
   issues than explore issues relating to the development of critical
   consciousness. We suggest that cross-cultural discussions need to be
   facilitated actively to transform learners' frames of reference, create
   critical consciousness, and develop cultural competence. Further
   research is needed into how to provide a safe environment for such
   learning and provide faculty development for the skills needed to
   facilitate these exchanges.
RI Zaidi, Zareen/AAC-5004-2019; Verstegen, Danielle/
OI Zaidi, Zareen/0000-0003-4328-5766; Verstegen,
   Danielle/0000-0001-6811-175X
ZR 0
ZA 0
TC 9
Z8 0
ZB 1
ZS 0
Z9 9
U1 1
U2 41
SN 1382-4996
EI 1573-1677
UT WOS:000373085800003
PM 26303113
ER

PT J
AU Jacob, J.
   Paul, L.
   Hedges, W.
   Hutchison, P.
   Cameron, E.
   Matthews, D.
   Whiten, S.
   Driscoll, P.
TI Undergraduate radiology teaching in a UK medical school: a systematic
   evaluation of current practice
SO CLINICAL RADIOLOGY
VL 71
IS 5
BP 476
EP 483
DI 10.1016/j.crad.2015.11.021
PD MAY 2016
PY 2016
AB AIM: To use the Royal College of Radiologists' Undergraduate Radiology
   Curriculum (RCR URC) as an innovative tool to review undergraduate
   radiology teaching and ensure it is comprehensive and balanced.
   MATERIALS AND METHODS: Quantitative and qualitative methods were used to
   audit and review radiology teaching for students in years 1-3. All
   radiological teaching on the course was mapped against the RCR URC
   learning outcomes. An online survey of students in year 3 (n = 138) was
   conducted using Likert (1-5), multiple choice, and free-text questions.
   RESULTS: There were 954 instances of radiology teaching, with 70%
   occurring during lectures. Radiology teaching was mapped to 81 of the 96
   RCR URC learning outcomes (84.4%). Forty-seven of 138 students responded
   to the survey. They expressed confidence in understanding what basic
   imaging entails ((x) over bar = 4.23) and the risks associated with
   various imaging techniques ((x) over bar = 4.34). They were also
   confident in chest radiograph interpretation ((x) over bar = 3.62), but
   were less confident understanding abdominal radiographs ((x) over bar =
   2.87). In free-text comments, students requested more tutorial-type
   teaching and ultrasound instruction.
   CONCLUSION: The RCR URC is an effective tool for auditing undergraduate
   radiology teaching, and other medical schools may, therefore, benefit
   from using this method. This evaluation process incorporating audit and
   feedback has identified areas for curriculum development. These include
   incorporating ultrasound into teaching sessions, delivering more
   small-group teaching, and introducing clinical placements in radiology
   departments. (C) 2015 The Royal College of Radiologists. Published by
   Elsevier Ltd. All rights reserved.
ZS 0
ZR 0
TC 20
ZA 0
Z8 0
ZB 0
Z9 20
U1 0
U2 3
SN 0009-9260
EI 1365-229X
UT WOS:000372884700011
PM 26896082
ER

PT J
AU Chong, Heng Teck
   Weightman, Michael James
   Sirichai, Peranada
   Jones, Alison
TI How do junior medical officers use online information resources? A
   survey
SO BMC MEDICAL EDUCATION
VL 16
AR 120
DI 10.1186/s12909-016-0645-x
PD APR 22 2016
PY 2016
AB Background: Online information resources function dually as important
   learning tools and sources of the latest evidence-based recommendations
   for junior medical officers (JMOs). However, little is currently known
   about how JMOs utilise this information when providing care for their
   patients. This study aimed to examine the usage and experience of online
   information resources amongst JMOs in South Australia to ascertain (i)
   the type of resources accessed, (ii) the frequency, (iii) the intended
   purpose, and (iv) the perceived reliability.
   Methods: A survey instrument using multiple choices, five-point Likert
   scales and free-text comments was developed and distributed through
   Survey Monkey to South Australian JMOs between 1 May 2014 and 30 June
   2014.
   Results: Of the 142 surveyed, 100 JMOs (70.4 %) used online information
   resources as their first approach over all other resources available.
   JMOs overwhelmingly (94.4 %, n = 134) used online information resources
   at least once per day, with the most frequent purpose for use being
   information regarding prescription medication (82.4 %, n = 117, reported
   'very frequent' use). JMOs stated online resources were necessary to
   perform their work and, of the different types of information accessed,
   they rated peer-reviewed resources as the most reliable.
   Conclusions: JMOs strongly rely upon online clinical information in
   their everyday practice. Importantly, provision of these resources
   assists JMOs in their education and clinical performance.
RI Weightman, Michael James/AAA-3904-2021; Jones, Alison/
OI Weightman, Michael James/0000-0001-8451-2529; Jones,
   Alison/0000-0002-6059-3413
ZA 0
Z8 0
TC 7
ZS 1
ZB 1
ZR 0
Z9 7
U1 0
U2 7
SN 1472-6920
UT WOS:000374743400003
PM 27106065
ER

PT J
AU Tamayo, Cassandra A.
   Rizkalla, Mireille N.
   Henderson, Kyle K.
TI Cognitive, Behavioral and Emotional Empathy in Pharmacy Students:
   Targeting Programs for Curriculum Modification
SO FRONTIERS IN PHARMACOLOGY
VL 7
AR 96
DI 10.3389/fphar.2016.00096
PD APR 19 2016
PY 2016
AB Introduction: Empathy is an essential trait for pharmacists and is
   recognized as a core competency that can be developed in the classroom.
   There is a growing body of data regarding levels of empathy in pharmacy
   students; however, these studies have not measured differences in
   behavioral, cognitive, and emotional empathy. The goal of this study was
   to parse the underlying components of empathy and correlate them to
   psychosocial attributes, with the overall goal of identifying curriculum
   modifications to enhance levels of empathy in pharmacy students.
   Methods: IRB approval was obtained to measure empathy levels in pharmacy
   students attending Midwestern University. An online, anonymous survey
   administered through a secure website (REDCap) was used. This survey
   utilized the Jefferson Scale of Empathy (Medical Student version) and
   included questions regarding demographics and personality traits.
   Empathy questions were sub-divided into behavioral, cognitive, and
   emotional categories. Data are presented as mean +/- SEM with
   significance set at P <= 0.05.
   Results: Three hundred and four pharmacy students at Midwestern
   University participated in a fall survey with an overall response rate
   of 37%. The average empathy score was 110.4 +/- 0.8 on a scale of
   20-140; which is comparable to empathy scores found by Fjortoff etal,
   (7011) and Van Winkle et al. (2012b). Validating prior research, females
   scored significantly higher than males in empathy as well as behavioral,
   cognitive, and emotional subcomponents. For the entire population,
   emotional empathy was significantly higher than cognitive and behavioral
   empathy (P < 0.05). Furthermore, negative correlations to empathy were
   observed for self-serving behavior (R = 0.490, P < 0.001), medical
   authoritarianism (R = 0.428, P < 0.001), and experience of coercion (R =
   0.344,P < 0.001).
   Conclusion: Overall, empathy levels in pharmacy students are similar to
   prior studies with females scoring higher than males. Emotional empathy
   may play a greater role than cognitive and behavioral empathy in this
   group of students. Targeted programs that promote volunteerism and
   activities that foster responsiveness to patient needs may attenuate
   self-serving behavior and medical authoritarianism and, therefore,
   improve empathy levels in pharmacy students.
ZA 0
TC 28
ZB 2
Z8 0
ZR 0
ZS 0
Z9 28
U1 1
U2 25
SN 1663-9812
UT WOS:000374514200001
PM 27148055
ER

PT J
AU Trollor, Julian N.
   Ruffell, Beth
   Tracy, Jane
   Torr, Jennifer J.
   Durvasula, Seeta
   Iacono, Teresa
   Eagleson, Claire
   Lennox, Nicolas
TI Intellectual disability health content within medical curriculum: an
   audit of what our future doctors are taught
SO BMC MEDICAL EDUCATION
VL 16
AR 105
DI 10.1186/s12909-016-0625-1
PD APR 11 2016
PY 2016
AB Background: There is a high burden of unmet health needs for people with
   intellectual disability. Despite experiencing significantly higher rates
   of morbidity and mortality compared with the general population, this
   group faces greater barriers to accessing healthcare. While increasing
   workplace capacity is one way to reduce this inequitable access,
   previous research indicates a scarcity of undergraduate teaching in
   intellectual disability. The aim of the study was to determine the
   extent and nature of intellectual disability content currently offered
   within medical degree curricula.
   Methods: All Australian universities (n = 20) providing accredited
   medical training were invited to participate in a two-phase audit via an
   email invitation to the Dean of each medical school. The Dean's delegate
   from 14 medical schools completed Phase 1, which involved a
   questionnaire or telephone interview about the overall medical course
   structure. Unit coordinators and/or teaching staff from 12 medical
   schools completed Phase 2, which involved an online survey about
   intellectual disability content within the curriculum.
   Results: In Australia, medical school curricula contain a median of 2.55
   h of compulsory intellectual disability content. The majority of
   universities only offer a small amount of compulsory content. Of
   compulsory units, intellectual disability teaching is minimal in sexual
   health and emergency medicine (only one unit offered in one school for
   each). Topics of key relevance in intellectual disability health such as
   human rights issues, interdisciplinary team work and preventative health
   are poorly represented in intellectual disability teaching. Elective
   content varies markedly across universities (1 to 122 h), but emergency
   medicine, women's health, men's health and many other specialist
   medicine areas are not represented. Inclusive practice is inconsistent
   in degree and nature, but a majority of universities (nine) involve
   people with intellectual disability in the development or delivery of
   content.
   Conclusions: There is a mismatch between the considerable unmet health
   needs of people with intellectual disability and the inconsistent
   teaching within medical schools. Future doctors will be better equipped
   to support the health and wellbeing of people with intellectual
   disability if curricula are enhanced in this area.
RI Lennox, Nicholas G/F-4113-2010; Iacono, Teresa/G-1548-2015; Tracy, Jane/; Durvasula, Seeta/; Trollor, Julian/
OI Iacono, Teresa/0000-0002-7988-9951; Tracy, Jane/0000-0002-4070-8615;
   Durvasula, Seeta/0000-0002-4863-7639; Trollor,
   Julian/0000-0002-7685-2977
ZB 3
Z8 0
ZA 0
ZS 1
TC 34
ZR 0
Z9 35
U1 0
U2 19
SN 1472-6920
UT WOS:000373670700001
PM 27066776
ER

PT J
AU Jones, Jeff
   Poole, Asheley
   Lasley-Bibbs, Vivian
   Johnson, Mark
TI LGBT health and vaccinations: Findings from a community health survey of
   Lexington-Fayette County, Kentucky, USA
SO VACCINE
VL 34
IS 16
BP 1909
EP 1914
DI 10.1016/j.vaccine.2016.02.054
PD APR 7 2016
PY 2016
AB Data on adult immunization coverage at the state level and for LGBT
   Americans in particular are sparse. This study reports the results of a
   2012 Lexington-Fayette County, Kentucky, community health assessment's
   results asking about eight adult vaccinations among 218 lesbian, gay,
   bisexual, and transgendered (LGBT) respondents. Researchers collected
   data using an online survey distributed through LGBT social media,
   posters, and LGBT print media. The LGBT sample largely matches the
   demographics of the county as a whole except this group reports higher
   level of education and fewer uninsured individuals. Among LGBT
   respondents, immunization prevalence reaches 68.0% (annual Influenza),
   65.7% (Hepatitis B), 58.8% (Chickenpox/Varicella), 55.9% (Hepatitis A),
   41.2% (Smallpox), and 25.8% (Pneumonia). Among respondents who are
   currently within the recommended 19-26 years age range for the Human
   Papillomavirus (HPV) vaccine, the LGBT females are less likely to report
   receiving the vaccine (15.4%) compared to the national coverage
   percentage of 34.5%. Males, however, are more likely to have received
   the vaccine (10.3%) than the national percentage of 2.3%. The small
   number of LGBT seniors in the study report a much higher prevalence of
   the Shingles (Herpes Zoster) vaccines than for U.S. seniors 60 and older
   (71.4% compared to 20.1% nationally). LGBT respondents report higher
   percentages of adult vaccination. (C) 2016 Elsevier Ltd. All rights
   reserved.
RI Jones, Jeff/AAF-1899-2019
OI Jones, Jeff/0000-0002-0882-6996
ZS 0
TC 11
ZB 4
Z8 0
ZA 0
ZR 0
Z9 11
U1 0
U2 3
SN 0264-410X
EI 1873-2518
UT WOS:000374198500009
PM 26930365
ER

PT J
AU Himes, Blanca E.
   Weitzman, Elissa R.
TI Innovations in health information technologies for chronic pulmonary
   diseases
SO RESPIRATORY RESEARCH
VL 17
AR 38
DI 10.1186/s12931-016-0354-3
PD APR 5 2016
PY 2016
AB Asthma and chronic obstructive pulmonary disease (COPD) are common
   chronic obstructive lung disorders in the US that affect over 49 million
   people. There is no cure for asthma or COPD, but clinical guidelines
   exist for controlling symptoms that are successful in most patients that
   adhere to their treatment plan. Health information technologies (HITs)
   are revolutionizing healthcare by becoming mainstream tools to assist
   patients in self-monitoring and decision-making, and subsequently,
   driving a shift toward a care model increasingly centered on personal
   adoption and use of digital and web-based tools. While the number of
   chronic pulmonary disease HITs is rapidly increasing, most have not been
   validated as clinically effective tools for the management of disease.
   Online communities for asthma and COPD patients are becoming sources of
   empowerment and support, as well as facilitators of patient-centered
   research efforts. In addition to empowering patients and facilitating
   disease self-management, HITs offer promise to aid researchers in
   identifying chronic pulmonary disease endotypes and personalized
   treatments based on patient-specific profiles that integrate symptom
   occurrence and medication usage with environmental and genomic data.
ZA 0
Z8 0
TC 31
ZR 0
ZS 0
ZB 3
Z9 31
U1 0
U2 15
EI 1465-993X
UT WOS:000373713700002
PM 27048618
ER

PT J
AU Vadi, Marissa G
   Malkin, Mathew R
   Lenart, John
   Stier, Gary R
   Gatling, Jason W
   Applegate, Richard L 2nd
TI Comparison of web-based and face-to-face interviews for application to
   an anesthesiology training program: a pilot study.
SO International journal of medical education
VL 7
BP 102
EP 8
DI 10.5116/ijme.56e5.491a
PD 2016 Apr 03
PY 2016
AB OBJECTIVE: This study compared admission rates to a United States
   anesthesiology residency program for applicants completing face-to-face
   versus web-based interviews during the admissions process. We also
   explored factors driving applicants to select each interview type.
   METHODS: The 211 applicants invited to interview for admission to our
   anesthesiology residency program during the 2014-2015 application cycle
   were participants in this pilot observational study. Of these, 141
   applicants selected face-to-face interviews, 53 applicants selected
   web-based interviews, and 17 applicants declined to interview. Data
   regarding applicants' reasons for selecting a particular interview type
   were gathered using an anonymous online survey after interview
   completion. Residency program admission rates and survey answers were
   compared between applicants completing face-to-face versus web-based
   interviews.
   RESULTS: One hundred twenty-seven (75.1%) applicants completed
   face-to-face and 42 (24.9%) completed web-based interviews. The
   admission rate to our residency program was not significantly different
   between applicants completing face-to-face versus web-based interviews.
   One hundred eleven applicants completed post-interview surveys. The most
   common reasons for selecting web-based interviews were conflict of
   interview dates between programs, travel concerns, or financial
   limitations. Applicants selected face-to-face interviews due to a desire
   to interact with current residents, or geographic proximity to the
   residency program.
   CONCLUSIONS: These results suggest that completion of web-based
   interviews is a viable alternative to completion of face-to-face
   interviews, and that choice of interview type does not affect the rate
   of applicant admission to the residency program. Web-based interviews
   may be of particular interest to applicants applying to a large number
   of programs, or with financial limitations.
RI Applegate, Richard/Y-1249-2019
OI Applegate, Richard/0000-0002-1454-4549
TC 55
ZS 0
ZA 0
ZR 0
Z8 0
ZB 4
Z9 55
U1 0
U2 3
EI 2042-6372
UT MEDLINE:27039029
PM 27039029
ER

PT J
AU Kjelso, Charlotte
   Galle, Michael
   Bang, Henrik
   Ethelberg, Steen
   Krause, Tyra Grove
TI Influmeter - an online tool for self-reporting of influenza-like illness
   in Denmark
SO INFECTIOUS DISEASES
VL 48
IS 4
BP 322
EP 327
DI 10.3109/23744235.2015.1122224
PD APR 2 2016
PY 2016
AB Background In October 2013, we implemented 'Influmeter', a web-based
   influenza-like illness (ILI) self-reporting system, to monitor ILI in
   the general population in a timely fashion, to provide data for
   estimations of the burden of influenza and to gain experience with
   online surveillance systems, in Denmark. After the season 2013/2014 we
   evaluated the system to decide on its future use. Methods Influmeter
   study participants provided personal details upon enrolment and reported
   symptoms weekly within predefined categories. We compared distribution
   of Influmeter participants with the Danish population, by sex, age,
   region, chronic diseases and educational level. We calculated the
   proportion of participants reporting symptoms of ILI weekly and the
   proportion of Influmeter ILI cases seeking medical assistance, using the
   Danish and the EU ILI case definitions. Further, we compared timing of
   increased ILI rates in Influmeter with existing Danish sentinel ILI
   surveillance using the Danish case definition. Results Compared with the
   Danish population, Influmeter had more females (p<0.001) and persons
   with a higher education (p<0.001), while the age group 0-24 was
   under-represented (p<0.001). Influmeter ILI activity peaked 1 week
   before the exceeding of the sentinel epidemic threshold. Depending on
   ILI case definition 16-22% of ILI cases sought medical assistance.
   Conclusion Influmeter was useful in the timely monitoring of ILI
   activity in the population that did not seek medical assistance in
   relation to ILI. We recommend continuation of the system, targeted
   enrolment of the young and future analyses adjusted for uneven
   representation relative to the underlying population.
OI Ethelberg, Steen/0000-0002-9709-356X
ZR 0
TC 12
ZS 0
Z8 0
ZB 4
ZA 0
Z9 12
U1 0
U2 11
SN 2374-4235
EI 2374-4243
UT WOS:000368613600013
PM 26654752
ER

PT J
AU Ellman, Matthew S.
   Fortin, Auguste H.
   Putnam, Andrew
   Bia, Margaret
TI Implementing and Evaluating a Four-Year Integrated End-of-Life Care
   Curriculum for Medical Students
SO TEACHING AND LEARNING IN MEDICINE
VL 28
IS 2
BP 229
EP 239
DI 10.1080/10401334.2016.1146601
PD APR 2 2016
PY 2016
AB Problem: Meeting the needs of patients with life-limiting and terminal
   illness requires effectively trained physicians in all specialties to
   provide skillful and compassionate care. Despite mandates for
   end-of-life (EoL) care education, graduating medical students do not
   consistently feel prepared to provide this care. Intervention: We have
   developed a longitudinal, integrated, and developmental 4-year
   curriculum in EoL care. The curriculum's purpose is to teach basic
   competencies in EoL care. A variety of teaching strategies emphasize
   experiential, skill-building activities with special attention to
   student self-reflection. In addition, we have incorporated
   interprofessional learning and education on the spiritual and cultural
   aspects of care. We created blended learning strategies combining
   interactive online modules with live workshops that promote flexibility,
   adaptability, and interprofessional learning opportunities. Context: The
   curriculum was implemented and evaluated in the 4-year program of
   studies at Yale School of Medicine. Outcome: A mixed-method evaluation
   of the curriculum included reviews of student written reflections and
   questionnaires, graduating student surveys, and demonstration of
   4th-year students' competency in palliative care with an observed
   structured clinical examination (OSCE). These evaluations demonstrate
   significant improvements in students' self-reported preparedness in EoL
   care and perceptions of the adequacy in their instruction in EoL and
   palliative care, as well as competency in primary palliative care in a
   newly developed OSCE. Lessons Learned: A 4-year longitudinal integrated
   curriculum enhances students' skills and preparedness in important
   aspects of EoL care. As faculty resources, clinical sites, and
   curricular structure vary by institution, proven and adaptable
   educational strategies as described in this article may be useful to
   address the mandate to improve EoL care education. Teaching strategies
   and curricular components and design as just described can be adapted to
   other programs.
RI Vergel, John/L-4191-2016
OI Vergel, John/0000-0002-8855-0327
ZR 0
ZB 0
ZA 0
Z8 0
TC 17
ZS 1
Z9 18
U1 0
U2 14
SN 1040-1334
EI 1532-8015
UT WOS:000373937600013
PM 27064725
ER

PT J
AU Jiang, Wen
   Zhao, Fei
   Guderley, Nicola
   Manchaiah, Vinaya
TI Daily music exposure dose and hearing problems using personal listening
   devices in adolescents and young adults: A systematic review
SO INTERNATIONAL JOURNAL OF AUDIOLOGY
VL 55
IS 4
BP 197
EP 205
DI 10.3109/14992027.2015.1122237
PD APR 2 2016
PY 2016
AB Objective: This systematic review aimed to explore the evidence on
   whether the preferred listening levels (PLLs) and durations of music
   listening through personal listening devices (PLDs) in adolescents and
   young adults exceed the current recommended 100% daily noise dose;
   together with the impact on hearing and possible influential factors of
   such listening behaviours. Design: A systematic search was conducted
   using multiple online bibliographic databases. Study sample: The 26
   studies were included on the basis of the inclusion and exclusion
   criteria. Results: The results showed that up to 58.2% of participants
   exceeded the 100% daily noise dose, particularly in the presence of
   background noise. Significantly positive correlations were found among
   background noise levels and mean PLLs, as well as the proportion of
   participants exceeding the 100% daily noise dose. Moreover,
   significantly worse hearing thresholds were found in PLD users using
   audiometry, and significantly poor results in otoacoustic emission
   (OAE), even in the participants with self-reported 'normal hearing'.
   Conclusion: It is crucial to develop appropriate standards and safe
   recommendations for daily music exposure dose in future studies.
   Providing an essential guide and effective education to adolescents and
   young adults will help raise awareness, increase knowledge, and
   consequently change attitudes and listening habits.
RI Manchaiah, Vinaya/I-1824-2014; Zhao, Fei/
OI Manchaiah, Vinaya/0000-0002-1254-8407; Zhao, Fei/0000-0002-0936-4447
Z8 0
ZA 0
ZS 2
ZR 0
ZB 20
TC 56
Z9 58
U1 2
U2 61
SN 1499-2027
EI 1708-8186
UT WOS:000371744400001
PM 26768911
ER

PT J
AU Faircloth, Amanda C
   Dubovoy, Arkadiy
   Biddle, Chuck
   Dodd-McCue, Diane
   Butterworth, John F 4th
TI CME Article: Perceptions of Acupuncture and Acupressure by Anesthesia
   Providers: A Quantitative Descriptive Study.
SO Medical acupuncture
VL 28
IS 2
BP 79
EP 86
PD 2016-Apr-01
PY 2016
AB Background: Randomized controlled trials show that acupuncture and
   acupressure support anesthesia management by decreasing anxiety, opioid
   requirements, and treating post-operative nausea and vomiting.
   Acupuncture and acupressure have demonstrated clinical usefulness but
   have not yet diffused into mainstream anesthesia practice. To determine
   why, this study assessed U.S. anesthesia provider's perceptions of
   acupuncture and acupressure. Methods: After institutional review board
   approval, 96 anesthesiology departments stratified by geographic region
   (Northeast, South, West, and Midwest) and institution type (university
   medical centers, community hospitals, children's hospitals, and veterans
   affairs hospitals) were selected for participation in an anonymous,
   pretested, online survey. The target sample was 1728 providers, of whom
   292 (54% anesthesiologists, 44% certified registered nurse anesthetists,
   2% anesthesiologist assistants) responded, yielding an overall 17%
   response rate. Results: Spearman correlation coefficient revealed a
   statistically significant correlation between acupuncture and geographic
   region, with the West having the highest predisposition toward
   acupuncture use (rs =0.159, p=0.007). Women are more likely to use
   acupuncture than men (rs =-0.188; p=0.002). A strong effect size exists
   between acupuncture and country of pre-anesthesia training (rs =1.00;
   95% CI=1.08, 1.16). Some providers have used acupuncture (27%) and
   acupressure (18%) with positive outcomes; however, the majority have not
   used these modalities, but would consider using them (54%, SD=1.44 ;
   acupressure: 60%, SD=1.32). Seventy-six percent of respondents would
   like acupuncture education and 74% would like acupressure education (SDs
   of 0.43 and 0.44, respectively). Conclusions: While most of the U.S.
   anesthesia providers in this survey have not used these modalities, they
   nevertheless report a favorable perception of acupuncture/acupressure's
   role as part of an anesthetic. This study adds to the body of
   acupuncture and acupressure research by providing insight into
   anesthesia providers' perceptions of these alternative medicine
   modalities.
TC 8
ZS 0
ZR 0
ZB 2
Z8 0
ZA 0
Z9 8
U1 0
U2 14
SN 1933-6586
UT MEDLINE:27158297
PM 27158297
ER

PT J
AU Bright, Philip
   Hambly, Karen
   Tamakloe, Sandra
TI What is the Profile of Individuals Joining the KNEEguru Online Health
   Community? A Cross-Sectional Mixed-Methods Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 4
AR e84
DI 10.2196/jmir.5374
PD APR 2016
PY 2016
AB Background: The use of the Internet for seekers of health-related
   information provides convenience and accessibility to diverse sources
   (of variable quality) for many medical conditions. There is a suggestion
   that patients may find empowerment by engaging with Internet health care
   strategies and communities. The profile of consumers of online health
   information on knee pain has not been explored.
   Objective: Our objective was to identify the characteristics and
   motivations of online health information-seekers accessing the online
   health community, KNEEguru (KG). The study was designed to obtain the
   respondents' sociodemographic profile, together with their main reasons
   and motivations for joining such a community, their health
   information-seeking behavior, the extent of their knee problems, and
   their general Internet usage.
   Methods: We undertook an online questionnaire survey, offered to users
   of the KG website from June to July 2012. A mix of open and closed
   questions was used to facilitate inductive enquiry. Quantitative
   responses were analyzed using univariate analysis; qualitative thematic
   analysis of the open responses was completed and a conceptual model was
   developed.
   Results: One-hundred and fifty-two respondents took part (11.56%
   response rate, 152/1315), with a mean age of 40.1 years. Of this cohort,
   61.2% were female, 68.4% were in domestic partnerships, 57.2% were
   employed, 75.0% had higher education qualifications, and 80.3% were of
   white/Caucasian ethnicity. Females were associated with joining KG in
   order to get emotional support from other users (OR 2.11, 95% CI 1.04 -
   4.27, P=.04). Respondents' self-perception of health was associated with
   reported quality of life (OR 10.86, 95% CI 3.85 - 30.43, P<.001).
   Facebook users were associated with joining KG to share experiences (OR
   2.34, 95% CI 1.04 - 5.56, P=.03). Post-surgery respondents were
   associated with joining KG to compare symptoms with other users (OR
   7.31, 95% CI 2.06 - 39.82, P<.001). Three key themes were induced:
   condition, emotion and support. Respondents expressed distress and
   frustration at uncertainty of prognosis around various knee conditions,
   with some users preferring to initially observe rather than engage.
   Conversely, a strong desire to inform and support other community
   members was stated with reciprocation of ideas and experiences. KG was
   conceptualized as a filter that takes an individual's condition and
   emotional response to that condition as basis for support; this filter
   facilitated validation as the outcome of engagement.
   Conclusions: This study, in line with wider literature, suggests that
   users of an online knee-specific community are typically female,
   middle-aged, white/Caucasian, married, employed, and have attained a
   level of higher education. These users demonstrate a pragmatic approach
   to health care information with altruistic motivations and a desire to
   share experiences as a means of validation. This finding emphasizes a
   means of promoting efficient and appropriate online health care, and
   demonstrates the benefits of the Internet as a viable complement to
   clinical engagement.
RI Hambly, Karen/A-6762-2010; Bright, Philip/; Tamakloe, Sandra/
OI Hambly, Karen/0000-0002-3442-2493; Bright, Philip/0000-0002-5339-8281;
   Tamakloe, Sandra/0000-0002-9634-8460
ZS 0
TC 9
ZA 0
Z8 1
ZR 0
ZB 2
Z9 10
U1 2
U2 32
SN 1438-8871
UT WOS:000388493700016
PM 27089531
ER

PT J
AU Mylott, Elliot
   Kutschera, Ellynne
   Dunlap, Justin C.
   Christensen, Warren
   Widenhorn, Ralf
TI Using Biomedically Relevant Multimedia Content in an Introductory
   Physics Course for Life Science and Pre-health Students
SO JOURNAL OF SCIENCE EDUCATION AND TECHNOLOGY
VL 25
IS 2
BP 222
EP 231
DI 10.1007/s10956-015-9588-y
PD APR 2016
PY 2016
AB We will describe a one-quarter pilot algebra-based introductory physics
   course for pre-health and life science majors. The course features
   videos with biomedical experts and cogent biomedically inspired physics
   content. The materials were used in a flipped classroom as well as an
   all-online environment where students interacted with multimedia
   materials online and prior to engaging in classroom activities.
   Pre-lecture questions on both the medical content covered in the video
   media and the physics concepts in the written material were designed to
   engage students and probe their understanding of physics. The course
   featured group discussion and peer-lead instruction. Following in-class
   instruction, students engaged with homework assignments which explore
   the connections of physics and the medical field in a quantitative
   manner. Course surveys showed a positive response by the vast majority
   of students. Students largely indicated that the course helped them to
   make a connection between physics and the biomedical field. The
   biomedical focus and different course format were seen as an improvement
   to previous traditional physics instruction.
TC 9
ZA 0
ZB 0
ZR 0
Z8 0
ZS 0
Z9 9
U1 1
U2 23
SN 1059-0145
EI 1573-1839
UT WOS:000372284100006
ER

PT J
AU Ammerlaan, Judy W
   Mulder, Olga K
   de Boer-Nijhof, Nienke C
   Maat, Bertha
   Kruize, Aike A
   van Laar, Jaap
   van Os-Medendorp, Harmieke
   Geenen, Rinie
TI Building a Tailored, Patient-Guided, Web-Based Self-Management
   Intervention 'ReumaUitgedaagd!' for Adults With a Rheumatic Disease:
   Results of a Usability Study and Design for a Randomized Control Trail.
SO JMIR research protocols
VL 5
IS 2
BP e113
EP e113
DI 10.2196/resprot.5735
PD 2016 Jun 23
PY 2016
AB BACKGROUND: The chronic nature of rheumatic diseases imposes daily
   challenges upon those affected and causes patients to make daily
   decisions about the way they self-manage their illness. Although there
   is attention to self-management and evidence for the desirability of
   tailored interventions to support people with a rheumatic disease,
   interventions based on individual needs and preferences are scarce.
   OBJECTIVE: To provide a systematic and comprehensive description of the
   theoretical considerations for building a Web-based, expert,
   patient-guided, and tailored intervention for adult patients with a
   rheumatic disease. Also, to present the results of a usability study on
   the feasibility of this intervention, and its study design in order to
   measure the effectiveness.
   METHODS: To fit the intervention closely to the autonomy, needs, and
   preferences of the individual patient, a research team comprising
   patient representatives, health professionals, Web technicians, and
   communication experts was formed. The research team followed the new
   guidance by the Medical Research Council (MRC) for developing and
   evaluating complex interventions as a guide for the design of the
   intervention.
   RESULTS: Considerations from self-determination theory and a
   comprehensive assessment of preferences and needs in patients with a
   rheumatic disease guided the development of the Web-based intervention.
   The usability study showed that the intervention was useful, easy to
   use, and accepted and appreciated by the target group of patients. The
   planned randomized controlled trial is designed to be conducted among
   120 adults with a rheumatic disease, who are assigned to the
   self-management intervention or a self-help control group. Both groups
   will be asked to formulate personal goals they want to achieve
   concerning their self-management. Progress toward the personal goal is
   the primary outcome measure of this study. Self-reported Web-based
   measures will be assessed before randomization at baseline, and 3 and 6
   months after randomization. Also, feasibility and adherence to the
   Web-based self-management intervention as process outcomes will be
   evaluated.
   CONCLUSION: By identifying the individual goals at the beginning of the
   intervention and customizing the intervention to the individual patient,
   we aim to improve the usefulness and effectiveness of the Web-based
   self-management intervention. If proven effective, ReumaUitgedaagd!
   Online will be implemented in the Netherlands.
OI Nijhof, Nienke/0000-0003-1226-1278
ZB 2
ZR 0
Z8 0
ZS 0
ZA 0
TC 7
Z9 7
U1 1
U2 9
SN 1929-0748
UT MEDLINE:27339472
PM 27339472
ER

PT J
AU Cutrona, Sarah L
   Sreedhara, Meera
   Goff, Sarah L
   Fisher, Lloyd D
   Preusse, Peggy
   Jackson, Madeline
   Sundaresan, Devi
   Garber, Lawrence D
   Mazor, Kathleen M
TI Improving Rates of Influenza Vaccination Through Electronic Health
   Record Portal Messages, Interactive Voice Recognition Calls and
   Patient-Enabled Electronic Health Record Updates: Protocol for a
   Randomized Controlled Trial.
SO JMIR research protocols
VL 5
IS 2
BP e56
EP e56
DI 10.2196/resprot.5478
PD 2016 May 06
PY 2016
AB BACKGROUND: Clinical decision support (CDS), including computerized
   reminders for providers and patients, can improve health outcomes. CDS
   promoting influenza vaccination, delivered directly to patients via an
   electronic health record (EHR) patient portal and interactive voice
   recognition (IVR) calls, offers an innovative approach to improving
   patient care.
   OBJECTIVE: To test the effectiveness of an EHR patient portal and IVR
   outreach to improve rates of influenza vaccination in a large
   multispecialty group practice in central Massachusetts.
   METHODS: We describe a nonblinded, randomized controlled trial of EHR
   patient portal messages and IVR calls designed to promote influenza
   vaccination. In our preparatory phase, we conducted qualitative
   interviews with patients, providers, and staff to inform development of
   EHR portal messages with embedded questionnaires and IVR call scripts.
   We also provided practice-wide education on influenza vaccines to all
   physicians and staff members, including information on existing
   vaccine-specific EHR CDS. Outreach will target adult patients who remain
   unvaccinated for more than 2 months after the start of the influenza
   season. Using computer-generated randomization and a factorial design,
   we will assign 20,000 patients who are active users of electronic
   patient portals to one of the 4 study arms: (1) receipt of a portal
   message promoting influenza vaccines and offering online appointment
   scheduling; (2) receipt of an IVR call with similar content but without
   appointment facilitation; (3) both (1) and (2); or (4) neither (1) nor
   (2) (usual care). We will randomize patients without electronic portals
   (10,000 patients) to (1) receipt of IVR call or (2) usual care. Both
   portal messages and IVR calls promote influenza vaccine completion. Our
   primary outcome is percentage of eligible patients with influenza
   vaccines administered at our group practice during the 2014-15 influenza
   season. Both outreach methods also solicit patient self-report on
   influenza vaccinations completed outside the clinic or on barriers to
   influenza vaccination. Self-reported data from both outreach modes will
   be uploaded into the EHR to increase accuracy of existing
   provider-directed EHR CDS (vaccine alerts).
   RESULTS: With our proposed sample size and using a factorial design,
   power calculations using baseline vaccination rate estimates indicated
   that 4286 participants per arm would give 80% power to detect a 3%
   improvement in influenza vaccination rates between groups (alpha=.05;
   2-sided). Intention-to-treat unadjusted chi-square analyses will be
   performed to assess the impact of portal messages, either alone or in
   combination with the IVR call, on influenza vaccination rates. The
   project was funded in January 2014. Patient enrollment for the project
   described here completed in December 2014. Data analysis is currently
   under way and first results are expected to be submitted for publication
   in 2016.
   CONCLUSIONS: If successful, this study's intervention may be adapted by
   other large health care organizations to increase vaccination rates
   among their eligible patients.
   CLINICALTRIAL: ClinicalTrials.gov NCT02266277;
   https://clinicaltrials.gov/ct2/show/NCT02266277 (Archived by WebCite at
   http://www.webcitation.org/6fbLviHLH).
OI Jackson, Madeline/0000-0003-4411-415X; Cutrona,
   Sarah/0000-0002-4795-8377
ZS 0
ZR 0
Z8 0
ZB 4
TC 12
ZA 0
Z9 12
U1 0
U2 8
SN 1929-0748
UT MEDLINE:27153752
PM 27153752
ER

PT J
AU Stillman, Michael D
   Miller, Karen Hughes
   Ziegler, Craig H
   Upadhyay, Ashish
   Mitchell, Charlene K
TI Program Characteristics Influencing Allopathic Students' Residency
   Selection.
SO The Journal of the American Osteopathic Association
VL 116
IS 4
BP 214
EP 26
DI 10.7556/jaoa.2016.046
PD 2016-Apr
PY 2016
AB CONTEXT: Medical students must consider many overt variables when
   entering the National Resident Matching Program. However, changes with
   the single graduate medical education accreditation system have caused a
   gap in knowledge about more subtle considerations, including what, if
   any, influence the presence of osteopathic physician (ie, DO) and
   international medical graduate (IMG) house officers has on allopathic
   students' residency program preferences. Program directors and selection
   committee members may assume students' implicit bias without
   substantiating evidence.
   OBJECTIVE: To reexamine which program characteristics affect US-trained
   allopathic medical students' residency selection, and to determine
   whether the presence of DO and IMG house officers affects the program
   choices of allopathic medical students.
   METHODS: Fourth-year medical students from 4 allopathic medical schools
   completed an online survey. The Pearson chi(2) statistic was used to
   compare demographic and program-specific traits that influence ranking
   decisions and to determine whether school type (private vs public),
   valuing a residency program's prestige, or interest in a competitive
   specialty dictated results. Qualitative data were analyzed using the
   Pandit variation of the Glaser and Strauss constant comparison.
   RESULTS: Surveys were completed by 323 of 577 students (56%). Students
   from private vs public institutions were more likely to value a
   program's prestige (160 [93%] vs 99 [72%]; P<.001) and research
   opportunities (114 [66%] vs 57 [42%]; P<.001), and they were less likely
   to consider their prospects of being accepted (98 [57%] vs 111 [81%];
   P<.001). A total of 33 (10%) and 52 (16%) students reported that the
   presence of DO or IMG trainees, respectively, would influence their
   final residency selection, and these percentages were largely unchanged
   among students interested in programs' prestige or in entering a
   competitive specialty. Open-ended comments were generally optimistic
   about diversification of the physician workforce, and 4 of the 709
   student comments expressed cynicism or hostility to the presence of DOs
   or IMGs.
   CONCLUSION: Both overt and subtle variables influence students'
   perceptions of residency programs in the United States, but the presence
   of DO and IMG house officers seems relevant to a small percentage of
   them.
OI Upadhyay, Ashish/0000-0002-0536-5776
ZS 0
ZA 0
Z8 0
ZB 1
TC 3
ZR 0
Z9 3
U1 1
U2 8
EI 1945-1997
UT MEDLINE:27018956
PM 27018956
ER

PT J
AU Sandella, Jeanne M
   Peters, Alex
   Smith, Larissa L
   Gimpel, John R
TI Preparation Strategies of Osteopathic Medical Students for the
   COMLEX-USA Level 2-PE.
SO The Journal of the American Osteopathic Association
VL 116
IS 4
BP 234
EP 42
DI 10.7556/jaoa.2016.048
PD 2016-Apr
PY 2016
AB CONTEXT: Since 2002, osteopathic medical schools have made curricular
   changes to further enhance the clinical skills of their students, to
   prepare them for residency training, and to pass the Comprehensive
   Osteopathic Medical Licensing Examination-USA Level 2-Performance
   Evaluation (COMLEX-USA Level 2-PE).
   OBJECTIVE: To report how students at osteopathic medical schools prepare
   for the COMLEX-USA Level 2-PE, and to investigate the effect of these
   techniques on examination performance.
   METHODS: A standardized survey was given to students before the
   beginning of their examination to assess the preparation of osteopathic
   medical students for the COMLEX-USA Level 2-PE, such as coursework,
   orientation materials, and standardized patient (SP) encounters. Surveys
   that were completed by first-time test takers during the 2013-2014 and
   2014-2015 test cycles were included in this study.
   RESULTS: Of 9120 surveys administered, 8733 were completed, achieving a
   response rate of 95.8%. Of those 8733 respondents, 8706 students (99.7%)
   reported having SP encounters during the first and second year of
   medical school, and 7379 (84%) reported having at least 1 SP encounter
   in years 3 and 4. Of 8733 students, 6079 (70%) reported receiving
   feedback from an osteopathic physician on their SP encounters, and 6049
   (69%) and 6253 (72%) reported having viewed the COMLEX-USA Level 2-PE
   orientation video online and having read the examination's orientation
   guide, respectively. The largest difference in preparation between
   students who passed the COMLEX-USA Level 2-PE and students who did not
   was a prerequisite SP examination at their school, with 5574 students
   (68.9%) who passed reporting having participated compared with 364
   students (56.5%) who failed. None of the differences in clinical skills
   training and test preparation was associated with statistically
   significant differences in pass or fail status.
   CONCLUSION: Osteopathic medical students use a variety of methods to
   enhance their clinical skills in preparation for the COMLEX-USA Level
   2-PE, with universal use of SP programs since the COMLEX-USA Level 2-PE
   was implemented in 2004. Educators should continue to foster ways to
   develop students' clinical skills that reflect new advances in education
   and assessment to ensure that future osteopathic physicians can
   demonstrate competency in fundamental clinical skills before beginning
   postgraduate training.
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
TC 3
Z9 3
U1 0
U2 3
EI 1945-1997
UT MEDLINE:27018958
PM 27018958
ER

PT J
AU Cividino, Alfred
   Bakowsky, Volodko
   Barr, Susan
   Bessette, Louis
   Hazel, Elizabeth
   Khalidi, Nader
   Pope, Janet
   Robinson, David
   Shojania, Kam
   Yacyshyn, Elaine
   Lohfeld, Lynne
   Crawshaw, Diane
TI How to Attract Trainees, a Pan-Canadian Perspective: Phase 1 of the
   "Training the Rheumatologists of Tomorrow" Project
SO JOURNAL OF RHEUMATOLOGY
VL 43
IS 4
BP 788
EP 798
DI 10.3899/jrheum.150314
PD APR 2016
PY 2016
AB Objective. To identify what learners and professionals associated with
   rheumatology programs across Canada recommend as ways to attract future
   trainees.
   Methods. Data from online surveys and individual interviews with
   participants from 9 rheumatology programs were analyzed using the
   thematic framework analysis to identify messages and methods to interest
   potential trainees in rheumatology.
   Results. There were 103 participants (78 surveyed, 25 interviewed) who
   indicated that many practitioners were drawn to rheumatology because of
   the aspects of work life, and that educational events and hands-on
   experiences can interest students. Messages centered on working life,
   career opportunities, and the lifestyle of rheumatologists. Specific
   ways to increase awareness about rheumatology included information about
   practice type, intellectual and diagnostic challenges, diversity of
   diseases, and patient populations. Increased opportunity for early and
   continued exposure for both medical students and internal medicine
   residents was also important, as was highlighting job flexibility and
   availability and a good work-life balance. Although mentors were rarely
   mentioned, many participants indicated educational activities of role
   models. The relatively low pay scale of rheumatologists was rarely
   identified as a barrier to choosing a career in rheumatology.
   Conclusion. This is the first pan-Canadian initiative using local data
   to create a work plan for developing and evaluating tools to promote
   interest in rheumatology that could help increase the number of future
   practitioners.
RI Pope, Janet/G-3342-2011; Bessette, Louis/; Lohfeld, Lynne/
OI Pope, Janet/0000-0003-1479-5302; Bessette, Louis/0000-0002-6834-2731;
   Lohfeld, Lynne/0000-0003-4711-7305
Z8 0
ZR 0
ZA 0
ZS 0
ZB 2
TC 5
Z9 5
U1 0
U2 3
SN 0315-162X
EI 1499-2752
UT WOS:000378169100017
PM 26932343
ER

PT J
AU Ramesh, Marilee A.
TI Inoculating curiosity in fungal biology for a new generation of students
SO FUNGAL BIOLOGY REVIEWS
VL 30
IS 1
BP 15
EP 23
DI 10.1016/j.fbr.2016.03.001
PD APR 2016
PY 2016
AB How can a new faculty member assigned to teach a course in fungal
   biology go about designing a course that is both informational and
   relevant to the 21st century undergraduate? Recent calls for science
   education reform recommend a shift to more active learning pedagogies
   that encourage students to learn by solving problems or being actively
   engaged in the process of experimentation as opposed to the traditional
   lecture reliant on content delivery. While a valid idea, practically,
   how can such a shift in instruction be implemented? Consider that most
   current faculty members were taught through the traditional
   lecture-laboratory format. While creativity and experience in the
   classroom enables us to develop as effective instructors, the reality of
   the demands on faculty rarely provide the time to develop enough novel
   instructional resources when constructing new courses. Fortunately, we
   can draw up educational resources to aid us beyond our own experiences
   via internet. Unfortunately, there is currently no central portal for
   fungal biology educational resources. While some professional societies
   and groups have begun to include educational resources, none are
   comprehensive. Because fungal biology topics have traditionally been
   taught as mycology or phytopathology or medical mycology, content tends
   to be partitioned to these specific disciplines. The goal of this review
   is to consolidate and evaluate teaching resources for fungal biology
   available through the interne for under graduate education. This review
   will provide educators with ideas and tools to train future fungal
   biologists for 21st century careers. (C) 2016 British Mycological
   Society. Published by Elsevier Ltd. All rights reserved.
OI Ramesh, Marilee/0000-0002-3152-1103
ZS 0
Z8 1
ZA 0
ZB 1
ZR 0
TC 2
Z9 3
U1 0
U2 19
SN 1749-4613
EI 1878-0253
UT WOS:000377845500002
ER

PT J
AU Grundgeiger, Tobias
   Kolb, Lorenz
   Korb, Maximilian O.
   Mengelkamp, Christoph
   Held, Volker
TI Training students to use syringe pumps: an experimental comparison of
   e-learning and classroom training
SO BIOMEDICAL ENGINEERING-BIOMEDIZINISCHE TECHNIK
VL 61
IS 2
SI SI
BP 211
EP 220
DI 10.1515/bmt-2014-0116
PD APR 2016
PY 2016
AB The inadequate use of syringe pumps can jeopardize patient safety, and
   syringe pump trainings are conducted to manage this risk. A critical
   step in this risk management process is the learning success of
   trainees. In the present paper, we compared an e-learning approach with
   standard classroom training in learning success effectives, trainees'
   opinion on the trainings, and investigated the relation between
   technological affinity and learning success. The results showed that
   e-learning was as effective as classroom training but nursing students'
   confidence in using the pump and satisfaction with the training was
   decreased for e-learning compared with classroom training. We discuss
   the results in context of the nursing e-learning literature. Finally, we
   discuss the literature for risk identification, risk analysis, risk
   treatment, and risk monitoring and control in the context of syringe
   pump training and add the lessons learned from the evaluated e-learning
   program.
ZA 0
ZR 0
TC 3
ZB 1
ZS 0
Z8 0
Z9 3
U1 0
U2 8
SN 0013-5585
EI 1862-278X
UT WOS:000374990200007
PM 26368041
ER

PT J
AU Win, Khin Than
   Hassan, Naffisah Mohd.
   Oinas-Kukkonen, Harri
   Probst, Yasmine
TI Online Patient Education for Chronic Disease Management: Consumer
   Perspectives
SO JOURNAL OF MEDICAL SYSTEMS
VL 40
IS 4
AR 88
DI 10.1007/s10916-016-0438-0
PD APR 2016
PY 2016
AB Patient education plays an important role in chronic disease management.
   The aim of this study is to identify patients' preferences in regard to
   the design features of effective online patient education (OPE) and the
   benefits. A review of the existing literature was conducted in order to
   identify the benefits of OPE and its essential design features. These
   design features were empirically tested by conducting survey with
   patients and caregivers. Reliability analysis, construct validity and
   regression analysis were performed for data analysis. The results
   identified patient-tailored information, interactivity, content
   credibility, clear presentation of content, use of multimedia and
   interpretability as the essential design features of online patient
   education websites for chronic disease management.
RI Win, Khin Than/F-7491-2018; Hassan, Naffisah/AAT-8228-2021; Probst, Yasmine/A-1342-2008; mohd hassan, naffisah/
OI Win, Khin Than/0000-0002-7810-6388; Probst, Yasmine/0000-0002-1971-173X;
   mohd hassan, naffisah/0000-0001-5349-4647
ZR 0
ZS 0
Z8 1
ZA 0
ZB 1
TC 17
Z9 18
U1 1
U2 25
SN 0148-5598
EI 1573-689X
UT WOS:000371468500003
PM 26846749
ER

PT J
AU Carroll, Alexander J.
   Tchangalova, Nedelina
   Harrington, Eileen G.
TI Flipping one-shot library instruction: using Canvas and Pecha Kucha for
   peer teaching
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 104
IS 2
BP 125
EP 130
DI 10.3163/1536-5050.104.2.006
PD APR 2016
PY 2016
AB Objective: This study sought to determine whether a flipped classroom
   that facilitated peer learning would improve undergraduate health
   sciences students' abilities to find, evaluate, and use appropriate
   evidence for research assignments.
   Methods: Students completed online modules in a learning management
   system, with librarians facilitating subsequent student-directed,
   in-person sessions. Mixed methods assessment was used to evaluate
   program outcomes.
   Results: Students learned information literacy concepts but did not
   consistently apply them in research assignments. Faculty interviews
   revealed strengthened partnerships between librarians and teaching
   faculty.
   Conclusion: This pedagogy shows promise for implementing and evaluating
   a successful flipped information literacy program.
RI Carroll, Alexander/AAF-2594-2020; Tchangalova, Nedelina I/M-8675-2014
OI Carroll, Alexander/0000-0003-0248-3811; Tchangalova, Nedelina
   I/0000-0002-8491-6205
ZB 2
ZA 0
TC 23
ZR 0
Z8 0
ZS 0
Z9 25
U1 1
U2 51
SN 1536-5050
UT WOS:000378260300008
PM 27076799
ER

PT J
AU Lessick, Susan
   Perryman, Carol
   Billman, Brooke L.
   Alpi, Kristine M.
   De Groote, Sandra L.
   Babin, Ted D., Jr.
TI Research engagement of health sciences librarians: a survey of
   research-related activities and attitudes
SO JOURNAL OF THE MEDICAL LIBRARY ASSOCIATION
VL 104
IS 2
BP 166
EP 173
DI 10.3163/1536-5050.104.2.015
PD APR 2016
PY 2016
AB Introduction: The extent to which health sciences librarians are engaged
   in research is a little-studied question. This study assesses the
   research activities and attitudes of Medical Library Association (MLA)
   members, including the influence of work affiliation.
   Methods: An online survey was designed using a combination of
   multiple-choice and open-ended questions and distributed to MLA members.
   Responses were analyzed using descriptive statistics, content analysis,
   and significance testing. The authors used statistical tools and
   categorized openended question topics by the constant comparative
   method, also applying the broad subject categories used in a prior
   study. Pearson's chi-square analysis was performed on responses to
   determine significant differences among respondents employed in three
   different institutional environments.
   Results: Analysis showed that 79% of respondents read research articles
   at least once a month; 58% applied published research studies to
   practice; 44% had conducted research; 62% reported acting on research
   had enhanced their libraries; 38% had presented findings; and 34% had
   authored research articles. Hospital librarians were significantly less
   likely than academic librarians to have participated in research
   activities. Highly ranked research benefits, barriers, and competencies
   of health sciences librarians are described.
   Conclusions: Findings indicate that health sciences librarians are
   actively engaged in research activities. Practice implications for
   practitioners, publishers, and stakeholders are discussed. Results
   suggest that practitioners can use published research results and
   results from their own research to affect practice decisions and improve
   services. Future studies are needed to confirm and extend these
   findings, including the need for intervention studies to increase
   research and writing productivity.
RI De Groote, Sandra/L-6094-2019; De Groote, Sandra L/B-4206-2008; Lessick, Susan/L-1736-2018; Alpi, Kristine/AAC-2423-2019; Billman, Brooke/
OI De Groote, Sandra/0000-0002-1862-188X; Lessick,
   Susan/0000-0003-2504-4678; Alpi, Kristine/0000-0002-4521-3523; Billman,
   Brooke/0000-0002-8879-9368
Z8 0
ZB 4
TC 18
ZA 0
ZS 0
ZR 0
Z9 22
U1 1
U2 34
SN 1536-5050
UT WOS:000378260300017
PM 27076808
ER

PT J
AU Crovato, S.
   Pinto, A.
   Giardullo, P.
   Mascarello, G.
   Neresini, F.
   Ravarotto, L.
TI Food safety and young consumers: Testing a serious game as a risk
   communication tool
SO FOOD CONTROL
VL 62
BP 134
EP 141
DI 10.1016/j.foodcont.2015.10.009
PD APR 2016
PY 2016
AB Raising consumers' awareness about food safety issues is one of the
   primary objectives of Italian public health organizations. New dynamic
   and interactive tools, based on web applications, are already playing a
   leading role in health promotion campaigns targeted at adolescents.
   Among the web-based tools specifically designed for young people,
   educational videogames have proved especially effective in furthering
   learning and disseminating information, as they arouse adolescents'
   interest and curiosity. When a number of cases of Haemolytic-uraemic
   syndrome (HUS) were reported in 2010, particularly among children, the
   Italian Ministry of Health stressed the need to implement communication
   initiatives aimed at raising consumers' awareness of the potential risks
   associated with raw milk consumption at home. The pilot study described
   in the article is a relevant example of educational projects implemented
   in Italy, oriented to transmit knowledge about food risks to young
   consumers (aged 16-18). To provide correct information on safe milk
   handling practices and to reduce health issues, including serious ones,
   the videogame "A mysterious poisoning" was developed. This tool was
   administered online to 359 upper secondary school students from four
   different provinces in Italy. The videogame covered all stages of the
   milk supply chain, from stable to table, and enabled players to identify
   the crucial moments when milk can be contaminated and to discover safe
   milk handling practices. By completing a series of tasks, students
   helped a detective discover the cause of a food poisoning outbreak. This
   videogame provided an opportunity for students to test their knowledge
   of the product and to receive more detailed and accurate information.
   Data collected through two structured questionnaires that were
   administered before and after the controlled use of the videogame showed
   that this serious game was capable of changing players' perception of
   risk exposure and their cognitive associations, particularly increasing
   their levels of knowledge about the risks associated with raw milk
   consumption. (C) 2015 Elsevier Ltd. All rights reserved.
RI Giardullo, Paolo/AAQ-1455-2021; Pinto, Anna/AAX-2041-2021; Mascarello, Giulia/; NERESINI, FEDERICO/; crovato, stefania/; Pinto, Anna/
OI Giardullo, Paolo/0000-0002-2560-9088; Mascarello,
   Giulia/0000-0002-7588-6227; NERESINI, FEDERICO/0000-0003-3918-2588;
   crovato, stefania/0000-0001-7081-0648; Pinto, Anna/0000-0002-6715-1327
ZR 0
ZA 0
Z8 0
ZB 3
ZS 0
TC 11
Z9 11
U1 0
U2 121
SN 0956-7135
EI 1873-7129
UT WOS:000368220000019
ER

PT J
AU Zhao, Baoquan
   Xu, Songhua
   Lin, Shujin
   Luo, Xiaonan
   Duan, Lian
TI A new visual navigation system for exploring biomedical Open Educational
   Resource (OER) videos
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 23
IS E1
BP E34
EP E41
DI 10.1093/jamia/ocv123
PD APR 2016
PY 2016
AB Objective Biomedical videos as open educational resources (OERs) are
   increasingly proliferating on the Internet. Unfortunately, seeking
   personally valuable content from among the vast corpus of quality yet
   diverse OER videos is nontrivial due to limitations of today's keyword-
   and content-based video retrieval techniques. To address this need, this
   study introduces a novel visual navigation system that facilitates
   users' information seeking from biomedical OER videos in mass quantity
   by interactively offering visual and textual navigational clues that are
   both semantically revealing and user-friendly.
   Materials and Methods The authors collected and processed around 25 000
   YouTube videos, which collectively last for a total length of about 4000
   h, in the broad field of biomedical sciences for our experiment. For
   each video, its semantic clues are first extracted automatically through
   computationally analyzing audio and visual signals, as well as text
   either accompanying or embedded in the video. These extracted clues are
   subsequently stored in a metadata database and indexed by a
   high-performance text search engine. During the online retrieval stage,
   the system renders video search results as dynamic web pages using a
   JavaScript library that allows users to interactively and intuitively
   explore video content both efficiently and effectively.
   Results The authors produced a prototype implementation of the proposed
   system, which is publicly accessible at https://patentq.njit.edu/oer. To
   examine the overall advantage of the proposed system for exploring
   biomedical OER videos, the authors further conducted a user study of a
   modest scale. The study results encouragingly demonstrate the functional
   effectiveness and user-friendliness of the new system for facilitating
   information seeking from and content exploration among massive
   biomedical OER videos.
   Conclusion Using the proposed tool, users can efficiently and
   effectively find videos of interest, precisely locate video segments
   delivering personally valuable information, as well as intuitively and
   conveniently preview essential content of a single or a collection of
   videos.
OI Duan, Lian/0000-0002-0618-8628
TC 6
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 6
U1 3
U2 41
SN 1067-5027
EI 1527-974X
UT WOS:000375292600006
PM 26335986
ER

PT J
AU Christ, Andreas
   Thews, Oliver
TI Using numeric simulation in an online e-learning environment to teach
   functional physiological contexts
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 127
BP 15
EP 23
DI 10.1016/j.cmpb.2016.01.012
PD APR 2016
PY 2016
AB Background and objectives: Mathematical models are suitable to simulate
   complex biological processes by a set of non-linear differential
   equations. These simulation models can be used as an e-learning tool in
   medical education. However, in many cases these mathematical systems
   have to be treated numerically which is computationally intensive. The
   aim of the study was to develop a system for numerical simulation to be
   used in an online e-learning environment.
   Methods: In the software system the simulation is located on the server
   as a CGI application. The user (student) selects the boundary conditions
   for the simulation (e.g., properties of a simulated patient) on the
   browser. With these parameters the simulation on the server is started
   and the simulation result is re-transferred to the browser.
   Results: With this system two examples of e-learning units were
   realized. The first one uses a multi-compartment model of the
   glucose-insulin control loop for the simulation of the plasma glucose
   level after a simulated meal or during diabetes (including treatment by
   subcutaneous insulin application). The second one simulates the ion
   transport leading to the resting and action potential in nerves. The
   student can vary parameters systematically to explore the biological
   behavior of the system.
   Conclusions: The described system is able to simulate complex biological
   processes and offers the possibility to use these models in an online
   e-learning environment. As far as the underlying principles can be
   described mathematically, this type of system can be applied to a broad
   spectrum of biomedical or natural scientific topics. (C) 2016 Elsevier
   Ireland Ltd. All rights reserved.
ZA 0
ZR 0
Z8 0
ZS 0
ZB 1
TC 2
Z9 2
U1 0
U2 9
SN 0169-2607
EI 1872-7565
UT WOS:000372521500003
PM 27000286
ER

PT J
AU Rodriguez-Gonzalez, Alejandro
   Menasalvas Ruiz, Ernestina
   Mayer Pujadas, Miguel A.
TI Automatic extraction and identification of users' responses in Facebook
   medical quizzes
SO COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
VL 127
BP 197
EP 203
DI 10.1016/j.cmpb.2015.12.025
PD APR 2016
PY 2016
AB Background: In the last few years the use of social media in medicine
   has grown exponentially, providing a new area of research based on the
   analysis and use of Web 2.0 capabilities. In addition, the use of social
   media in medical education is a subject of particular interest which has
   been addressed in several studies. One example of this application is
   the medical quizzes of The New England Journal of Medicine (NEJM) that
   regularly publishes a set of questions through their Facebook timeline.
   Objective: We present an approach for the automatic extraction of
   medical quizzes and their associated answers on a Facebook platform by
   means of a set of computer-based methods and algorithms.
   Methods: We have developed a tool for the extraction and analysis of
   medical quizzes stored on Facebook timeline at the NEJM Facebook page,
   based on a set of computer-based methods and algorithms using Java. The
   system is divided into two main modules: Crawler and Data retrieval.
   Results: The system was launched on December 31, 2014 and crawled
   through a total of 3004 valid posts and 200,081 valid comments. The
   first post was dated on July 23, 2009 and the last one on December 30,
   2014. 285 quizzes were analyzed with 32,780 different users providing
   answers to the aforementioned quizzes. Of the 285 quizzes, patterns were
   found in 261 (91.58%). From these 261 quizzes where trends were found,
   we saw that users follow trends of incorrect answers in 13 quizzes and
   trends of correct answers in 248.
   Conclusions: This tool is capable of automatically identifying the
   correct and wrong answers to a quiz provided on Facebook posts in a text
   format to a quiz, with a small rate of false negative cases and this
   approach could be applicable to the extraction and analysis of other
   sources after including some adaptations of the information on the
   Internet. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
RI Mayer, Miguel Angel/K-5255-2014; Mayer, Miguel Angel/AAL-2810-2021; González, Alejandro Rodríguez/AAT-2369-2020; menasalvas, ernestina/; Rodriguez Gonzalez, Alejandro/
OI Mayer, Miguel Angel/0000-0003-0362-6298; Mayer, Miguel
   Angel/0000-0003-0362-6298; menasalvas, ernestina/0000-0002-5615-6798;
   Rodriguez Gonzalez, Alejandro/0000-0001-8801-4762
ZA 0
Z8 0
TC 7
ZR 0
ZS 0
ZB 1
Z9 7
U1 2
U2 20
SN 0169-2607
EI 1872-7565
UT WOS:000372521500017
PM 26777433
ER

PT J
AU Tayade, Motilal Chandu
   Dalvi, Shashank D
TI Fundamental Ethical Issues in Unnecessary Surgical Procedures.
SO Journal of clinical and diagnostic research : JCDR
VL 10
IS 4
BP JE01
EP 4
DI 10.7860/JCDR/2016/18958.7694
PD 2016-Apr
PY 2016
AB In clinical practice performing any surgical procedure is inconsistent
   because all surgical procedures carry definitely some degree of risk.
   Worldwide every year millions of patients go under knife, but many of
   them are enduring great pain and shelling out thousands and dollars for
   surgeries they don't really need. This review work was planned with an
   intention to focus attention towards it with reporting cited evidences
   of unnecessary surgical operations and discuss ethical issues concern
   with it. In present review the references search included standard
   citations Google scholar, MEDLINE and PUBMED. We also used Google search
   engine for screening various news concern with highlighting this topic
   in community and online media. For articles we go through more than 60
   articles from worldwide and 12 news media views from Google search in
   last one year. We used following quotes for their search-unnecessary
   surgeries, second opinion, ethical issues in unnecessary surgeries.
   Geographical variations were also kept in view. Our intension was
   highlighting ethical issues concern with unnecessary surgical
   operations. Henceforth we excluded such work that does not concern with
   ethical issues. Unnecessary surgery is that which is medically
   unjustifiable when the risks and costs are more than the likely
   therapeutic benefits or relief to the patient based on the patient's
   lifestyle requirements. To avoid or minimize such interventions basic
   seeding of ethics in curriculum and strict laws will definitely helpful
   in clinical practice. In conclusion, our aim was to highlight this major
   issue and underline need of competency based medical bioethics education
   in Indian scenario. 
RI Tayade, Motilal/AAW-9125-2020
OI Tayade, Motilal/0000-0003-0387-2915
Z8 0
TC 3
ZA 0
ZS 0
ZB 0
ZR 0
Z9 3
U1 0
U2 6
SN 2249-782X
UT MEDLINE:27190833
PM 27190833
ER

PT J
AU McFarland, Jenny
   Wenderoth, Mary Pat
   Michael, Joel
   Cliff, William
   Wright, Ann
   Modell, Harold
TI A conceptual framework for homeostasis: development and validation
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 40
IS 2
BP 213
EP 222
DI 10.1152/advan.00103.2015
PD APR 2016
PY 2016
AB We have developed and validated a conceptual framework for understanding
   and teaching organismal homeostasis at the undergraduate level. The
   resulting homeostasis conceptual framework details critical components
   and constituent ideas underlying the concept of homeostasis. It has been
   validated by a broad range of physiology faculty members from community
   colleges, primarily undergraduate institutions, research universities,
   and medical schools. In online surveys, faculty members confirmed the
   relevance of each item in the framework for undergraduate physiology and
   rated the importance and difficulty of each. The homeostasis conceptual
   framework was constructed as a guide for teaching and learning of this
   critical core concept in physiology, and it also paves the way for the
   development of a concept inventory for homeostasis.
RI Linden, Matthew D/G-9644-2012; Fuller, Kathy A/C-5454-2011; Michael, Joel/GSE-4540-2022
OI Linden, Matthew D/0000-0002-9126-2166; Fuller, Kathy
   A/0000-0002-3462-7501; 
Z8 0
ZA 0
ZR 0
ZB 0
TC 17
ZS 0
Z9 17
U1 1
U2 9
SN 1043-4046
EI 1522-1229
UT WOS:000627675500003
PM 27105740
ER

PT J
AU Zheng, Jiaping
   Yu, Hong
TI Methods for linking EHR notes to education materials
SO INFORMATION RETRIEVAL JOURNAL
VL 19
IS 1-2
SI SI
BP 174
EP 188
DI 10.1007/s10791-015-9263-1
PD APR 2016
PY 2016
AB It has been shown that accessing the patients' own electronic health
   records (EHR) can enhance their medical understanding and provide
   clinically relevant benefits. However, languages that are difficult for
   non-medical professionals to comprehend are prevalent in the EHR notes.
   The valuable and authoritative information contained in the EHR is thus
   less accessible to the patients, who ultimately stand to benefit the
   most from the information. To address this challenge, we are developing
   a system to retrieve EHR note-specific online consumer-oriented health
   education materials. We explored several query generation methods to
   convert long EHR notes to effective queries, including topic models and
   key concept identification. Our experiments show that queries using key
   concepts identified by a learning based model with pseudo-relevance
   feedback significantly outperform the baseline system of using the full
   text note.
ZR 0
ZS 0
TC 6
ZB 2
Z8 0
ZA 0
Z9 7
U1 1
U2 21
SN 1386-4564
EI 1573-7659
UT WOS:000369002500008
ER

PT J
AU Gomez-Huelgas, R.
   Artola-Menendez, S.
   Menendez-Torre, E.
TI Analysis of the healthcare process of patients with type 2 diabetes
   mellitus and associated comorbidity treated in Spain's National Health
   System: A perspective of medical professionals. IMAGINE study
SO REVISTA CLINICA ESPANOLA
VL 216
IS 3
BP 113
EP 120
DI 10.1016/j.rce.2015.11.009
PD APR 2016
PY 2016
AB Objectives: To analyse the care received by patients with type 2
   diabetes mellitus (DM2) and comorbidity in Spain's National Health
   System.
   Patients and methods: Cross-sectional study using an online survey. A
   total of 302 family physicians, internists and endocrinologists
   participated in the study. The participants were recruited voluntarily
   by their respective scientific societies and received no remuneration.
   Results: Patients with DM2 and comorbidity are mostly treated in Primary
   Care (71.8%). Forty percent are referred to hospital care, mainly due to
   renal failure, poor glycaemic control and for a retinopathy assessment.
   Only 52% of those surveyed conducted medication reconciliation in the
   transition between healthcare levels. Fifty-eight percent reported
   conducting interconsultations, clinical meetings or consultancies
   between healthcare levels.. The 3 main factors identified for improving
   the follow-up and control of DM2 with comorbidity were the
   multidisciplinary study (80.8%), the continuing education of health
   professionals (72.3%) and therapeutic education programmes (72%). A lack
   of time, a lack of qualified personnel for lifestyle interventions and
   organisational shortcomings were mentioned as the main obstacles for
   improving the care of these patients.
   Conclusions: Most patients with DM2 and comorbidity are treated in
   Primary Care. Promoting multidisciplinary care and training programmes
   for practitioners and patients can help improve the quality of care.
   Therapy reconciliation represents a priority area for improvement in
   this population. (C) 2015 Elsevier Espana, S.L.U. y Sociedad Espanola de
   Medicina Interna (SEMI). All rights reserved.
RI Gomez-Huelgas, Ricardo/ABF-5100-2021; Menendez Torre, Edelmiro Luis/AFR-2604-2022; Torre, Edelmiro Menéndez/G-1547-2013
OI Gomez-Huelgas, Ricardo/0000-0002-9909-3555; Menendez Torre, Edelmiro
   Luis/0000-0002-9548-7821; Torre, Edelmiro Menéndez/0000-0002-9548-7821
Z8 0
ZA 0
TC 3
ZB 0
ZR 0
ZS 1
Z9 3
U1 0
U2 17
SN 0014-2565
EI 1578-1860
UT WOS:000373754200001
PM 26772868
ER

PT J
AU Louridas, Marisa
   Szasz, Peter
   de Montbrun, Sandra
   Harris, Kenneth A.
   Grantcharov, Teodor P.
TI Can We Predict Technical Aptitude?: A Systematic Review
SO ANNALS OF SURGERY
VL 263
IS 4
BP 673
EP 691
DI 10.1097/SLA.0000000000001283
PD APR 2016
PY 2016
AB Objective:To identify background characteristics and cognitive tests
   that may predict surgical trainees' future technical performance, and
   therefore be used to supplement existing surgical residency selection
   criteria.Background:Assessment of technical skills is not commonly
   incorporated as part of the selection process for surgical trainees in
   North America. Emerging evidence, however, suggests that not all
   trainees are capable of reaching technical competence. Therefore,
   incorporating technical aptitude into selection processes may prove
   useful.Methods:A systematic search was carried out of the MEDLINE,
   PsycINFO, and Embase online databases to identify all studies that
   assessed associations between surrogate markers of innate technical
   abilities in surgical trainees, and whether these abilities correlate
   with technical performance. The quality of each study was evaluated
   using the Grading of Recommendations, Assessment, Development, and
   Evaluation system.Results:A total of 8035 records were identified. After
   screening by title, abstract, and full text, 52 studies were included.
   Very few surrogate markers were found to predict technical performance.
   Significant associations with technical performance were seen for 1 of
   23 participant-reported surrogate markers, 2 of 25 visual spatial tests,
   and 2 of 19 dexterity tests. The assessment of trainee Basic Performance
   Resources predicted technical performance in 62% and 75% of
   participants.Conclusions:To date, no single test has been shown to
   reliably predict the technical performance of surgical trainees.
   Strategies that rely on assessing multiple innate abilities, their
   interaction, and their relationship with technical skill may ultimately
   be more likely to serve as reliable predictors of future surgical
   performance.
RI Szasz, Peter/AAM-3587-2020
ZB 7
Z8 0
ZR 0
ZA 0
TC 37
ZS 1
Z9 38
U1 0
U2 10
SN 0003-4932
EI 1528-1140
UT WOS:000374782700017
PM 26079898
ER

PT J
AU Scales, Charles D., Jr.
   Moin, Tannaz
   Fink, Arlene
   Berry, Sandra H.
   Afsar-Manesh, Nasim
   Mangione, Carol M.
   Kerfoot, B. Price
TI A randomized, controlled trial of team-based competition to increase
   learner participation in quality-improvement education
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 28
IS 2
BP 227
EP 232
DI 10.1093/intqhc/mzw008
PD APR 1 2016
PY 2016
AB Several barriers challenge resident engagement in learning quality
   improvement (QI). We investigated whether the incorporation of
   team-based game mechanics into an evidence-based online learning
   platform could increase resident participation in a QI curriculum.
   Randomized, controlled trial.
   Tertiary-care medical center residency training programs.
   Resident physicians (n = 422) from nine training programs (anesthesia,
   emergency medicine, family medicine, internal medicine, ophthalmology,
   orthopedics, pediatrics, psychiatry and general surgery) randomly
   allocated to a team competition environment (n = 200) or the control
   group (n = 222).
   Specialty-based team assignment with leaderboards to foster competition,
   and alias assignment to de-identify individual participants.
   Participation in online learning, as measured by percentage of questions
   attempted (primary outcome) and additional secondary measures of
   engagement (i.e. response time). Changes in participation measures over
   time between groups were assessed with a repeated measures ANOVA
   framework.
   Residents in the intervention arm demonstrated greater participation
   than the control group. The percentage of questions attempted at least
   once was greater in the competition group (79% [SD +/- 32] versus
   control, 68% [SD +/- 37], P= 0.03). Median response time was faster in
   the competition group (P= 0.006). Differences in participation continued
   to increase over the duration of the intervention, as measured by
   average response time and cumulative percent of questions attempted
   (each P < 0.001).
   Team competition increases resident participation in an online course
   delivering QI content. Medical educators should consider game mechanics
   to optimize participation when designing learning experiences.
OI Scales, Charles/0000-0002-7887-0204
ZB 4
ZS 0
Z8 0
ZA 0
TC 41
ZR 0
Z9 41
U1 1
U2 13
SN 1353-4505
EI 1464-3677
UT WOS:000375094000011
PM 26857941
ER

PT J
AU Zago, M.
   Martinez Casas, I.
   Pereira, J.
   Mariani, D.
   Silva, A. R.
   Casamassima, A.
   Barbosa, E.
   Ferreira, F.
   Ruesseler, M.
   Bass, G. A.
   Ponchietti, L.
   Butti, F.
   Marconi, M.
   Pinheiro, L. F.
TI Tailored ultrasound learning for acute care surgeons: a review of the
   MUSEC (Modular UltraSound ESTES Course) project
SO EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
VL 42
IS 2
BP 161
EP 168
DI 10.1007/s00068-016-0651-z
PD APR 2016
PY 2016
AB The European Society for Trauma and Emergency Surgery (ESTES) identified
   the need for general and trauma surgeons involved in the management of
   critically ill surgical patients to embrace and learn both basic and
   advanced US skills. A steering group was created to address this
   deficit.
   Modular UltraSound ESTES Course (MUSEC) is a modular blended-learning
   course. It incorporates pre-test/post-test examinations, pre-course
   online materials, didactic and interactive lectures, interactive case
   scenarios discussion with pathological US clips, hands-on practice on
   healthy volunteer models, and on original phantoms for simulating both
   pathological US findings and practicing US-guided interventional
   maneuvers. Four independent modules were provided. Surgical
   decision-making didactics were also included in the course curriculum.
   Learning gain (Delta of the rating of pre-test and post-test) was
   calculated for each module. An anonymous post-course satisfaction survey
   was also administered (16 questions with a Likert's 5-point scale of
   evaluation).
   Twenty-three MUSEC Courses were run in a 30 months period, training 416
   doctors from 29 countries. A total of 52 modules were delivered. The
   mean pre-test and post-test grades were 8.3/12 and 10.7/12,
   respectively, yielding a significant mean learning gain of 28.9 % (p =
   0.001). Post-course satisfaction survey got an overall ranking of 4.5/5.
   MUSEC is an effective and original educational format, enjoyed by
   candidates, that fills an educational gap for tailored US education as a
   procedural skill to acute care surgeons. Ongoing revisions should reduce
   the current limitations and increase the educational value, in terms of
   number of modules and post-course credentialing.
RI Zago, Mauro/O-3387-2015; Bass, Gary/ABD-1253-2020; Pereira, Jorge/F-3396-2018; Ponchietti, Luca/AFV-4695-2022; Ruesseler, Miriam/ABD-3388-2020; Bass, Gary Alan/
OI Zago, Mauro/0000-0001-9322-0798; Pereira, Jorge/0000-0002-3496-1710;
   Ponchietti, Luca/0000-0003-3994-1169; Ruesseler,
   Miriam/0000-0001-7494-0159; Bass, Gary Alan/0000-0002-1918-9443
ZA 0
TC 6
ZR 0
ZB 1
ZS 1
Z8 0
Z9 6
U1 0
U2 3
SN 1863-9933
EI 1863-9941
UT WOS:000374304400006
PM 27075021
ER

PT J
AU Amini, Richard
   Kartchner, Jeffrey Z.
   Nagdev, Arun
   Adhikari, Srikar
TI Ultrasound-Guided Nerve Blocks in Emergency Medicine Practice
SO JOURNAL OF ULTRASOUND IN MEDICINE
VL 35
IS 4
BP 731
EP 736
DI 10.7863/ultra.15.05095
PD APR 1 2016
PY 2016
AB Objectives-The purpose of this study was to investigate the current
   practice of ultrasound (US)-guided regional anesthesia at academic
   emergency departments, including education, protocols, policies, and
   quality assessment.
   Methods-We conducted a cross-sectional study. A questionnaire on
   US-guided nerve blocks was electronically sent to all emergency US
   directors and emergency US fellowship directors.
   Results-A total of 121 of 171 academic institutions with an emergency
   medicine residency program participated in this study, representing a
   71% response rate. Eighty-four percent (95% confidence interval [CI],
   77%-91%) of programs perform US-guided nerve blocks at their
   institutions. The most common type of nerve block performed is a forearm
   nerve block (ulnar, median, or radial). The most common indication for
   US-guided nerve blocks is fracture pain management. Only 7% (95% CI,
   2%-12%) of programs have a separate credentialing pathway for US-guided
   nerve blocks. Regarding quality assessment review of US-guided nerve
   blocks, none of the programs have a separate program in place. In 57%
   (95% CI, 48%-66%) of programs, it is a component of the emergency US
   quality assessment program. Eighty-four percent (95% CI, 77%-90%) of
   programs do not have specific agreements with other specialty services
   with regard to performing US-guided nerve blocks in the emergency
   department. The most common educational methods used to teach US-guided
   nerve blocks are didactic sessions, at 67% (95% CI, 59%-75%); online
   resources, at 54% (95% CI, 45%-63%); and supervised training with real
   patients, at 48% (95% CI, 39%-57%).
   Conclusions-Ultrasound-guided nerve blocks are performed at most
   academic emergency departments. However, there is a substantial
   variation in the practices and policies within these institutions.
RI Amini, Richard/M-9964-2013
OI Amini, Richard/0000-0002-9292-8206
TC 30
ZS 0
Z8 0
ZR 0
ZB 3
ZA 0
Z9 30
U1 0
U2 2
SN 0278-4297
EI 1550-9613
UT WOS:000375333200008
PM 26931789
ER

PT J
AU Azab, Ehab
   Saksena, Yun
   Alghanem, Tofool
   Midle, Jennifer Bassett
   Molgaard, Kathleen
   Albright, Susan
   Karimbux, Nadeem
TI Relationship Among Dental Students' Class Lecture Attendance, Use of
   Online Resources, and Performance
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 4
BP 452
EP 458
PD APR 2016
PY 2016
AB This study aimed to evaluate the relationship among dental students'
   attendance at class lectures, use of online lecture materials, and
   performance in didactic courses. The study was conducted with
   second-year predoctoral students at Tufts University School of Dental
   Medicine during the fall semester of 2014. Three basic science and three
   preclinical dental courses were selected for evaluation. Online usage
   for each participant was collected, and a survey with questions about
   attendance and online behavior was conducted. The final grade for each
   participant in each selected course was obtained and matched with his or
   her online usage and attendance. Out of a total 190 students, 146 (77%)
   participated. The results showed no significant relationship between
   students' grades and their class attendance or online usage except for a
   weak negative relationship between class attendance and online usage for
   the Epidemiology course (p<0.001) and the overall preclinical dental
   courses (p=0.03). Although the results did not show strong relationships
   among class attendance, online usage, and course grades, most of the
   students reported that having the online resources in addition to the
   lectures was helpful.
RI Azab, Ehab/F-5269-2019; Azab, Ehab/GQH-9122-2022
OI Azab, Ehab/0000-0002-1122-3942; 
Z8 0
ZB 1
ZA 0
ZS 0
TC 24
ZR 0
Z9 24
U1 0
U2 5
SN 0022-0337
EI 1930-7837
UT WOS:000373967300010
PM 27037453
ER

PT J
AU Gonen, Ayala
   Lev-Ari, Lilac
TI The relationship between work climate and nurse educators' use of
   information technology
SO NURSE EDUCATION TODAY
VL 39
BP 1
EP 6
DI 10.1016/j.nedt.2016.01.018
PD APR 2016
PY 2016
AB Understanding organizational behavior and the attitudes of individuals
   in organizations is crucial for policymakers and managers. Work climate
   is a major part of these constructs. The main goal of this study was to
   examine the perceptions of academic nurse educators about their work
   climate, concerning the use of information technology (IT), including
   examining a number of variables such as self-efficacy, innovativeness,
   attitudes, intention to use, and actual use of information technology.
   Method: This study used a quantitative research design, using written
   and online surveys submitted to 109 academic nurse educators working at
   ten different academic nursing schools in Israel.
   Results: The relationship between work climate and actual use of IT was
   mediated by personality characteristics such as attitude toward using
   IT, self-efficacy, and innovativeness. Work climate positively predicted
   both self efficacy and attitudes toward IT, but did not directly predict
   innovativeness and did not predict actual use.
   Conclusion: Policymakers and managers should consider work climate and
   personality characteristics as important factors in their efforts to
   promote IT use in nursing. As a result, nurse educators would become
   better acquainted with new technologies, and their acceptance of IT
   would improve. The organization would benefit from a better work
   environment and from enhanced performance. (C) 2016 Elsevier Ltd. All
   rights reserved.
RI gonen, ayala/AAH-4152-2020
ZS 0
ZR 0
TC 5
ZB 0
ZA 0
Z8 1
Z9 6
U1 0
U2 9
SN 0260-6917
EI 1532-2793
UT WOS:000374078000001
PM 27006026
ER

PT J
AU Veale, Jaimie F.
TI Factorial Validity and Invariance Assessment of a Short Version of the
   Recalled Childhood Gender Identity/Role Questionnaire
SO ARCHIVES OF SEXUAL BEHAVIOR
VL 45
IS 3
BP 537
EP 550
DI 10.1007/s10508-015-0684-0
PD APR 2016
PY 2016
AB Recalled childhood gender role/identity is a construct that is related
   to sexual orientation, abuse, and psychological health. The purpose of
   this study was to assess the factorial validity of a short version of
   Zucker et al.'s (2006) "Recalled Childhood Gender Identity/Gender Role
   Questionnaire" using confirmatory factor analysis and to test the
   stability of the factor structure across groups (measurement
   invariance). Six items of the questionnaire were completed online by
   1929 participants from a variety of gender identity and sexual
   orientation groups. Models of the six items loading onto one factor had
   poor fit for the data. Items were removed for having a large proportion
   of error variance. Among birth-assigned females, a five-item model had
   good fit for the data, but there was evidence for differences in scale's
   factor structure across gender identity, age, level of education, and
   country groups. Among birth-assigned males, the resulting four-item
   model did not account for all of the relationship between variables, and
   modeling for this resulted in a model that was almost saturated. This
   model also had evidence of measurement variance across gender identity
   and sexual orientation groups. The models had good reliability and
   factor score determinacy. These findings suggest that results of
   previous studies that have assessed recalled childhood gender
   role/identity may have been susceptible to construct bias due to
   measurement variance across these groups. Future studies should assess
   measurement invariance between groups they are comparing, and if it is
   not found the issue can be addressed by removing variant indicators
   and/or applying a partial invariance model.
ZS 0
Z8 0
ZA 0
ZB 0
TC 2
ZR 0
Z9 2
U1 1
U2 13
SN 0004-0002
EI 1573-2800
UT WOS:000371643500010
PM 26864871
ER

PT J
AU Narwani, Vishal
   Nalamada, Keerthana
   Lee, Michael
   Kothari, Prasad
   Lakhani, Raj
TI Readability and quality assessment of internet-based patient education
   materials related to laryngeal cancer
SO HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND
   NECK
VL 38
IS 4
BP 601
EP 605
DI 10.1002/hed.23939
PD APR 2016
PY 2016
AB Background. Patients are increasingly using the internet to access
   health-related information. The purpose of this study was to assess the
   readability and quality of laryngeal cancer-related websites.
   Methods. Patient education materials were identified by performing an
   internet search using 3 search engines. Readability was assessed using
   Flesch Reading Ease Score (FRES), Flesch-Kincaid Grade Level (FKGL), and
   Gunning Fog Index (GFI). The DISCERN instrument was utilized to assess
   quality of health information.
   Results. A total of 54 websites were included in the analysis. The mean
   readability scores were as follows: FRES, 48.2 (95% confidence interval
   [CI] = 44.8-51.6); FKGL, 10.9 (95% CI = 10.3-11.5); and GFI, 13.8 (95%
   CI = 11.3-16.3). These scores suggest that, on average, online
   information about patients with laryngeal cancer is written at an
   advanced level. The mean DISCERN score was 49.8 (95% CI - 45.4-54.2),
   suggesting that online information is of variable quality.
   Conclusion. Our study suggests much of the laryngeal cancer information
   available online is of suboptimal quality and written at a level too
   difficult for the average adult to read comfortably. (C) 2015 Wiley
   Periodicals, Inc.
RI Kothari, Prasad/AAQ-5473-2020
ZA 0
Z8 0
ZR 0
ZS 0
ZB 3
TC 20
Z9 20
U1 0
U2 9
SN 1043-3074
EI 1097-0347
UT WOS:000372722900023
PM 25491544
ER

PT J
AU Jared, Debra
   Ashby, Jane
   Agauas, Stephen J.
   Levy, Betty Ann
TI Phonological Activation of Word Meanings in Grade 5 Readers
SO JOURNAL OF EXPERIMENTAL PSYCHOLOGY-LEARNING MEMORY AND COGNITION
VL 42
IS 4
BP 524
EP 541
DI 10.1037/xlm0000184
PD APR 2016
PY 2016
AB Three experiments examined the role of phonology in the activation of
   word meanings in Grade 5 students. In Experiment 1, homophone and
   spelling control errors were embedded in a story context and
   participants performed a proofreading task as they read for meaning. For
   both good and poor readers, more homophone errors went undetected than
   spelling control errors. In Experiments 2 and 3, homophone and spelling
   control errors were in sentence contexts. Experiment 2 used an online
   sentence verification task, and found that both good and poor readers
   were less accurate when sentences contained a homophone error than a
   spelling control error. Furthermore, a difference between the 2 types of
   sentences was observed even when participants were concurrently
   performing an articulation task. In Experiment 3, initial reading times
   were shorter on homophone errors than on spelling controls, and
   participants were less likely to make a regression from homophone errors
   than spelling controls. These experiments provide clear evidence that
   phonology makes an important contribution to the activation of word
   meanings in Grade 5 readers.
OI Jared, Debra/0000-0002-5818-4119
Z8 2
ZA 0
ZR 0
ZB 3
TC 17
ZS 0
Z9 18
U1 3
U2 27
SN 0278-7393
EI 1939-1285
UT WOS:000373471600002
PM 26436634
ER

PT J
AU Meunier, B.
   Jourde-Chiche, N.
   Mancini, J.
   Chekroun, M.
   Retornaz, F.
   Chiche, L.
TI Characteristics and information searched for by French patients with
   systemic lupus erythematosus: A web-community data-driven online survey
SO LUPUS
VL 25
IS 4
BP 370
EP 375
DI 10.1177/0961203315610644
PD APR 2016
PY 2016
AB Introduction: To provide information about the needs of patients with
   systemic lupus erythematosus (SLE) using Carenity, the first European
   online platform for patients with chronic diseases. Methods: At one year
   after its creation, all posts from the Carenity SLE community were
   collected and analysed. A focused cross-sectional online survey was
   performed. Results: The SLE community included 521 people (93% females;
   mean age: 39.8 years). Among a total of 6702 posts, 2232 were classified
   according to disease-related topics. The 10 most common topics were
   'lupus and...' either 'treatment', 'fatigue', 'entourage', 'sun
   exposure', 'diagnosis', 'autoimmune diseases', 'pregnancy',
   'contraception', 'symptoms' or 'sexuality'. 112 SLE patients
   participated in the online survey. At the time of diagnosis, only 17
   (15%) patients had heard of SLE and 84 (75%) expressed a need for more
   information on outcomes (27%), treatments (27%), daily life (14%),
   patients' associations (11%), symptoms (8%), the disease (8%) and
   psychosocial aspects (7%). When treatment was initiated, 48 patients
   (43%) would have liked more information about side effects (46%),
   long-term effects (21%), treatment duration/cessation (12.5%) and type
   (10%) and mechanism of action (8%) of treatments. All participants
   except one had used the internet to find information about SLE. Sources
   of information included healthcare providers (51%/61%/67%),
   journals/magazines (7%/12%/6%), lupus Websites (51%/77%/40%), web
   forums/blogs (34%/53%/19%), patients' associations (11%/23%/9%) accessed
   at 'just before diagnosis', 'just after diagnosis' and 'before treatment
   initiation'. Conclusions: Online patient communities provide original
   unbiased information that can help improve provision of information to
   SLE patients.
RI Mancini, Julien/G-6263-2011; Jourde-Chiche, Noemie/
OI Mancini, Julien/0000-0001-9500-8598; Jourde-Chiche,
   Noemie/0000-0001-9315-1577
ZA 0
TC 6
Z8 1
ZS 0
ZR 0
ZB 5
Z9 7
U1 1
U2 9
SN 0961-2033
EI 1477-0962
UT WOS:000372151700006
PM 26454067
ER

PT J
AU Ajaz, Ali
   David, Rhodri
   Brown, Damien
   Smuk, Melanie
   Korszun, Ania
TI BASH: badmouthing, attitudes and stigmatisation in healthcare as
   experienced by medical students.
SO BJPsych bulletin
VL 40
IS 2
BP 97
EP 102
DI 10.1192/pb.bp.115.053140
PD 2016-Apr
PY 2016
AB Aims and method We used an online questionnaire to investigate medical
   students' perceptions of the apparent hierarchy between specialties,
   whether they have witnessed disparaging comments ('badmouthing' or
   'bashing') against other specialists and whether this has had an effect
   on their career choice. Results In total, 960 students from 13 medical
   schools completed the questionnaire; they ranked medical specialties
   according to the level of badmouthing and answered questions on their
   experience of specialty bashing. Psychiatry and general practice
   attracted the greatest number of negative comments, which were made by
   academic staff, doctors and students. Twenty-seven per cent of students
   had changed their career choice as a direct result of bashing and a
   further 25.5% stated they were more likely to change their specialty
   choice. Although 80.5% of students condemned badmouthing as
   unprofessional, 71.5% believed that it is a routine part of practising
   medicine. Clinical implications Bashing of psychiatry represents another
   form of stigmatisation that needs to be challenged in medical schools.
   It not only has an impact on recruitment into the specialty, but also
   has the wider effect of stigmatising people with mental health
   disorders. 
OI David, Rhodri/0000-0001-9447-954X; Brown, Damien/0000-0001-9746-4853
ZR 0
ZS 0
TC 45
ZB 2
Z8 0
ZA 0
Z9 45
U1 0
U2 1
SN 2056-4694
UT MEDLINE:27087996
PM 27087996
ER

PT J
AU Graham, Meredith
   Uesugi, Keriann
   Olson, Christine
TI Barriers to weight-related health behaviours: a qualitative comparison
   of the socioecological conditions between pregnant and post-partum
   low-income women
SO MATERNAL AND CHILD NUTRITION
VL 12
IS 2
BP 349
EP 361
DI 10.1111/mcn.12135
PD APR 2016
PY 2016
AB The association between socioecological factors and poor health outcomes
   for low-income women and their children has been the focus of
   disparities research for several decades. This research compares the
   socioecological conditions among low-income women from pregnancy to
   post-partum and highlights the factors that make weight management
   increasingly difficult after delivery. As part of the formative research
   for an online health intervention, group and individual interviews were
   conducted with low-income pregnant and post-partum women. Five pregnancy
   group interviews (n=15 women), five post-partum group interviews (n=23
   women) and seven individual interviews with a total of 45 participants
   were conducted in Rochester, New York. All interviews were
   audio-recorded. The constant comparative method was used to code
   interview notes and identify emergent themes. Subjects faced many
   challenges that affected their attitudes, beliefs and their ability to
   maintain or improve healthy weight behaviours. These included
   unemployment, relationship issues, minimal social support, lack of
   education, limited health care access, pre-existing medical conditions
   and neighbourhood disadvantage. Compared with pregnant women,
   post-partum women faced additional difficulties, such as child illnesses
   and custody issues. The most striking differences between pregnancy and
   post-partum related to the family's medical problems and greater
   environmental constraints. Many factors detracted from women's capacity
   to engage in healthy weight behaviours post-partum, including challenges
   present prior to delivery, challenges present prior to delivery that
   worsen after delivery, and new challenges that begin after delivery.
   These additional post-partum challenges need to be considered in
   designing programmes, policies and interventions that promote healthy
   weight.
OI Graham, Meredith/0000-0001-8989-1417
ZA 0
Z8 0
ZS 2
ZB 2
ZR 0
TC 13
Z9 14
U1 0
U2 10
SN 1740-8695
EI 1740-8709
UT WOS:000373510700013
PM 25040706
ER

PT J
AU Elnaggar, Ragab Kamal
TI Shoulder Function and Bone Mineralization in Children with Obstetric
   Brachial Plexus Injury After Neuromuscular Electrical Stimulation During
   Weight-Bearing Exercises
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 4
BP 239
EP 247
DI 10.1097/PHM.0000000000000449
PD APR 2016
PY 2016
AB Objective The purpose of this study was to evaluate the effects of
   neuromuscular electrical stimulation during weight-bearing exercises on
   shoulder function and bone mineral density (BMD) in children with
   obstetric brachial plexus injury (OBPI).
   Design This study was a randomized controlled trial. Forty-two children
   with OBPI were recruited. Their ages ranged from 3 to 5 years. They were
   randomly assigned either to control group (received a selected program)
   or study group (received the same program as the control group and
   neuromuscular electrical stimulation during weight bearing). Mallet
   grading system and dual-energy x-ray absorptiometry were used to
   evaluate shoulder function and BMD respectively at entry and after
   intervention (3 months later).
   Results No significant differences of the outcome measures were detected
   at entry. Significant differences were observed within both groups when
   the pre and post treatment scores within each group were compared.
   Finally, significant differences favoring the study group were recorded
   when their post treatment scores were compared.
   Conclusion Neuromuscular electrical stimulation during weight bearing
   exercises is an effective and simple method to improve shoulder function
   and BMD in children with OBPI.
   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) Identify deficits associated with obstetric brachial plexus
   injury (OBPI) in children; (2) Describe treatment options for improving
   shoulder function and bone mineral density (BMD) in children with OBPI;
   and (3) Describe the benefits of neuromuscular electrical stimulation
   (NMES) in the treatment of children with OBPI.
   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.
RI Elnaggar, Ragab/K-8631-2019
OI Elnaggar, Ragab/0000-0001-5080-702X
ZR 0
TC 8
Z8 0
ZB 1
ZA 0
ZS 1
Z9 9
U1 1
U2 20
SN 0894-9115
EI 1537-7385
UT WOS:000372214300002
PM 26829088
ER

PT J
AU Gebhard, Grant M.
   Hauser, Leah J.
   Dally, Miranda J.
   Weitzenkamp, David A.
   Cabrera-Muffly, Cristina
TI Do otolaryngology residency applicants relocate for training?
SO LARYNGOSCOPE
VL 126
IS 4
BP 829
EP 833
DI 10.1002/lary.25501
PD APR 2016
PY 2016
AB Objectives/HypothesisTo determine whether there is an association
   between the geographic location of an applicant's undergraduate school,
   medical school, and residency program among matched otolaryngology
   residency applicants.
   Study DesignObservational.
   MethodsOtolaryngology residency program applications to our institution
   from 2009 to 2013 were analyzed. The geographic location of each
   applicant's undergraduate education and medical education were
   collected. Online public records were queried to determine the residency
   program location of matched applicants. Applicants who did not match or
   who attended medical school outside the United States were excluded.
   Metro area, state, and region were determined according to US Census
   Bureau definitions.
   ResultsFrom 2009 to 2013, 1,089 (78%) of 1,405 applicants who matched
   into otolaryngology residency applied to our institution. The number of
   subjects who attended medical school and residency in the same
   geographic region was 241 (22%) for metropolitan area, 305 (28%) for
   state, and 436 (40%) for region. There was no difference in geographic
   location retention by gender or couples match status of the subject.
   United States Medical Licensing Exam step 1 scores correlated with an
   increased likelihood of subjects staying within the same geographic
   region (P=.03).
   ConclusionsMost otolaryngology applicants leave their previous
   geographic area to attend residency. Based on these data, the authors
   recommend against giving weight to geography as a factor when inviting
   applicants to interview.
   Level of EvidenceNA Laryngoscope, 126:829-833, 2016
OI Cabrera-Muffly, Cristina/0000-0001-7697-8871
Z8 0
ZR 0
TC 7
ZS 0
ZB 1
ZA 0
Z9 7
U1 0
U2 2
SN 0023-852X
EI 1531-4995
UT WOS:000373382100016
PM 26228114
ER

PT J
AU Boissonnault, Jill S.
   Evans, Kerrie
   Tuttle, Neil
   Hetzel, Scott J.
   Boissonnault, William G.
TI Reliability of the ECHOWS Tool for Assessment of Patient Interviewing
   Skills
SO PHYSICAL THERAPY
VL 96
IS 4
BP 443
EP 455
DI 10.2522/ptj.20150172
PD APR 2016
PY 2016
AB Background. History taking is an important component of patient/client
   management. Assessment of student history-taking competency can be
   achieved via a standardized tool. The ECHOWS tool has been shown to be
   valid with modest intrarater reliability in a previous study but did not
   demonstrate sufficient power to definitively prove its stability.
   Objective. The purposes of this study were: (1) to assess the
   reliability of the ECHOWS tool for student assessment of patient
   interviewing skills and (2) to determine whether the tool discerns
   between novice and experienced skill levels.
   Design. A reliability and construct validity assessment was conducted.
   Methods. Three faculty members from the United States and Australia
   scored videotaped histories from standardized patients taken by students
   and experienced clinicians from each of these countries. The tapes were
   scored twice, 3 to 6 weeks apart. Reliability was assessed using
   interclass correlation coefficients (ICCs) and repeated measures.
   Analysis of variance models assessed the ability of the tool to discern
   between novice and experienced skill levels.
   Results. The ECHOWS tool showed excellent intrarater reliability (ICC
   [3,1] =.74-.89) and good interrater reliability (ICC [2,1] =.55) as a
   whole. The summary of performance (5) section showed poor interrater
   reliability (ICC [2,1] =.27). There was no statistical difference in
   performance on the tool between novice and experienced clinicians.
   Limitations. A possible ceiling effect may occur when standardized
   patients are not coached to provide complex and obtuse responses to
   interviewer questions. Variation in familiarity with the ECHOWS tool and
   in use of the online training may have influenced scoring of the S
   section.
   Conclusion, The ECHOWS tool demonstrates excellent intrarater
   reliability and moderate interrater reliability. Sufficient training
   with the tool prior to student assessment is recommended. The S section
   must evolve in order to provide a more discerning measure of
   interviewing skills.
RI Tuttle, Neil/C-4012-2008; Evans, Kerrie/
OI Tuttle, Neil/0000-0002-4924-5741; Evans, Kerrie/0000-0002-7592-7850
TC 3
ZR 0
Z8 0
ZS 0
ZA 0
ZB 0
Z9 3
U1 0
U2 3
SN 0031-9023
EI 1538-6724
UT WOS:000373247000003
PM 26316533
ER

PT J
AU Norland, Ryan
   Muchnick, Matthew
   Harmon, Zachary
   Chin, Tiffany
   Kakar, Rumit Singh
TI Opportunities for Regenerative Rehabilitation and Advanced Technologies
   in Physical Therapy: Perspective From Academia
SO PHYSICAL THERAPY
VL 96
IS 4
BP 550
EP 557
DI 10.2522/ptj.20150057
PD APR 2016
PY 2016
AB As rehabilitation specialists, physical therapists must continue to stay
   current with advances in technologies to provide appropriate
   rehabilitation protocols, improve patient outcomes, and be the preferred
   clinician of choice. To accomplish this vision, the physical therapy
   profession must begin to develop a culture of lifelong learning at the
   early stages of education and clinical training in order to embrace
   cutting-edge advancements such as stem cell therapies, tissue
   engineering, and robotics, to name a few. The purposes of this article
   are: (1) to provide a current perspective on faculty and graduate
   student awareness of regenerative rehabilitation concepts and (2) to
   advocate for increased integration of these emerging technologies within
   the doctor of physical therapy (DPT) curriculum. An online survey was
   designed to gauge awareness of principles in regenerative rehabilitation
   and to determine whether the topic was included and assessed in doctoral
   curricula. The survey yielded 1,006 responses from 82 DPT programs
   nationwide and indicated a disconnect in familiarity with the term
   "regenerative rehabilitation" and awareness of the inclusion of this
   material in the curriculum. To resolve this disconnect, the framework of
   the curriculum can be used to integrate new material via guest
   lecturers, interdisciplinary partnerships, and research opportunities.
   Successfully mentoring a generation of clinicians and rehabilitation
   scientists who incorporate new medical knowledge and technology into
   their own clinical and research practice depends greatly on sharing the
   responsibility among graduate students, professors, the American
   Physical Therapy Association (APTA), and DPT programs. Creating an
   interdisciplinary culture and integrating regenerative medicine and
   rehabilitation concepts into the curriculum cultivate individuals who
   will be advocates for interprofessional behaviors and will ensure that
   the profession meets the goals stated in APTA Vision 2020.
RI Kakar, Rumit Singh/E-6211-2012
OI Kakar, Rumit Singh/0000-0002-8620-245X
ZA 0
TC 8
Z8 0
ZB 0
ZS 1
ZR 0
Z9 9
U1 0
U2 13
SN 0031-9023
EI 1538-6724
UT WOS:000373247000013
PM 26564254
ER

PT J
AU VanNieuwenborg, Lena
   Goossens, Martine
   De Lepeleire, Jan
   Schoenmakers, Birgitte
TI Continuing medical education for general practitioners: a practice
   format
SO POSTGRADUATE MEDICAL JOURNAL
VL 92
IS 1086
BP 217
EP 222
DI 10.1136/postgradmedj-2015-133662
PD APR 2016
PY 2016
AB Introduction Our current knowledge-based society and the many
   actualisations within the medical profession require a great
   responsibility of physicians to continuously develop and refine their
   skills. In this article, we reflect on some recent findings in the field
   of continuing education for professional doctors (continuing medical
   education, CME). Second, we describe the development of a CME from the
   Academic Center for General Practice (ACHG) of the KU Leuven.
   Methods First, we performed a literature study and we used unpublished
   data of a need assessment performed (2013) in a selected group of
   general practitioners. Second, we describe the development of a proposal
   to establish a CME programme for general practitioners.
   Results CME should go beyond the sheer acquisition of knowledge, and
   also seek changes in practice, attitudes and behaviours of physicians.
   The continuing education offerings are subject to the goals of the
   organising institution, but even more to the needs and desires of the
   end user.
   Conclusions Integrated education is crucial to meet the conditions for
   efficient and effective continuing education. The ACHG KU Leuven decided
   to offer a postgraduate programme consisting of a combination of
   teaching methods: online courses (self-study), contact courses
   (traditional method) and a materials database.
RI De Lepeleire, Jan/AAE-5876-2019; Schoenmakers, Birgitte/AAL-2426-2021
OI De Lepeleire, Jan/0000-0001-6152-2134; Schoenmakers,
   Birgitte/0000-0003-1909-9613
TC 27
ZS 1
ZR 1
ZB 1
ZA 0
Z8 0
Z9 28
U1 1
U2 22
SN 0032-5473
EI 1469-0756
UT WOS:000373362000006
PM 26850504
ER

PT J
AU Ghani, Khurshid R.
   Miller, David C.
   Linsell, Susan
   Brachulis, Andrew
   Lane, Brian
   Sarle, Richard
   Dalela, Deepansh
   Menon, Mani
   Comstock, Bryan
   Lendvay, Thomas S.
   Montie, James
   Peabody, James O.
CA Michigan Urological Surg Improveme
TI Measuring to Improve: Peer and Crowd-sourced Assessments of Technical
   Skill with Robot-assisted Radical Prostatectomy
SO EUROPEAN UROLOGY
VL 69
IS 4
BP 547
EP 550
DI 10.1016/j.eururo.2015.11.028
PD APR 2016
PY 2016
AB Because surgical skill may be a key determinant of patient outcomes,
   there is growing interest in skill assessment. In the Michigan
   Urological Surgery Improvement Collaborative (MUSIC), we assessed
   whether peer and crowd-sourced (ie, layperson) video review of
   robot-assisted radical prostatectomy (RARP) could distinguish technical
   skill among practicing surgeons. A total of 76 video clips from 12 MUSIC
   surgeons consisted of one of four parts of RARP and underwent blinded
   review by MUSIC peer surgeons and prequalified crowd-sourced reviewers.
   Videos were rated for global skill (Global Evaluation Assessment of
   Robotic Skills) and procedure-specific skill (Robotic Anastomosis and
   Competency Evaluation). We fit linear mixed-effects models to estimate
   mean peer and crowd ratings for each video. Individual video ratings
   were aggregated to calculate surgeon skill scores. Peers (n = 25)
   completed 351 video ratings over 15 d, whereas crowd-sourced reviewers
   (n = 680) completed 2990 video ratings in 38 h. Surgeon global skill
   scores ranged from 15.8 to 21.7 (peer) and from 19.2 to 20.9 (crowd).
   Peer and crowd ratings demonstrated strong correlation for both global
   (r = 0.78) and anastomosis (r = 0.74) skills. The two groups
   consistently agreed on the rank order of lower scoring surgeons,
   suggesting a potential role for crowd-sourced methodology in the
   assessment of surgical performance. Lack of patient outcomes is a
   limitation and forms the basis of future study. Patient summary: We
   demonstrated the large-scale feasibility of assessing the technical
   skill of robotic surgeons and found that online crowd-sourced reviewers
   agreed with experts on the rank order of surgeons with the lowest
   technical skill scores. Published by Elsevier B.V.
ZA 0
ZR 0
ZB 29
Z8 0
ZS 0
TC 80
Z9 79
U1 0
U2 17
SN 0302-2838
EI 1873-7560
UT WOS:000370357200006
PM 26755338
ER

PT J
AU Puthran, Rohan
   Zhang, Melvyn W. B.
   Tam, Wilson W.
   Ho, Roger C.
TI Prevalence of depression amongst medical students: a meta-analysis
SO MEDICAL EDUCATION
VL 50
IS 4
BP 456
EP 468
DI 10.1111/medu.12962
PD APR 2016
PY 2016
AB ContextMedical schools are known to be stressful environments for
   students and hence medical students have been believed to experience
   greater incidences of depression than others. We evaluated the global
   prevalence of depression amongst medical students, as well as
   epidemiological, psychological, educational and social factors in order
   to identify high-risk groups that may require targeted interventions.
   MethodsA systematic search was conducted in online databases for
   cross-sectional studies examining prevalences of depression among
   medical students. Studies were included only if they had used
   standardised and validated questionnaires to evaluate the prevalence of
   depression in a group of medical students. Random-effects models were
   used to calculate the aggregate prevalence and pooled odds ratios (ORs).
   Meta-regression was carried out when heterogeneity was high.
   ResultsFindings for a total of 62728 medical students and 1845
   non-medical students were pooled across 77 studies and examined. Our
   analyses demonstrated a global prevalence of depression amongst medical
   students of 28.0% (95% confidence interval [CI] 24.2-32.1%). Female,
   Year1, postgraduate and Middle Eastern medical students were more likely
   to be depressed, but the differences were not statistically significant.
   By year of study, Year1 students had the highest rates of depression at
   33.5% (95% CI 25.2-43.1%); rates of depression then gradually decreased
   to reach 20.5% (95% CI 13.2-30.5%) at Year5. This trend represented a
   significant decline (B=-0.324, p=0.005). There was no significant
   difference in prevalences of depression between medical and non-medical
   students. The overall mean frequency of suicide ideation was 5.8% (95%
   CI 4.0-8.3%), but the mean proportion of depressed medical students who
   sought treatment was only 12.9% (95% CI 8.1-19.8%).
   ConclusionsDepression affects almost one-third of medical students
   globally but treatment rates are relatively low. The current findings
   suggest that medical schools and health authorities should offer early
   detection and prevention programmes, and interventions for depression
   amongst medical students before graduation.
   Discuss ideas arising from the article at discuss.
RI Puthran, Rohan/I-8335-2019; Ho, Roger C./ABD-9061-2021; Ho, Roger/ABD-8859-2021; TAM, Wilson W.S./H-5890-2019; Tam, Wilson/K-1664-2019
OI Puthran, Rohan/0000-0003-1079-0256; Ho, Roger C./0000-0001-9629-4493;
   TAM, Wilson W.S./0000-0003-0641-3060; Tam, Wilson/0000-0003-0641-3060
ZA 0
ZR 0
ZB 53
ZS 15
TC 255
Z8 0
Z9 270
U1 7
U2 66
SN 0308-0110
EI 1365-2923
UT WOS:000372909400016
PM 26995484
ER

PT J
AU Pujol, Sonia
   Baldwin, Michael
   Nassiri, Joshua
   Kikinis, Ron
   Shaffer, Kitt
TI Using 3D Modeling Techniques to Enhance Teaching of Difficult Anatomical
   Concepts
SO ACADEMIC RADIOLOGY
VL 23
IS 4
BP 507
EP 516
DI 10.1016/j.acra.2015.12.012
PD APR 2016
PY 2016
AB Rationale and Objectives: Anatomy is an essential component of medical
   education as it is critical for the accurate diagnosis in organs and
   human systems. The mental representation of the shape and organization
   of different anatomical structures is a crucial step in the learning
   process. The purpose of this pilot study is to demonstrate the
   feasibility and benefits of developing innovative teaching modules for
   anatomy education of first-year medical students based on
   three-dimensional (3D) reconstructions from actual patient data.
   Materials and Methods: A total of 196 models of anatomical structures
   from 16 anonymized computed tomography datasets were generated using the
   3D Slicer open-source software platform. The models focused on three
   anatomical areas: the mediastinum, the upper abdomen, and the pelvis.
   Online optional quizzes were offered to first-year medical students to
   assess their comprehension in the areas of interest. Specific tasks were
   designed for students to complete using the 3D models.
   Results: Scores of the quizzes confirmed a lack of understanding of 3D
   spatial relationships of anatomical structures despite standard
   instruction including dissection. Written task material and qualitative
   review by students suggested that interaction with 3D models led to a
   better understanding of the shape and spatial relationships among
   structures, and helped illustrate anatomical variations from one body to
   another.
   Conclusions: The study demonstrates the feasibility of one possible
   approach to the generation of 3D models of the anatomy from actual
   patient data. The educational materials developed have the potential to
   supplement the teaching of complex anatomical regions and help
   demonstrate the anatomical variation among patients.
OI Shaffer, Kitt/0000-0001-6488-6988
ZR 0
Z8 3
ZB 8
ZS 3
ZA 0
TC 58
Z9 63
U1 0
U2 18
SN 1076-6332
EI 1878-4046
UT WOS:000373034100015
PM 26897601
ER

PT J
AU Gerstenecker, Adam
   Niccolai, Lindsay
   Marson, Daniel
   Triebel, Kristen L.
TI Enhancing Medical Decision-Making Evaluations: Introduction of Normative
   Data for the Capacity to Consent to Treatment Instrument
SO ASSESSMENT
VL 23
IS 2
BP 232
EP 239
DI 10.1177/1073191115599053
PD APR 2016
PY 2016
AB A number of measures have been developed to assess medical
   decision-making capacity (MDC) in adults. However, their clinical
   utility is limited by a lack of available normative data. In the current
   study, we introduce age-independent and age-adjusted normative data for
   a measure of MDC: the Capacity to Consent to Treatment Instrument. The
   sample consisted of 308 cognitively normal, community-dwelling adults
   ranging in age from 19 to 86 years. For age-adjusted norms, individual
   raw scores were first converted to age-corrected scaled scores based on
   position within a cumulative frequency distribution and then grouped
   according to empirically supported age ranges. For age-independent
   norms, the same method was utilized but without age-corrections being
   applied or participants being grouped into age ranges. This study has
   the potential to enhance MDC evaluations by allowing clinicians to
   compare a patient's performance on the Capacity to Consent to Treatment
   Instrument with that of adults regardless of age as well as to same age
   peers. Tables containing normative corrections are supplementary
   material available online at http://asm.sagepub.com/supplemental.
RI triebel, kristen/A-6569-2019
OI triebel, kristen/0000-0001-9161-7847
ZS 0
ZB 4
ZR 0
ZA 0
TC 11
Z8 0
Z9 11
U1 0
U2 6
SN 1073-1911
EI 1552-3489
UT WOS:000372310200008
PM 26282778
ER

PT J
AU Modgil, V.
   Barratt, R.
   Summerton, D. J.
   Muneer, A.
TI Chaperone use amongst UK urological surgeons - an evaluation of current
   practice and opinion
SO ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND
VL 98
IS 4
BP 265
EP 269
DI 10.1308/rcsann.2016.0071
PD APR 2016
PY 2016
AB INTRODUCTION Intimate examinations are routinely performed by urologists
   as part of clinical practice. To protect patients and doctors, the
   General Medical Council offers guidance on the use of chaperones for
   intimate examinations. We assessed the opinions and use of chaperones
   amongst members of the British Association of Urological Surgeons
   (BAUS).
   METHODS An online questionnaire comprising 12 questions on the use of
   chaperones in clinical practice was sent to all full, trainee and
   speciality doctor members of BAUS.
   RESULTS The questionnaire had a response rate of 26% (n=331). The
   majority of respondents were consultant urologists, comprising 78.8%
   (n=261), with a wide range of years of experience. Of the respondents,
   38.9% were not aware of the GMC guidance on chaperones. While 72.5%
   always used a chaperone., 22.9% never use a chaperone when the patient
   was of the same sex. Chaperones were most commonly used for intimate
   examinations (64.6%), and for examinations involving members of the
   opposite sex (77.3%). A majority of respondents felt that chaperones
   protect both the patient (77.3%), and the doctor (96.6%). However, 42.5%
   did not feel that using a chaperone assists the doctor's examination,
   and some (17.2%) participants felt that chaperones were unnecessary.
   CONCLUSIONS This study shows considerable variability amongst urologists
   in their use of chaperones. A significant proportion of respondents were
   not aware of the GMC guidelines and did not regularly use a chaperone
   during an intimate examination. In addition, practice appears to be
   gender biased. Further study and education is suggested.
ZS 0
Z8 0
TC 3
ZR 0
ZB 0
ZA 0
Z9 3
U1 0
U2 1
SN 0035-8843
EI 1478-7083
UT WOS:000377596200010
PM 26924479
ER

PT J
AU Gaffney, Sean
   Farnan, Jeanne M.
   Hirsch, Kristen
   McGinty, Michael
   Arora, Vineet M.
TI The Modified, Multi-patient Observed Simulated Handoff Experience
   (M-OSHE): Assessment and Feedback for Entering Residents on Handoff
   Performance
SO JOURNAL OF GENERAL INTERNAL MEDICINE
VL 31
IS 4
BP 438
EP 441
DI 10.1007/s11606-016-3591-8
PD APR 2016
PY 2016
AB Despite the identification of transfer of patient responsibility as a
   Core Entrustable Professional Activity for Entering Residency, rigorous
   methods to evaluate incoming residents' ability to give a verbal handoff
   of multiple patients are lacking.
   Our purpose was to implement a multi-patient, simulation-based
   curriculum to assess verbal handoff performance.
   Graduate Medical Education (GME) orientation at an urban, academic
   medical center.
   Eighty-four incoming residents from four residency programs participated
   in the study.
   The curriculum featured an online training module and a multi-patient
   observed simulated handoff experience (M-OSHE). Participants verbally
   "handed off" three mock patients of varying acuity and were evaluated by
   a trained "receiver" using an expert-informed, five-item checklist.
   Prior handoff experience in medical school was associated with higher
   checklist scores (23 % none vs. 33 % either third OR fourth year vs. 58
   % third AND fourth year, p = 0.021). Prior training was associated with
   prioritization of patients based on acuity (12 % no training vs. 38 %
   prior training, p = 0.014). All participants agreed that the M-OSHE
   realistically portrayed a clinical setting.
   The M-OSHE is a promising strategy for teaching and evaluating entering
   residents' ability to give verbal handoffs of multiple patients. Prior
   training and more handoff experience was associated with higher
   performance, which suggests that additional handoff training in medical
   school may be of benefit.
OI Arora, Vineet/0000-0002-4745-7599
ZR 0
ZB 3
ZA 0
ZS 0
Z8 0
TC 16
Z9 16
U1 0
U2 4
SN 0884-8734
EI 1525-1497
UT WOS:000373160300019
PM 26831306
ER

PT J
AU Braithwaite, David W.
   Goldstone, Robert L.
   van der Maas, Han L. J.
   Landy, David H.
TI Non-formal mechanisms in mathematical cognitive development: The case of
   arithmetic
SO COGNITION
VL 149
BP 40
EP 55
DI 10.1016/j.cognition.2016.01.004
PD APR 2016
PY 2016
AB The idea that cognitive development involves a shift towards abstraction
   has a long history in psychology. One incarnation of this idea holds
   that development in the domain of mathematics involves a shift from
   non-formal mechanisms to formal rules and axioms. Contrary to this view,
   the present study provides evidence that reliance on non-formal
   mechanisms may actually increase with age. Participants Dutch primary
   school children - evaluated three-term arithmetic expressions in which
   violation of formally correct order of evaluation led to errors, termed
   foil errors. Participants solved the problems as part of their regular
   mathematics practice through an online study platform, and data were
   collected from over 50,000 children representing approximately 10% of
   all primary schools in the Netherlands, suggesting that the results have
   high external validity. Foil errors were more common for problems in
   which formally lower-priority sub-expressions were spaced close
   together, and also for problems in which such sub-expressions were
   relatively easy to calculate. We interpret these effects as resulting
   from reliance on two non-formal mechanisms, perceptual grouping and
   opportunistic selection, to determine order of evaluation. Critically,
   these effects reliably increased with participants' grade level,
   suggesting that these mechanisms are not phased out but actually become
   more important over development, even when they cause systematic
   violations of formal rules. This conclusion presents a challenge for the
   shift towards abstraction view as a description of cognitive development
   in arithmetic. Implications of this result for educational practice are
   discussed. (C) 2016 Elsevier B.V. All rights reserved.
RI Napierala, Joanna/AAU-1256-2020; van der Maas, Han L. J./; Braithwaite, David/
OI van der Maas, Han L. J./0000-0001-8278-319X; Braithwaite,
   David/0000-0001-8111-607X
ZA 0
ZR 0
Z8 0
ZB 2
TC 16
ZS 0
Z9 16
U1 0
U2 29
SN 0010-0277
EI 1873-7838
UT WOS:000371188800006
PM 26795071
ER

PT J
AU Fiorillo, Andrea
   Sampogna, Gaia
   Del Vecchio, Valeria
   Luciano, Mario
   Ambrosini, Alessandra
   Stanghellini, Giovanni
TI Education in Psychopathology in Europe: Results from a Survey in 32
   Countries
SO ACADEMIC PSYCHIATRY
VL 40
IS 2
BP 242
EP 248
DI 10.1007/s40596-015-0333-x
PD APR 2016
PY 2016
AB Objectives The aim of the present paper is to assess the current status
   of training on psychopathology in Europe and to identify the unmet needs
   of training on psychopathology.
   Methods An online survey was carried out during the period July-December
   2013. Forty-one representatives of early career psychiatrists of their
   national associations were invited to participate. Each respondent was
   asked to provide the collective feedback of the association rather than
   that of any of its individual officer or member.
   Results Thirty-two associations returned the questionnaire out of the 41
   contacted (response rate, 78 %). All respondents recognized
   psychopathology as a core component of training in psychiatry. According
   to respondents, the primary aims of psychopathology are (a) to assess
   psychiatric symptoms (47 %), (b) to understand patients' abnormal
   experiences (33 %), and (c) to make nosographical diagnosis (20 %). A
   formal training course in psychopathology is available in 29 out of the
   32 surveyed countries. In most countries, (a) there is not a defined
   number of hours dedicated to psychopathology, (b) teaching is mainly
   theoretical, and (c) a structured training on psychometric tools is
   missing. At the end of the training, about half of trainees is not
   satisfied with received training in psychopathology.
   Conclusions According to European early career psychiatrists, there is
   the need to rethink training in psychopathology, which should be at the
   heart of training in psychiatry and the key element of psychiatric
   practice. Education in psychopathology is affected by several unmet
   needs, such as lack of appropriate training in the use of psychometric
   instruments, lack of supervision, and lack of practical skills.
RI Fiorillo, Andrea/AHH-4551-2022; Sampogna, Gaia/AHH-4608-2022; stanghellini, giovanni/G-6009-2014; Luciano, Mario/
OI Fiorillo, Andrea/0000-0002-6926-0762; Sampogna,
   Gaia/0000-0002-9547-2793; Luciano, Mario/0000-0002-4338-1371
ZS 0
ZR 0
TC 6
Z8 0
ZB 1
ZA 0
Z9 6
U1 0
U2 1
SN 1042-9670
EI 1545-7230
UT WOS:000371422800008
PM 25895631
ER

PT J
AU Ali, Nareesa
   Fleisher, William
   Erickson, Julie
TI Psychiatrists' and Psychiatry Residents' Attitudes Toward Transgender
   People
SO ACADEMIC PSYCHIATRY
VL 40
IS 2
BP 268
EP 273
DI 10.1007/s40596-015-0308-y
PD APR 2016
PY 2016
AB Objective Gender minority groups, such as transgender individuals,
   frequently encounter stigma, discrimination, and negative mental health
   outcomes, which can result in contact with mental health professionals.
   Recent studies suggest that negative attitudes toward transgender
   individuals are prevalent and measurable within the general population.
   The Genderism and Transphobia scale (GTS) measures anti-transgender
   feelings, thoughts, and behaviors. The purpose of this study was to use
   the GTS to conduct an investigation of psychiatrists' attitudes toward
   transgender individuals.
   Methods A cross-sectional survey of n = 142 faculty members and
   residents from the Department of Psychiatry at the University of
   Manitoba was conducted. Respondents completed an online survey
   consisting of demographic questions and the GTS. Responses were analyzed
   descriptively and compared to previously published data on the GTS.
   Results There was a trend for psychiatrists and psychiatry residents
   within this sample to endorse less negative attitudes toward transgender
   people compared to other published data using a sample of undergraduate
   students. Descriptive analyses suggest that psychiatrists' and
   psychiatry residents' GTS scores may be related to gender identity,
   political ideology, religiosity, and levels of both professional and
   personal contact.
   Conclusions These data evoke optimism regarding psychiatrists' and
   psychiatry residents' attitudes toward transgender individuals.
   Additional larger-scale studies comparing this medical specialty group
   with other specialty groups will further elucidate factors that modify
   physician attitudes toward this patient population. These findings may
   contribute to the development of educational strategies to ensure that
   the transgender population receives medical treatment without stigma or
   attitudinal compromise.
RI Fleisher, Wil/AAF-5886-2020; Fleisher, William/
OI Fleisher, William/0000-0003-4672-1252
Z8 0
ZA 0
ZS 0
TC 23
ZB 1
ZR 0
Z9 23
U1 0
U2 29
SN 1042-9670
EI 1545-7230
UT WOS:000371422800012
PM 25743203
ER

PT J
AU Guerra Grangeia, Tiago de Araujo
   de Jorge, Bruno
   Franci, Daniel
   Santos, Thiago Martins
   Vellutini Setubal, Maria Silvia
   Schweller, Marcelo
   de Carvalho-Filho, Marco Antonio
TI Cognitive Load and Self-Determination Theories Applied to E-Learning:
   Impact on Students' Participation and Academic Performance
SO PLOS ONE
VL 11
IS 3
AR e0152462
DI 10.1371/journal.pone.0152462
PD MAR 31 2016
PY 2016
AB Background
   Emergency clerkships expose students to a stressful environment that
   require multiple tasks, which may have a direct impact on cognitive load
   and motivation for learning. To address this challenge, Cognitive Load
   Theory and Self Determination Theory provided the conceptual frameworks
   to the development of a Moodle-based online Emergency Medicine course,
   inspired by real clinical cases.
   Methods
   Three consecutive classes (2013-2015) of sixth-year medical students (n
   = 304) participated in the course, during a curricular and essentially
   practical emergency rotation. "Virtual Rounds" provided weekly virtual
   patients in narrative format and meaningful schemata to chief
   complaints, in order to simulate real rounds at Emergency Unit.
   Additional activities such as Extreme Decisions, Emergency Quiz and
   Electrocardiographic challenge offered different views of emergency
   care. Authors assessed student's participation and its correlation with
   their academic performance. A survey evaluated students' opinions.
   Students graduating in 2015 answered an online questionnaire to
   investigate cognitive load and motivation.
   Results
   Each student produced 1965 pageviews and spent 72 hours logged on.
   Although Clinical Emergency rotation has two months long, students
   accessed the online course during an average of 5.3 months. Virtual
   Rounds was the most accessed activity, and there was positive
   correlations between the number of hours logged on the platform and
   final grades on Emergency Medicine. Over 90% of students felt an
   improvement in their clinical reasoning and considered themselves better
   prepared for rendering Emergency care. Considering a Likert scale from 1
   (minimum load) to 7 (maximum load), the scores for total cognitive load
   were 4.79 +/- 2.2 for Virtual Rounds and 5.56 +/- 1.96 for real medical
   rounds(p<0,01).
   Conclusions
   A real-world inspired online course, based on cognitive and motivational
   conceptual frameworks, seems to be a strong tool to engage students in
   learning. It may support them to manage the cognitive challenges
   involved in clinical care and increase theirmotivation for learning.
RI Santos, Thiago/ABC-7839-2021; Carvalho-Filho, Marco Antonio/M-4335-2013; Santos, Thiago M/B-3644-2019; Grangeia, Tiago de Araujo Guerra/; de Jorge, Bruno/
OI Santos, Thiago/0000-0002-4686-3122; Carvalho-Filho, Marco
   Antonio/0000-0001-7008-4092; Grangeia, Tiago de Araujo
   Guerra/0000-0001-5584-4073; de Jorge, Bruno/0000-0001-6669-5288
ZS 0
TC 20
ZB 0
ZA 0
Z8 0
ZR 0
Z9 20
U1 0
U2 47
SN 1932-6203
UT WOS:000373121800079
PM 27031859
ER

PT J
AU Coleman, Clifford A.
   Nguyen, Nancy T.
   Garvin, Roger
   Sou, Channbunmorl
   Carney, Patricia A.
TI Health Literacy Teaching in U.S. Family Medicine Residency Programs: A
   National Survey
SO JOURNAL OF HEALTH COMMUNICATION
VL 21
SI SI
BP 51
EP 57
DI 10.1080/10810730.2015.1131774
SU 1
PD MAR 28 2016
PY 2016
AB Health care providers, including medical residents, often lack adequate
   knowledge and skills to work effectively with patients who have limited
   health literacy. Little is known about the degree to which medical
   residents are trained to communicate effectively with people who have
   limited health literacy. This study aimed to assess the status of health
   literacy training for physicians in U.S. family medicine residency
   programs. We conducted an online survey of residency directors at 444
   U.S. family medicine residencies. Among 138 respondents (31% response
   rate), 58 programs (42%) reported teaching residents about health
   literacy as part of the required curriculum. Most instruction occurred
   during the 1st year of training. Hours of instruction ranged from 2 to 5
   during Years 1 through 3. Skills-based training (e.g., plain language
   techniques) was taught by most programs. Not having access to a faculty
   authority on health literacy was strongly associated with lack of a
   required health literacy curriculum. Respondents overwhelmingly agreed
   that increasing health literacy training for medical students and
   residents would help improve residents' clinical skills. This study
   provides a baseline snapshot of health literacy curricula in U.S. family
   medicine residencies and likely overestimates the prevalence of such
   curricula. Additional studies are needed to determine the quality of
   health literacy instruction in U.S. family medicine residencies and the
   most effective methods for teaching residents about health literacy.
OI Nguyen, Nancy/0000-0002-2598-2587
TC 7
Z8 0
ZB 0
ZA 0
ZR 0
ZS 0
Z9 7
U1 0
U2 15
SN 1081-0730
EI 1087-0415
UT WOS:000373288800008
PM 27043758
ER

PT J
AU Armitage-Chan, E.
   Maddison, J.
   May, S. A.
TI What is the veterinary professional identity? Preliminary findings from
   web-based continuing professional development in veterinary
   professionalism
SO VETERINARY RECORD
VL 178
IS 13
BP 318
EP +
DI 10.1136/vr.103471
PD MAR 26 2016
PY 2016
AB Professionalism and professional skills are increasingly being
   incorporated into veterinary curricula; however, lack of clarity in
   defining veterinary professionalism presents a potential challenge for
   directing course outcomes that are of benefit to the veterinary
   professional. An online continuing education course in veterinary
   professionalism was designed to address a deficit in postgraduate
   support in this area; as part of this course, delegates of varying
   practice backgrounds participated in online discussions reflecting on
   the implications of professional skills for their clinical practice. The
   discussions surrounding the role of the veterinary professional and
   reflecting on strengths and weaknesses in professional skills were
   analysed using narrative methodology, which provided an understanding of
   the defining skills and attributes of the veterinary professional, from
   the perspectives of those involved (i.e. how vets understood their own
   career identity). The veterinary surgeon was understood to be an
   interprofessional team member, who makes clinical decisions in the face
   of competing stakeholder needs and works in a complex environment
   comprising multiple and diverse challenges (stress, high emotions,
   financial issues, work-life balance). It was identified that strategies
   for accepting fallibility, and those necessary for establishing
   reasonable expectations of professional behaviour and clinical ability,
   are poorly developed.
OI May, Stephen/0000-0003-1813-7745; Armitage-Chan,
   Elizabeth/0000-0001-9632-4955
TC 27
ZS 0
ZB 0
Z8 0
ZR 0
ZA 0
Z9 27
U1 0
U2 18
SN 0042-4900
EI 2042-7670
UT WOS:000372870800020
PM 26857071
ER

PT J
AU Kharraz, Razan
   Hamadah, Reem
   Alfawaz, Danah
   Attasi, Jalila
   Obeidat, Akef S.
   Alkattan, Wael
   Abu-Zaid, Ahmed
TI Perceived barriers towards participation in undergraduate research
   activities among medical students at Alfaisal University-College of
   Medicine: A Saudi Arabian perspective
SO MEDICAL TEACHER
VL 38
BP S12
EP S18
DI 10.3109/0142159X.2016.1142507
SU 1
PD MAR 25 2016
PY 2016
AB Background: The importance of undergraduate research (UR) to students is
   well acknowledged in literature; however, little is known about its
   perceived barriers. The aim of study is to explore the perceived
   barriers toward participation in UR activities among students at
   Alfaisal University-College of Medicine, Saudi Arabia.
   Methods: An online, anonymous, cross-sectional, self-rating survey was
   administered. A two-tailed Mann-Whitney U-test was used to compare the
   average five-point Likert scale responses between male and female
   students.
   Results: Two-hundred and twenty-one students (n = 221/350) participated
   in the survey with a 63.1% response rate. The percentage of
   participation in UR significantly differed by gender (males vs. females:
   68.6% vs. 45.4%; p < 0.0005, Chi-square test). The top three barriers
   toward participation in UR were "lack of time" (77.4%), "lack of formal
   UR courses in curriculum" (76%) and "lack of UR mentors" (70.1%).
   Statistically significant differences of means were identified between
   male and female students regarding the following statements: "lack of
   supervising research mentors" (p < 0.01), "lack of interest in research"
   (p < 0.04), "lack of finding same-gender research mentor" (p < 0.00) and
   "lack of UR opportunities" (p < 0.00).
   Conclusion: Our results were fairly comparable to the Western studies.
   Medical educators should carefully look into all UR barriers and
   consider implementing applicable solutions.
OI Abu-Zaid, Ahmed/0000-0003-2286-2181
Z8 0
ZA 0
ZR 0
TC 16
ZS 0
ZB 0
Z9 16
U1 0
U2 2
SN 0142-159X
EI 1466-187X
UT WOS:000372446800004
PM 26984028
ER

PT J
AU Mina, Syeda
   Mostafa, Sowshan
   Albarqawi, Haneen Thabit
   Alnajjar, Asma
   Obeidat, Akef S.
   Alkattan, Wael
   Abu-Zaid, Ahmed
TI Perceived influential factors toward participation in undergraduate
   research activities among medical students at Alfaisal
   University-College of Medicine: A Saudi Arabian perspective
SO MEDICAL TEACHER
VL 38
BP S31
EP S36
DI 10.3109/0142159X.2016.1142508
SU 1
PD MAR 25 2016
PY 2016
AB Aims: (1) To explore correlations between medical students'
   participation in undergraduate research (UR) activities and their
   characteristics, and (2) to explore students' perceived influential
   factors toward participation in UR activities at Alfaisal
   University-College of Medicine, Saudi Arabia.
   Methods: An online, anonymous, cross-sectional, self-rating survey was
   administered. Chi-square test was used to correlate between
   participation in UR activities and students' characteristics (age,
   academic year and grade point average [GPA]). Two-tailed Mann-Whitney
   U-test was used to compare the mean 5-point Likert scale responses
   between students with and without previous UR activities.
   Results: About 218 students participated in the survey (n = 218/350;
   response rate: 62.3%). The top three influential factors to undertake UR
   activities were "facilitate entry into competitive residency programs,"
   (88.1%) "improve curriculum vitae" (81.2%) and "publish in peer-reviewed
   journals" (79.8%). Percentage of participation in previous UR activities
   significantly differed by gender (p < 0.03825), academic year (p <
   0.000003) and GPA (p < 0.02627). Students who had previous UR activities
   were more positively influenced to participate in future UR activities
   than those who did not (p < 0.0488).
   Conclusion: Students demonstrated positive attitudes toward UR
   activities. The relationships between participation in UR activities and
   male gender, increased number of years spent at medical college and
   higher GPA were directly proportional.
OI Abu-Zaid, Ahmed/0000-0003-2286-2181; Salah, Haneen/0000-0003-2676-0473
ZB 0
ZR 0
ZS 0
Z8 0
TC 10
ZA 0
Z9 10
U1 0
U2 3
SN 0142-159X
EI 1466-187X
UT WOS:000372446800007
PM 26984031
ER

PT J
AU Kluemper, Christian
   Neunzehn, Joerg
   Wegmann, Ute
   Kruppke, Benjamin
   Joos, Ulrich
   Wiesmann, Hans Peter
TI Development and evaluation of an internet-based blended-learning module
   in biomedicine for university applicants - Education as a challenge for
   the future -
SO HEAD & FACE MEDICINE
VL 12
AR 13
DI 10.1186/s13005-016-0112-2
PD MAR 25 2016
PY 2016
AB Background: Biomedical science, especially biomaterials, is an expanding
   field in medicine. Universities are being challenged to gain the best
   students for a later academic career. Pre-university assessment of
   pupils has become crucial to reach this aim. Blended learning is an
   emerging paradigm for science education even though it has not yet been
   rigorously assessed, especially in the pupil/undergraduate situation.
   The aim of the study was to develop and preliminarily test a
   blended-learning system in biomedicine for university applicants.
   Methods: An internet-based blended-learning module in material science
   was developed in close collaboration between a university (Biomaterials
   Department, Dresden TU), a German Gymnasium and an internationally
   oriented medical college (IMC (R), Munster). Forty pre-university
   students were taught by this learning module composed of school
   education and internet-based knowledge transfer and involved in the
   evaluation of the utility of this learning tool. Finally, the students
   took first-year university examinations in order to evaluate the success
   of this kind of education.
   Results: The internet-based blended-learning module as a combination of
   e-learning tutorials and live online lectures which was applied in phase
   3 of this study was developed on the basis of the findings of both
   pre-university studies. The results of the learning behavior regarding
   the number of invokes and the dwell time of the individual pages of the
   pre-university learning material, the results of the online evaluation
   and the results of the pre-phase examination were successively used to
   optimize the next phase. At the end of the pre-university learning,
   seven of eight participants were able to pass the first-year university
   examination followed by nationally accepted credit award.
   Conclusion: Internet-based blended-learning module proved to be suitable
   to prepare students for biomedical university education while also
   giving them the possibility to assess their qualifications for studying
   biomedicine and subsequent scientific careers. Moreover, the module can
   help universities to find the best students.
TC 3
ZR 0
ZS 0
ZA 0
Z8 0
ZB 0
Z9 3
U1 1
U2 27
SN 1746-160X
UT WOS:000372864400001
PM 27013322
ER

PT J
AU Mor, Zohar
   Davidovich, Udi
TI Same-sex sexual attraction, behavior, and practices of Jewish men in
   Israel and the association with HIV prevalence
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 28
SI SI
BP 64
EP 67
DI 10.1080/09540121.2016.1146400
SU 1
PD MAR 24 2016
PY 2016
AB In order to efficiently direct efforts and resources required for the
   prevention of HIV and other sexually transmitted infection among men who
   have sex with men (MSM) in Israel, it is necessary to define their
   particular behaviors, estimate their size, and asses the HIV-burden.
   This cross-sectional study included a sub-sample from a random
   representative National study performed in Israel, which included Jewish
   males aged 18-44 who completed online anonymous questionnaires regarding
   their sexual attraction and practices, commercial sex-work, as well as
   condom and substances' use. Additionally, participants were asked to
   identify themselves as gay, bisexual, or heterosexual. National
   estimates regarding prevalence of risk-behaviors and HIV-infection among
   MSM were based on the Statistical Abstract of Israel and the National
   HIV Registry, respectively. Of the total sample of 997 men, 11.9%
   reported lifetime male sex encounters, while 4.5% and 3.7%
   self-identified as gay or bisexual, respectively. The estimated
   population of self-identified Jewish gays/bisexuals aged 18-44 in Israel
   was 94,176, and in Tel-Aviv 33,839. HIV prevalence among MSM was
   estimated at 0.7% in Israel and 1.0% in Tel-Aviv. MSM were more likely
   to live in Tel-Aviv, had higher levels of education, and were scored
   higher on several determinants of sexual risk in comparison to those
   attracted to women, including early sexual debut, greater number of
   sexual partners, ever paid/been paid for sex, sexually coerced, and
   substance use. In conclusion, MSM were involved in greater risk
   behaviors than those who only had female sex partners. Most MSM were
   living in Tel-Aviv and their estimated HIV prevalence was 1.0%.
ZB 5
Z8 0
ZA 0
TC 11
ZS 0
ZR 0
Z9 11
U1 0
U2 4
SN 0954-0121
EI 1360-0451
UT WOS:000372894500012
PM 26883581
ER

PT J
AU Carvalho, Paulo F.
   Braithwaite, David W.
   de Leeuw, Joshua R.
   Motz, Benjamin A.
   Goldstone, Robert L.
TI An In Vivo Study of Self-Regulated Study Sequencing in Introductory
   Psychology Courses
SO PLOS ONE
VL 11
IS 3
AR e0152115
DI 10.1371/journal.pone.0152115
PD MAR 22 2016
PY 2016
AB Study sequence can have a profound influence on learning. In this study
   we investigated how students decide to sequence their study in a
   naturalistic context and whether their choices result in improved
   learning. In the study reported here, 2061 undergraduate students
   enrolled in an Introductory Psychology course completed an online
   homework tutorial on measures of central tendency, a topic relevant to
   an exam that counted towards their grades. One group of students was
   enabled to choose their own study sequence during the tutorial
   (Self-Regulated group), while the other group of students studied the
   same materials in sequences chosen by other students (Yoked group).
   Students who chose their sequence of study showed a clear tendency to
   block their study by concept, and this tendency was positively
   associated with subsequent exam performance. In the Yoked group, study
   sequence had no effect on exam performance. These results suggest that
   despite findings that blocked study is maladaptive when assigned by an
   experimenter, it may actually be adaptive when chosen by the learner in
   a naturalistic context.
RI Carvalho, Paulo/I-4781-2017; Braithwaite, David/; de Leeuw, Joshua/; Motz, Benjamin/
OI Carvalho, Paulo/0000-0002-0449-3733; Braithwaite,
   David/0000-0001-8111-607X; de Leeuw, Joshua/0000-0003-4815-2364; Motz,
   Benjamin/0000-0002-0379-2184
Z8 0
ZS 0
ZA 0
ZR 0
ZB 1
TC 14
Z9 14
U1 2
U2 13
SN 1932-6203
UT WOS:000372697400081
PM 27003164
ER

PT J
AU Jelin, Angie C.
   Anderson, Britta
   Wilkins-Haug, Louise
   Schulkin, Jay
TI Obstetrician and gynecologists' population-based screening practices
SO JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
VL 29
IS 6
BP 875
EP 879
DI 10.3109/14767058.2015.1029910
PD MAR 18 2016
PY 2016
AB Background: The ability to obtain genetic information can now be
   accomplished in far greater detail, and more quickly than in the past.
   It is important to understand obstetrician-gynecologists' (ob-gyns)
   screening practices as these changes occur.Methods: Cross-sectional
   survey was performed by mailing paper surveys to Fellows of the American
   College of Obstetricians and Gynecologists and a subset of Fellows who
   belong to the Collaborative Ambulatory Research Network (CARN).Results:
   Response rates were 57% for the CARN network. Almost all responders
   (92%) offer population-based genetic screening in the prenatal period
   and almost all (93%) conduct counseling prior to the provision of
   genetic testing. Almost all (92%) counsel patients when the result is
   positive, with 46% being the primary counselor and 55% calling the
   patient themselves. When results are negative, 73% counsel with 58%
   indicating they are the primary counselor and 17% call patients
   themselves. A total of 72% have received continuing medical education
   (CME) on genetics within 5 years, with 79% receiving CME at conferences
   and 21% receiving CME online.Conclusion: Ob-gyns have a large role in
   providing patients new genetic screening technologies. This role
   requires a significant knowledge base, some of which can be obtained by
   online modules; however, our study suggests online education is
   underutilized as a means for CME on genetic screening among ob-gyns.
ZS 0
ZB 0
Z8 0
ZR 0
TC 0
ZA 0
Z9 0
U1 0
U2 17
SN 1476-7058
EI 1476-4954
UT WOS:000366322400005
PM 25782463
ER

PT J
AU Chadaga, Amar R.
   Villines, Dana
   Krikorian, Armand
TI Bullying in the American Graduate Medical Education System: A National
   Cross-Sectional Survey
SO PLOS ONE
VL 11
IS 3
AR e0150246
DI 10.1371/journal.pone.0150246
PD MAR 16 2016
PY 2016
AB Objectives
   To deliver an estimate of bullying among residents and fellows in the
   United States graduate medical education system and to explore its
   prevalence within unique subgroups.
   Design/Setting/Participants
   A national cross-sectional survey from a sample of residents and fellows
   who completed an online bullying survey conducted in June 2015. The
   survey was distributed using a chain sampling method that relied on
   electronic referrals from 4,055 training programs, with 1,791 residents
   and fellows completing the survey in its entirety. Survey respondents
   completed basic demographic and programmatic information plus four
   general bullying and 20 specific bullying behavior questions.
   Between-group differences were compared for demographic and programmatic
   stratifications.
   Main Outcomes/Measures
   Self-reported subjected to workplace bullying from peers, attendings,
   nurses, ancillary staff, or patients in the past 12 months.
   Results
   Almost half of the respondents (48%) reported being subjected to
   bullying although both those subjected and not subjected reported
   experiencing >= 1 bullying behaviors (95% and 39% respectively).
   Attendings (29%) and nurses (27%) were the most frequently identified
   source of bullying, followed by patients, peers, consultants and staff.
   Attempts to belittle and undermine work and unjustified criticism and
   monitoring of work were the most frequently reported bullying behaviors
   (44% each), followed by destructive innuendo and sarcasm (37%) and
   attempts to humiliate (32%). Specific bullying behaviors were more
   frequently reported by female, non-white, shorter than <5'8 and BMI >=
   25 individuals.
   Conclusions/Relevance
   Many trainees report experiencing bullying in the United States graduate
   medical education programs. Including specific questions on bullying in
   the Accreditation Council for Graduate Medical Education annual
   resident/fellow survey, implementation of anti-bullying policies, and a
   multidisciplinary approach engaging all stakeholders may be of great
   value to eliminate these pervasive behaviors in the field of healthcare.
RI Krikorian, Armand/AAH-1571-2020
ZS 0
ZA 0
ZB 2
ZR 0
Z8 0
TC 21
Z9 21
U1 1
U2 15
SN 1932-6203
UT WOS:000372574900028
PM 26982705
ER

PT J
AU Phillips, Cameron J.
   Wisdom, Alice J.
   Eaton, Vaughn S.
   Woodman, Richard J.
   McKinnon, Ross A.
TI The impact of a pilot continuing professional development module on
   hospital pharmacists' preparedness to provide contemporary advice on the
   clinical use of vancomycin
SO SPRINGERPLUS
VL 5
AR 331
DI 10.1186/s40064-016-1966-2
PD MAR 15 2016
PY 2016
AB Background: Revised international clinical guidelines for the antibiotic
   vancomycin have changed the advice pharmacists need to provide to
   medical and nursing colleagues.
   Objectives: (1) To determine the self-reported confidence of hospital
   pharmacists to provide contemporary advice on vancomycin and (2) to
   evaluate hospital pharmacists' knowledge to provide contemporary advice
   on vancomycin following a pilot continuing professional development
   (CPD) module.
   Methods: The study was a prospective two-phase design in an Australian
   teaching hospital. Phase one: a survey of pharmacist self-reported
   confidence to eight questions on providing contemporary advice on
   vancomycin. Responses were recorded using a Likert scales. Phase two:
   The provision of a pilot online CPD module on vancomycin containing
   knowledge-based assessment based on a clinical vignette. Likert scales
   recorded self-reported confidence were reported as median and
   interquartile range (IQR). Knowledge assessment was reported using
   descriptive statistics. The main outcome measure were the self-reported
   confidence, and knowledge of pharmacists regarding provision of
   contemporary advice on clinical vancomycin use.
   Results: Response rates for surveys; confidence n = 35 (72.9 %) and
   knowledge n = 31 (58.5 %). Phase one: confidence was highest regarding
   vancomycin dosing and monitoring with 71.4-81.6 % of respondents
   agreeing or strongly agreeing that they were confident in these domains.
   Respondents agreeing or strongly agreeing were least confident regarding
   intravenous administration and infusion related reactions, 57.1 and 45.7
   % respectively. Respondents who provided advice on vancomycin >10 times
   in the prior 12 months reported significantly higher confidence in;
   therapeutic range 1 (IQR 1-2) versus 2 (IQR 1-3) p = 0.02; amending
   dosage based on therapeutic drug monitoring results 2 (IQR 1-3) versus 3
   (IQR 2-3) p = <0.001, and providing general advice to prescribers on
   vancomycin 2 (IQR 1-3) versus 2 (IQR 2-4) p = <0.009. Knowledge
   questions were answered correctly post CPD by >75 % of pharmacists.
   Conclusion: Pharmacists' self-reported confidence to managing vancomycin
   was variable but generally high. Knowledge scores were consistently high
   after pharmacists completed a pilot CPD module on vancomycin. These data
   provides impetus for a randomised controlled study across multiple sites
   to determine the extent to which pharmacist knowledge on vancomycin can
   be attributed to completion of an online CPD.
RI McKinnon, Ross/B-9340-2009; Eaton, Vaughn/; Woodman, Richard/; Phillips, Dr Cameron J./
OI McKinnon, Ross/0000-0002-3725-793X; Eaton, Vaughn/0000-0002-4313-6018;
   Woodman, Richard/0000-0002-4094-1222; Phillips, Dr Cameron
   J./0000-0003-0801-3802
ZA 0
ZR 0
Z8 0
TC 5
ZS 0
ZB 3
Z9 6
U1 0
U2 3
SN 2193-1801
UT WOS:000373222300007
PM 27064954
ER

PT J
AU Quince, Thelma A.
   Kinnersley, Paul
   Hales, Jonathan
   da Silva, Ana
   Moriarty, Helen
   Thiemann, Pia
   Hyde, Sarah
   Brimicombe, James
   Wood, Diana
   Barclay, Matthew
   Benson, John
TI Empathy among undergraduate medical students: A multi-centre
   cross-sectional comparison of students beginning and approaching the end
   of their course
SO BMC MEDICAL EDUCATION
VL 16
AR 92
DI 10.1186/s12909-016-0603-7
PD MAR 15 2016
PY 2016
AB Background: Although a core element in patient care the trajectory of
   empathy during undergraduate medical education remains unclear. Empathy
   is generally regarded as comprising an affective capacity: the ability
   to be sensitive to and concerned for, another and a cognitive capacity:
   the ability to understand and appreciate the other person's perspective.
   The authors investigated whether final year undergraduate students
   recorded lower levels of empathy than their first year counterparts, and
   whether male and female students differed in this respect.
   Methods: Between September 2013 and June 2014 an online questionnaire
   survey was administered to 15 UK, and 2 international medical schools.
   Participating schools provided both 5-6 year standard courses and 4 year
   accelerated graduate entry courses. The survey incorporated the
   Jefferson Scale of Empathy-Student Version (JSE-S) and Davis's
   Interpersonal Reactivity Index (IRI), both widely used to measure
   medical student empathy. Participation was voluntary. Chi squared tests
   were used to test for differences in biographical characteristics of
   student groups. Multiple linear regression analyses, in which predictor
   variables were year of course (first/final); sex; type of course and
   broad socioeconomic group were used to compare empathy scores.
   Results: Five medical schools (4 in the UK, 1 in New Zealand) achieved
   average response rates of 55 % (n = 652) among students starting their
   course and 48 % (n = 487) among final year students. These schools
   formed the High Response Rate Group. The remaining 12 medical schools
   recorded lower response rates of 24.0 % and 15.2 % among first and final
   year students respectively. These schools formed the Lower Response Rate
   Group. For both male and female students in both groups of schools no
   significant differences in any empathy scores were found between
   students starting and approaching the end of their course. Gender was
   found to significantly predict empathy scores, with females scoring
   higher than males.
   Conclusions: Participant male and female medical students approaching
   the end of their undergraduate education, did not record lower levels of
   empathy, compared to those at the beginning of their course. Questions
   remain concerning the trajectory of empathy after qualification and how
   best to support it through the pressures of starting out in medical
   practice.
RI Barclay, Matthew Edward/Q-2626-2019; Da Silva, Ana L./
OI Barclay, Matthew Edward/0000-0003-1148-1922; Da Silva, Ana
   L./0000-0001-7262-0215
TC 50
ZS 3
ZR 0
ZB 3
Z8 0
ZA 0
Z9 53
U1 0
U2 23
SN 1472-6920
UT WOS:000372402100001
PM 26979078
ER

PT J
AU Janssen, Anna
   Shaw, Tim
   Bradbury, Lauren
   Moujaber, Tania
   Norrelykke, Anne Mette
   Zerillo, Jessica A.
   LaCasce, Ann
   Co, John Patrick T.
   Robinson, Tracy
   Starr, Alison
   Harnett, Paul
TI A mixed methods approach to developing and evaluating oncology trainee
   education around minimization of adverse events and improved patient
   quality and safety
SO BMC MEDICAL EDUCATION
VL 16
AR 91
DI 10.1186/s12909-016-0609-1
PD MAR 12 2016
PY 2016
AB Background: Adverse events are a significant quality and safety issue in
   the hospital setting due to their direct impact on patients.
   Additionally, such events are often handled by junior doctors due to
   their direct involvement with patients. As such, it is important for
   health care organizations to prioritize education and training for
   junior doctors on identifying adverse events and handling them when they
   occur. The Cancer Cup Challenge is an educational program focuses on
   quality improvement and adverse event awareness targeting for junior
   oncology doctors across three international sites.
   Methods: A mixed methodology was used to develop and evaluate the
   program. The Qstream spaced learning platform was used to disseminate
   information to participants, as it has been demonstrated to impact on
   both knowledge and behavior. Eight short case based scenarios with
   expert feedback were developed by a multidisciplinary advisory committee
   containing representatives from the international sites. At the
   conclusion of the course impact on participant knowledge was evaluated
   using analysis of the metrics collected by the Qstream platform.
   Additionally, an online survey and semi-structured interviews were used
   to evaluate engagement and perceived value by participants.
   Results: A total of 35 junior doctors registered to undertake the
   Qstream program, with 31 (88.57 %) successfully completing it. Analysis
   of the Qstream metrics revealed 76.57 % of cases were answered correctly
   on first attempt. The post-program survey received 17 responses, with
   76.47 % indicating cases for the course were interesting and 82.35 %
   feeling cases were relevant. Finally, 14 participants consented to
   participate in semi-structured interviews about the program, with
   feedback towards the course being generally very positive.
   Conclusions: Our study demonstrates that an online game is well accepted
   by junior doctors as a method to increase their quality improvement
   awareness. Developing effective and sustainable training for doctors is
   important to ensure positive patient outcomes are maintained in the
   hospital setting. This is particularly important for junior doctors as
   they are working closely with patients and learning skills and
   behaviors, which will influence their practice throughout their careers.
RI Harnett, Paul R/D-4090-2014; Janssen, Anna/AAE-6751-2019; Robinson, Tracy/
OI Harnett, Paul R/0000-0001-7021-0642; Janssen, Anna/0000-0001-6611-9651;
   Robinson, Tracy/0000-0002-3512-7023
TC 6
ZS 0
ZA 0
ZB 0
Z8 0
ZR 0
Z9 6
U1 0
U2 6
SN 1472-6920
UT WOS:000371766300001
PM 26968519
ER

PT J
AU Monroe, Katherine S
TI The relationship between assessment methods and self-directed learning
   readiness in medical education.
SO International journal of medical education
VL 7
BP 75
EP 80
DI 10.5116/ijme.56bd.b282
PD 2016 Mar 11
PY 2016
AB OBJECTIVE: This research explored the assessment of self-directed
   learning readiness within the comprehensive evaluation of medical
   students' knowledge and skills and the extent to which several variables
   predicted participants' self-directed learning readiness prior to their
   graduation.
   METHODS: Five metrics for evaluating medical students were considered in
   a multiple regression analysis. Fourth-year medical students at a
   competitive US medical school received an informed consent and an online
   survey. Participants voluntarily completed a self-directed learning
   readiness scale that assessed four subsets of self-directed learning
   readiness and consented to the release of their academic records.
   RESULTS: The assortment of metrics considered in this study only vaguely
   captured students' self-directedness. The strongest predictors were
   faculty evaluations of students' performance on clerkship rotations.
   Specific clerkship grades were mildly predictive of three subscales. The
   Pediatrics clerkship modestly predicted critical self-evaluation
   (r=-.30, p=.01) and the Psychiatry clerkship mildly predicted learning
   self-efficacy (r =-.30, p=.01), while the Junior Surgery clerkship
   nominally correlated with participants' effective organization for
   learning (r=.21, p=.05). Other metrics examined did not contribute to
   predicting participants' readiness for self-directed learning.
   CONCLUSIONS: Given individual differences among participants for the
   variables considered, no combination of students' grades and/or test
   scores overwhelmingly predicted their aptitude for self-directed
   learning. Considering the importance of fostering medical students'
   self-directed learning skills, schools need a reliable and pragmatic
   approach to measure them. This data analysis, however, offered no
   clear-cut way of documenting students' self-directed learning readiness
   based on the evaluation metrics included.
ZB 2
TC 13
ZA 0
Z8 0
ZS 0
ZR 0
Z9 13
U1 0
U2 4
EI 2042-6372
UT MEDLINE:26970653
PM 26970653
ER

PT J
AU Gutnik, Lily
   Moses, Agnes
   Stanley, Christopher
   Tembo, Tapiwa
   Lee, Clara
   Gopal, Satish
TI From Community Laywomen to Breast Health Workers: A Pilot Training Model
   to Implement Clinical Breast Exam Screening in Malawi
SO PLOS ONE
VL 11
IS 3
AR e0151389
DI 10.1371/journal.pone.0151389
PD MAR 9 2016
PY 2016
AB Background
   Breast cancer burden is high in low-income countries. Inadequate early
   detection contributes to late diagnosis and increased mortality. We
   describe the training program for Malawi's first clinical breast exam
   (CBE) screening effort.
   Methods
   Laywomen were recruited as Breast Health Workers (BHWs) with the help of
   local staff and breast cancer advocates. The four-week training
   consisted of lectures, online modules, role-playing, case discussions,
   CBE using simulators and patients, and practice presentations. Ministry
   of Health trainers taught health communication, promotion, and education
   skills. Breast cancer survivors shared their experiences. Clinicians
   taught breast cancer epidemiology, prevention, detection, and clinical
   care. Clinicians and research staff taught research ethics, informed
   consent, data collection, and professionalism. Breast cancer knowledge
   was measured using pre- and post-training surveys. Concordance between
   BHW and clinician CBE was assessed. Breast cancer talks by BHW were
   evaluated on a 5-point scale in 22 areas by 3 judges.
   Results
   We interviewed 12 women, and 4 were selected as BHWs including 1 breast
   cancer survivor. Training was dynamic with modification based on trainee
   response and progress. A higher-than-anticipated level of comprehension
   and interest led to inclusion of additional topics like breast
   reconstruction. Pre-training knowledge increased from 49% to 91% correct
   (p<0.0001). Clinician and BHW CBE had 88% concordance (kappa 0.43). The
   mean rating of BHW educational talks was 4.4 (standard deviation 0.7).
   Conclusions
   Malawian laywomen successfully completed training and demonstrated
   competency to conduct CBE and deliver breast cancer educational talks.
   Knowledge increased after training, and concordance was high between BHW
   and clinician CBE.
RI Gutnik, Lily/AAV-5256-2020; Gutnik, Lily/
OI Gutnik, Lily/0000-0001-8674-7655
TC 11
ZA 0
ZS 0
ZR 0
Z8 0
ZB 3
Z9 11
U1 0
U2 4
SN 1932-6203
UT WOS:000371992300119
PM 26959980
ER

PT J
AU Kidd, Francois
   Dubourg, Dominique
   Heller, Francis
   Frippiat, Frederic
TI Antimicrobial stewardship in long-term care facilities in Belgium: a
   questionnaire-based survey of nursing homes to evaluate initiatives and
   future developments
SO ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
VL 5
AR 7
DI 10.1186/s13756-016-0106-7
PD MAR 8 2016
PY 2016
AB Background: The use of antimicrobials is intense and often inappropriate
   in long-term care facilities. Antimicrobial resistance has increased in
   acute and chronic care facilities, including those in Belgium. Evidence
   is lacking concerning antimicrobial stewardship programmes in chronic
   care settings. The medical coordinator practicing in Belgian nursing
   homes is a general practitioner designated to coordinate medical
   activity. He is likely to be the key position for effective
   implementation of such programmes. The aim of this study was to evaluate
   past, present, and future developments of antimicrobial stewardship
   programmes by surveying medical coordinators working in long-term care
   facilities in Belgium.
   Methods: We conducted an online questionnaire-based survey of 327
   Belgian medical coordinators. The questionnaire was composed of 33
   questions divided into four sections: characteristics of the
   respondents, organisational frameworks for implementation of the
   antimicrobial stewardship programme, tools to promote appropriate
   antimicrobial use and priorities of action. Questions were multiple
   choice, rating scale, or free text.
   Results: A total of 39 medical coordinators (12 %) completed the
   questionnaire. Past or present antimicrobial stewardship initiatives
   were reported by 23 % of respondents. The possibility of future
   developments was rated 2.7/5. The proposed key role of medical
   coordinators was rated <3/5 by 36 % of respondents. General
   practitioners, nursing staff, and hospital specialists are accepted as
   important roles. The use of antimicrobial guidelines was reported by
   only 19 % of respondents. Education was considered the cornerstone for
   any future developments. Specific diagnostic recommendations were
   considered useful, but chest x-rays were judged difficult to undertake.
   The top priority identified was to reduce unnecessary treatment of
   asymptomatic urinary infections.
   Conclusions: Our study shows that the implementation of an antimicrobial
   stewardship programme is reported only in a minority of nursing homes.
   The possibility of future developments is uncertain. Nevertheless, the
   self-selected medical coordinators who responded to the survey reported
   a good knowledge of this complex problem. Despite a lack of optimism,
   medical coordinators seem to have the appropriate competencies to play a
   key role in antimicrobial stewardship in the future.
ZR 0
ZB 1
TC 2
Z8 0
ZS 0
ZA 0
Z9 2
U1 0
U2 14
SN 2047-2994
UT WOS:000371963300001
PM 26962446
ER

PT J
AU Wang, Jing
   Feng, Qiming
   Tam, Andrew
   Sun, Tong
   Zhou, Peijing
   So, Samuel
TI Evaluation of the first open-access hepatitis B and safe injection
   online training course for health professionals in China
SO BMC MEDICAL EDUCATION
VL 16
AR 81
DI 10.1186/s12909-016-0608-2
PD MAR 8 2016
PY 2016
AB Background: Despite the high prevalence of chronic hepatitis B virus
   (HBV) infection in China, HBV infection prevention and long-term care
   knowledge of health professionals is inadequate. To address this
   knowledge gap, we developed an open-access evidence-based online
   training course, "KnowHBV", to train health professionals on prevention
   of HBV transmission and safe injections. We conducted an evaluation of
   the course with health professionals in China to examine its
   effectiveness in improving knowledge and learner's satisfaction of the
   course.
   Methods: Between July and December 2011, 1015 health professionals from
   selected hospitals and disease control institutions of Shandong province
   registered for the course and 932 (92 %) completed the three-module
   course. Participants' demographic information, pre- and post-course
   knowledge test results and learner's feedback were collected through the
   course website.
   Results: Pre-course knowledge assessment confirmed gaps in HBV
   transmission routes, prevention and long-term care knowledge. Only 50.4
   % of participants correctly identified all of the transmission routes of
   HBV, and only 40.7 % recognized all of the recommended tests to monitor
   chronically infected persons. The number of participants that answered
   all six multi-part multiple-choice knowledge questions correctly
   increased from 183 (19.7 %) before taking the course to 395 (42.4 %) on
   their first attempt upon completion of the course. Over 90 % of the 898
   participants who completed the learner-feedback questionnaire rated the
   course as 'good' or 'very good'; over 94 % found the course
   instructional design helpful; 57.5 %, 65.7 % and 68.5 % reported that
   half or more than half of the course content in modules 1, 2 and 3
   respectively provided new information; and 93.2 % of the participants
   indicated they preferred the online learning over traditional
   face-to-face classroom learning.
   Conclusions: The "KnowHBV" online training course appears to be an
   effective online training tool to improve HBV prevention and care
   knowledge of the health professionals in China.
Z8 0
ZA 0
TC 3
ZB 1
ZR 0
ZS 0
Z9 3
U1 0
U2 25
SN 1472-6920
UT WOS:000371764700001
PM 26952079
ER

PT J
AU Theoret, C. L.
   Bolwell, C. F.
   Riley, C. B.
TI A cross-sectional survey on wounds in horses in New Zealand
SO NEW ZEALAND VETERINARY JOURNAL
VL 64
IS 2
BP 90
EP 94
DI 10.1080/00480169.2015.1091396
PD MAR 3 2016
PY 2016
AB AIM: To determine the frequency and type of skin wounds encountered by
   New Zealand veterinarians in their equine patients, the duration and
   estimated costs of treatment as well as the expected outcomes for these
   wounds.
   METHODS: An online survey was sent to all veterinarians registered with
   the New Zealand Equine Veterinary Association. The survey comprised
   questions on the location and experience of respondents, the number of
   wound-related cases in relation to the total equine caseload, the type
   and anatomical location of wounds treated, the frequency, duration and
   costs of treatments, the outcome of wound treatment and an estimate of
   the most common causes of death or euthanasia in their equine patients.
   RESULTS: The survey response rate was 110/262 (41.9%). The median number
   of equine cases seen by respondents was 20 (interquartile range (IQR)
   6-60) per month; of these, five (IQR 2-10) were wound related. Wounds
   ranked third after lameness and respiratory disease for the relative
   frequency with which respondents encountered them. Of 102 respondents 59
   (58%) reported that their clients frequently treated wounds incurred by
   their horse without consulting a veterinarian. Wounds on the distal
   limb, whether involving only the skin or also deeper structures, were
   reported by 86/101 (85%) respondents as the most frequently encountered.
   Wounds in this location also incurred the longest treatment period and
   were the most prone to develop complications. Finally, wounds ranked
   second, after colic, as the most common cause of death/euthanasia in the
   veterinary respondents' equine patients.
   CONCLUSIONS: The data obtained via the survey indicate that skin wounds,
   particularly on the distal limb, are a common occurrence in horses in
   New Zealand and, when they involve structures underlying the skin, are
   costly and time-consuming to manage and may lead to decreased
   performance, retirement or euthanasia. Consequently, we recommend that
   more effort be devoted to the education of equine veterinarians and
   owners, and that appropriate research funds be allocated to help improve
   patient outcomes.
RI Bolwell, Charlotte/AGZ-4348-2022; Riley, Christopher/
OI Bolwell, Charlotte/0000-0001-9995-8232; Riley,
   Christopher/0000-0001-8679-7986
ZR 0
TC 18
ZA 0
Z8 0
ZB 7
ZS 0
Z9 18
U1 0
U2 29
SN 0048-0169
EI 1176-0710
UT WOS:000370978100004
PM 26357976
ER

PT J
AU Hallam, Karen T.
   Livesay, Karen
   Morda, Romana
   Sharples, Jenny
   Jones, Andi
   de Courten, Maximilian
TI Do commencing nursing and paramedicine students differ in
   interprofessional learning and practice attitudes: evaluating course,
   socio-demographic and individual personality effects
SO BMC MEDICAL EDUCATION
VL 16
AR 80
DI 10.1186/s12909-016-0605-5
PD MAR 3 2016
PY 2016
AB Background: Interprofessional education (IPE) requires health students
   to learn with, from and about each other in order to develop a modern
   workforce with client-centred care at its core. Despite the client
   centred focus of IPE, training programs often utilize standard
   approaches across student cohorts without consideration of discipline,
   sociodemographic and personality variability that attract students to
   different health disciplines. Knowing the students who engage in IPE to
   tailor training may prove as beneficial as knowing the client to
   delivered individualized client centred care in interprofessional
   practice (IPP). This research investigates whether students commencing
   undergraduate nursing and paramedicine degrees ener training with
   existing demographic and personality differences and, if these are
   associated with different attitudes towards health care teams and
   interprofessional education.
   Method: This online study recruited 160 nursing and 50 paramedicine
   students in their first week of their undergraduate course. Students
   completed questionnaires regarding their background, personality
   (General Perceived Self Esteem Scale, International Mini Markers) and
   the attitudes towards health care teams scale (ATHCTS) and
   interprofessional education perception scale (IEPS).
   Results: Results show that commencing nursing and paramedicine students
   are demographically different on education, gender, speaking a language
   other than English at home (LOTE) and their own experience with
   healthcare. The results further demonstrate that LOTE, discipline being
   studied and personality factors play a role in perceptions regarding
   interprofessional training whilst discipline being studied impacted on
   attitudes towards health care teams in the workforce.
   Conclusion: These results highlight a number of existing personal and
   psychological differences between individuals who choose to train in
   these selected professions. This suggests a need for tertiary education
   IPE programs to move towards tailoring their education to value this
   student diversity in the same client centred manner that students are
   asked to develop clinically.
RI de Courten, Maximilian/B-3300-2012; de Courten, Maximilian P. J./AAH-5104-2020; LIVESAY, KAREN/; Sharples, Jenny M/; Hallam, Karen/
OI de Courten, Maximilian/0000-0001-9997-9359; LIVESAY,
   KAREN/0000-0002-6837-8005; Sharples, Jenny M/0000-0003-2885-9899;
   Hallam, Karen/0000-0003-0495-5341
ZA 0
ZS 1
ZB 0
Z8 0
TC 6
ZR 0
Z9 7
U1 1
U2 15
SN 1472-6920
UT WOS:000371271500001
PM 26940858
ER

PT J
AU Connaughton, Joanne
   Gibson, William
TI Physiotherapy Students' Attitudes toward Psychiatry and Mental Health: A
   Cross-Sectional Study
SO PHYSIOTHERAPY CANADA
VL 68
IS 2
BP 172
EP 178
DI 10.3138/ptc.2015-18E
PD SPR 2016
PY 2016
AB Purpose: A cross-sectional exploration of Notre Dame Australia
   physiotherapy students' attitudes toward psychiatry and mental illness,
   students' perceptions regarding preparation in this area for general
   clinical practice, and a cross-sectional investigation of current mental
   health-and psychiatry-related content in physiotherapy curricula across
   Australia and New Zealand. Methods: A questionnaire including
   demographic details, level of exposure to mental illness, and the
   Attitudes Toward Psychiatry-30 items (ATP-30) was completed by
   pre-clinical and clinically experienced physiotherapy students from the
   University of Notre Dame Australia. Students with clinical experience
   were asked additional questions about preparedness for practice. Staff
   of 10 of 17 physiotherapy programmes across Australia and New Zealand
   responded to an online questionnaire investigating relevant content and
   quantity of learning experiences in mental health. Results: Student
   response rate was 89%. Students generally had a positive attitude about
   psychiatry and mental health. Women were significantly more positive
   than men, and students who had completed clinical experience had a
   significantly more positive attitude. Physiotherapy program responses
   (response rate = 59%) highlighted disparate approaches to psychiatry and
   mental health learning opportunities in terms of quantity and content.
   Conclusion: Entry-level physiotherapy students who have clinical
   experience generally have a more positive attitude toward psychiatry and
   people with mental illness. Given the prevalence of mental health
   problems and the increase in physical and mental health comorbidities,
   it is imperative that future clinicians have positive educational
   experiences in psychiatry. A coherent, integrated approach to mental
   illness and psychiatry is suggested for entry-level physiotherapy
   programmes in Australia and New Zealand.
ZA 0
ZS 0
ZR 0
Z8 1
TC 14
ZB 2
Z9 16
U1 2
U2 10
SN 0300-0508
EI 1708-8313
UT WOS:000377106500013
PM 27909364
ER

PT J
AU Raj, Dasera V.
   Abuzar, Menaka
   Borromeo, Gelsomina L.
TI Bisphosphonates, healthcare professionals and oral health
SO GERODONTOLOGY
VL 33
IS 1
BP 135
EP 143
DI 10.1111/ger.12141
PD MAR 2016
PY 2016
AB ObjectiveGeneral medical and dental practitioner and pharmacists all
   encounter patients on bisphosphonates and as such require adequate
   knowledge regarding osteonecrosis of the jaw, a potential complication
   associated with its use. The cross-sectional study investigated
   perceived implications of and attitudes towards bisphosphonate use in
   oral health among general medical and dental practitioners and
   pharmacists.
   Materials and methodsMedical and dental practitioners and pharmacists
   registered in Victoria, Australia, completed an online survey
   (SurveyMonkey (c)). Data analysis consisted of chi-square tests with
   significance as p<0.05.
   ResultsOne hundred and thirty six doctors (general medical
   practitioners, GMPs), 283 dentists (GDPs) and 26 pharmacists (PHs)
   participated. 70, 38 and 80%, respectively, reviewed patients prescribed
   bisphosphonates (BPs). GMPs (88%), GDPs (76%) and PHs (85%) were aware
   of osteonecrosis of the jaws (ONJ). GMPs (76%) and PHs (100%) advised
   patients to inform dentists. GMPs (45%) referred patients for dental
   assessments prior to commencing BPs with 71.9% of GDPs received such
   referrals. In terms of available information on oral health and BPs,
   GMPs (56%), GDPs (50%) and PH (53.8%) were either unsure any existed or
   reported receiving sufficient information.
   ConclusionsDiscrepancies exist amongst different healthcare
   professionals in terms of BP use and oral health, and common consensus
   guidelines are warranted.
RI Borromeo, Gelsomina/; Abuzar, Menaka/J-1543-2015
OI Borromeo, Gelsomina/0000-0003-3124-6233; Abuzar,
   Menaka/0000-0002-2723-0215
ZA 0
TC 7
ZR 0
ZB 1
Z8 0
ZS 1
Z9 8
U1 0
U2 7
SN 0734-0664
EI 1741-2358
UT WOS:000369142200017
PM 25039439
ER

PT J
AU Graham, Andrea S
   Williams, Anita E
TI Foot Health Education for People with Rheumatoid Arthritis: '. A Game of
   Chance' - A Survey of Patients' Experiences.
SO Musculoskeletal care
VL 14
IS 1
BP 37
EP 46
DI 10.1002/msc.1111
PD 2016-Mar
PY 2016
AB OBJECTIVE: Up to 90% of people with rheumatoid arthritis (RA) experience
   foot problems leading to reduced function, mobility, quality of life and
   social participation, and impacts on body image, but these can be
   improved with general foot care, orthoses, footwear and patient
   education. Foot health patient education is lacking, so the aim of the
   present study was to identify the foot health educational needs of
   people with RA in relation to its content, timing, mode of delivery and
   the perceived barriers to its provision.
   METHODS: People with RA completed an online survey and provided
   free-text comments for thematic analysis.
   RESULTS: A total of 249 people completed the free-text section of the
   survey. Five main themes emerged: 'Forgotten feet'; 'Too little, too
   late'; 'Lacks and gaps'; 'I am my feet' and 'Game of chance'.
   CONCLUSION: Foot pathology in people with RA has a bio-psychosocial
   impact on their lives. Foot health and related information appears to be
   considered rarely within the medical consultation. Access to foot health
   information and services is limited owing to a lack of patient and/or
   health professional awareness, with a detrimental impact on the
   prognosis of their foot health. The importance of foot health in people
   with RA should be reinforced for patients and health professionals
   alike. Opportunities to discuss foot health within the medical
   consultation should be provided regularly. Copyright © 2015 John Wiley &
   Sons, Ltd.
RI williams, anita ellen/AAE-5756-2020; williams, anita/
OI williams, anita/0000-0003-1224-4347
ZS 0
ZR 0
ZB 1
Z8 0
ZA 0
TC 11
Z9 11
U1 1
U2 8
EI 1557-0681
UT MEDLINE:26076891
PM 26076891
ER

PT J
AU Shehata, Zahraa Hassan Abdelrahman
   Sabri, Nagwa Ali
   Elmelegy, Ahmed Abdelsalam
TI Descriptive analysis of medication errors reported to the Egyptian
   national online reporting system during six months
SO JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
VL 23
IS 2
BP 366
EP 374
DI 10.1093/jamia/ocv096
PD MAR 2016
PY 2016
AB Objectives This study analyzes reports to the Egyptian medication error
   (ME) reporting system from June to December 2014.
   Methods Fifty hospital pharmacists received training on ME reporting
   using the national reporting system. All received reports were reviewed
   and analyzed. The pieces of data analyzed were patient age, gender,
   clinical setting, stage, type, medication(s), outcome, cause(s), and
   recommendation(s).
   Results Over the course of 6 months, 12 000 valid reports were gathered
   and included in this analysis. The majority (66%) came from inpatient
   settings, while 23% came from intensive care units, and 11% came from
   outpatient departments. Prescribing errors were the most common type of
   MEs (54%), followed by monitoring (25%) and administration errors (16%).
   The most frequent error was incorrect dose (20%) followed by drug
   interactions, incorrect drug, and incorrect frequency. Most reports were
   potential (25%), prevented (11%), or harmless (51%) errors; only 13% of
   reported errors lead to patient harm. The top three medication classes
   involved in reported MEs were antibiotics, drugs acting on the central
   nervous system, and drugs acting on the cardiovascular system. Causes of
   MEs were mostly lack of knowledge, environmental factors, lack of drug
   information sources, and incomplete prescribing. Recommendations for
   addressing MEs were mainly staff training, local ME reporting, and
   improving work environment.
   Discussion There are common problems among different healthcare systems,
   so that sharing experiences on the national level is essential to enable
   learning from MEs. Internationally, there is a great need for
   standardizing ME terminology, to facilitate knowledge transfer.
   Underreporting, inaccurate reporting, and a lack of reporter diversity
   are some limitations of this study.
   Egypt now has a national database of MEs that allows researchers and
   decision makers to assess the problem, identify its root causes, and
   develop preventive strategies.
RI Sabri, Nagwa Ali/ABH-1925-2020; Elmelegy, Ahmed/
OI Sabri, Nagwa Ali/0000-0002-2611-4853; Elmelegy,
   Ahmed/0000-0003-3364-2651
ZS 0
ZR 0
Z8 0
ZB 5
TC 11
ZA 0
Z9 11
U1 0
U2 9
SN 1067-5027
EI 1527-974X
UT WOS:000383781600018
PM 26254479
ER

PT J
AU Hill, Emorcia V.
   Wake, Michael
   Carapinha, Rene
   Normand, Sharon-Lise
   Wolf, Robert E.
   Norris, Keith
   Reede, Joan Y.
TI RATIONALE AND DESIGN OF THE WOMEN AND INCLUSION IN ACADEMIC MEDICINE
   STUDY
SO ETHNICITY & DISEASE
VL 26
IS 2
BP 245
EP 254
DI 10.18865/ed.26.2.245
PD SPR 2016
PY 2016
AB Background and Objective: Women of color (WOC) (African American,
   Hispanic, Native American/Alaskan Native, and Asian American) faculty
   remain disproportionately underrepresented among medical school faculty
   and especially at senior ranks compared with White female faculty. The
   barriers or facilitators to the career advancement of WOC are poorly
   understood. The Women and Inclusion in Academic Medicine (WIAM) study
   was developed to characterize individual, institutional and
   sociocultural factors that influence the entry, progression and
   persistence, and advancement of women faculty in academic medical
   careers with a focus on WOC.
   Methods: Using a purposive sample of 13 academic medical institutions,
   we collected qualitative interview data from 21 WOC junior faculty and
   quantitative data from 3,127 (38.9% of 8,053 eligible women) respondents
   via an online survey. To gather institutional data, we used an online
   survey and conducted 23 key administrative informant interviews from the
   13 institutions. Grounded theory methodology will be used to analyze
   qualitative data. Multivariable analysis including hierarchical linear
   modeling will be used to investigate outcomes, such as the inclusiveness
   of organizational gender climate and women faculty's intent to stay.
   Conclusion: We describe the design, methods, rationale and limitations
   of one of the largest and most comprehensive studies of women faculty in
   academic medicine with a focus on WOC. This study will enhance our
   understanding of challenges that face women, and, especially WOC,
   faculty in academic medicine and will provide solutions at both the
   individual and institutional levels.
OI Normand, Sharon-Lise/0000-0001-7027-4769
ZB 0
ZR 0
ZS 0
Z8 0
TC 6
ZA 0
Z9 6
U1 0
U2 5
SN 1049-510X
EI 1945-0826
UT WOS:000380799800014
PM 27103776
ER

PT J
AU Gillispie, Veronica
TI Using the Flipped Classroom to Bridge the Gap to Generation Y.
SO The Ochsner journal
VL 16
IS 1
BP 32
EP 6
PD 2016
PY 2016
AB BACKGROUND: The flipped classroom is a student-centered approach to
   learning that increases active learning for the student compared to
   traditional classroom-based instruction. In the flipped classroom model,
   students are first exposed to the learning material through didactics
   outside of the classroom, usually in the form of written material,
   voice-over lectures, or videos. During the formal teaching time, an
   instructor facilitates student-driven discussion of the material via
   case scenarios, allowing for complex problem solving, peer interaction,
   and a deep understanding of the concepts. A successful flipped classroom
   should have three goals: (1) allow the students to become critical
   thinkers, (2) fully engage students and instructors, and (3) stimulate
   the development of a deep understanding of the material. The flipped
   classroom model includes teaching and learning methods that can appeal
   to all four generations in the academic environment.
   METHODS: During the 2015 academic year, we implemented the flipped
   classroom in the obstetrics and gynecology clerkship for the Ochsner
   Clinical School in New Orleans, LA. Voice-over presentations of the
   lectures that had been given to students in prior years were recorded
   and made available to the students through an online classroom. Weekly
   problem-based learning sessions matched to the subjects of the
   traditional lectures were held, and the faculty who had previously
   presented the information in the traditional lecture format facilitated
   the problem-based learning sessions. The knowledge base of students was
   evaluated at the end of the rotation via a multiple-choice question
   examination and the Objective Structured Clinical Examination (OSCE) as
   had been done in previous years. We compared demographic information and
   examination scores for traditional teaching and flipped classroom groups
   of students. The traditional teaching group consisted of students from
   Rotation 2 and Rotation 3 of the 2014 academic year who received
   traditional classroom-based instruction. The flipped classroom group
   consisted of students from Rotation 2 and Rotation 3 of the 2015
   academic year who received formal didactics via voice-over presentation
   and had the weekly problem-based learning sessions.
   RESULTS: When comparing the students taught by traditional methods to
   those taught in the flipped classroom model, we saw a statistically
   significant increase in test scores on the multiple-choice question
   examination in both the obstetrics and gynecology sections in Rotation
   2. While the average score for the flipped classroom group increased in
   Rotation 3 on the obstetrics section of the multiple-choice question
   examination, the difference was not statistically significant.
   Unexpectedly, the average score on the gynecology portion of the
   multiple-choice question examination decreased among the flipped
   classroom group compared to the traditional teaching group, and this
   decrease was statistically significant. For both the obstetrics and the
   gynecology portions of the OSCE, we saw statistically significant
   increases in the scores for the flipped classroom group in both Rotation
   2 and Rotation 3 compared to the traditional teaching group. With the
   exception of the gynecology portion of the multiple-choice question
   examination in Rotation 3, we saw improvement in scores after the
   implementation of the flipped classroom.
   CONCLUSION: The flipped classroom is a feasible and useful alternative
   to the traditional classroom. It is a method that embraces Generation
   Y's need for active learning in a group setting while maintaining a
   traditional classroom method for introducing the information. Active
   learning increases student engagement and can lead to improved retention
   of material as demonstrated on standard examinations.
RI Gillispie, Veronica/A-5841-2011
ZR 0
ZB 7
Z8 0
TC 54
ZA 0
ZS 4
Z9 57
U1 0
U2 19
SN 1524-5012
UT MEDLINE:27046401
PM 27046401
ER

PT J
AU Park, Julie
   Kantrow, Charles M 3rd
   Coulthard, Mark G
TI Comparing Pediatric Rotations at Two University of Queensland Clinical
   Schools.
SO The Ochsner journal
VL 16
IS 1
BP 62
EP 4
PD 2016
PY 2016
AB BACKGROUND: The University of Queensland (UQ), Ochsner Clinical School
   (OCS) is a partnership between Ochsner Health System in New Orleans, LA,
   and UQ in Brisbane, Australia. OCS medical students are trained on both
   continents, receiving their didactic education in Australia and their
   clinical education in the United States.
   METHODS: We review the OCS experience and compare the pediatric
   rotations at OCS and UQ.
   RESULTS: Students in the pediatric rotations in Australia and in the
   United States receive their clinical instruction in the real-world
   learning environment of hospitals and clinics. In addition, lectures,
   online learning modules, case-based tutorials, and rigorous assessment
   at the end of the rotation help prepare medical students for future
   contact with pediatric patients. Sixty-nine third-year OCS students and
   499 fourth-year UQ students completed the pediatric rotation in 2014. In
   2015, 105 third-year OCS students and approximately 400 fourth-year UQ
   students completed the pediatric rotation.
   CONCLUSION: In a unique educational collaboration, OCS has used
   e-learning and face-to-face tutorials to produce a well-rounded
   curriculum that assimilates global healthcare and international
   medicine. This article demonstrates the feasibility of delivering a
   standardized curriculum across two continents using modern e-learning
   tools.
RI Coulthard, Mark G/AAT-7735-2021; Coulthard, Mark Graeme/E-9444-2010
OI Coulthard, Mark G/0000-0001-7400-5582; Coulthard, Mark
   Graeme/0000-0001-7400-5582
ZA 0
Z8 0
ZR 0
TC 0
ZB 0
ZS 0
Z9 0
U1 0
U2 0
SN 1524-5012
UT MEDLINE:27046407
PM 27046407
ER

PT J
AU Jose Villamizar, Pedro
   Milena Moreno, Sandra
   Moreno, Freddy
TI Management of electronic social networks by students of medicine: The
   case of publication of photographs with patients and professional
   medical conduct
SO BIOMEDICA
VL 36
IS 1
BP 140
EP 148
DI 10.7705/biomedica.v36i1.2646
PD MAR 2016
PY 2016
AB Introduction: The socio-demographic characterization of medical students
   at the Pontificia Universidad Javeriana in Cali, Colombia, was made
   using a survey and focus group discussion to collect information on
   access to the Internet, management of electronic social networks and the
   dissemination of photographs with patients taken during medical teaching
   rounds, a practice that constitutes a breach of professional medical
   conduct.
   Objective: To identify the management of social electronic networks by
   students of medicine with respect to the publication of photographs with
   patients.
   Materials and methods: A descriptive cross-sectional study was
   undertaken to characterize students of medicine at the Pontificia
   Universidad Javeriana in Cali. Of the 423 students enrolled in January
   2013, 299 participated in a survey designed with the software Cardiff
   TELEform (R), version 10.0. Twenty students were also selected at random
   for a focus group discussion on the publication of photographs with
   patients on electronic social networks.
   Results: Of the students surveyed, 97.6% claimed to be active users of
   at least one of the main electronic social networks (96.2% Facebook,
   70.5% Instagram and 44.1% Twitter). Of these, 52 (17.6%) admitted having
   published a photograph showing patient care on at least one occasion.
   Conclusion: Most of the students had smartphones and user profiles on
   the main social electronic networks, on which they disseminated
   photographs of patients taken during teaching rounds, as well as images
   of various activities which could have ethical and legal implications
   and contravene standards of professional medical conduct.
RI Moreno, Freddy/B-5473-2014
OI Moreno, Freddy/0000-0003-0394-9417
ZR 0
ZS 0
ZA 0
TC 1
Z8 0
ZB 0
Z9 1
U1 0
U2 14
SN 0120-4157
UT WOS:000371525400015
PM 27622447
ER

PT J
AU Song, Hayeon
   Omori, Kikuko
   Kim, Jihyun
   Tenzek, Kelly E.
   Hawkins, Jennifer Morey
   Lin, Wan-Ying
   Kim, Yong-Chan
   Jung, Joo-Young
TI Trusting Social Media as a Source of Health Information: Online Surveys
   Comparing the United States, Korea, and Hong Kong
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 3
AR e25
DI 10.2196/jmir.4193
PD MAR 2016
PY 2016
AB Background: The Internet has increasingly become a popular source of
   health information by connecting individuals with health content,
   experts, and support. More and more, individuals turn to social media
   and Internet sites to share health information and experiences. Although
   online health information seeking occurs worldwide, limited empirical
   studies exist examining cross-cultural differences in perceptions about
   user-generated, experience-based information compared to expertise-based
   information sources.
   Objective: To investigate if cultural variations exist in patterns of
   online health information seeking, specifically in perceptions of online
   health information sources. It was hypothesized that Koreans and
   Hongkongers, compared to Americans, would be more likely to trust and
   use experience-based knowledge shared in social Internet sites, such as
   social media and online support groups. Conversely, Americans, compared
   to Koreans and Hongkongers, would value expertise-based knowledge
   prepared and approved by doctors or professional health providers more.
   Methods: Survey questionnaires were developed in English first and then
   translated into Korean and Chinese. The back-translation method ensured
   the standardization of questions. Surveys were administered using a
   standardized recruitment strategy and data collection methods.
   Results: A total of 826 participants living in metropolitan areas from
   the United States (n=301), Korea (n=179), and Hong Kong (n=337)
   participated in the study. We found significant cultural differences in
   information processing preferences for online health information. A
   planned contrast test revealed that Koreans and Hongkongers showed more
   trust in experience-based health information sources (blogs:
   t(451.50)=11.21, P<.001; online support group: t(455.71)=9.30, P<.001;
   social networking sites [SNS]: t(466.75)=11.36, P<.001) and also
   reported using blogs (t(515.31)=6.67, P<.001) and SNS (t(529.22)=4.51,
   P<.001) more frequently than Americans. Americans showed a stronger
   preference for using expertise-based information sources (eg, WebMD and
   CDC) compared to Koreans and Hongkongers (t(360.02)=3.01, P=.003). Trust
   in expertise-based information sources was universal, demonstrating no
   cultural differences (Brown-Forsythe F-2,F-654=1.82, P=.16). Culture
   also contributed significantly to differences in searching information
   on behalf of family members (t(480.38)=5.99, P<.001) as well as to the
   goals of information searching.
   Conclusions: This research found significant cultural differences in
   information processing preferences for online health information.
   Further discussion is included regarding effective communication
   strategies in providing quality health information.
OI Kim, Yong-Chan/0000-0003-4045-1028; Hawkins,
   Jennifer/0000-0003-3725-5587
ZR 0
ZS 0
ZA 0
ZB 7
Z8 1
TC 90
Z9 91
U1 1
U2 84
SN 1438-8871
UT WOS:000380777000001
PM 26976273
ER

PT J
AU Wong, Charlene A.
   Ostapovich, Gabrielle
   Kramer-Golinkoff, Emily
   Griffis, Heather
   Asch, David A.
   Merchant, Raina M.
TI How U.S. children's hospitals use social media: A mixed methods study
SO HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
VL 4
IS 1
BP 15
EP 21
DI 10.1016/j.hjdsi.2015.12.004
PD MAR 2016
PY 2016
AB Background: Social media provide new channels for hospitals to engage
   with communities, a goal of increasing importance as non-profit
   hospitals face stricter definitions of community benefit under the
   Affordable Care Act. We describe the variability in social media
   presence among US children's hospitals and the distribution of their
   Facebook content curation.
   Methods: Social media data from freestanding children's hospitals were
   extracted from September November 2013. Social media adoption was
   reviewed for each hospital-generated Facebook, Twitter, YouTube, Google
   + and Pinterest platform. Facebook page (number of Likes) and Twitter
   account (number of followers) engagement were examined by hospital
   characteristics. Facebook posts from each hospital over a 6-week period
   were thematically characterized.
   Results: We reviewed 5 social media platforms attributed to 45
   children's hospitals and 2004 associated Facebook posts. All hospitals
   maintained Facebook and Twitter accounts and most used YouTube (82%),
   Google+ (53%) and Pinterest (69%). Larger hospitals were more often high
   performers for Facebook (67% versus 10%, p < 0.01) and Twitter (75%
   versus 17%, p < 0.05) engagement than small hospitals. The most common
   Facebook post-themes were hospital promotion 35% (706), education and
   information 35% (694), community partnership or benefit 24% (474),
   fundraising 21% (426), and narratives 12% (241). Of health education
   posts, 73% (509) provided pediatric health supervision and anticipatory
   guidance.
   Conclusions: Social media adoption by US children's hospitals was
   widespread. Implications: Beyond its traditional marketing role, social
   media can serve as a conduit for health education, engagement with
   communities, including community benefit. (C) 2015 Elsevier Inc. All
   rights reserved.
OI Asch, David/0000-0002-7970-286X
TC 19
ZR 0
ZS 0
ZB 1
ZA 0
Z8 0
Z9 19
U1 3
U2 31
SN 2213-0764
EI 2213-0772
UT WOS:000379246500006
PM 27001094
ER

PT J
AU Trepanier, Angela M
   Supplee, Laura
   Blakely, Lindsey
   McLosky, Jenna
   Duquette, Debra
TI Public Health Approaches and Barriers to Educating Providers about
   Hereditary Breast and Ovarian Cancer Syndrome.
SO Healthcare (Basel, Switzerland)
VL 4
IS 1
DI 10.3390/healthcare4010019
PD 2016 Mar 11
PY 2016
AB The Michigan Department of Health and Human Services implemented and
   evaluated two initiatives designed to enhance provider knowledge of
   patients appropriate for breast and/or ovarian cancer genetic risk
   assessment and hereditary breast and ovarian cancer (HBOC) syndrome
   testing. The first initiative targeted select providers who had
   diagnosed patients meeting HBOC risk criteria. Specifically, the
   initiative used 2008-2009 state cancer registry data to identify all
   providers who had diagnosed breast cancers in women ≤50 years of age,
   male breast cancers, and ovarian cancers in four health systems with
   newly established cancer genetics clinics. Using a method coined
   bidirectional reporting (BDR), reports highlighting how many of these
   cases each provider had seen were generated and mailed. Reports on 475
   cancers (9.5% of the 5005 cases statewide meeting criteria) were sent to
   69 providers with information about how and why to refer such patients
   for genetic counseling. Providers who received a report were contacted
   to assess whether the reports increased awareness or resulted in action
   (genetic counseling/referral). Based on the few responses received,
   despite multiple attempts to contact, and attrition rate, it is not
   possible to ascertain the impact of this initiative on providers.
   However the project resulted in the MDHHS identifying which providers
   see the largest proportion of at-risk patients, creating an opportunity
   to target those providers with HBOC education efforts. The second
   initiative involved creating and broadly disseminating an online,
   interactive case-based educational module to increase awareness and
   referral decisions for HBOC using high- and low-risk patient scenarios.
   A total of 1835 unique users accessed the module in a one year.
   Collectively the users viewed topic pages 2724 times and the interactive
   case studies 1369 times. Point of care tools (fact sheets) were viewed
   1624 times and downloaded 764 times. Satisfaction among the subset of
   users applying for continuing medical education credit was high. The
   online educational module had a much broader reach than the
   bidirectional reporting initiative but to a self-selected audience.
   Combining targeted and broad-based provider education efforts may be a
   better way to increase HBOC awareness in the target audience, starting
   with those providers seeing the largest proportion of patients at risk. 
ZS 0
TC 2
ZB 1
ZR 0
Z8 0
ZA 0
Z9 2
U1 0
U2 0
SN 2227-9032
UT MEDLINE:27417607
PM 27417607
ER

PT J
AU Tourinho Peres, Maria Fernanda
   Babler, Fernanda
   Lacerda Arakaki, Juliana Naomy
   do Vale Quaresma, Irene Yamamoto
   Alves de Lima Barreto, Abraao Deyvid
   Correia da Silva, Andrea Tenorio
   Eluf-Neto, Jose
TI Mistreatment in an academic setting and medical students' perceptions
   about their course in Sao Paulo, Brazil: a cross-sectional study
SO SAO PAULO MEDICAL JOURNAL
VL 134
IS 2
BP 130
EP 137
DI 10.1590/1516-3180.2015.01332210
PD MAR-APR 2016
PY 2016
AB CONTEXT AND OBJECTIVE: High prevalence of mistreatment among medical
   students has been described in the worldwide literature since the 1980s.
   However, studies addressing the severity and recurrence of victimization
   and its effects on students' perceptions of their medical course are
   scarce. This study had the aim of estimating the prevalence of exposure
   to mistreatment that was considered to be severe and recurrent and its
   association with medical students' perceptions about their medical
   course.
   METHODS: A cross-sectional study was conducted in a medical school in
   Sao Paulo, Brazil. Three hundred and seventeen students from the first
   to the sixth year answered the online questionnaire.
   RESULTS: High prevalence of mistreatment during the course was found.
   Two thirds of the students considered the episodes to be severe, and
   around one third reported experiencing recurrent victimization.
   Occurences of mistreatment that the students considered to be severe
   were correlated with feeling overloaded and wanting to abandon the
   medical course.
   CONCLUSIONS: Occurrences of mistreatment within the academic environment
   are frequent in Brazil. The results suggest that mistreatment that was
   considered to be severe might negatively affect students' perceptions
   about their course.
RI Peres, Maria Fernanda/AAV-4349-2020; Peres, Maria Fernanda T/F-9561-2012; da Silva, Andréa Tenório Correia/K-8156-2016; da Silva, Andrea Tenorio Correia/AAM-1763-2020; Eluf-Neto, Jose/B-2522-2009
OI Peres, Maria Fernanda/0000-0002-7049-905X; Peres, Maria Fernanda
   T/0000-0002-7049-905X; da Silva, Andréa Tenório
   Correia/0000-0002-3403-5792; da Silva, Andrea Tenorio
   Correia/0000-0002-3403-5792; Eluf-Neto, Jose/0000-0001-7504-2115
ZR 0
ZA 0
ZS 1
TC 7
ZB 0
Z8 0
Z9 8
U1 0
U2 12
SN 1516-3180
UT WOS:000377718000007
PM 27224279
ER

PT J
AU Huang, Meng
   Briceno, Valentina
   Lam, Sandi K.
   Luerssen, Thomas G.
   Jea, Andrew
TI Survey of the Effectiveness of Internet Information on Patient Education
   for Bone Morphogenetic Protein
SO WORLD NEUROSURGERY
VL 87
BP 613
EP 618
DI 10.1016/j.wneu.2015.10.056
PD MAR 2016
PY 2016
AB OBJECTIVE: In light of recent reports of potential short- and long-term
   complications of bone morphogenetic protein (BMP) and increasing
   "off-label" use among spine surgeons, we wished to analyze online
   information on BMP and its controversial uses, as patients frequently
   search the Internet for medical information, even though the quality and
   accuracy of available information are highly variable.
   METHODS: Between December 2014 and January 2015, we conducted a Google
   search to identify the 50 most accessed websites providing BMP
   information using the search phrase "bone morphogenetic protein."
   Websites were classified based on authorship. Each website was examined
   for the provision of appropriate patient inclusion and exclusion
   criteria, surgical and nonsurgical treatment alternatives, purported
   benefits, disclosure of common and potential complications,
   peer-reviewed literature citations, and discussion of off-label use.
   RESULTS: Two percent of websites were authored by private medical
   groups, 2% by academic medical groups, 10% by insurance companies, 16%
   by biomedical industries, 4% by news sources, 0% by lawyers, and 66% by
   others. Sixty-two percent referenced peer-reviewed literature. Benefits
   and complications were reported in 44% and 26% of websites,
   respectively. Surgical and nonsurgical treatment alternatives were
   mentioned in 16% and 4% of websites, respectively. Discussion of
   off-label BMP use occurred in 18% of websites.
   CONCLUSIONS: Our study showed the ineffectiveness of the Internet in
   reporting quality information on BMP use. We found that websites
   authored by insurance companies provide an acceptable foundation for
   patient education. This, however, cannot replace the need for a thorough
   dialogue between doctor and patient about risks, benefits, and
   indications.
OI Lam, Sandi/0000-0003-3294-6637
ZA 0
TC 3
ZR 0
Z8 0
ZS 0
ZB 0
Z9 3
U1 0
U2 5
SN 1878-8750
EI 1878-8769
UT WOS:000373390200085
PM 26546998
ER

PT J
AU Johnson, Frances
   Black, Agnes T.
   Koh, Jiak Chin
TI Practice-based Research Program Promotes Dietitians' Participation in
   Research
SO CANADIAN JOURNAL OF DIETETIC PRACTICE AND RESEARCH
VL 77
IS 1
BP 43
EP 46
DI 10.3148/cjdpr-2015-034
PD MAR 2016
PY 2016
AB Barriers to dietitians' participation in research include lack of time,
   self-perceived competence, confidence, administrative support, and
   funding. Providence Health Care, a multi-site health care organization
   in Vancouver, British Columbia implemented the Practice-based Research
   Challenge (RC), a 1-year research program, to support interdisciplinary
   teams of nurses and allied health professionals to conduct
   practice-relevant research projects. Funding, mentoring, and research
   education were provided to research teams. From 2011 to 2015, 37% of all
   dietitians in the organization were involved in the RC in 4 cohorts of
   the 1-year program. An online survey was conducted to understand these
   dietitians' interest and experience in the RC. The survey results
   indicated that the major reasons for participating in the program were
   to increase knowledge, improve patient care, and to work on a project of
   interest. Respondents thought they gained knowledge, enhanced
   professional development, and improved patient care. A majority stated
   they would likely conduct future research. The RC enabled and supported
   dietitians' participation in research; infrastructure supports for
   research and enabling a culture of research participation are key
   contributors to promoting dietitians involvement in research.
TC 5
Z8 0
ZA 0
ZB 0
ZS 0
ZR 0
Z9 5
U1 0
U2 2
SN 1486-3847
EI 2292-9592
UT WOS:000376768100009
PM 26567762
ER

PT J
AU Spring, Hannah
TI Online learning: the brave new world of massive open online courses and
   the role of the health librarian
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 33
IS 1
BP 84
EP 88
DI 10.1111/hir.12134
PD MAR 2016
PY 2016
AB In a wired, virtual and information rich society, MOOCs (Massive Open
   Online Courses) are leading us into a brave new world in which their key
   role is to support lifelong networked learning. This feature looks at
   the broad role of MOOCs and considers them within the context of health,
   and health librarianship. In particular, it provides examples of where
   health librarians have developed MOOCs and what opportunities there are
   in the future for health librarians to collaborate in the development
   and delivery of health MOOCs.
ZB 0
ZR 0
ZA 0
Z8 0
TC 6
ZS 0
Z9 6
U1 0
U2 41
SN 1471-1834
EI 1471-1842
UT WOS:000373205500008
PM 26995753
ER

PT J
AU Watson, Erin M.
TI The importance of leisure reading to health sciences students: results
   of a survey
SO HEALTH INFORMATION AND LIBRARIES JOURNAL
VL 33
IS 1
BP 33
EP 48
DI 10.1111/hir.12129
PD MAR 2016
PY 2016
AB ObjectiveTo determine what value health sciences students place on
   leisure reading, whether they prefer to read online or in print, what
   the principal barriers are to their reading and whether they wish to
   have a leisure reading collection at their health sciences library.
   MethodsIn October 2010, a link to a survey was sent to all 1800 students
   in health sciences professional programmes at the author's institution.
   ResultsTwo hundred and thirteen students (11.8%) responded. Most felt
   that leisure reading had helped in their development as health
   professionals and increased their empathy. They listed many benefits of
   reading, such as improved understanding of minority groups, reduced
   stress, and improved thinking and communication skills. The majority
   preferred to read books and magazines in print, while the largest number
   preferred reading newspapers in print as well. Lack of time, fatigue and
   the expense of purchasing reading materials were the greatest barriers
   to reading. A majority of students were in favour of having a leisure
   reading collection set up at their library.
   ConclusionsLeisure reading was valued by the respondents, who felt it
   provided personal and professional benefits. However, many indicated
   that circumstances made it difficult to participate in leisure reading.
RI Watson, Erin/A-1399-2012
OI Watson, Erin/0000-0001-7250-9912
Z8 0
ZS 0
TC 8
ZB 1
ZA 0
ZR 0
Z9 8
U1 1
U2 43
SN 1471-1834
EI 1471-1842
UT WOS:000373205500003
PM 26662884
ER

PT J
AU Anil, Shirin
   Zawahir, Mohamed Shukry
   Al-Naggar, Redhwan Ahmed
TI Effectiveness of preventive medicine education and its determinants
   among medical students in Malaysia
SO FRONTIERS OF MEDICINE
VL 10
IS 1
BP 91
EP 100
DI 10.1007/s11684-016-0428-0
PD MAR 2016
PY 2016
AB Preventive medicine has been incorporated in the medical school
   curriculum, but its effectiveness and the factors that affect it are yet
   to be widely looked into in the context of Malaysia. We aimed to measure
   the familiarity with, perception about the importance to learn, and the
   ability to practice preventive medicine as well as its determinants
   among the medical students in Malaysia. Thus, a cross sectional study
   was conducted through an anonymous online survey among 387 randomly
   selected final year medical students of four large public medical
   schools in Malaysia from March to September 2014. Of the total sample,
   340 (response rate 87.8%) gave a written informed consent and took part
   in the survey. The familiarity of the sample with preventive medicine
   was measured in 19 preventive medicine areas, and their perception about
   the importance of preventive medicine and their ability to practice it
   were gauged on a Likert scale (low score indicates disagreement and high
   indicates agreement). Descriptive statistical analysis was performed,
   followed by logistic regression. The mean age of the respondents was
   23.7 (SD 0.77) years, and 61.2% (n = 208) of them were females. Results
   showed that 22.9% of the sample (n = 78) had a low familiarity with
   preventive medicine, whereas 76.8% (n = 261) had a high familiarity. The
   study sample specified that among all the preventive medicine subjects,
   screening and control as well as smoking cessation and immunization are
   "extremely important to learn." In univariable analysis, being a female,
   medical school, family size, and perception about the importance to
   learn preventive medicine were associated with the ability to practice
   it. In multivariable analysis, the perception towards the importance to
   learn preventive medicine was the only significant determinant: aOR
   (adjusted odds ratio) for those who "agreed" 17.28 (95% CI aOR
   4.44-67.26, P < 0.001) and for "strongly agreed" 35.87 (95% CI aOR
   8.04-159.87, P < 0.001). Considering these findings, the familiarity of
   medical students with preventive medicine should be increased. The
   perception about the importance to learn preventive medicine is a strong
   determinant for the ability to practice it.
RI Al-Naggar, Redhwan/AAP-3176-2020; Al-Naggar, Redhwan Ahmed/D-1574-2010; Anil, Sukumaran/A-3442-2009; Zawahir, Mohamed Shukry/
OI Al-Naggar, Redhwan/0000-0002-6448-6930; Al-Naggar, Redhwan
   Ahmed/0000-0002-6448-6930; Anil, Sukumaran/0000-0002-6440-8780; Zawahir,
   Mohamed Shukry/0000-0002-2101-5952
ZS 0
TC 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 0
U1 0
U2 4
SN 2095-0217
EI 2095-0225
UT WOS:000373361000010
PM 26715159
ER

PT J
AU Konstantinidis, Stathis Th
   Bamidis, Panagiotis D
TI Why decision support systems are important for medical education.
SO Healthcare technology letters
VL 3
IS 1
BP 56
EP 60
DI 10.1049/htl.2015.0057
PD 2016-Mar
PY 2016
AB During the last decades, the inclusion of digital tools in health
   education has rapidly lead to a continuously enlarging digital era. All
   the online interactions between learners and tutors, the description,
   creation, reuse and sharing of educational digital resources and the
   interlinkage between them in conjunction with cheap storage technology
   has led to an enormous amount of educational data. Medical education is
   a unique type of education due to accuracy of information needed,
   continuous changing competences required and alternative methods of
   education used. Nowadays medical education standards provide the ground
   for organising the educational data and the paradata. Analysis of such
   education data through education data mining techniques is in its
   infancy, but decision support systems (DSSs) for medical education need
   further research. To the best of our knowledge, there is a gap and a
   clear need for identifying the challenges for DSSs in medical education
   in the era of medical education standards. Thus, in this Letter the role
   and the attributes of such a DSS for medical education are delineated
   and the challenges and vision for future actions are identified. 
RI Bamidis, Panagiotis/AAK-3556-2020; Konstantinidis, Stathis/
OI Bamidis, Panagiotis/0000-0002-9936-5805; Konstantinidis,
   Stathis/0000-0002-3680-4559
ZA 0
TC 8
ZB 1
Z8 0
ZR 0
ZS 0
Z9 8
U1 0
U2 7
SN 2053-3713
UT MEDLINE:27222734
PM 27222734
ER

PT J
AU Peipert, Benjamin J.
   Scott, Dana Marie
   Matteson, Kristen A.
   Clark, Melissa A.
   Zhao, Qiuhong
   Peipert, Jeffrey F.
TI Sexual Behavior and Contraceptive Use at Brown University 1975-2011
SO JOURNAL OF REPRODUCTIVE MEDICINE
VL 61
IS 3-4
BP 101
EP 108
PD MAR-APR 2016
PY 2016
AB OBJECTIVE: To assess sexual behaviors and contraceptive use in a sample
   of Brown University students.
   STUDY DESIGN: A total of 255 undergraduate students responded to an
   anonymous online survey in May 2011. The survey addressed level of
   sexual activity, behaviors, and contraceptive use. Female responders
   were compared to results from surveys conducted in 1975, 1986, 1989, and
   1995.
   RESULTS: Of the surveyed undergraduates 62% were sexually active. Sexual
   activity among women was similar to that of previous survey years.
   Contraceptive pills were the most common primary contraceptive method,
   reported by 59% of students, and 32% used dual method contraceptive use
   for sexually transmitted disease (STD) and pregnancy prevention. We
   observed a plateau in condom use among women in 2011 after an increase
   from 1975-1995. Use of long-acting reversible contraception (LARC) was
   uncommon (3%).
   CONCLUSION: Educational efforts should emphasize the effectiveness of
   LARC and dual method contraceptive use to reduce the risk of STDs and
   unintended pregnancies.
OI Peipert, Benjamin/0000-0002-5038-7472
Z8 0
ZA 0
ZR 0
ZB 1
ZS 0
TC 3
Z9 3
U1 1
U2 13
SN 0024-7758
EI 1943-3565
UT WOS:000372860200003
PM 27172631
ER

PT J
AU Mitchell, Fiona
   Gould, Odette
   LeBlanc, Michael
   Manuel, Leslie
TI Opinions of Hospital Pharmacists in Canada Regarding Marijuana for
   Medical Purposes.
SO The Canadian journal of hospital pharmacy
VL 69
IS 2
BP 122
EP 30
PD 2016 Mar-Apr
PY 2016
AB BACKGROUND: Canada's most recent Marihuana for Medical Purposes
   Regulations have changed the way in which patients access marijuana.
   Furthermore, if authorized by the person in charge of the hospital, a
   pharmacist practising in a hospital may now place orders with licensed
   producers for dried marijuana for in-hospital use by patients. As use of
   this product increases, hospital pharmacists may have an increased role
   in the care of patients who are using marijuana for medical purposes.
   OBJECTIVES: The primary objective of this study was to determine the
   opinions of hospital pharmacists in Canada regarding marijuana for
   medical purposes. The secondary objective was to assess the factors
   influencing these opinions.
   METHODS: An online survey was made available in early 2015 to licensed
   hospital pharmacists in Canada through individual provincial and
   territorial pharmacy regulatory bodies, pharmacist associations,
   hospital pharmacy directors, the Canadian Society of Hospital
   Pharmacists, and the Association des pharmaciens des etablissements de
   sante du Quebec. Responses were based on a 5-point Likert style scale,
   ranging from "completely agree" to "completely disagree".
   RESULTS: A total of 769 valid survey responses were received. Among the
   respondents, 44.6% (333/747) agreed that marijuana is safe, whereas
   55.2% (411/745) agreed that it is effective. Only 17.2% (129/748) agreed
   that they were knowledgeable about marijuana for medical purposes, and
   about 65% of respondents reported no formal training in this area.
   Factors that influenced respondents' opinions were age, education, area
   of clinical practice, province of work, and personal experience.
   CONCLUSION: Many Canadian hospital pharmacists agreed that marijuana for
   medical purposes is safe and effective, yet few considered themselves
   knowledgeable about this substance, with more than half reporting no
   formal training on the topic.
AB CONTEXTE: Le Reglement sur la marihuana a des fins medicales recemment
   mis en vigueur au Canada a change la facon dont les patients ont acces a
   ce produit. En outre, sil est autorise a le faire par la personne a qui
   est confiee la charge de lhopital, le pharmacien qui exerce dans un
   hopital peut maintenant commander aupres de producteurs autorises de la
   marihuana sechee destinee a une personne qui recoit un traitement comme
   patient hospitalise. Au fur et a mesure quaugmente lutilisation de cet
   agent, les pharmaciens dhopitaux pourraient avoir un role plus important
   a jouer dans les soins aux patients qui consomment de la marihuana a des
   fins medicales.
   OBJECTIFS: Lobjectif principal de la presente etude etait de sonder
   lopinion des pharmaciens dhopitaux du Canada sur la question de la
   marihuana a des fins medicales. Le second objectif etait devaluer les
   facteurs qui influencent leur opinion.
   METHODES: Un sondage en ligne a ete mis a la disposition des pharmaciens
   dhopitaux du Canada avec la participation des organismes provinciaux et
   territoriaux de reglementation de la pharmacie, des associations de
   pharmaciens, des directeurs de pharmacie hospitaliere, de la Societe
   canadienne des pharmaciens dhopitaux et de lAssociation des pharmaciens
   des etablissements de sante du Quebec. Inspires de lechelle de Likert a
   cinq points, les choix de reponse setendaient de  fortement en accord  a
    fortement en desaccord .
   RESULTATS: Au total, 769 reponses valides au sondage ont ete obtenues.
   Parmi les repondants, 44,6 % (333/747) ont affirme que la marihuana est
   securitaire et 55,2 % (411/745) ont declare quelle est efficace. Seuls
   17.2 % (129/748) ont affirme etre renseignes sur lutilisation de la
   marihuana a des fins medicales et environ 65 % ont indique navoir aucune
   formation officielle sur le sujet. Lage du pharmacien, sa formation, son
   domaine de pratique clinique, sa province dexercice et son experience
   personnelle etaient des facteurs influencant son opinion.
   CONCLUSION: Bon nombre de pharmaciens hospitaliers canadiens ont affirme
   que lutilisation de la marihuana a des fins medicales est securitaire et
   efficace. Or, peu consideraient etre renseignes a propos de ce produit
   et plus de la moitie ont indique navoir aucune formation officielle sur
   le sujet.
RI Manuel, Leticia/ABC-7215-2020
ZR 0
ZS 0
ZA 0
ZB 4
TC 11
Z8 0
Z9 11
U1 0
U2 4
EI 1920-2903
UT MEDLINE:27168633
PM 27168633
ER

PT J
AU Hashizume, Cary T.
   Hecker, Kent G.
   Myhre, Douglas L.
   Bailey, Jeremy V.
   Lockyer, Jocelyn M.
TI Supporting Veterinary Preceptors in a Distributed Model of Education: A
   Faculty Development Needs Assessment
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 43
IS 1
BP 104
EP 110
DI 10.3138/jvme.0515-075R
PD SPR 2016
PY 2016
AB Effective faculty development for veterinary preceptors requires
   knowledge about their learning needs and delivery preferences.
   Veterinary preceptors at community practice locations in Alberta,
   Canada, were surveyed to determine their confidence in teaching ability
   and interest in nine faculty development topics. The study included 101
   veterinarians (48.5% female). Of these, 43 (42.6%) practiced veterinary
   medicine in a rural location and 54 (53.5%) worked in mixed-animal or
   food-animal practice. Participants reported they were more likely to
   attend an in-person faculty development event than to participate in an
   online presentation. The likelihood of attending an in-person event
   differed with the demographics of the respondent. Teaching clinical
   reasoning, assessing student performance, engaging and motivating
   students, and providing constructive feedback were topics in which
   preceptors had great interest and high confidence. Preceptors were least
   confident in the areas of student learning styles, balancing clinical
   workload with teaching, and resolving conflict involving the student.
   Disparities between preceptors' interest and confidence in faculty
   development topics exist, in that topics with the lowest confidence
   scores were not rated as those of greatest interest. While the content
   and format of clinical teaching faculty development events should be
   informed by the interests of preceptors, consideration of preceptors'
   confidence in teaching ability may be warranted when developing a
   faculty development curriculum.
RI Lockyer, Jocelyn/J-2189-2019
OI Lockyer, Jocelyn/0000-0002-3928-4827
Z8 0
ZB 0
ZR 0
ZA 0
ZS 0
TC 6
Z9 5
U1 0
U2 6
SN 0748-321X
EI 1943-7218
UT WOS:000372051700016
PM 26983054
ER

PT J
AU Shin, Dong Sun
   Park, Sang Kyu
TI Surface Reconstruction and Optimization of Cerebral Cortex for
   Application Use
SO JOURNAL OF CRANIOFACIAL SURGERY
VL 27
IS 2
BP 489
EP 492
DI 10.1097/SCS.0000000000002352
PD MAR 2016
PY 2016
AB For the purposes of virtual surgery, medical education, medical
   communication, and realistic surface models of anatomic structures are
   required. In the most involved method, surface models can be made using
   segmentation and three-dimensional reconstruction procedures. Such
   models, however, are computationally expensive, and can be difficult to
   use. Therefore, optimization is often performed manually, but this is a
   time-consuming job that requires considerable artistic talent. In this
   article, the authors describe a method that uses Maya and ZBrush to
   construct optimized surface models of anatomic structures. The authors
   take 235 anatomic images generated from a cadaver, and perform
   segmentation and surface reconstruction using Photoshop and Mimics.
   Reconstructed surface models of the cerebral cortex are then optimized
   and divided by a morphing technique in Maya and ZBrush for use in
   medical applications. The optimized surface models do not require
   significant storage space, and are easily manufactured and modified. The
   resulting surface models can be displayed off-line and on-line in real
   time, as well as on smart phones. Using commercial software with the
   specialized functions described in this study, it is expected that the
   efficiencies produced by the proposed method will enable researchers to
   conveniently create surface models from serially sectioned images such
   as computed tomographs and magnetic resonance images. The surface models
   created in this research will also have widespread applications in both
   medical education and communication.
ZB 4
Z8 0
ZR 0
ZS 0
TC 7
ZA 0
Z9 7
U1 0
U2 7
SN 1049-2275
EI 1536-3732
UT WOS:000374761200094
PM 26854785
ER

PT J
AU Schuler, Krysten L.
   Wetterau, Alyssa M.
   Bunting, Elizabeth M.
   Mohammed, Hussni O.
TI Exploring perceptions about chronic wasting disease risks among wildlife
   and agriculture professionals and stakeholders
SO WILDLIFE SOCIETY BULLETIN
VL 40
IS 1
BP 32
EP 40
DI 10.1002/wsb.625
PD MAR 2016
PY 2016
AB Chronic wasting disease (CWD) is a fatal disease of North American
   Cervidae. New York State (NYS, USA) successfully managed an outbreak of
   CWD in 2005 in both captive and wild white-tailed deer (Odocoileus
   virginianus) with no reoccurrence of the disease as of 2015. To attain
   maximum compliance and efficacy of management actions for prevention of
   CWD entry, understanding the varied risk perceptions will allow for
   targeted, proactive communication efforts to address divergences between
   expert-derived risk assessments and stakeholder risk perceptions. We
   examined perceived risks associated with CWD introduction and exposure
   among agricultural and wildlife agency professionals within and outside
   of NYS, as well as stakeholder groups (e.g., hunters and captive cervid
   owners). We measured perceived risk using a risk assessment
   questionnaire online via Qualtrics survey software and evaluated
   similarities within, as well as differences in, perception among
   participant groups. New York State biologists employed by the Department
   of Environmental Conservation and independent non-NYS wildlife and
   agricultural professionals thought CWD risks associated with captive
   cervids were high; captive cervid owners thought risks for wild and
   captive cervids were low. Agriculture and wildlife professional groups
   agreed on general risk perceptions. We ranked 15 individual risk hazards
   into high and low-medium categories based on all responses. Differences
   between groups were most evident in hypothetical disease pathways. Any
   pathway involving inter-state import of live cervids received high
   ranking for all groups except captive cervid owners. Comparatively
   low-risk perceptions by captive cervid operators may stem from
   misinformation, lack of understanding of testing programs, and indemnity
   payments for animal depopulation. Communication and education directed
   at areas of disagreement may facilitate effective disease prevention and
   management. (c) 2016 The Wildlife Society.
RI Schuler, Krysten/J-6317-2019
OI Schuler, Krysten/0000-0002-0515-3589
ZB 4
ZR 0
ZS 0
ZA 0
Z8 0
TC 7
Z9 7
U1 4
U2 52
SN 1938-5463
UT WOS:000373125600007
ER

PT J
AU Sanford, Christopher A.
   Pottinger, Paul S.
TI Travel and Adventure Medicine Resources
SO MEDICAL CLINICS OF NORTH AMERICA
VL 100
IS 2
BP 411
EP +
DI 10.1016/j.mcna.2015.09.004
PD MAR 2016
PY 2016
AB Given the ever-changing nature of travel medicine, practitioners who
   provide pretravel and posttravel care are obligatorily students for the
   duration of their professional careers. A large variety of resources are
   available for medical practitioners. Providers should join at least one
   travel or tropical medicine professional association, attend its annual
   meeting, and read its journal. The largest general travel medicine
   association is the International Society of Travel Medicine.
ZS 0
TC 0
Z8 0
ZA 0
ZB 0
ZR 0
Z9 0
U1 0
U2 1
SN 0025-7125
EI 1557-9859
UT WOS:000372943800015
PM 26900122
ER

PT J
AU Cheng, Weibin
   Cai, Yanshan
   Tang, Weiming
   Zhong, Fei
   Meng, Gang
   Gu, Jing
   Hao, Chun
   Han, Zhigang
   Li, Jingyan
   Das, Aritra
   Zhao, Jinkou
   Xu, Huifang
   Tuckerb, Joseph D.
   Wang, Ming
TI Providing HIV-related services in China for men who have sex with men
SO BULLETIN OF THE WORLD HEALTH ORGANIZATION
VL 94
IS 3
BP 222
EP 227
DI 10.2471/BLT.15.156406
PD MAR 2016
PY 2016
AB Problem In China, human immunodeficiency virus (HIV) care provided by
   community-based organizations and the public sector are not well
   integrated.
   Approach A community-based organization and experts from the Guangzhou
   Center for Disease Control and Prevention developed internet-based
   services for men who have sex with men, in Guangzhou, China. The
   internet services were linked to clinical services offering HIV testing
   and care.
   Local setting The expanding HIV epidemic among men who have sex with men
   is a public health problem in China. HIV control and prevention measures
   are implemented primarily through the public system. Only a limited
   number of community organizations are involved in providing HIV
   services.
   Relevant changes The programme integrated community and public sector
   HIV services including health education, online HIV risk assessment,
   on-site HIV counselling and testing, partner notification, psychosocial
   care and support, counting of CD4+ T-Iymphocytes and treatment guidance.
   Lessons learnt The internet can facilitate HIV prevention among a subset
   of men who have sex with men by enhancing awareness, service uptake,
   retention in care and adherence to treatment. Collaboration between the
   public sector and the community group promoted acceptance by the target
   population. Task sharing by community groups can increase access of this
   high-risk group to available HIV-related services.
RI Das, Aritra/C-9076-2014; Tucker, Joseph/; Zhao, Jinkou/; Cheng, Weibin/C-9441-2018
OI Das, Aritra/0000-0002-7033-1441; Tucker, Joseph/0000-0003-2804-1181;
   Zhao, Jinkou/0000-0001-9184-3385; Cheng, Weibin/0000-0002-9845-6676
TC 33
ZS 1
Z8 8
ZA 0
ZR 0
ZB 7
Z9 41
U1 0
U2 5
SN 0042-9686
EI 1564-0604
UT WOS:000372774200020
PM 26966334
ER

PT J
AU Vrinten, Charlotte
   Wardle, Jane
TI Is cancer a good way to die? A population-based survey among middle-aged
   and older adults in the United Kingdom
SO EUROPEAN JOURNAL OF CANCER
VL 56
BP 172
EP 178
DI 10.1016/j.ejca.2015.12.018
PD MAR 2016
PY 2016
AB Objectives: Despite improved outcomes, cancer remains widely feared,
   often because of its association with a long and protracted death as
   opposed to the quick death that people associate with that other common
   cause of adult mortality: heart disease. Former editor-in-chief of the
   BMJ Richard Smith's view that 'cancer is the best way to die' therefore
   attracted much criticism. We examined middle-aged and older adults'
   agreement with this view and compared their attitudes towards dying from
   cancer versus heart disease in terms of which was a good death.
   Methods: This study was part of an online survey (February 2015) in a
   United Kingdom (UK) population sample of 50- to 70-year olds (n = 391),
   with sampling quotas for gender and education. Five characteristics of
   'a good death' were selected from the end-of-life literature.
   Respondents were asked to rate the importance of each characteristic for
   their own death to ensure their relevance to a population sample and the
   likelihood of each for death from cancer and heart disease. We also
   asked whether they agreed with Smith's view.
   Results: At least 95% of respondents considered the selected five
   characteristics important for their own death. Death from cancer was
   rated as more likely to provide control over what happens (p < 0.001),
   control over pain and other symptoms (p < 0.01), time to settle affairs
   (p < 0.001), and time to say goodbye to loved ones (p < 0.001) compared
   with death from heart disease, but there were no differences in
   expectation of living independently until death (p > 0.05). Almost half
   (40%) agreed that cancer is 'the best way to die', with no differences
   by age (p = 0.40), gender (p = 0.85), or education (p = 0.27).
   Conclusion: Despite the media commotion, a surprisingly high proportion
   of middle-aged and older adults viewed cancer as 'the best way to die'
   and rated cancer death as better than heart disease. Given that one in
   two of us are likely to be diagnosed with cancer, conversations about a
   good death from cancer may in a small way mitigate fear of cancer.
   Future research could explore variations by type of cancer or heart
   disease and by previous experience of these illnesses in others. (C)
   2016 The Authors. Published by Elsevier Ltd.
OI Vrinten, Charlotte/0000-0002-6187-0638
ZA 0
ZR 0
TC 3
Z8 0
ZB 1
ZS 0
Z9 3
U1 0
U2 4
SN 0959-8049
EI 1879-0852
UT WOS:000371778400020
PM 26920822
ER

PT J
AU Krassioukov, Andrei
   Tomasone, Jennifer R.
   Pak, Melissa
   Craven, B. Catharine
   Ghotbi, Mohammad H.
   Ethans, Karen
   Ginis, Kathleen A. Martin
   Ford, Michael
   Krassioukov-Enns, Dmitri
TI "The ABCs of AD": A prospective evaluation of the efficacy of an
   educational intervention to increase knowledge of autonomic dysreflexia
   management among emergency health care professionals
SO JOURNAL OF SPINAL CORD MEDICINE
VL 39
IS 2
BP 190
EP 196
DI 10.1179/2045772315Y.0000000037
PD MAR 2016
PY 2016
AB Context/Objective: Despite the availability of consensus-based
   resources, first responders and emergency room (ER) health care
   professionals (HCPs) have limited knowledge regarding autonomic
   dysreflexia (AD) recognition and treatment. The purpose of this study
   was to assess the efficacy of "The ABCs of AD" educational seminar for
   improving HCPs' short-and long-term knowledge of AD recognition,
   diagnosis, and management.
   Design: Multi-center prospective pre, post, and follow-up questionnaire
   study.
   Setting: Level I trauma centers with emergency departments in British
   Columbia, Manitoba, and Ontario.
   Methods: ER professionals completed measures immediately before and
   after (n = 108), as well as 3-months following (n = 23), attendance at
   "The ABCs of AD" seminar.
   Outcome Measures: AD knowledge test; seminar feedback.
   Results: Following the seminar, participants had higher ratings of their
   AD knowledge and had significantly higher AD knowledge test scores (M
   +/- SD pre = 11.85 +/- 3.88, M +/- SD post = 18.95 +/- 2.39, out of 22;
   P < 0.001, d = 2.21). Most participants believed the seminar changed
   their AD knowledge, and rated the seminar information as having the
   potential to influence and change their practice. AD knowledge test
   scores significantly decreased between post-seminar and 3-month
   follow-up (M +/- SD 3mo = 17.04 +/- 3.28; P = 0.004, d = -0.70);
   however, 3-month scores remained significantly higher than baseline.
   Conclusion: "The ABCs of AD" seminar improves HCPs' perceived and actual
   AD knowledge in the short-term. To enhance knowledge retention in both
   the short-and long-term, the inclusion of additional active learning
   strategies and follow-up activities are recommended. The seminar is
   being translated into an online training module to enhance the
   dissemination of the AD clinical practice guidelines among first
   responders, ER staff, and SCI practitioners.
RI Krassioukov, Andrei V/K-3131-2017; Pak, Melissa/; MARTIN GINIS, KATHLEEN/; Craven, Beverley/D-5001-2015
OI Pak, Melissa/0000-0002-3553-5043; MARTIN GINIS,
   KATHLEEN/0000-0002-7076-3594; Craven, Beverley/0000-0001-8234-6803
ZS 1
ZB 3
ZA 0
TC 15
ZR 0
Z8 1
Z9 16
U1 0
U2 10
SN 1079-0268
EI 2045-7723
UT WOS:000373736400009
PM 26108353
ER

PT J
AU Blake, Jacqueline N.
   Kerr, Don V.
   Gammack, John G.
TI Streamlining patient consultations for sleep disorders with a
   knowledge-based CDSS
SO INFORMATION SYSTEMS
VL 56
BP 109
EP 119
DI 10.1016/j.is.2015.08.003
PD MAR 2016
PY 2016
AB Objectives: This paper examines the workflow of sleep physicians during
   a patient consultation and how an innovative clinical decision support
   system (CDSS) provides efficiency and effectiveness gains.
   Methods: The CDSS tools consisted of two input applications for patient
   data, with a knowledge based decision support system developed
   participatively with physicians and an international panel. An argument
   tree approach was used to produce diagnostic explanations and an
   evidence-based report for the physician using medically correct and
   shared terminology. A usability evaluation using a qualitative approach
   was carried out to ensure that the CDSS met the physicians' information
   needs, as well as the wider needs of a Sleep Investigation Unit.
   Results: The physicians found the CDSS both useful and usable with clear
   applications in triage and diagnostic decision-making, and in patient
   education. Conclusion: The CDSS both reduces the time and number of
   visits needed for consultations, and helps focus consultation on better
   individual patient care through informed explanation of diagnostic and
   treatment decisions. (C) 2015 Elsevier Ltd. All rights reserved.
OI Kerr, Donald/0000-0002-1487-8063; Blake, Jacqueline/0000-0002-4095-4613
ZB 0
TC 4
ZS 0
ZR 0
Z8 1
ZA 0
Z9 5
U1 0
U2 18
SN 0306-4379
EI 1873-6076
UT WOS:000367634200006
ER

PT J
AU Singh, Aditi Puri
   Haywood, Carlton, Jr.
   Beach, Mary Catherine
   Guidera, Mark
   Lanzkron, Sophie
   Valenzuela-Araujo, Doris
   Rothman, Richard E.
   Dugas, Andrea Freyer
TI Improving Emergency Providers' Attitudes Toward Sickle Cell Patients in
   Pain
SO JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
VL 51
IS 3
BP 628
EP +
DI 10.1016/j.jpainsymman.2015.11.004
PD MAR 2016
PY 2016
AB Background. Provider biases and negative attitudes are recognized
   barriers to optimal pain management in sickle cell disease, particularly
   in the emergency department (ED).
   Measures. This prospective cohort measures preintervention and
   postintervention providers' attitudes toward patients with sickle pain
   crises using a validated survey instrument.
   Intervention. ED providers viewed an eight-minute online video that
   illustrated challenges in sickle cell pain management, perspectives of
   patients and providers, as well as misconceptions and stereotypes of
   which to be wary.
   Outcomes. Ninety-six ED providers were enrolled. Negative attitude
   scoring decreased, with a mean difference -11.5 from baseline, and
   positive attitudes improved, with a mean difference +10. Endorsement of
   red-flag behaviors similarly decreased (mean difference -12.8). Results
   were statistically significant and sustained on repeat testing three
   months after intervention.
   Conclusions/Lessons Learned. Brief video-based educational interventions
   can improve emergency providers' attitudes toward patients with sickle
   pain crises, potentially curtailing pain crises early, improving health
   outcomes and patient satisfaction scores. (C) 2016 American Academy of
   Hospice and Palliative Medicine. Published by Elsevier Inc. All rights
   reserved.
RI Lanzkron, Sophie/AAD-7584-2022; Lanzkron, Sophie/AFU-9516-2022; Rothman, Richard/; Beach, Mary Catherine/
OI Lanzkron, Sophie/0000-0002-2878-0251; Lanzkron,
   Sophie/0000-0002-2878-0251; Rothman, Richard/0000-0002-1017-9505; Beach,
   Mary Catherine/0000-0002-1112-6309
ZB 8
ZS 0
TC 18
ZR 0
ZA 0
Z8 0
Z9 18
U1 1
U2 4
SN 0885-3924
EI 1873-6513
UT WOS:000373473200019
PM 26596878
ER

PT J
AU Lobato, Ramiro D.
   Jimenez Roldan, Luis
   Alen, Jose F.
   Castano, Ana M.
   Munarriz, Pablo M.
   Cepeda, Santiago
   Lagares, Alfonso
TI Competency-based Neurosurgery Residency Programme
SO NEUROCIRUGIA
VL 27
IS 2
BP 75
EP 86
DI 10.1016/j.neucir.2016.02.001
PD MAR-APR 2016
PY 2016
AB A programme proposal for competency-based Neurosurgery training adapted
   to the specialization project is presented. This proposal has been
   developed by a group of neurosurgeons commissioned by the SENEC (Spanish
   Society of Neurosurgery) and could be modified to generate a final
   version that could come into force coinciding with the implementation of
   the specialization programme. This document aims to facilitate the test
   of the new programme included in the online version of our journal.
   Duration of the programme: Total training period is 6 years; initial 2
   years belong to the surgery specialization and remaining 4 years belong
   to core specialty period.
   Structure of the programme: It is a competency-based programmed based on
   the map used by the US Accreditation Council for Graduate Medical
   Education (ACGME) including the following domains of clinical
   competency: Medical knowledge, patient care, communication skills,
   professionalism, practice-based learning and improvement, health
   systems, interprofessional collaboration and professional and personal
   development. Subcompetencies map in the domains of Knowledge and Patient
   care (including surgical competencies) was adapted to the one proposed
   by AANS and CNS (annex 1 of the programme). A subcompetency map was also
   used for the specialization rotations.
   Instruction methods: Resident's training is based on personal study
   (self-learning) supported by efficient use of information sources and
   supervised clinical practice, including bioethical instruction, clinical
   management, research and learning techniques.
   Evaluation methods: Resident evaluation proposal includes, among other
   instruments, theoretical knowledge tests, objective and structured
   evaluation of the level of clinical competency with real or standardised
   patients, global competency scales, 360-degree evaluation, clinical
   record audits, milestones for residents progress and self-assessment
   (annex 2). Besides, residents periodically assess the teaching
   commitment of the department's neurosurgeons and other professors
   participating in rotations, and annually assess the overall operation of
   the programme. Results of evaluations are registered, together with
   other relevant data, in the Resident's Book.
   Programme's National Committee: The creation of a Programme Committee
   directly attached to the SENEC (National Commission) that, aside from
   generating a final version of the programme, monitors its implementation
   (level of adherence and operation in the different departments), assumes
   the creation of test banks and the centralized administration of
   knowledge tests (in the middle of the residency and/or at. the end of
   it) and centralizes information collected by tutors that could be used
   for re-accreditation of the services, is proposed. (C) 2016 Sociedad
   Espanola de Neurocirugia. Published by Elsevier Espana, S.L.U. All
   rights reserved.
RI ALEN, JOSE A FERNANDEZ/G-4990-2018; Castaño-Leon, Ana M/ABF-6322-2020; Lagares, Alfonso/B-2969-2011; Jimenez-Roldan, Luis/K-2298-2017; Cepeda, Santiago/AAE-3200-2021; Munarriz, Pablo M/S-3398-2018
OI ALEN, JOSE A FERNANDEZ/0000-0002-3321-983X; Castaño-Leon, Ana
   M/0000-0002-7918-5049; Lagares, Alfonso/0000-0003-3996-0554;
   Jimenez-Roldan, Luis/0000-0002-9864-0385; Cepeda,
   Santiago/0000-0003-1667-8548; Munarriz, Pablo M/0000-0002-9888-7046
ZR 0
Z8 0
ZS 0
ZB 1
TC 3
ZA 0
Z9 3
U1 0
U2 12
SN 1130-1473
UT WOS:000373754000005
PM 26944384
ER

PT J
AU Hassell, Lewis Allen
   Blick, Kenneth E.
TI Training in Informatics Teaching Informatics in Surgical Pathology
SO CLINICS IN LABORATORY MEDICINE
VL 36
IS 1
BP 183
EP +
DI 10.1016/j.cll.2015.09.014
PD MAR 2016
PY 2016
AB This article presents an overview of the curriculum deemed essential for
   trainees in pathology, with mapping to the Milestones competency
   statements. The means by which these competencies desired for pathology
   graduates, and ultimately practitioners, can best be achieved is
   discussed. The value of case (problem)-based learning in this realm, in
   particular the kind of integrative experience associated with hands-on
   projects, to both cement knowledge gained in the lecture hall or online
   and to expand competency is emphasized.
RI Hassell, Lewis/AAM-4644-2020
ZA 0
ZB 0
Z8 0
ZS 0
TC 1
ZR 0
Z9 1
U1 0
U2 6
SN 0272-2712
EI 1557-9832
UT WOS:000372392800013
PM 26851672
ER

PT J
AU Reath, Jennifer
   Abbott, Penny
   Dadich, Ann
   Hosseinzadeh, Hassan
   Hu, Wendy
   Kang, Melissa
   Usherwood, Tim
   Murray, Carolyn
   Bourne, Chris
TI Evaluation of a sexually transmissible infections education program:
   Lessons for general practice learning
SO AUSTRALIAN FAMILY PHYSICIAN
VL 45
IS 3
BP 123
EP 128
PD MAR 2016
PY 2016
AB Background
   The New South Wales (NSW) Sexually Transmissible Infections Program Unit
   (STIPU) produced nine resources to support the diagnosis and management
   of sexually transmissible infections (STIs) in general practice.
   Objective
   In this study, we explored the processes of developing the resources and
   outcomes achieved.
   Methods
   We analysed project documents and undertook a focus group interview with
   the STIPU Working Group to evaluate resource development and
   dissemination. Interviews with general practitioners (GPs) and practice
   nurses (PNs), combined with previously reported survey findings,
   provided an outcomes evaluation.
   Results
   STIPU used a rigorous, multimodal approach to develop evidence-based
   clinical resources. GPs and PNs received information opportunistically
   rather than through targeted searches unless they had a particular
   interest. GPs were less aware of online resources.
   Discussion
   STIPU's best practice translation of clinical guidelines could be
   enhanced by promotion of online resources, links through general
   practice software, strong engagement with general practice
   organisations, and developing the role of PNs.
RI Abbott, Penelope/N-1708-2019; Dadich, Ann/AAD-9021-2020; Hosseinzadeh, Hassan/AAZ-9650-2021; Kang, Melissa/AAE-1956-2021; Hu, Wendy CY/A-9425-2012; Abbott, Penelope/; Kang, Melissa/
OI Dadich, Ann/0000-0001-5767-1794; Hosseinzadeh,
   Hassan/0000-0002-8638-5372; Hu, Wendy CY/0000-0002-1711-3808; Abbott,
   Penelope/0000-0003-4865-4823; Kang, Melissa/0000-0002-9438-2518
ZA 0
ZB 0
Z8 0
ZR 0
TC 2
ZS 0
Z9 2
U1 0
U2 4
SN 0300-8495
UT WOS:000371428100012
PM 27052049
ER

PT J
AU Del Rey, Rosario
   Casas, Jose A.
   Ortega, Rosario
TI Impact of the ConRed program on different cyberbulling roles
SO AGGRESSIVE BEHAVIOR
VL 42
IS 2
SI SI
BP 123
EP 135
DI 10.1002/ab.21608
PD MAR-APR 2016
PY 2016
AB This article presents results from an evaluation of the ConRed
   cyberbullying intervention program. The program's impacts were
   separately determined for the different roles within cyberbullying that
   students can take, i.e., cyber-victims, cyber-bullies,
   cyber-bully/victims, and bystanders. The ConRed program is a
   theory-driven program designed to prevent cyberbullying and improve
   cyberbullying coping skills. It involves students, teachers, and
   families. During a 3-month period, external experts conducted eight
   training sessions with students, two with teachers and one with
   families. ConRed was evaluated through a quasi-experimental design, in
   which students from three secondary schools were separated into
   experimental and control groups. The sample comprised 875 students, aged
   between 11 and 19 years. More students (n=586) were allocated to the
   experimental groups at the specific insistence of the management of all
   schools; the remainder (n=289) formed the control. Repeated measures
   MANOVA showed that cyber victims, cyber aggressors and
   cyberbully/victims reduced their involvement in cyberbullying. Moreover,
   cyber-victims and bystanders adjusted their perceptions about their
   control of personal information on the Internet, and cyber aggressors
   and bystanders reduced their Internet dependence. The ConRed program had
   stronger effects on male participants, especially in heightening their
   affective empathy. Aggr. Behav. 42:123-135, 2016. (c) 2015 Wiley
   Periodicals, Inc.
RI Casas, Jose A./I-8032-2017; Ortega-Ruiz, Rosario/D-4268-2011; Del Rey, Rosario/L-8689-2013; Ortega-Ruiz, Rosario/
OI Casas, Jose A./0000-0002-0272-1835; Del Rey,
   Rosario/0000-0002-1907-5489; Ortega-Ruiz, Rosario/0000-0003-2110-6931
ZB 2
TC 37
ZS 1
ZR 0
Z8 0
ZA 0
Z9 37
U1 8
U2 194
SN 0096-140X
EI 1098-2337
UT WOS:000371244200003
PM 26351131
ER

PT J
AU Cross, Donna
   Shaw, Therese
   Hadwen, Kate
   Cardoso, Patricia
   Slee, Phillip
   Roberts, Clare
   Thomas, Laura
   Barnes, Amy
TI Longitudinal impact of the Cyber Friendly Schools program on
   adolescents' cyberbullying behavior
SO AGGRESSIVE BEHAVIOR
VL 42
IS 2
SI SI
BP 166
EP 180
DI 10.1002/ab.21609
PD MAR-APR 2016
PY 2016
AB Cyberbullying is a major public health problem associated with serious
   mental, social, and academic consequences for young people. To date, few
   programs addressing cyberbullying have been developed and empirically
   tested. The Cyber Friendly Schools (CFS) group-randomized controlled
   trial measured the longitudinal impact of a whole-school online
   cyberbullying prevention and intervention program, developed in
   partnership with young people. Non-government secondary schools in
   Perth, Western Australia, (N=35; 3,000+ students) were randomized to an
   intervention (n=19) or usual practice control group (n=16 schools).
   Students completed online questionnaires in 2010, 2011, and at 1-year
   follow-up in 2012, measuring their cyberbullying experiences during the
   previous school term. The intervention group received the program in
   Grades 8 and 9 (aged 13-14 years). Program effects were tested using
   two-part growth models. The program was associated with significantly
   greater declines in the odds of involvement in cyber-victimization and
   perpetration from pre- to the first post-test, but no other differences
   were evident between the study conditions. However, teachers implemented
   only one third of the program content. More work is needed to build
   teacher capacity and self-efficacy to effectively implement
   cyberbullying programs. Whole-school cyberbullying interventions
   implemented in conjunction with other bullying prevention programs may
   reduce cyber-victimization more than traditional school-based bullying
   prevention programs alone. Aggr. Behav. 42:166-180, 2016. (c) 2015 Wiley
   Periodicals, Inc.
RI slee, phillip t/A-4855-2008; Shaw, Therese/; slee, phillip/; Cardoso, Patricia/; Cross, Donna/; Barnes, Amy/; Thomas, Laura/
OI Shaw, Therese/0000-0003-1150-9366; slee, phillip/0000-0002-4455-1141;
   Cardoso, Patricia/0000-0003-4238-6784; Cross, Donna/0000-0001-6217-5058;
   Barnes, Amy/0000-0001-9652-9600; Thomas, Laura/0000-0003-4887-5757
Z8 0
ZA 0
ZS 2
ZR 0
ZB 6
TC 73
Z9 74
U1 3
U2 97
SN 0096-140X
EI 1098-2337
UT WOS:000371244200007
PM 26351263
ER

PT J
AU Avery, Andrew H.
   Rae, Lisa
   Summitt, J. Blair
   Kahn, Steven Alexander
TI The Fire Challenge: A Case Report and Analysis of Self-Inflicted Flame
   Injury Posted on Social Media
SO JOURNAL OF BURN CARE & RESEARCH
VL 37
IS 2
BP E161
EP E165
DI 10.1097/BCR.0000000000000324
PD MAR-APR 2016
PY 2016
AB With the advent of social media platforms such as Facebook and YouTube,
   online dissemination of exhibitionist videos has gained popularity. One
   recent disturbing trend is the fire challenge wherein a participant
   douses his or herself in a household accelerant such as isopropyl
   alcohol or acetone, sets him or herself ablaze, and attempts to
   extinguish the flames before serious burns are incurred. As expected,
   participants in the fire challenge often accidentally suffer serious
   burns. A 17-year-old white male was recently treated at our burn center
   after participating in the fire challenge. He suffered 15% TBSA full and
   partial thickness burns requiring split thickness skin grafting to his
   abdomen. He reported lighting himself on fire because he had seen this
   stunt performed on the internet. A search for fire challenge and similar
   terms was conducted on YouTube (www.youtube.com). Gender and ethnicity
   of each participant were documented. Burn size, burn depth, and age of
   video participant were estimated by two attending burn surgeons
   evaluating YouTube videos. Results were reported with descriptive
   statistics. The search yielded thousands of hits, mostly home videos,
   compilations of stunts, and commentaries. After omitting duplicate and
   irrelevant videos, 50 videos were selected for the study. Of these, 13
   videos included postburn footage demonstrating burn wounds of various
   location, size, and severity. Of these burns, the median TBSA burned was
   4 +/- 2.7% with a maximum size of 10%. Superficial and partial thickness
   burns were sustained on the torso (10/13, 77%), face (4/13, 31%), and
   extremities (2/13, 15%). Full thickness burns were seen in 2/13 videos.
   Some burn wounds were obscured by dressings. Of the 50 videos reviewed,
   45/50 participants (90%) were male and 32/50 (64%) were African American
   with 29/50 participants (58%) estimated to be under age 20. The fire
   challenge is a popular social media phenomenon, but it can result in
   severe injury as seen with the patient at our institution. The lure of a
   challenge and potential for a shocking video to go viral might entice
   people to mimic this risky behavior. This study shows a disturbing
   trend, but undoubtedly only reflects a small portion of actual
   participants. A disproportionate number of videos featured young African
   American males, making this a target population for education and
   prevention efforts. Our patient's TBSA exceeded the maximum found on
   YouTube, suggesting that less severe burns may be posted online while
   larger burns are not, diminishing perceived risk and encouraging this
   behavior.
TC 8
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
Z9 8
U1 0
U2 11
SN 1559-047X
EI 1559-0488
UT WOS:000369866100009
PM 26862698
ER

PT J
AU VanDevanter, Nancy
   Zhou, Sherry
   Katigbak, Carina
   Naegle, Madeline
   Sherman, Scott
   Weitzman, Michael
TI Knowledge, Beliefs, Behaviors, and Social Norms Related to Use of
   Alternative Tobacco Products Among Undergraduate and Graduate Nursing
   Students in an Urban US University Setting
SO JOURNAL OF NURSING SCHOLARSHIP
VL 48
IS 2
BP 147
EP 153
DI 10.1111/jnu.12192
PD MAR 2016
PY 2016
AB PurposeThe purpose of the study was to assess nursing students'
   knowledge, beliefs, behaviors, and social norms regarding use of
   alternative tobacco products (ATPs).
   Design and MethodsThis anonymous online survey was conducted with all
   students enrolled in a college of nursing. The survey utilized measures
   from several national tobacco studies to assess knowledge and beliefs
   about ATPs (hookahs, cigars or cigarillos, bidis, kreteks, smokeless
   tobacco, electronic cigarettes) compared to cigarettes, health effects
   of ATPs, personal use of ATPs, and social norms. Data were analyzed in
   SPSS 22.0 (SPSS Inc., Chicago, IL, USA). Descriptive statistics and
   frequencies were performed for basic sociodemographic data. Paired
   samples t tests were performed to determine differences for scaled
   measures.
   FindingsNursing students demonstrated very low levels of knowledge about
   ATPs and their health consequences, despite high rates of ATP personal
   use. About 76% of participants reported use of one or more ATPs once or
   more in their lifetimes. A greater proportion of students had used
   hookahs or waterpipes (39.6%) compared to cigarettes (32.7%).
   ConclusionsNurses' lack of knowledge about the emerging use and health
   threats associated with ATPs may undermine their ability to provide
   appropriate tobacco cessation counseling. Research is needed to identify
   gaps in nurses' education regarding tobacco cessation counseling and to
   develop new counseling approaches specific to use of ATPs.
   Clinical RelevanceNurses play critical roles in counseling their
   patients for tobacco cessation. Further research and education about the
   risks presented by ATPs are critical to reducing excess tobacco-related
   mortality.
OI Sherman, Scott/0000-0003-1752-7303; Katigbak, Carina/0000-0002-2060-7526
TC 11
Z8 0
ZR 0
ZA 0
ZB 2
ZS 0
Z9 11
U1 0
U2 14
SN 1527-6546
EI 1547-5069
UT WOS:000372267900005
PM 26845631
ER

PT J
AU Alisic, Eva
   Hoysted, Claire
   Kassam-Adams, Nancy
   Landolt, Markus A.
   Curtis, Sarah
   Kharbanda, Anupam B.
   Lyttle, Mark D.
   Parri, Niccolo
   Stanley, Rachel
   Babl, Franz E.
CA PERC
   Amer Acad Pediat
   PERUKI
   REPEM
   PECARN
   PREDICT
   PERN
TI Psychosocial Care for Injured Children: Worldwide Survey among Hospital
   Emergency Department Staff
SO JOURNAL OF PEDIATRICS
VL 170
BP 227
EP +
DI 10.1016/j.jpeds.2015.10.067
PD MAR 2016
PY 2016
AB Objective To examine emergency department (ED) staff's knowledge of
   traumatic stress in children, attitudes toward providing psychosocial
   care, and confidence in doing so, and also to examine differences in
   these outcomes according to demographic, professional, and
   organizational characteristics, and training preferences.
   Study design We conducted an online survey among staff in ED and
   equivalent hospital departments, based on the Psychological First Aid
   and Distress-Emotional Support-Family protocols. Main analyses involved
   descriptive statistics and multiple regressions. Respondents were 2648
   ED staff from 87 countries (62.2% physicians and 37.8% nurses; mean
   years of experience in emergency care was 9.5 years with an SD of 7.5
   years; 25.2% worked in a low-or middle-income country).
   Results Of the respondents, 1.2% correctly answered all 7 knowledge
   questions, with 24.7% providing at least 4 correct answers. Almost all
   respondents (90.1%) saw all 18 identified aspects of psychosocial care
   as part of their job. Knowledge and confidence scores were associated
   with respondent characteristics (eg, years of experience, low/middle vs
   high-income country), although these explained no more than 11%-18% of
   the variance. Almost all respondents (93.1%) wished to receive training,
   predominantly through an interactive website or one-off group training.
   A small minority (11.1%) had previously received training.
   Conclusions More education of ED staff regarding child traumatic stress
   and psychosocial care appears needed and would be welcomed. Universal
   education packages that are readily available can be modified for use in
   the ED.
RI Velasco, Roberto/Q-6761-2019; Benito, Javier/G-9198-2011; Mintegi, Santiago/G-8252-2011; VELASCO, ROBERTO/H-5885-2011; Chang, Todd/; Alisic, Eva/; Landolt, Markus/; Curtis, Sarah/; Kassam-Adams, Nancy/; Kharbanda, Anupam/; Parri, Niccolo/; Lyttle, Mark/; Hoysted, Claire/; Hartshorn, Stuart/; Freedman, Stephen/H-9102-2012
OI Velasco, Roberto/0000-0003-0073-2650; Benito,
   Javier/0000-0003-1548-7408; Mintegi, Santiago/0000-0002-2342-8881;
   VELASCO, ROBERTO/0000-0003-0073-2650; Chang, Todd/0000-0002-4508-2551;
   Alisic, Eva/0000-0002-7225-606X; Landolt, Markus/0000-0003-0760-5558;
   Curtis, Sarah/0000-0003-4996-7784; Kassam-Adams,
   Nancy/0000-0001-7412-1428; Kharbanda, Anupam/0000-0001-5231-9855; Parri,
   Niccolo/0000-0002-8098-2504; Lyttle, Mark/0000-0002-8634-7210; Hoysted,
   Claire/0000-0001-8458-0046; Hartshorn, Stuart/0000-0003-0419-1564;
   Freedman, Stephen/0000-0003-2319-6192
ZR 0
ZA 0
Z8 0
ZS 0
TC 19
ZB 0
Z9 19
U1 0
U2 7
SN 0022-3476
EI 1097-6833
UT WOS:000370820500046
PM 26707581
ER

PT J
AU Thurtle, Natalie
   Banks, Colin
   Cox, Megan
   Pain, Tilley
   Furyk, Jeremy
TI Free Open Access Medical Education resource knowledge and utilisation
   amongst Emergency Medicine trainees: A survey in four countries.
SO African journal of emergency medicine : Revue africaine de la medecine
   d'urgence
VL 6
IS 1
BP 12
EP 17
DI 10.1016/j.afjem.2015.10.005
PD 2016-Mar
PY 2016
AB Introduction Free Open Access Medical Education encompasses a broad
   array of free online resources and discussion fora. The aim of this
   paper was to describe whether Emergency Medicine trainees in different
   contexts know about Free Open Access Medical Education, whether or not
   they know about its different platforms, which ones they use, and what
   the major barriers to regular usage are. Methods A convenience sample
   was surveyed on awareness and use of Free Open Access Medical Education
   blogs, podcasts, websites and Twitter at three institutions (in
   Australia, Botswana and Papua New Guinea) and one deanery (United
   Kingdom) between June 2013 and June 2014 using an online survey tool or
   via hand-distributed survey. Results 44 trainees responded: four from
   Botswana, seven from Papua New Guinea, ten from the United Kingdom and
   23 from Australia. 82% were aware of blogs, 80% of websites, 75% of
   podcasts and 61% of Twitter as resources in Emergency Medicine.
   Awareness and use of specific resources were lower in Botswana and Papua
   New Guinea. For blogs, podcasts and websites, trainees who had looked at
   a resource at least once were neutral or agreed that it was relevant.
   For Twitter, some trainees found it difficult to navigate or not
   relevant. Lack of awareness of resources rather than lack of internet
   access was the main barrier to use. Conclusion The Emergency Medicine
   trainees in both developed and low resource settings studied were aware
   that Free Open Access Medical Education resources exist, but trainees in
   lower income settings were generally less aware of specific resources.
   Lack of internet and device access was not a barrier to use in this
   group.
AB INTRODUCTION: Lenseignement medical gratuit en acces libre englobe un
   large eventail de ressources et forums de discussion gratuits en ligne.
   Les objectifs de cette etude sont de decrire si les stagiaires en
   medecine durgence dans differents contextes ont connaissance de
   lenseignement medical gratuit en acces libre, sils ont ou non ils ont
   connaissance de ses differentes plateformes, quelles sont celles quils
   utilisent et quels sont les principaux obstacles a leur utilisation
   reguliere.
   METHODES: Une enquete a ete menee sur un echantillon de commodite sur la
   sensibilisation aux blogs, podcasts, sites Internet et comptes Twitter
   sur lenseignement medical gratuit en acces libre et leur utilisation,
   dans trois etablissements (en Australie, au Botswana et en
   Papouasie-Nouvelle-Guinee) et un doyenne (Royaume-Uni) entre juin 2013
   et juin 2014, en utilisant un outil denquete en ligne ou par le biais
   dun questionnaire distribue en personne.
   RESULTATS: 44 stagiaires ont repondu: quatre provenant du Botswana, sept
   de Papouasie-Nouvelle-Guinee, dix du Royaume-Uni et 23 dAustralie. 82%
   connaissaient les blogs, 80% les sites, 75% les podcasts et 61% les
   comptes Twitter en tant que ressources en medecine durgence. La
   sensibilisation et lutilisation de ressources specifiques etaient plus
   faibles au Botswana et en Papouasie-Nouvelle-Guinee. Concernant les
   blogs, les podcasts et les sites Web, les stagiaires qui avaient
   consulte une ressource au moins une fois en avaient une opinion neutre
   ou convenaient quelle etait pertinente. Concernant Twitter, certains
   stagiaires ont trouve quil etait difficile dy naviguer ou estimaient le
   service non pertinent. Le principal obstacle a lutilisation etait le
   manque de sensibilisation aux ressources plutot que le manque dacces a
   Internet.
   CONCLUSION: Les stagiaires en medecine durgence interroges dans les pays
   developpes comme dans les contextes a faibles ressources etaient
   conscients de lexistence de ressources en enseignement medical gratuit
   en acces libre, mais les stagiaires dans les contextes a faible revenu
   etaient generalement moins conscients des ressources specifiques. Le
   manque dacces a Internet ou a des appareils netait pas un obstacle a
   lutilisation au sein de ce groupe.
RI Cox, Megan/AAD-6746-2020; Furyk, Jeremy/; Banks, Colin/
OI Cox, Megan/0000-0001-7781-1942; Furyk, Jeremy/0000-0002-9503-0928;
   Banks, Colin/0000-0002-6477-7033
ZA 0
ZS 0
Z8 0
TC 27
ZR 0
ZB 1
Z9 27
U1 1
U2 6
EI 2211-4203
UT MEDLINE:30456058
PM 30456058
ER

PT J
AU Fuchs, Amanda
   Kashanian, James A.
   Clayman, Marla L.
   Gosiengfiao, Yasmin
   Lockart, Barbara
   Woodruff, Teresa K.
   Brannigan, Robert E.
TI Pediatric Oncology Providers' Attitudes and Practice Patterns Regarding
   Fertility Preservation in Adolescent Male Cancer Patients
SO JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY
VL 38
IS 2
BP 118
EP 122
DI 10.1097/MPH.0000000000000488
PD MAR 2016
PY 2016
AB Background:
   The aim of this study was to evaluate pediatric oncology providers'
   attitudes toward fertility preservation (FP), their use of educational
   materials, their approach to FP discussion, and their FP knowledge
   specifically pertaining to adolescent males.
   Methods:
   A 40-item online survey was distributed to physicians, advanced practice
   nurses (APN), and nurses within pediatric oncology.
   Results:
   About 78.7% of physicians, 81.4% of APN, and 51.9% of nurses reported
   high levels of comfort in discussing FP options with adolescent males (P
   < 0.05). Fifty-one percent of physicians and 54.2% of APN reported using
   educational materials, compared with 38.9% of nurses (P < 0.05).
   Regarding knowledge of FP technologies, 48.7% of physicians, 52.5% of
   APN, and 81.1% of nurses reported being unfamiliar with intracytoplasmic
   sperm injection (P < 0.05). An overwhelming majority (92.9%) of
   respondents reported having no formal training in discussing FP.
   Finally, 84.8% of respondents believed formal training on this issue
   would be useful to them.
   Conclusions:
   This study illustrates an unmet need in the education of pediatric
   oncology providers, as knowledge gaps and discomfort are common themes
   reported by health care professionals within the context of adolescent
   male FP care. In addition, this study reveals a high level of
   receptiveness to FP training by these same providers.
RI Kashanian, James/ABF-6730-2020; Clayman, Marla/ABB-3625-2020; Woodruff, Teresa/; Gosiengfiao, Yasmin/
OI Clayman, Marla/0000-0001-8491-3672; Woodruff,
   Teresa/0000-0002-1197-3399; Gosiengfiao, Yasmin/0000-0002-8064-2462
ZB 5
Z8 0
ZS 0
TC 28
ZR 0
ZA 0
Z9 28
U1 0
U2 4
SN 1077-4114
EI 1536-3678
UT WOS:000372852600006
PM 26630536
ER

PT J
AU Hilmes, Melissa A.
   Hyatt, Eddie
   Penrod, Cody H.
   Fleming, Amy E.
   Singh, Sudha P.
TI Radiology in Medical Education: A Pediatric Radiology Elective as a
   Template for Other Radiology Courses
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 13
IS 3
BP 320
EP 325
DI 10.1016/j.jacr.2015.08.003
PD MAR 2016
PY 2016
AB Purpose: Traditionally, the pediatric radiology elective for medical
   students and pediatric residents constituted a morning teaching session
   focused mainly on radiography and fluoroscopy. A more structured
   elective was desired to broaden the exposure to more imaging modalities,
   create a more uniform educational experience, and include assessment
   tools.
   Methods: In 2012, an introductory e-mail and formal syllabus, including
   required reading assignments, were sent to participants before the start
   date. A rotating weekly schedule was expanded to include cross-sectional
   imaging (ultrasound, CT, MR) and nuclear medicine. The schedule could
   accommodate specific goals of the pediatric resident or medical student,
   as requested. Starting in 2013, an online, pre-test and post-test were
   developed, as well as an online end-of-rotation survey specific to the
   pediatric radiology elective. Taking the Image Gently pledge was
   required. A scavenger hunt tool, cue cards, and electronic modules were
   added.
   Results: Pre-test and post-test scores, averaged over 2 years, showed
   improvement in radiology knowledge, with scores increasing by 27% for
   medical students and 21% for pediatric residents. Surveys at the end of
   the elective were overwhelmingly positive, with constructive criticism
   and complimentary comments.
   Conclusions: We have successfully created an elective experience in
   radiology that dedicates time to education while preserving the workflow
   of radiologists. We have developed tools to provide a customized
   experience with many self-directed learning opportunities. Our tools and
   techniques are easily translatable to a general or adult radiology
   elective.
Z8 0
TC 6
ZS 0
ZR 0
ZA 0
ZB 0
Z9 6
U1 1
U2 2
SN 1546-1440
UT WOS:000372692500020
PM 26482815
ER

PT J
AU Wiesjahn, Martin
   Jung, Esther
   Kremser, Julian D.
   Rief, Winfried
   Lincoln, Tania M.
TI The potential of continuum versus biogenetic beliefs in reducing
   stigmatization against persons with schizophrenia: An experimental study
SO JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
VL 50
BP 231
EP 237
DI 10.1016/j.jbtep.2015.09.007
PD MAR 2016
PY 2016
AB Objective: A central aspect of previous anti-stigma campaigns was the
   promotion of biogenetic causes of schizophrenia. Although biogenetic
   beliefs have been shown to reduce the blame given to persons with
   schizophrenia, they tend to increase discrimination and stereotypes such
   as dangerousness and unpredictability. A novel anti-stigma approach is
   to incorporate continuum beliefs in order to oppose the perceived
   separation, which is a main component of the stigma process. The aim of
   the study was to compare the effects of a continuum, a biogenetic, and a
   control intervention on stereotypes, fear, and social distance towards
   persons with schizophrenia. Furthermore, it was intended to replicate
   earlier findings on the associations between continuum beliefs,
   biogenetic beliefs, and different facets of stigmatization.
   Method: In an online-experiment, 1189 participants from the general
   population randomly received either a continuum, a biogenetic, or a
   control intervention, which consisted of written information texts.
   Results: The continuum group showed less endorsement of the stereotype
   incompetence/unpredictability than the biogenetic group. The biogenetic
   group ascribed less blame to persons with schizophrenia than the other
   groups. The correlation analyses indicated continuum beliefs to be
   consistently associated with lower stereotype scores, less fear, and
   less preferred social distance.
   Limitations: The sample was not fully representative and the
   experimental manipulations in our study consisted of relatively short
   information texts.
   Conclusion: It is concluded that continuum beliefs have the potential to
   reduce stigmatization against persons with schizophrenia. However,
   future studies need to investigate the effects of more powerful
   interventions to promote them. (c) 2015 Elsevier Ltd. All rights
   reserved.
RI Rief, Winfried/ABD-4994-2021; Lincoln, Tania/; Wiesjahn, Martin/
OI Rief, Winfried/0000-0002-7019-2250; Lincoln, Tania/0000-0002-6674-2440;
   Wiesjahn, Martin/0000-0002-7354-7424
ZA 0
ZR 0
ZB 11
ZS 0
TC 34
Z8 0
Z9 34
U1 0
U2 39
SN 0005-7916
EI 1873-7943
UT WOS:000367213200031
PM 26412294
ER

PT J
AU Starkey, Melissa
   Wiest, Dawn
   Qaseem, Amir
TI Improving Depression Care Through an Online Learning Collaborative
SO AMERICAN JOURNAL OF MEDICAL QUALITY
VL 31
IS 2
BP 111
EP 117
DI 10.1177/1062860614555883
PD MAR-APR 2016
PY 2016
AB Depression is a leading cause of disability worldwide, and many
   internists diagnose and treat depression. This study aimed to examine
   the impact of a practice improvement intervention on screening and
   managing patients with depression in primary care. This pre-post study
   design included a physician practice survey designed to capture what the
   physicians believed they were doing in practice, a chart audit tool to
   capture what physicians were actually doing in practice, and an
   intervention that included an evidence-based educational program, online
   toolkit, and practice improvement coaching conference calls that
   promoted group learning. Following completion of the intervention,
   participants increasingly used the Patient Health Questionnaire-9 to
   detect, diagnose, and gauge treatment success for depression and
   reported increased use of guidelines and team-based care. Although
   barriers to improving depression care exist, this study suggests that
   evidence-based quality improvement programs can positively affect
   practice.
OI Wiest, Dawn/0000-0002-1348-8741; Starkey, Melissa/0000-0002-5818-0265
ZR 0
ZA 0
ZB 0
Z8 0
ZS 0
TC 4
Z9 4
U1 0
U2 10
SN 1062-8606
EI 1555-824X
UT WOS:000371638300003
PM 25351473
ER

PT J
AU Cui, Dongmei
   Lynch, James C.
   Smith, Andrew D.
   Wilson, Timothy D.
   Lehman, Michael N.
TI Stereoscopic vascular models of the head and neck: A computed tomography
   angiography visualization
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 2
BP 179
EP 185
DI 10.1002/ase.1537
PD MAR-APR 2016
PY 2016
AB Computer-assisted 3D models are used in some medical and allied health
   science schools; however, they are often limited to online use and 2D
   flat screen-based imaging. Few schools take advantage of 3D stereoscopic
   learning tools in anatomy education and clinically relevant anatomical
   variations when teaching anatomy. A new approach to teaching anatomy
   includes use of computed tomography angiography (CTA) images of the head
   and neck to create clinically relevant 3D stereoscopic virtual models.
   These high resolution images of the arteries can be used in unique and
   innovative ways to create 3D virtual models of the vasculature as a tool
   for teaching anatomy. Blood vessel 3D models are presented
   stereoscopically in a virtual reality environment, can be rotated 360
   degrees in all axes, and magnified according to need. In addition,
   flexible views of internal structures are possible. Images are displayed
   in a stereoscopic mode, and students view images in a small theater-like
   classroom while wearing polarized 3D glasses. Reconstructed 3D models
   enable students to visualize vascular structures with clinically
   relevant anatomical variations in the head and neck and appreciate
   spatial relationships among the blood vessels, the skull and the skin.
   Anat Sci Educ 9: 179-185. (c) 2015 American Association of Anatomists.
RI Lehman, Michael/ABC-9076-2020; Wilson, Timothy D./F-4980-2015; Lehman, Michael/; Smith, Andrew/
OI Wilson, Timothy D./0000-0001-7102-2491; Lehman,
   Michael/0000-0002-9076-5108; Smith, Andrew/0000-0002-8124-1038
ZA 0
Z8 2
ZS 0
ZR 0
TC 15
ZB 4
Z9 17
U1 0
U2 25
SN 1935-9772
EI 1935-9780
UT WOS:000371547000008
PM 25929248
ER

PT J
AU Ng, Chirk Jenn
   Teng, Cheong Lieng
   Abdullah, Adina
   Wong, Chin Hoong
   Hanafi, Nik Sherina
   Phoa, Stephanie Su Yin
   Tong, Wen Ting
TI The Status of Family Medicine Training Programs in the Asia Pacific
SO FAMILY MEDICINE
VL 48
IS 3
BP 194
EP 202
PD MAR 2016
PY 2016
AB BACKGROUND AND OBJECTIVES: The family medicine training programs in the
   Asia Pacific (AP) are evolving. To date, there is a lack of
   comprehensive and systematic documentation on the status of family
   medicine training in the AP. This study aims to determine the status of
   family medicine training at both the undergraduate and postgraduate
   levels in medical schools (universities or colleges) in the AP.
   METHODS: In 2014, the authors conducted a cross-sectional online survey
   to assess the undergraduate and postgraduate family medicine programs in
   academic family medicine departments from AP countries. A 37-item online
   survey questionnaire was sent to key informants from academic
   institutions with established family medicine departments/units. Only
   one response from each family medicine department/unit was included in
   the analysis.
   RESULTS: The medical school and country response rates were 31.31% and
   64.1%, respectively. The majority of the medical schools (94.7%,
   n=71/75) reported having a department/unit for family medicine. Family
   medicine is recognized as a specialist degree by the governments of
   20/25 countries studied. Family medicine is included in the
   undergraduate program of 92% (n=69/75) of all the participating medical
   schools. Only slightly more than half (53.3%) (n=40/75) reported
   conducting a postgraduate clinical program. Less than one third (26.7%)
   (n=20/75) of the medical schools conducted postgraduate research
   programs.
   CONCLUSIONS: Undergraduate training remains the focus of most family
   medicine departments/units in the AP. Nevertheless, the number of
   postgraduate programs is increasing. A more rigorous and long-term
   documentation of family medicine training in the AP is warranted.
RI Abdullah, Adina/J-1647-2012; Hanafi, Nik Sherina/B-9250-2010; Tong, Wen Ting/Q-4993-2017; NG, CHIRK JENN/C-1344-2010; Tong, Wen Ting/G-8106-2012; abdullah, adina/E-1052-2014; Ng, Chirk Jenn/
OI Abdullah, Adina/0000-0003-1545-7110; Hanafi, Nik
   Sherina/0000-0001-9140-0955; Ng, Chirk Jenn/0000-0002-8320-1603
ZR 0
ZB 0
ZA 0
TC 11
ZS 2
Z8 0
Z9 12
U1 0
U2 1
SN 0742-3225
EI 1938-3800
UT WOS:000371913900005
PM 26950908
ER

PT J
AU Bagenal, Jessamy
   Sahnan, Kapil
   Shantikumar, Saran
TI Comparing the Attitudes and Knowledge Toward Incident Reporting in
   Junior Physicians and Nurses in a District General Hospital
SO JOURNAL OF PATIENT SAFETY
VL 12
IS 1
BP 51
EP 53
DI 10.1097/PTS.0000000000000103
PD MAR 2016
PY 2016
AB Objectives The practice of open reporting and instituting a blame-free
   culture improves a system's ability to deal with risky processes, and
   the attitude of staff toward safety processes is a critical factor. We
   compared the attitudes and knowledge of incident reporting between
   junior physicians and nurses in a district general hospital. Methods A
   questionnaire was designed to examine health care workers' attitudes
   toward reporting and errors. It also assessed knowledge of incident
   reporting and attitudes toward training in patient safety. Staff nurses
   (n = 50) and junior physicians (n = 50) were sampled on a voluntary
   basis and completed the survey online and anonymously. Results Although
   similar proportions of each group knew a safety organization (70% of
   nurses versus 58% of physicians, P = 0.21), significantly more nurses
   had filled out an incident report (96% of nurses versus 52% of
   physicians, P < 0.001). The physicians felt that they did not have
   sufficient training in patient safety (66% of physicians versus 24% of
   nurses, P < 0.001), and consequently, fewer felt confident with patient
   safety issues (38% versus 72%, P < 0.001) The majority of all
   respondents agreed that incident reporting was beneficial (69%, P =
   0.001), although a large proportion also felt that they would be blamed
   for errors (61%, P = 0.03). Conclusions This study suggests that junior
   physicians are lacking in confidence and disengaged with incident
   reporting. Nurses generally have a more positive and confident view
   toward patient safety issues and thus are more involved in reporting
   practices. Health care institutions should focus on promoting a safety
   culture in the organization through blame-free incident reporting
   systems. This should include ensuring that junior physicians obtain a
   comprehensive education in incident reporting and patient safety.
RI Sahnan, Kapil/W-6310-2019; Shantikumar, Saran/
OI Sahnan, Kapil/0000-0003-3885-5752; Shantikumar,
   Saran/0000-0002-8565-5385
Z8 0
ZS 0
TC 12
ZB 0
ZR 0
ZA 0
Z9 12
U1 0
U2 12
SN 1549-8417
UT WOS:000371578700008
PM 24647268
ER

PT J
AU Kesselheim, Jennifer C.
   Schwartz, Alan
   Belmonte, Frank
   Boland, Kimberly A.
   Poynter, Sue
   Batra, Maneesh
CA Ass Pediat Program Directors
TI A National Survey of Pediatric Residents' Professionalism and Social
   Networking: Implications for Curriculum Development
SO ACADEMIC PEDIATRICS
VL 16
IS 2
BP 110
EP 114
DI 10.1016/j.acap.2015.12.004
PD MAR 2016
PY 2016
OI Schwartz, Alan/0000-0003-3809-6637
ZS 0
Z8 0
ZR 0
ZA 0
TC 12
ZB 2
Z9 12
U1 0
U2 6
SN 1876-2859
EI 1876-2867
UT WOS:000371364000003
PM 26718877
ER

PT J
AU Hung, Chen-Yu
   Chang, Ke-Vin
   Ozcakar, Levent
   Wang, Tyng-Guey
   Chen, Wen-Shiang
TI Can Quantification of Biceps Peritendinous Effusion Predict Rotator Cuff
   Pathologies? A Retrospective Analysis of 1352 Shoulder Ultrasound
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 3
BP 161
EP 168
DI 10.1097/PHM.0000000000000442
PD MAR 2016
PY 2016
AB Objective
   The purposes of this study were to determine the best cutoff value for
   bicipital peritendinous effusion (BPE) and to test its diagnostic
   performance as regards shoulders with and without rotator cuff
   pathology.
   Design
   We reviewed the sonographic reports of 1352 patients with suspected
   shoulder disorders between January 2011 and June 2012. The associations
   between BPE and rotator cuff abnormalities were explored by logistic
   regression and adjusted for age, sex, affected side, and clinical
   diagnosis of frozen shoulder. The receiver operating characteristic
   curves were constructed to assess the ability of BPE to discriminate
   certain rotator cuff pathologies. Maximal Youden indexes were used to
   define the best cutoff points, which were later applied on the
   validation data set for its discriminative ability.
   Results
   Sonographic findings of subscapularis tendinopathy, subdeltoid bursitis,
   supraspinatus full-thickness tear, and supraspinatus articular-sided
   partial-thickness tear were found to be associated with BPE. The cutoff
   values of BPE to differentiate those lesions were 1.0, 0.9, 1.5, and 1.5
   mm, respectively. Validation of the diagnostic performance of BPE at
   defined thicknesses yielded good negative predictive values for the
   aforementioned rotator cuff abnormalities.
   Conclusions
   Sonographically detected BPE seems to be in association with certain
   rotator cuff pathologies, and it can be utilized as an adjuvant finding
   to rule out such rotator cuff abnormalities.
   To Claim CME Credits:
   Complete the self-assessment activity and evaluation online at
   [GRAPHICS]
   CME
   Objective s:
   Upon completion of this article, the reader should be able (1) to
   realize the association between the biceps peritendinous effusion and
   other sonographic abnormal findings regarding the shoulder joint, (2) to
   understand the possible mechanism of biceps peritendinous effusion
   production, and (3) to use biceps peritendinous effusion as an adjuvant
   finding to rule out rotator cuff abnormalities.
   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)((TM)). Physicians should only claim credit
   commensurate with the extent of their participation in the activity.
RI Wen-shiang, Chen/B-4794-2009; WANG, TYNG-GUEY/
OI Wen-shiang, Chen/0000-0003-1488-5164; WANG,
   TYNG-GUEY/0000-0003-3298-4916
ZA 0
TC 14
Z8 0
ZR 0
ZS 0
ZB 5
Z9 14
U1 0
U2 3
SN 0894-9115
EI 1537-7385
UT WOS:000370958600001
PM 26829075
ER

PT J
AU Nolin, Marie
   Malla, Ashok
   Tibbo, Phil
   Norman, Ross
   Abdel-Baki, Amal
TI Early Intervention for Psychosis in Canada: What Is the State of
   Affairs?
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 61
IS 3
BP 186
EP 194
DI 10.1177/0706743716632516
PD MAR 2016
PY 2016
AB Objective: Early intervention services (EIS) for psychosis have been
   developed in several countries, including Canada. There is some
   agreement about the program elements considered essential for improving
   the long-term outcomes for patients in the early phase of psychotic
   disorders. In the absence of national standards, the current state of
   EIS for psychosis in Canada needs to be examined in relation to expert
   recommendations currently available.
   Method: A detailed online benchmark survey was developed and
   administered to 11 Canadian academic EIS programs covering
   administrative, clinical, education, and research domains. In addition,
   an electronic database and Internet search was conducted to find
   existing guidelines for EIS. Survey results were then compared with the
   existing expert recommendations.
   Results: Most of the surveyed programs offer similar services, in line
   with published expert recommendations (i.e., easy and rapid access,
   intensive follow-up through case management with emphasis on patient
   engagement and continuity of care, and a range of integrated
   evidence-based psychosocial interventions). However, differences are
   observed among programs in admission and discharge criteria, services
   for patients at ultra high risk (UHR) for psychosis, patient to
   clinician ratios, accessibility of services, and existence of specific
   inpatient units. These seem to diverge from expert recommendations.
   Conclusions: Although Canadian programs are following most expert
   recommendations on clinical components of care, some programs lack
   administrative and organizational elements considered essential.
   Continued mentoring and networking of clinicians through organizations
   such as the Canadian Consortium for Early Intervention in Psychosis
   (CCEIP), as well as the development of a fidelity scale through further
   research, could possibly help programs attain and maintain the best
   standards of early intervention. However, simply making clinical
   guidelines available to care providers is not sufficient for changing
   practices; this will need to be accompanied by adequate funding and
   support from organizations and policy makers.
OI Abdel-Baki, Amal/0000-0003-3333-9652; Tibbo, Philip/0000-0002-2070-6495
TC 33
ZS 1
ZR 0
Z8 0
ZB 2
ZA 0
Z9 34
U1 0
U2 13
SN 0706-7437
EI 1497-0015
UT WOS:000371288200008
PM 27254094
ER

PT J
AU Horak, Petr
   Peppard, Joan
   Sykora, Juraj
   Gala, Tajda Miharija
   Underhill, Jonathan
   Gibbons, Nicholas
TI EAHP European Statements baseline survey 2015: results
SO EUROPEAN JOURNAL OF HOSPITAL PHARMACY
VL 23
IS 2
BP 69
EP 75
DI 10.1136/ejhpharm-2016-000889
PD MAR 2016
PY 2016
AB Objectives The European Statements baseline survey was designed to give
   an insight to how well the European Statements of Hospital Pharmacy (the
   Statements) are being implemented and to help inform the European
   Association of Hospital Pharmacists (EAHP) implementation strategy for
   the Statements.
   Methods The online questionnaire was sent to all hospital pharmacies in
   EAHP member countries. More than 1000 pharmacists completed the survey,
   which was analysed by Keele University and presented to EAHP.
   Results The survey provided general data for each country about the
   staffing levels and skill mix within each hospital, how well each
   hospital was implementing each Statement and finally about what were the
   barriers to implementation for European hospital pharmacists. The survey
   identified that, generally, the sections covering more traditional roles
   of hospital pharmacists (procurement, compounding) were being well
   implemented96% of respondents indicated that their hospitals had clear
   processes in place around the procurement of medicines; 91% indicated
   When medicines require manufacture or compounding, we either produce
   them in our hospital pharmacy or we outsource to an approved provider.
   Compared with that, clinical pharmacy services, multidisciplinary
   approaches and active engagement in education and practice research
   activities are challenging areas in most EAHP member countries. In only
   29% of hospitals, the pharmacists enter all medicines used onto the
   patient's medical record on admission. 49% of responders agreed that the
   pharmacists in their hospital routinely publish hospital pharmacy
   practice research. Insufficient capacity and capability in terms of
   staffing and resources seemed to be main reasons given for low
   implementation of some of the Statements.
   Conclusions After analysis of data from more than 1000 questionnaires,
   EAHP gained a necessary overview of Statements implementation level and
   barriers to implementation, needed for informed and efficient progress
   of EAHP implementation projects.
ZR 0
ZS 0
ZB 2
ZA 0
TC 10
Z8 0
Z9 11
U1 1
U2 3
SN 2047-9956
EI 2047-9964
UT WOS:000371318500004
PM 31157794
ER

PT J
AU Balakrishnan, Vini
   Chandy, Zachariah
   Hseih, Amy
   Thanh-Lan Bui
   Verma, Sunil P.
TI Readability and Understandability of Online Vocal Cord Paralysis
   Materials
SO OTOLARYNGOLOGY-HEAD AND NECK SURGERY
VL 154
IS 3
BP 460
EP 464
DI 10.1177/0194599815626146
PD MAR 2016
PY 2016
AB Objective Patients use several online resources to learn about vocal
   cord paralysis (VCP). The objective of this study was to assess the
   readability and understandability of online VCP patient education
   materials (PEMs), with readability assessments and the Patient Education
   Materials Evaluation Tool (PEMAT), respectively. The relationship
   between readability and understandability was then analyzed.
   Study Design and Setting Descriptive and correlational design.
   Method Online PEMs were identified by performing a Google search with
   the term vocal cord paralysis. After scientific webpages, news articles,
   and information for medical professionals were excluded, 29 articles
   from the first 50 search results were considered. Readability analysis
   was performed with 6 formulas. Four individuals with different
   educational backgrounds conducted understandability analysis with the
   PEMAT. Fleiss's Kappa interrater reliability analysis determined
   consistency among raters. Correlation between readability and
   understandability was determined with Pearson's correlation test.
   Results The reading level of the reviewed articles ranged from grades 9
   to 17. Understandability ranged from 29% to 82%. Correlation analysis
   demonstrated a strong negative correlation between materials'
   readability and understandability (r = -0.462, P < .05).
   Conclusion Online PEMs pertaining to VCP are written above the
   recommended reading levels. Overall, materials written at lower grade
   levels are more understandable. However, articles of identical grade
   levels had varying levels of understandability. The PEMAT may provide a
   more critical evaluation of the quality of a PEM when compared with
   readability formulas. Both readability and understandability should be
   used to evaluate PEMs.
ZR 0
ZB 7
ZS 0
ZA 0
Z8 0
TC 38
Z9 38
U1 0
U2 7
SN 0194-5998
EI 1097-6817
UT WOS:000371315100010
PM 26861227
ER

PT J
AU Yao, Julie
   Johnson, Mark B.
   Tippetts, Scott
TI Enforcement uniquely predicts reductions in alcohol-impaired crash
   fatalities
SO ADDICTION
VL 111
IS 3
BP 448
EP 453
DI 10.1111/add.13198
PD MAR 2016
PY 2016
AB Background and aimsAlcohol-impaired driving contributes to more than 10
   000 fatalities in the United States each year. This research estimated
   the unique effect of enforcement intensity on reductions in
   alcohol-impaired fatal crashes.
   DesignWe collected data from 30 states (including the District of
   Columbia) that experienced the greatest changes in alcohol-impaired
   fatal crashes from 1996 to 2006. Mixed-model regression was used to
   examine the extent to which year-over-year changes in the intensity of
   impaired driving enforcement predicted year-over-year reductions of
   drivers killed in alcohol-involved fatal crashes.
   SettingData from 30 states were obtained online.
   ParticipantsAggregate state-level data from a total of 279 state-year
   combinations were analyzed.
   MeasuresOur dependent measure was the ratio of drivers involved in fatal
   crashes with blood alcohol concentrations (BACs)0.08g/dl over drivers
   involved in fatal crashes with BACs=0.00g/dl. Per capita driving under
   the influence (DUI) arrests and traffic enforcement funding were the
   primary predictors. Covariates were estimated vehicle miles traveled
   (VMT); the proportional distributions of gender and racial/ethnic;
   geographic distribution; the proportion of drivers aged 21-34 years;
   median family income; and education level.
   FindingsAnalysis revealed that DUI arrests per capita uniquely and
   significantly predicted reductions in the ratio of fatal crashes
   (=-0.753, t((238))=2.1, P<0.05) after controlling the covariates.
   Exploratory analysis suggests the increase in arrest rates was
   associated with stronger reductions in urban versus rural settings.
   ConclusionsDrunk driving enforcement intensity uniquely contributes to
   reductions in alcohol-impaired crash fatalities after controlling for
   other factors.
OI Johnson, Mark/0000-0002-4515-4607
ZA 0
TC 18
Z8 0
ZR 0
ZB 5
ZS 0
Z9 18
U1 1
U2 18
SN 0965-2140
EI 1360-0443
UT WOS:000370252100008
PM 26451697
ER

PT J
AU Aeberhard, Carla
   Birrenbach, Tanja
   Joray, Maya
   Muehlebach, Stefan
   Perrig, Martin
   Stanga, Zeno
TI Simple training tool is insufficient for appropriate diagnosis and
   treatment of malnutrition: A pre-post intervention study in a tertiary
   center
SO NUTRITION
VL 32
IS 3
BP 355
EP 361
DI 10.1016/j.nut.2015.09.012
PD MAR 2016
PY 2016
AB Objectives: To improve malnutrition awareness and management in our
   department of general internal medicine; to assess patients' nutritional
   risk; and to evaluate whether an online educational program leads to an
   increase in basic knowledge and more frequent nutritional therapies.
   Methods: A prospective pre-post intervention study at a university
   department of general internal medicine was conducted. Nutritional
   screening using Nutritional Risk Score 2002 (NRS 2002) was performed,
   and prescriptions of nutritional therapies were assessed. The
   intervention included an online learning program and a pocket card for
   all residents, who had to fill in a multiple-choice questions (MCQ) test
   about basic nutritional knowledge before and after the intervention.
   Results: A total of 342 patients were included in the preintervention
   phase, and 300 were in the postintervention phase. In the
   preintervention phase, 54.1% were at nutritional risk (NRS 2002 >= 3)
   compared with 61.7% in the postintervention phase. There was no increase
   in the prescription of nutritional therapies (18.7% versus 17.0%).
   Forty-nine and 41 residents (response rate 58% and 48%) filled in the
   MCQ test before and after the intervention, respectively. The mean
   percentage of correct answers was 55.6% and 59.43%, respectively (which
   was not significant). Fifty of 84 residents completed the online
   program. The residents who participated in the whole program scored
   higher on the second MCQ test (63% versus 55% correct answers, P =
   0.031).
   Conclusions: Despite a high ratio of malnourished patients, the
   nutritional intervention, as assessed by nutritional prescriptions, is
   insufficient. However, the simple educational program via Internet and
   usage of NRS 2002 pocket cards did not improve either malnutrition
   awareness or nutritional treatment. More sophisticated educational
   systems to fight malnutrition are necessary. (C) 2016 Elsevier Inc. All
   rights reserved.
RI Stanga, Zeno/AAM-2244-2020; Laimer, Markus/; Birrenbach, Tanja/
OI Laimer, Markus/0000-0002-7622-0822; Birrenbach,
   Tanja/0000-0002-3046-0900
ZR 0
ZB 2
Z8 0
ZS 1
ZA 0
TC 11
Z9 12
U1 0
U2 7
SN 0899-9007
EI 1873-1244
UT WOS:000370312300010
PM 26724958
ER

PT J
AU van den Brekel-Dijkstra, Karolien
   Rengers, Antonia H.
   Niessen, Maurice A. J.
   de Wit, Niek J.
   Kraaijenhagen, Roderik A.
TI Personalized prevention approach with use of a web-based cardiovascular
   risk assessment with tailored lifestyle follow-up in primary care
   practice - a pilot study
SO EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
VL 23
IS 5
BP 544
EP 551
DI 10.1177/2047487315591441
PD MAR 2016
PY 2016
AB Aims The aim of this prospective implementation study is to evaluate
   feasibility of a personalized prevention approach with use of a
   web-based health risk assessment for cardiovascular diseases combined
   with tailored lifestyle feedback and interventions in the community
   setting.
   Methods A random sample of 800 inhabitants of Leidsche Rijn (a newly
   built residential area in the city of Utrecht) between 45 and 70 years
   old was invited by their general practitioner to participate in this
   study and sent a web-based health risk assessment containing a
   questionnaire, covering socio-demographic variables, family and personal
   medical history, lifestyle behaviour and psychological variables. The
   system generates an individual cardiovascular risk based on prognostic
   modelling. In the case of increased risk further biometric and
   laboratory evaluation is advised. All participants received tailored
   web-based feedback with an electronic referral to available medical,
   psychological and lifestyle interventions in the neighbourhood, or
   online interventions, and a follow-up questionnaire after six months.
   Results The participation rate was 29% (230/800) of which 39% (89/230)
   were at increased risk for cardiovascular disease and were advised to
   perform biometric measures, of which 36% (32/89) actually did. Of these
   respondents 25% (8/32) had increased blood pressure (140/90), 56%
   (18/32) increased total cholesterol (>6.0mmol/l).One-third of the
   participants started changing their lifestyle, 20% indicated planning to
   do this later; 32% (41/129) increased their physical activity and 28%
   (36/129) were eating healthier. Seventy-nine per cent of the responders
   stated their participation was meaningful'.
   Conclusions The personalized prevention approach offers a system for
   integrated risk profiling and individualized health management that was
   well received in general practice. The client-centred approach, which
   was embedded in a local community setting, using a web-based health risk
   assessment with tailored feedback and linkage to regional health
   management and lifestyle providers proved feasible, and successful.
   Participating in the health risk assessment elicited actual behaviour
   change among follow-up survey respondents.
ZR 0
TC 22
ZA 0
ZS 1
Z8 0
ZB 0
Z9 23
U1 2
U2 25
SN 2047-4873
EI 2047-4881
UT WOS:000370685900010
PM 26080811
ER

PT J
AU Padilla, Luz A.
   Venkatesh, Raam
   Daniel, Casey L.
   Desmond, Renee A.
   Brooks, C. Michael
   Waterbor, John W.
TI An Evaluation Methodology for Longitudinal Studies of Short-Term Cancer
   Research Training Programs
SO JOURNAL OF CANCER EDUCATION
VL 31
IS 1
BP 84
EP 92
DI 10.1007/s13187-014-0758-z
PD MAR 2016
PY 2016
AB The need to familiarize medical students and graduate health
   professional students with research training opportunities that
   cultivate the appeal of research careers is vital to the future of
   research. Comprehensive evaluation of a cancer research training program
   can be achieved through longitudinal tracking of program alumni to
   assess the program's impact on each participant's career path and
   professional achievements. With advances in technology and smarter means
   of communication, effective ways to track alumni have changed. In order
   to collect data on the career outcomes and achievements of nearly 500
   short-term cancer research training program alumni from 1999-2013, we
   sought to contact each alumnus to request completion of a survey
   instrument online, or by means of a telephone interview. The
   effectiveness of each contact method that we used was quantified
   according to ease of use and time required. The most reliable source of
   contact information for tracking alumni from the early years of the
   program was previous tracking results, and for alumni from the later
   years, the most important source of contact information was university
   alumni records that provided email addresses and telephone numbers.
   Personal contacts with former preceptors were sometimes helpful, as were
   generic search engines and people search engines. Social networking was
   of little value for most searches. Using information from two or more
   sources in combination was most effective in tracking alumni. These
   results provide insights and tools for other research training programs
   that wish to track their alumni for long-term program evaluation.
OI Padilla, Luz/0000-0003-4032-044X
ZA 0
TC 5
ZB 0
ZR 0
ZS 0
Z8 0
Z9 5
U1 0
U2 1
SN 0885-8195
EI 1543-0154
UT WOS:000370271800013
PM 25412722
ER

PT J
AU Li, Winnie
   Cashell, Angela
   Jaffray, David A
   Moseley, Douglas
TI Development and Implementation of an Electronic Learning Module for
   Volumetric Image-Guided Radiation Therapy.
SO Journal of medical imaging and radiation sciences
VL 47
IS 1
BP 43
EP 48
DI 10.1016/j.jmir.2015.12.001
PD 2016-Mar
PY 2016
AB BACKGROUND: Image-guided radiation therapy (IGRT) through daily
   cone-beam computed tomography (CBCT) has significantly impacted the role
   of the radiation therapist at our institution; continuing education is
   crucial to ensure safe practice of technology in the clinical
   environment. The purpose of this work was to develop and implement an
   electronic learning (eLearning) module as a yearly refresher for
   CBCT-practicing radiation therapists.
   METHODS: To provide an innovative interface to engage the learner's
   interest, a module themed "Myths in Cone Beam Computed Tomography
   Practice" was developed by content experts at our institution. The
   eLearning tool focused on the technical aspects and fundamental theory
   of CBCT acquisition, with an aim to refresh the user's knowledge and
   confidence in image fusion and assessment. Ten myths were identified in
   the module and evidence-based content was referenced within each myth to
   support theory. Evaluation of the learner was performed through a
   multiple choice quiz at the end of the module. The tool and 12 multiple
   choice questions were reviewed and validated by subject matter and
   non-subject matter experts in CBCT-IGRT before departmental
   implementation.
   RESULTS: The CBCT eLearning module has been clinically implemented and
   used over the last 3 years by radiation therapists in our department.
   Completion of the tool is an annual mandatory requirement for
   CBCT-practicing therapists; over 100 participants completed the module
   per year. The median time for module completion decreased over the
   3-year interval, from 42minutes 25seconds during the first year of
   implementation to 20minutes and 48seconds in the third year.
   CONCLUSIONS: An electronic online training tool for CBCT refresher
   training has been developed and implemented at our institution, with an
   aim to equip staff with the critical thinking skills and clinical
   judgment required to operate in a CBCT-IGRT environment. The module's
   format ensures delivery of consistent information as a component of
   yearly continuing education for radiation therapists.
RI Moseley, Douglas/AAA-1443-2019; Moseley, Douglas/AAD-1871-2019; Li, Winnie/; Moseley, Douglas/; Cashell, Angela/; Jaffray, David/
OI Li, Winnie/0000-0002-5539-4102; Moseley, Douglas/0000-0001-8030-8408;
   Cashell, Angela/0000-0002-5152-6868; Jaffray, David/0000-0001-7378-7543
ZR 0
ZS 0
ZA 0
TC 9
Z8 0
ZB 0
Z9 9
U1 0
U2 1
EI 1876-7982
UT MEDLINE:31047162
PM 31047162
ER

PT J
AU Weymann, Nina
   Haerter, Martin
   Dirmaier, Joerg
TI Information and decision support needs in patients with type 2 diabetes
SO HEALTH INFORMATICS JOURNAL
VL 22
IS 1
BP 46
EP 59
DI 10.1177/1460458214534090
PD MAR 2016
PY 2016
AB Diabetes and its sequelae cause a growing burden of morbidity and
   mortality. For many patients living with diabetes, the Internet is an
   important source of health information and support. In the course of the
   development of an Interactive Health Communication Application,
   combining evidence-based information with behavior change and decision
   support, we assessed the characteristics, information, and decision
   support needs of patients with type 2 diabetes. The needs assessment was
   performed in two steps. First, we conducted semi-structured interviews
   with 10 patients and seven physicians. In the second step, we developed
   a self-assessment questionnaire based on the results of the interviews
   and administered it to a new and larger sample of diabetes patients (N =
   178). The questionnaire comprised four main sections: (1) Internet use
   and Internet experience, (2) diabetes knowledge, (3) relevant decisions
   and decision preferences, and (4) online health information needs.
   Descriptive data analyses were performed. In the questionnaire study,
   the patient sample was heterogeneous in terms of age, time since
   diagnosis, and glycemic control. (1) Most participants (61.7%) have
   searched the web for health information at least once. The majority
   (62%) of those who have used the web use it at least once per month. (2)
   Diabetes knowledge was scarce: Only a small percentage (1.9%) of the
   respondents answered all items of the knowledge questionnaire correctly.
   (3) The most relevant treatment decisions concerned glycemic control,
   oral medication, and acute complications. The most difficult treatment
   decision was whether to start insulin treatment. Of the respondents,
   69.4 percent thought that medical decisions should be made by them and
   their doctor together. (4) The most important information needs
   concerned sequelae of diabetes, blood glucose control, and basic
   diabetes information. The Internet seems to be a feasible way to reach
   people with type 2 diabetes. The heterogeneity of the sample, especially
   with respect to diabetes knowledge, makes it clear that the projected
   Interactive Health Communication Application should tailor the content
   to the individual user, taking account of individual characteristics and
   preferences. A wide range of topics should be covered. Special attention
   should be paid to the advantages and disadvantages of insulin treatment
   and the fears and hopes associated with it. These results were taken
   into account when developing the Interactive Health Communication
   Application that is currently being evaluated in a randomized controlled
   trial.
OI Harter, Martin/0000-0001-7443-9890
ZA 0
ZR 0
ZS 0
ZB 1
TC 14
Z8 0
Z9 14
U1 1
U2 36
SN 1460-4582
EI 1741-2811
UT WOS:000368726900004
PM 24916569
ER

PT J
AU Bittner, Anja
   Bittner, Johannes
   Jonietz, Ansgar
   Dybowski, Christoph
   Harendza, Sigrid
TI Translating medical documents improves students' communication skills in
   simulated physician-patient encounters
SO BMC MEDICAL EDUCATION
VL 16
AR 72
DI 10.1186/s12909-016-0594-4
PD FEB 27 2016
PY 2016
AB Background: Patient-physician communication should be based on plain and
   simple language. Despite communication skill trainings in undergraduate
   medical curricula medical students and physicians are often still not
   aware of using medical jargon when communicating with patients. The aim
   of this study was to compare linguistic communication skills of
   undergraduate medical students who voluntarily translate medical
   documents into plain language with students who do not participate in
   this voluntary task.
   Methods: Fifty-nine undergraduate medical students participated in this
   study. Twenty-nine participants were actively involved in voluntarily
   translating medical documents for real patients into plain language on
   the online-platform https://washabich.de (WHI group) and 30 participants
   were not (non-WHI group). The assessment resembled a virtual
   consultation hour, where participants were connected via skype to six
   simulated patients (SPs). The SPs assessed participants' communication
   skills. All conversations were transcribed and assessed for
   communication skills and medical correctness by a blinded expert. All
   participants completed a self-assessment questionnaire on their
   communication skills.
   Results: Across all raters, the WHI group was assessed significantly (p
   = .007) better than the non-WHI group regarding the use of plain
   language. The blinded expert assessed the WHI group significantly (p =
   .018) better regarding the use of stylistic devices of communication.
   The SPs would choose participants from the WHI group significantly (p =
   .041) more frequently as their personal physician. No significant
   differences between the two groups were observed with respect to the
   medical correctness of the consultations.
   Conclusion: Written translation of medical documents is associated with
   significantly more frequent use of plain language in simulated
   physician-patient encounters. Similar extracurricular exercises might be
   a useful tool for medical students to enhance their communication skills
   with respect to using plain language in physician-patient communication.
OI Dybowski, Christoph/0000-0002-4127-7466
ZB 2
ZR 0
Z8 0
TC 13
ZA 0
ZS 0
Z9 13
U1 0
U2 9
EI 1472-6920
UT WOS:000371126800001
PM 26920138
ER

PT J
AU Lochner, Lukas
   Wieser, Heike
   Waldboth, Simone
   Mischo-Kelling, Maria
TI Combining traditional anatomy lectures with e-learning activities: how
   do students perceive their learning experience?
SO International journal of medical education
VL 7
BP 69
EP 74
DI 10.5116/ijme.56b5.0369
PD 2016 Feb 21
PY 2016
AB OBJECTIVE: The purpose of this study was to investigate how students
   perceived their learning experience when combining traditional anatomy
   lectures with preparatory e-learning activities that consisted of
   fill-in-the-blank assignments, videos, and multiple-choice quizzes.
   METHODS: A qualitative study was conducted to explore changes in study
   behaviour and perception of learning. Three group interviews with
   students were conducted and thematically analysed.
   RESULTS: Data was categorized into four themes: 1. Approaching the
   course material, 2. Understanding the material, 3. Consolidating the
   material, and 4. Perceived learning outcome. Students appreciated the
   clear structure of the course, and reported that online activities
   encouraged them towards a first engagement with the material. They felt
   that they were more active during in-class sessions, described
   self-study before the end-of-term exam as easier, and believed that
   contents would remain in their memories for a longer time.
   CONCLUSIONS: By adjusting already existing resources, lectures can be
   combined fairly easily and cost-effectively with preparatory e-learning
   activities. The creation of online components promote well-structured
   courses, can help minimize 'student passivity' as a characteristic
   element of lectures, and can support students in distributing their
   studies throughout the term, thus suggesting enhanced learning. Further
   research work should be designed to confirm the afore-mentioned findings
   through objective measurements of student learning outcomes.
OI Wieser, Heike/0000-0002-5271-4182
TC 33
ZA 1
Z8 0
ZR 0
ZS 4
ZB 4
Z9 35
U1 0
U2 24
EI 2042-6372
UT MEDLINE:26897012
PM 26897012
ER

PT J
AU Cassidy, John Tristan
   Baker, Joseph F.
TI Orthopaedic Patient Information on the World Wide Web An Essential
   Review
SO JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
VL 98
IS 4
BP 325
EP 338
DI 10.2106/JBJS.N.01189
PD FEB 17 2016
PY 2016
AB Background: Patients increasingly use the Internet to research
   health-related issues. Internet content, unlike other forms of media, is
   not regulated. Although information accessed online can impact patients'
   opinions and expectations, there is limited information about the
   quality or readability of online orthopaedic information.
   Methods: PubMed, MEDLINE, and Google Scholar were searched using
   anatomic descriptors and three title keywords ("Internet," "web," and
   "online"). Articles examining online orthopaedic information from
   January 1, 2000, until April 1, 2015, were recorded. Articles were
   assessed for the number of reviewers evaluating the online material,
   whether the article examined for a link between authorship and quality,
   and the use of recognized quality and readability assessment tools. To
   facilitate a contemporary discussion, only publications since January 1,
   2010, were considered for analysis.
   Results: A total of thirty-eight peer-reviewed articles published since
   2010 examining the quality and/or readability of online orthopaedic
   information were reviewed. For information quality, there was marked
   variation in the quality assessment methods utilized, the number of
   reviewers, and the manner of reporting. To date, the majority of
   examined information is of poor quality. Studies examining readability
   have focused on pages produced by professional orthopaedic societies.
   Conclusions: The quality and readability of online orthopaedic
   information are generally poor.
RI Baker, Joseph F/H-2868-2019
OI Baker, Joseph F/0000-0002-8518-8780
ZR 1
TC 62
ZA 0
ZB 5
Z8 0
ZS 1
Z9 63
U1 1
U2 5
SN 0021-9355
EI 1535-1386
UT WOS:000370242400019
PM 26888683
ER

PT J
AU Apostolico, Alexsandra A.
   Shendell, Derek G.
TI Injury surveillance and associations with socioeconomic status
   indicators among youth/young workers in New Jersey secondary schools
SO ENVIRONMENTAL HEALTH
VL 15
AR 22
DI 10.1186/s12940-016-0118-z
PD FEB 16 2016
PY 2016
AB Background: Injuries involving career-technical-vocational education
   (CTE) are reported to the New Jersey Safe Schools Program online
   reporting system, the only U. S. State law-based surveillance data for
   young workers (ages twenty-one and younger), a susceptible, vulnerable
   adolescent sub-population.
   Methods: We examined potential associations between socioeconomic status
   (SES) indicators and high school student injuries reported between
   12/1998-12/2013, excluding injuries acquired by staff members.
   Associations between DFG score-a proxy for school/district SES-and
   variables relating to reported injuries, including severity, injury
   type, injury cause, body parts injured, injury treatment setting and
   demographics were examined with chi square test (X-2) for independence
   and logistic regression. To assess potential associations between SES
   and personal protective equipment (PPE), data were stratified by
   2003-2008 and 2008-2013, given mandated payment by employers of PPE for
   employees.
   Results: Statistically significant associations were found between SES
   and injury cause [X-2 = (7, 14.74), p = 0.04] and SES and injury
   treatment setting [X-2 = (1, 4.76), p = 0.03]. Adjusted odds ratio
   suggested students from low SES schools were at a higher odds of being
   treated at a hospital emergency department (ED) than students from high
   SES schools (95 % CI 1.3-4.3, p < 0.01).
   Conclusions: These findings indicated low SES schools/districts have
   increased odds of being treated at ED, after controlling for injury
   severity. Future research should focus on implications such associations
   have on health care access and insurance for young workers and their
   families. With small sample sizes representing lower DFG scoring (SES)
   schools/districts, additional efforts should be enacted to increase
   injury reporting in these schools/districts.
RI Shendell, Derek/AAF-2950-2021
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 7
Z9 7
U1 0
U2 9
SN 1476-069X
UT WOS:000370480000002
PM 26883909
ER

PT J
AU Knight, Stephen E.
   Van Wyk, Jacqueline M.
   Mahomed, Saajida
TI Teaching research: a programme to develop research capacity in
   undergraduate medical students at the University of KwaZulu-Natal, South
   Africa
SO BMC MEDICAL EDUCATION
VL 16
AR 61
DI 10.1186/s12909-016-0567-7
PD FEB 16 2016
PY 2016
AB Background: Improved research ability is a core competency to achieve in
   health professionals. The Selectives is a three-year, longitudinal,
   community-based programme within the undergraduate curriculum which aims
   to develop research capacity in all medical students during the
   prescribed curriculum. In relation to the programme, the authors
   describe the types of studies conducted by students, conditions that
   facilitated their learning, how the experience improved students'
   knowledge of research and public health and their development of
   reflective learning practices.
   Methods: A cohort of 212 students completed the Selectives Programme in
   2014, and 69 (32 %) completed an anonymous online evaluation thereafter.
   Data collected include students' perceptions of the research component
   of Selectives; its impact on their knowledge of research and a
   documentary analysis of their research protocols and posters. Ethical
   approval for the ongoing evaluation of the Selectives was sought and
   obtained from the institutional Biomedical Research Ethics Committee.
   Results: During Selectives, 75 groups of 2-4 students conducted research
   studies of primary health care problems in community settings. Each
   group is assessed on their presentation of research findings as a
   scientific poster. The Selectives facilitated learning for the majority
   of the cohort. Students reported positive learning experiences about the
   research process, including ethics; protocol writing; data processing;
   dissemination of findings and results; and their use in informing a
   health promotion intervention. Students reported having gained a better
   understanding of their strengths and weaknesses through reflective
   learning from this academic activity. The Selectives is scheduled
   adjacent to the students' mid-year vacation. This scheduling together
   with the placement in the students' home community minimizes travel and
   accommodation costs associated with working outside the academic
   teaching platform and therefore makes it a cost-effective model in a low
   resource context.
   Conclusions: The Selectives has proven beneficial to develop a range of
   generic and practical research competencies for a full cohort of
   students enrolled in the undergraduate medical curriculum. The
   Selectives research process is integrated with learning about population
   health and the social determinants of health in a primary health care
   setting.
RI van Wyk, Jacqueline/U-9655-2019; Mahomed, Saajida/
OI van Wyk, Jacqueline/0000-0003-1894-7326; Mahomed,
   Saajida/0000-0001-7095-9186
ZS 3
ZR 0
ZB 1
TC 22
ZA 0
Z8 0
Z9 22
U1 3
U2 27
SN 1472-6920
UT WOS:000370078600002
PM 26879830
ER

PT J
AU Guse, Jennifer
   Schweigert, Eva
   Kulms, Gerhild
   Heinen, Ines
   Martens, Claudia
   Guse, Andreas H.
TI Effects of Mentoring Speed Dating as an Innovative Matching Tool in
   Undergraduate Medical Education: A Mixed Methods Study
SO PLOS ONE
VL 11
IS 2
AR e0147444
DI 10.1371/journal.pone.0147444
PD FEB 9 2016
PY 2016
AB Objectives
   Choosing the right mentor is crucial for effective mentorship. Yet, many
   medical students have difficulties finding a suitable mentor. Thus we
   developed mentoring speed dating (MSD) as a promising matching tool to
   connect students and faculty mentors successfully. The purpose of this
   study was to explore mentees' and mentors' experience with MSD and
   investigate the impact of MSD on the perceived mentorship quality and
   continuance of the mentoring relationship.
   Methods
   The authors completed a mixed methods study at the University Medical
   Center Hamburg-Eppendorf, Germany, between June 2011 and March 2014.
   They conducted four focus groups with mentees and mentors who
   participated in a mentoring speed dating event and analyzed transcripts
   using conventional content analysis with inductive categorizing. In
   addition, three mentoring cohorts (two matched via MSD, one matched via
   conventional online profiles) were surveyed on mentorship satisfaction
   and the 1-year continuance of their mentorship was monitored. Fifteen
   mentees and fifteen mentors participated in the focus groups. The
   authors identified several themes such as short and long term benefits
   of MSD and fulfillment of expectations. Benefits included finding out
   about the personal connection, matching expectations, providing an
   efficient overview of candidates. The survey was completed by 93
   students (n = 29 without MSD; n = 64 with MSD). Independent t-tests and
   multivariate analysis of variance were used to analyze the impact of MSD
   on student's mentorship satisfaction.
   Results
   There were significant differences in responses to the items "Commitment
   of mentor" (p = .019) and "Constructive feedback" (p = .038) among the
   students who attended MSD and the students without MSD. After one year
   far more mentoring relationships existed among those mentees who
   participated in MSD in comparison to the "no MSD group".
   Conclusion
   MSD is a valuable matching tool with beneficial effects on the
   mentorship quality. It enhances essential factors in the mentoring
   relationship such as commitment and satisfaction.
OI Guse, Jennifer/0000-0001-5020-929X
ZB 1
TC 14
Z8 0
ZR 0
ZS 0
ZA 0
Z9 14
U1 2
U2 21
SN 1932-6203
UT WOS:000370038400009
PM 26859845
ER

PT J
AU Milic, Natasa M.
   Trajkovic, Goran Z.
   Bukumiric, Zoran M.
   Cirkovic, Andja
   Nikolic, Ivan M.
   Milin, Jelena S.
   Milic, Nikola V.
   Savic, Marko D.
   Corac, Aleksandar M.
   Marinkovic, Jelena M.
   Stanisavljevic, Dejana M.
TI Improving Education in Medical Statistics: Implementing a Blended
   Learning Model in the Existing Curriculum
SO PLOS ONE
VL 11
IS 2
AR e0148882
DI 10.1371/journal.pone.0148882
PD FEB 9 2016
PY 2016
AB Background
   Although recent studies report on the benefits of blended learning in
   improving medical student education, there is still no empirical
   evidence on the relative effectiveness of blended over traditional
   learning approaches in medical statistics. We implemented blended along
   with on-site (i.e. face-to-face) learning to further assess the
   potential value of web-based learning in medical statistics.
   Methods
   This was a prospective study conducted with third year medical
   undergraduate students attending the Faculty of Medicine, University of
   Belgrade, who passed (440 of 545) the final exam of the obligatory
   introductory statistics course during 2013-14. Student statistics
   achievements were stratified based on the two methods of education
   delivery: blended learning and on-site learning. Blended learning
   included a combination of face-to-face and distance learning
   methodologies integrated into a single course.
   Results
   Mean exam scores for the blended learning student group were higher than
   for the on-site student group for both final statistics score (89.36 +/-
   6.60 vs. 86.06 +/- 8.48; p = 0.001) and knowledge test score (7.88 +/-
   1.30 vs. 7.51 +/- 1.36; p = 0.023) with a medium effect size. There were
   no differences in sex or study duration between the groups. Current
   grade point average (GPA) was higher in the blended group. In a
   multivariable regression model, current GPA and knowledge test scores
   were associated with the final statistics score after adjusting for
   study duration and learning modality (p<0.001).
   Conclusion
   This study provides empirical evidence to support educator decisions to
   implement different learning environments for teaching medical
   statistics to undergraduate medical students. Blended and on-site
   training formats led to similar knowledge acquisition; however, students
   with higher GPA preferred the technology assisted learning format.
   Implementation of blended learning approaches can be considered an
   attractive, cost-effective, and efficient alternative to traditional
   classroom training in medical statistics.
OI Milin Lazovic, Jelena/0000-0002-4655-2383; Marinkovic,
   Jelena/0000-0001-8852-384X; Cirkovic, Andja/0000-0002-7542-5690
TC 18
ZB 7
ZS 1
ZA 0
ZR 0
Z8 2
Z9 20
U1 4
U2 52
SN 1932-6203
UT WOS:000370038400099
PM 26859832
ER

PT J
AU Barton, Karen L.
   Schofield, Susie J.
   McAleer, Sean
   Ajjawi, Rola
TI Translating evidence-based guidelines to improve feedback practices: the
   interACT case study
SO BMC MEDICAL EDUCATION
VL 16
AR 53
DI 10.1186/s12909-016-0562-z
PD FEB 9 2016
PY 2016
AB Background: There has been a substantial body of research examining
   feedback practices, yet the assessment and feedback landscape in higher
   education is described as 'stubbornly resistant to change'. The aim of
   this paper is to present a case study demonstrating how an entire
   programme's assessment and feedback practices were re-engineered and
   evaluated in line with evidence from the literature in the interACT
   (Interaction and Collaboration via Technology) project.
   Methods: Informed by action research the project conducted two cycles of
   planning, action, evaluation and reflection. Four key pedagogical
   principles informed the re-design of the assessment and feedback
   practices. Evaluation activities included document analysis, interviews
   with staff (n = 10) and students (n = 7), and student questionnaires (n
   = 54). Descriptive statistics were used to analyse the questionnaire
   data. Framework thematic analysis was used to develop themes across the
   interview data.
   Results: InterACT was reported by students and staff to promote
   self-evaluation, engagement with feedback and feedback dialogue.
   Streamlining the process after the first cycle of action research was
   crucial for improving engagement of students and staff. The interACT
   process of promoting self-evaluation, reflection on feedback, feedback
   dialogue and longitudinal perspectives of feedback has clear benefits
   and should be transferable to other contexts.
   Conclusions: InterACT has involved comprehensive re-engineering of the
   assessment and feedback processes using educational principles to guide
   the design taking into account stakeholder perspectives. These
   principles and the strategies to enact them should be transferable to
   other contexts.
OI Barton, Karen/0000-0003-2074-005X; Ajjawi, Rola/0000-0003-0651-3870
ZB 0
TC 16
ZA 0
ZR 0
ZS 0
Z8 0
Z9 16
U1 2
U2 17
EI 1472-6920
UT WOS:000369619700003
PM 26861494
ER

PT J
AU Colbert, James
   Pelletier, Stephen
   Xavier-Depina, Francisca
   Shields, Helen
TI A pilot study of team learning on in-patient rounds.
SO The clinical teacher
VL 13
IS 1
BP 38
EP 42
DI 10.1111/tct.12360
PD 2016-Feb
PY 2016
AB BACKGROUND: Medical trainees often do not receive structured teaching
   during in-patient rounds.
   OBJECTIVE: To assess whether the addition of a collaborative team
   learning technique would improve the learning experience on a general
   medicine in-patient team.
   METHODS: Eight learners participated in this pilot study. Learning teams
   consisted of internal medicine residents and third-year medical students
   on a general medicine in-patient rotation. The experimental curriculum
   covered four common topics: cardiac stress testing; syncope; pneumonia;
   and valvular heart disease. Sessions had the following format: (1) each
   learner answered five self-assessment questions using an immediate
   feedback technique; (2) learners were divided into groups of two or
   three to discuss their answers; (3) the teaching doctor led a discussion
   to clarify and summarise, and also distributed a handout delineating key
   learning points. Control sessions consisted of the usual teaching
   rounds. Learners were e-mailed a daily online survey asking them to rate
   the rounds and handouts on a Likert scale. Medical trainees often do not
   receive structured teaching during in-patient rounds
   RESULTS: All of the learners rated the collaborative team learning
   intervention as either 'excellent' or 'very good'. Learners also
   indicated that they found the take-away handout valuable, and positive
   responses were also noted in the survey comments.
   DISCUSSION: A novel collaborative team learning technique resulted in
   high ratings of teaching rounds by medical residents and medical
   students. Learners found the sessions engaging, high yield, and
   educationally valuable. This interactive discussion-based teaching
   method could be used to enhance the learning experience during teaching
   rounds on medical, surgical and subspecialty services.
ZR 0
TC 4
ZB 0
Z8 0
ZS 0
ZA 0
Z9 4
U1 0
U2 2
EI 1743-498X
UT MEDLINE:26058316
PM 26058316
ER

PT J
AU Eltorai, Adam E M
   P Thomas, Nathan
   Yang, Heejae
   Daniels, Alan H
   Born, Christopher T
TI Readability of Trauma-Related Patient Education Materials From the
   American Academy of Orthopaedic Surgeons.
SO Trauma monthly
VL 21
IS 1
BP e20141
EP e20141
DI 10.5812/traumamon.20141
PD 2016-Feb
PY 2016
AB CONTEXT: According to the american medical association (AMA) and the
   national institutes of health (NIH), the recommended readability of
   patient education materials should be no greater than a sixth-grade
   reading level. The online patient education information produced by the
   american academy of orthopaedic surgeons (AAOS) may be too complicated
   for some patients to understand. This study evaluated whether the AAOS's
   online trauma-related patient education materials meet recommended
   readability guidelines for medical information.
   EVIDENCE ACQUISITION: Ninety-nine articles from the "Broken Bones and
   Injuries" section of the AAOS-produced patient education website,
   orthoinfo.org, were analyzed for grade level readability using the
   Flesch-Kincaid formula, a widely-used and validated tool to evaluate the
   text reading level. Results for each webpage were compared to the
   AMA/NIH recommended sixth-grade reading level and the average reading
   level of U.S. adults (eighth-grade).
   RESULTS: The mean (SD) grade level readability for all patient education
   articles was 8.8 (1.1). All but three of the articles had a readability
   score above the sixth-grade level. The readability of the articles
   exceeded this level by an average of 2.8 grade levels (95% confidence
   interval, 2.6 - 3.0; P < 0.0001). Furthermore, the average readability
   of the articles exceeded the average reading skill level of U.S. adults
   (eighth grade) by nearly an entire grade level (95% confidence interval,
   0.6-1.0; P < 0.0001).
   CONCLUSIONS: The majority of the trauma-related articles from the AAOS
   patient education website have readability levels that may make
   comprehension difficult for a substantial portion of the patient
   population.
TC 7
ZB 3
ZR 0
Z8 0
ZS 0
ZA 0
Z9 7
U1 0
U2 3
SN 2251-7464
UT MEDLINE:27218045
PM 27218045
ER

PT J
AU Liaw, Sok Ying
   Wong, Lai Fun
   Lim, Eunice Ya Ping
   Ang, Sophia Bee Leng
   Mujumdar, Sandhya
   Ho, Jasmine Tze Yin
   Mordiffi, Siti Zubaidah
   Ang, Emily Neo Kim
TI Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace
   Practice With Deteriorating Ward Patients: A Pre- and Postintervention
   Study
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 2
AR e37
DI 10.2196/jmir.5294
PD FEB 2016
PY 2016
AB Background: Nurses play an important role in detecting patients with
   clinical deterioration. However, the problem of nurses failing to
   trigger deteriorating ward patients still persists despite the
   implementation of a patient safety initiative, the Rapid Response
   System. A Web-based simulation was developed to enhance nurses' role in
   recognizing and responding to deteriorating patients. While studies have
   evaluated the effectiveness of the Web-based simulation on nurses'
   clinical performance in a simulated environment, no study has examined
   its impact on nurses' actual practice in the clinical setting.
   Objective: The objective of this study was to evaluate the impact of
   Web-based simulation on nurses' recognition of and response to
   deteriorating patients in clinical settings. The outcomes were measured
   across all levels of Kirkpatrick's 4-level evaluation model with
   clinical outcome on triggering rates of deteriorating patients as the
   primary outcome measure.
   Methods: A before-and-after study was conducted on two general wards at
   an acute care tertiary hospital over a 14-month period. All nurses from
   the two study wards who undertook the Web-based simulation as part of
   their continuing nursing education were invited to complete
   questionnaires at various time points to measure their motivational
   reaction, knowledge, and perceived transfer of learning. Clinical
   records on cases triggered by ward nurses from the two study wards were
   evaluated for frequency and types of triggers over a period of 6 months
   pre- and 6 months postintervention.
   Results: The number of deteriorating patients triggered by ward nurses
   in a medical general ward increased significantly (P<.001) from pre-
   (84/937, 8.96%) to postintervention (91/624, 14.58%). The nurses
   reported positively on the transfer of learning (mean 3.89, SD 0.49)
   from the Web-based simulation to clinical practice. A significant
   increase (P<.001) on knowledge posttest score from pretest score was
   also reported. The nurses also perceived positively their motivation
   (mean 3.78, SD 0.56) to engage in the Web-based simulation.
   Conclusions: This study provides evidence on the effectiveness of
   Web-based simulation in improving nursing practice when recognizing and
   responding to deteriorating patients. This educational tool could be
   implemented by nurse educators worldwide to address the educational
   needs of a large group of hospital nurses responsible for patients in
   clinical deterioration.
RI Mordiffi, Siti/AAY-8927-2021; Mordiffi, Siti Zubaidah/; ANG, Sophia Bee Leng/; Mujumdar, Sandhya/; Lim, Eunice/
OI Mordiffi, Siti Zubaidah/0000-0002-3005-3088; ANG, Sophia Bee
   Leng/0000-0003-1916-6177; Mujumdar, Sandhya/0000-0002-5445-0715; Lim,
   Eunice/0000-0002-3196-1205
Z8 0
ZS 0
ZR 0
ZA 0
TC 31
ZB 2
Z9 31
U1 2
U2 17
SN 1438-8871
UT WOS:000380774800008
PM 26895723
ER

PT J
AU Butterworth, A.
   de Jong, I. C.
   Keppler, C.
   Knierim, U.
   Stadig, L.
   Lambton, S.
TI What is being measured, and by whom? Facilitation of communication on
   technical measures amongst competent authorities in the implementation
   of the European Union Broiler Directive (2007/43/EC)
SO ANIMAL
VL 10
IS 2
BP 302
EP 308
DI 10.1017/S1751731115001615
PD FEB 2016
PY 2016
AB The European Union (EU) Broiler Directive (2007/43/EC) is unique amongst
   current EU Directives, which address animal welfare, in that it uses
   outcome data collected at abattoirs and on farm to monitor on-farm
   broiler welfare and vary the maximum permitted stocking density on farm.
   In this study, we describe how, by bringing together personnel from the
   competent authorities in 22 member states (MSs) who have responsibility
   for implementing the Directive, and engaging in exchange of information
   and technical methods regarding the Broiler Directive, it has been
   possible to identify differences in approach with regard to 'what data
   is being collected, and by whom' across EU MSs. Online questionnaires
   and workshop exercises enabled us to identify priority areas for
   knowledge transfer and training. For example, foot pad dermatitis, hock
   burn, dead on arrival and total rejections (birds rejected as unfit for
   human consumption by the meat inspection staff at slaughter) were
   identified by the MSs as measures of medium-to-low priority in terms of
   knowledge transfer because there are assessment methods for these
   conditions that are already well accepted by competent authorities. On
   the other hand, breast lesions, cellulitis, emaciation, joint lesions,
   respiratory problems, scratches, wing fractures and a number of
   environmental measures were identified as having high priority in terms
   of knowledge transfer. The study identified that there is significant
   variability in the stage of implementation between MSs, and responses
   from the participating MSs indicated that sharing of guidance and
   technical information between MSs may be of value in the future set-up
   process for those MSs engaged in implementation of the Directive.
RI de Jong, Ingrid/J-5810-2019; Butterworth, Andrew/; Stadig, Lisanne/; Lambton, Sarah/
OI de Jong, Ingrid/0000-0003-1811-499X; Butterworth,
   Andrew/0000-0002-5904-8397; Stadig, Lisanne/0000-0002-3949-2001;
   Lambton, Sarah/0000-0001-5802-3465
ZS 1
TC 10
ZB 7
ZR 0
Z8 0
ZA 0
Z9 10
U1 0
U2 22
SN 1751-7311
EI 1751-732X
UT WOS:000377121500014
PM 26278785
ER

PT J
AU Porter, Maribeth
   Mims, Lisa
   Garven, Chad
   Gavin, Jennifer
   Carek, Peter
   Diaz, Vanessa
TI International Health Experiences in Family Medicine Residency Training
SO FAMILY MEDICINE
VL 48
IS 2
BP 114
EP 120
PD FEB 2016
PY 2016
AB BACKGROUND AND OBJECTIVES: International health experiences (IHEs) have
   been associated with improved clinical skills, altruistic attitudes,
   cross-cultural sensitivity, and exposure to community medicine for
   residents and medical students. Although an increasing number of family
   medicine residencies offer IHEs, there are currently no standardized
   competencies or guidelines for developing IHEs. The aim of this study
   was to examine the content of IHEs in order to provide an overview of
   the current landscape of global health training in family medicine
   residency programs.
   METHODS: Residency programs self-identifying as offering IHEs on the
   American Medical Association's (AMA) FREIDA Online website were emailed
   an electronic survey with questions regarding IHE characteristics,
   resident selection criteria, faculty support, motivations for
   participation, challenges to implementation, and funding.
   RESULTS: Of the 153 programs that responded, 84% still offered IHEs.
   Most IHEs are 3-4 weeks (71.1%) and are funded by the resident (74.2%).
   Faculty from the resident's department or institution generally provide
   supervision (76.6%) and have undergone some type of specialized training
   in global health (65.6%). Being in good academic standing was the most
   important eligibility criteria for residents participating in an IHE
   (86.7%), and funding was reported as the most challenging aspect (62.5%)
   of offering IHEs.
   CONCLUSIONS: IHEs are increasing in number and receiving more funding,
   but the experiences are variable among residency programs. While most
   program directors believe residents participate in IHEs to gain exposure
   with underserved populations, only a small percentage (5.5%) include a
   commitment to community service as part of a requirement for
   participation in an IHE.
ZR 0
ZB 0
TC 3
Z8 0
ZA 0
ZS 0
Z9 3
U1 0
U2 5
SN 0742-3225
EI 1938-3800
UT WOS:000370114700006
PM 26950782
ER

PT J
AU Dimova, Mina
   Shahid, Aima
   Dimov, Ves
   Randhawa, Shahid
TI A Patient-Focused, High-Impact Educational Module on Food Allergy with
   Free Online Resources: Feasibility and Implementation
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 517
BP AB158
EP AB158
DI 10.1016/j.jaci.2015.12.647
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
TC 0
ZA 0
Z8 0
ZR 0
ZB 0
ZS 0
Z9 0
U1 0
U2 3
SN 0091-6749
EI 1097-6825
UT WOS:000375005402207
ER

PT J
AU Fletcher, Laura A.
   Tammy Pham
   Herriman, Maguire
   Kiely, Bridget
   Milanaik, Ruth
   Rosner, Gregory A.
TI Peanut-Containing Products in Children's Hospitals: Putting Pediatric
   Patients at Risk
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 258
BP AB78
EP AB78
DI 10.1016/j.jaci.2015.12.384
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
ZB 0
Z8 0
ZR 0
ZS 0
TC 1
ZA 0
Z9 1
U1 0
U2 0
SN 0091-6749
EI 1097-6825
UT WOS:000375005401196
ER

PT J
AU Karam, Marilyn R.
   Scherzer, Rebecca
   Ogbogu, Princess U.
   Green, Todd David
   Greenhawt, Matthew J.
TI Comparison of Food Allergy Awareness and Self-Management Among College
   Students at 3 Large US Universities
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 302
BP AB92
EP AB92
DI 10.1016/j.jaci.2015.12.428
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
ZS 0
Z8 0
ZB 0
ZA 0
TC 2
ZR 0
Z9 2
U1 1
U2 9
SN 0091-6749
EI 1097-6825
UT WOS:000375005401239
ER

PT J
AU LeBovidge, Jennifer S.
   Michaud, Alexis
   Deleon, Ashley
   Harada, Laurie
   Waserman, Susan
   Schneider, Lynda C.
TI A Randomized Controlled Trial of an Educational Handbook for Parents of
   Children with Food Allergy
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 518
BP AB158
EP AB158
DI 10.1016/j.jaci.2015.12.648
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
ZS 0
TC 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 0
U1 0
U2 1
SN 0091-6749
EI 1097-6825
UT WOS:000375005402208
ER

PT J
AU Nowak-Wegrzyn, Anna H.
   Atal, Zara
TI Economic Impact of Childhood Fpies and IgE-Mediated Food Allergies
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 785
BP AB240
EP AB240
DI 10.1016/j.jaci.2015.12.972
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
ZS 0
Z8 0
ZA 0
ZR 0
ZB 0
TC 1
Z9 1
U1 0
U2 2
SN 0091-6749
EI 1097-6825
UT WOS:000375005403231
ER

PT J
AU Redmond, Margaret
   Scherzer, Rebecca
   Wada, Kara J.
   Strothman, Kasey
   Kempe, Erin
   Galantowicz, Barbara
   Stukus, David R.
TI Food Allergy Knowledge Among Summer Camp Personnel before and after an
   Evidence Based Educational Session
SO JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
VL 137
IS 2
MA 519
BP AB159
EP AB159
DI 10.1016/j.jaci.2015.12.649
SU S
PD FEB 2016
PY 2016
CT Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology
   (AAAAI)
CY MAR 04-07, 2016
CL Los Angeles, CA
SP Amer Acad Allergy, Asthma & Immunol
ZS 0
ZR 0
Z8 0
TC 0
ZB 0
ZA 0
Z9 0
U1 0
U2 2
SN 0091-6749
EI 1097-6825
UT WOS:000375005402209
ER

PT J
AU Haskins, Jessica
   Carson, John G.
   Chang, Celia H.
   Kirshnit, Carol
   Link, Daniel P.
   Navarra, Leslie
   Scher, Lorin M.
   Sciolla, Andres F.
   Uppington, Jeffrey
   Yellowlees, Peter
TI The Suicide Prevention, Depression Awareness, and Clinical Engagement
   Program for Faculty and Residents at the University of California, Davis
   Health System
SO ACADEMIC PSYCHIATRY
VL 40
IS 1
BP 23
EP 29
DI 10.1007/s40596-015-0359-0
PD FEB 2016
PY 2016
AB Objective The authors replicated a program developed by UC San Diego,
   identified medical staff at risk for depression and suicide using a
   confidential online survey, and studied aspects of that program for 1
   year.
   Methods The authors used a 35-item, online assessment of stress and
   depression depression developed and licensed by the American Foundation
   for Suicide Prevention that aims to identify and suicide risk and
   facilitate access to mental health services.
   Results During 2013/2014, all 1864 UC Davis residents/fellows and
   faculty physicians received an invitation to take the survey and 158
   responded (8 % response rate). Most respondents were classified at
   either moderate (86 [59 %]) or high risk for depression or suicide (54
   [37 %]). Seventeen individuals (11 %) were referred for further
   evaluation or mental health treatment. Ten respondents consented to
   participate in the follow-up portion of the program. Five of the six who
   completed follow-up surveys reported symptom improvement and indicated
   the program should continue.
   Conclusions This program has led to continued funding and a plan to
   repeat the Wellness Survey annually. Medical staff will be regularly
   reminded of its existence through educational interventions, as the
   institutional and professional culture gradually changes to promptly
   recognize and seek help for physicians' psychological distress.
OI Scher, Lorin/0000-0002-6294-7764
ZS 1
TC 18
ZA 0
ZB 4
ZR 0
Z8 0
Z9 19
U1 0
U2 21
SN 1042-9670
EI 1545-7230
UT WOS:000377097100004
PM 26063680
ER

PT J
AU Matheson, Katherine M.
   Barrett, Tessa
   Landine, Jeff
   McLuckie, Alan
   Soh, Nerissa Li-Weh
   Walter, Garry
TI Experiences of Psychological Distress and Sources of Stress and Support
   During Medical Training: a Survey of Medical Students
SO ACADEMIC PSYCHIATRY
VL 40
IS 1
BP 63
EP 68
DI 10.1007/s40596-015-0395-9
PD FEB 2016
PY 2016
AB Objective The authors examine the prevalence of psychological distress,
   the stressors experienced, and the supports used by medical students and
   residents during their medical training at a Canadian university.
   Method This study used an online survey that included a standardized
   instrument to evaluate psychological distress (Kessler-10) and
   Likert-based survey items that examined stress levels related to family
   relationships, living accommodations, commuting, finances, and program
   requirements. Depressive symptoms, substance use, and suicidal ideation
   were also measured, as were supports accessed (e.g., counseling) and
   students' perceptions of the overall supportiveness of the university.
   Non-parametric descriptive statistics were used to examine the
   prevalence of psychological distress, sources of stress, and supports
   accessed.
   Results Surveys were received from 381 students (37 % response). Most
   students (60 %) reported normal levels of psychological distress on the
   K10 (M=19.5, SD=6.25), and a subgroup reported high to very high levels
   of psychological distress. A small number also reported substance use,
   symptoms of depression, and/or suicidal ideation.
   Conclusion These results indicate that students experience psychological
   distress from a number of stressors and suggest that medical schools
   should act as key partners in supporting student well-being by promoting
   self-care, educating students on the risks of burnout, and developing
   programs to support at-risk students.
TC 43
Z8 0
ZR 0
ZB 6
ZA 0
ZS 3
Z9 44
U1 0
U2 32
SN 1042-9670
EI 1545-7230
UT WOS:000377097100009
PM 26223316
ER

PT J
AU Roy, Durga
   Taylor, Jacob
   Cheston, Christine C.
   Flickinger, Tabor E.
   Chisolm, Margaret S.
TI Social Media: Portrait of an Emerging Tool in Medical Education
SO ACADEMIC PSYCHIATRY
VL 40
IS 1
BP 136
EP 140
DI 10.1007/s40596-014-0278-5
PD FEB 2016
PY 2016
AB Objective The authors compare the prevalence of challenges and
   opportunities in commentaries and descriptive accounts versus evaluative
   studies of social media use in medical education.
   Methods A previously published report of social media use in medical
   education provided an in-depth discussion of 14 evaluative studies, a
   small subset of the total number of 99 articles on this topic. This
   study used the full set of articles identified by that review, including
   the 58 commentaries and 27 descriptive accounts which had not been
   previously reported, to provide a glimpse into how emerging tools in
   medical education are initially perceived. Each commentary, descriptive
   account, and evaluative study was identified and compared on various
   characteristics, including discussion themes regarding the challenges
   and opportunities of social media use in medical education.
   Results Themes related to the challenges of social media use in medical
   education were more prevalent in commentaries and descriptive accounts
   than in evaluative studies. The potential of social media to affect
   medical professionalism adversely was the most commonly discussed
   challenge in the commentaries (53 %) and descriptive accounts (63 %) in
   comparison to technical issues related to implementation in the
   evaluative studies (50 %).
   Conclusions Results suggest that the early body of literature on social
   media use in medical education like that of previous innovative
   education tools comprises primarily commentaries and descriptive
   accounts that focus more on the challenges of social media than on
   potential opportunities. These results place social media tools in
   historical context and lay the groundwork for expanding on this novel
   approach to medical education.
OI Cheston, Christine/0000-0002-9754-3372
Z8 0
ZA 0
ZS 0
TC 18
ZR 0
ZB 3
Z9 18
U1 0
U2 14
SN 1042-9670
EI 1545-7230
UT WOS:000377097100025
PM 25800704
ER

PT J
AU Abele, Misoo
   Brown, Julie
   Ibrahim, Hicham
   Jha, Manish K.
TI Teaching Motivational Interviewing Skills to Psychiatry Trainees:
   Findings of a National Survey
SO ACADEMIC PSYCHIATRY
VL 40
IS 1
BP 149
EP 152
DI 10.1007/s40596-014-0149-0
PD FEB 2016
PY 2016
AB Objective The authors report on the current status of motivational
   interviewing education and training director attitudes about providing
   it to psychiatry residents.
   Methods Training directors of general, child/adolescent and addiction
   psychiatry training programs were invited to participate in an anonymous
   online survey.
   Results Of the 333 training directors who were invited to participate.
   66 of 168 (39.3 %) general, 41 of 121 (33.9 %) child/adolescent, and 19
   of 44 (43.2 %) addiction psychiatry training directors completed the
   survey. The authors found that 90.9 % of general, 80.5 A of
   child/adolescent, and 100 A of addiction psychiatry training programs
   provided motivational interviewing education. Most programs used
   multiple educational opportunities; the three most common opportunities
   were didactics, clinical practice with formal supervision, and
   self-directed reading. Most training directors believed that
   motivational interviewing was an important skill for general
   psychiatrists. The authors also found that 83.3 % of general, 87.8 A of
   child/adolescent, and 94.7 A of addiction psychiatry training directors
   reported that motivational interviewing should be taught during general
   psychiatry residency.
   Conclusions Motivational interviewing skills are considered important
   for general psychiatrists and widely offered by training programs.
   Competency in motivational interviewing skills should be considered as a
   graduation requirement in general psychiatry training programs.
RI Jha, Manish Kumar/ABI-3594-2020
OI Jha, Manish Kumar/0000-0002-2764-2391
Z8 0
ZR 0
ZA 0
ZB 0
TC 1
ZS 0
Z9 1
U1 0
U2 9
SN 1042-9670
EI 1545-7230
UT WOS:000377097100028
PM 24832675
ER

PT J
AU McCarthy, S. E.
   O'Boyle, C. A.
   O'Shaughnessy, A.
   Walsh, G.
TI Online patient safety education programme for junior doctors: is it
   worthwhile?
SO IRISH JOURNAL OF MEDICAL SCIENCE
VL 185
IS 1
BP 51
EP 58
DI 10.1007/s11845-014-1218-9
PD FEB 2016
PY 2016
AB Background Increasing demand exists for blended approaches to the
   development of professionalism. Trainees of the Royal College of
   Physicians of Ireland participated in an online patient safety
   programme.
   Aims Study aims were: (1) to determine whether the programme improved
   junior doctors' knowledge, attitudes and skills relating to error
   reporting, open communication and care for the second victim and (2) to
   establish whether the methodology facilitated participants' learning.
   Methods 208 junior doctors who completed the programme completed a
   pre-online questionnaire. Measures were "patient safety knowledge and
   attitudes", "medical safety climate" and "experience of learning".
   Sixty-two completed the post-questionnaire, representing a 30 % matched
   response rate.
   Results Participating in the programme resulted in immediate (p < 0.01)
   improvement in skills such as knowing when and how to complete incident
   forms and disclosing errors to patients, in self-rated knowledge (p <
   0.01) and attitudes towards error reporting (p < 0.01). Sixty-three per
   cent disagreed that doctors routinely report medical errors and 42 %
   disagreed that doctors routinely share information about medical errors
   and what caused them. Participants rated interactive features as the
   most positive elements of the programme.
   Conclusions An online training programme on medical error improved
   self-rated knowledge, attitudes and skills in junior doctors and was
   deemed an effective learning tool. Perceptions of work issues such as a
   poor culture of error reporting among doctors may prevent improved
   attitudes being realised in practice. Online patient safety education
   has a role in practice-based initiatives aimed at developing
   professionalism and improving safety.
Z8 0
ZA 0
ZS 0
TC 8
ZB 0
ZR 0
Z9 8
U1 0
U2 10
SN 0021-1265
EI 1863-4362
UT WOS:000374576400007
PM 25366816
ER

PT J
AU Mazerolle, Stephanie M.
   Eason, Christianne M.
   Goodman, Ashley
TI Exploring Summer Medical Care Within the National Collegiate Athletic
   Association Division I Setting: A Perspective From the Athletic Trainer
SO JOURNAL OF ATHLETIC TRAINING
VL 51
IS 2
BP 175
EP 183
DI 10.4085/1062-6050-51.3.03
PD FEB 2016
PY 2016
AB Context: Over the last few decades, the National Collegiate Athletics
   Association (NCAA) has made changes related to the increase in
   sanctioned team activities during summer athletics. These changes may
   affect how athletic training services are provided.
   Objective: To investigate the methods by which athletic training
   departments of NCAA institutions manage expectations regarding athletic
   training services during the summer.
   Design: Mixed-methods qualitative and quantitative study.
   Setting: The NCAA Division I.
   Patients or Other Participants: Twenty-two athletic trainers (13 men, 9
   women) participated. All were employed full time within the NCAA
   Division I setting. Participants were 35 +/- 8 years of age (range,
   26-52 years), with 12 +/- 7 years (range, 3-29 years) of athletic
   training experience.
   Data Collection and Analysis: All participants completed a series of
   questions online that consisted of closed-(demographic and Likert-scale
   5-point) and open-ended items that addressed the research questions.
   Descriptive statistics, frequency distributions, and phenomenologic
   analyses were completed with the data. Peer review and multiple-analyst
   triangulation established credibility.
   Results: Summer athletic training services included 3 primary
   mechanisms: individual medical care, shared medical care, or a
   combination of the 2. Participants reported working 40 +/- 10 hours
   during the summer. Likert-item analysis showed that participants were
   moderately satisfied with their summer medical care structure (3.3 +/-
   1.0) and with the flexibility of summer schedules (3.0 +/- 1.2). Yet the
   qualitative analysis revealed that perceptions of summer medical care
   were more positive for shared-care participants than for individual-or
   combination-care participants. The perceived effect on the athletic
   trainer included increased workload and expectations and a negative
   influence on work-life balance, particularly in terms of decreased
   schedule flexibility and opportunities for rejuvenation. For many, the
   summer season mimicked the hours, workload, and expectations of the
   nontraditional season.
   Conclusions: The NCAA rule changes and medical care expectations
   affected the summer workload of athletic trainers, but job sharing
   seemed to help them manage conflict associated with providing summer
   athletic training services.
Z8 0
TC 8
ZR 0
ZS 0
ZB 7
ZA 0
Z9 8
U1 0
U2 4
SN 1062-6050
EI 1938-162X
UT WOS:000374755300009
PM 26881869
ER

PT J
AU Jung, B.
   Stoll, C.
   Feick, G.
   Prott, F. J.
   Zell, J.
   Rudolph, I.
   Huebner, J.
TI Prostate cancer patients' report on communication about endocrine
   therapy and its association with adherence
SO JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
VL 142
IS 2
BP 465
EP 470
DI 10.1007/s00432-015-2059-2
PD FEB 2016
PY 2016
AB Background Endocrine therapy is a mainstay of prostate cancer therapy.
   Given that few data exist on patient physician communication with regard
   to this field of therapy and adherence, we conducted a survey of patient
   members of a German support organization.
   Patients and methods We developed a structured questionnaire that was
   tested in a pilot version and then programmed as an online
   questionnaire.
   Results The questionnaire was completed by 694 patients. While 58 % of
   participants rated the information they received as comprehensive, 42 %
   did not. Fifty-one percentage stated that they were informed of side
   effects in detail, and 35 % received information on supportive
   treatments available in the event of side effects. Patients with higher
   education more often reported receiving information on side effects (p =
   0.036) as well as alternatives for treatment (p = 0.001). Only 13 %
   stated that their questions were answered in detail, with 43 % receiving
   no answers or only non-detailed answers. Additional information was
   sought by 82 %, mostly from the Internet (67 %) and patient support
   groups (66 %). Seventy-six percentage experienced side effects that
   imposed limitations on their daily activities. Of those patients with
   side effects, 60 % reported that their physicians did not react to their
   complaints. There is a significant association between side effects in
   general and depression in particular and non-adherence (p < 0.01 and p =
   0.002, respectively). In contrast, better information on side effects is
   associated with better adherence (p < 0001).
   Conclusion In order to improve adherence, detailed information on side
   effects and comprehensive supportive care is most important. Physicians
   should not rely on written information but should rather mainly engage
   in direct communication.
RI HÃbner, Jutta/AAY-5396-2020
TC 12
Z8 0
ZB 5
ZS 0
ZR 0
ZA 0
Z9 12
U1 1
U2 6
SN 0171-5216
EI 1432-1335
UT WOS:000370173300013
PM 26494234
ER

PT J
AU Wong, Angelique
   Reddy, Akhila
   Williams, Janet L.
   Wu, Jimin
   Liu, Diane
   Bruera, Eduardo
TI Attitudes, Beliefs, and Awareness of Graduate Medical Education Trainees
   Regarding Palliative Care at a Comprehensive Cancer Center
SO JOURNAL OF ONCOLOGY PRACTICE
VL 12
IS 2
BP 149
EP +
DI 10.1200/JOP.2015.006619
PD FEB 2016
PY 2016
AB Purpose
   Palliative care (PC) training and integration with oncology care remain
   suboptimal. Current attitudes and beliefs of the oncology trainees
   regarding PC are not fully known. This study was undertaken in an
   attempt to address this issue.
   Participants and Methods
   We conducted a survey to determine awareness of PC among graduate
   medical trainees at a comprehensive cancer center with an established PC
   program. One hundred seventy oncology trainees who completed >= 9 months
   of training in medical, surgical, gynecologic, and radiation oncology
   fellowships and residency programs during the 2013 academic year
   completed an online questionnaire. Descriptive, univariable, and
   multivariable analyses were performed.
   Results
   The response rate was 78% (132 of 170 trainees); 10 trainees without
   hands-on patient care were excluded. Medical (53 of 60 [88%]),
   gynecologic (six of six [100%]), and radiation oncology (20 of 20
   [100%]) trainees reported more awareness of PC compared with surgical
   oncology (22 of 36 [61%]) trainees (P = .001). One hundred twelve of 122
   (92%) perceived PC as beneficial to patients and families. One hundred
   eight of 122 (89%) perceived that PC can reduce health care costs, 78
   (64%) believed that PC can increase survival, and 90 (74%) would consult
   PC for a patient with newly diagnosed cancer with symptoms. Eighty-two
   trainees (67%) believed a mandatory PC rotation is important. Trainees
   with previous exposure to PC rotations were more aware of the role of PC
   services than were trainees without PC rotation (96% [46 of 48] v 74%
   [55 of 74]; P = .005, respectively).
   Conclusion
   Surgical trainees and trainees without previous PC rotation had
   significantly less awareness of PC. Overall, trainees perceived PC as
   beneficial to patients and capable of reducing costs while increasing
   survival; they also supported early PC referrals and endorsed a
   mandatory PC rotation.
RI Bruera, Eduardo/AAA-1550-2022
ZS 0
Z8 1
ZB 6
ZA 0
TC 20
ZR 0
Z9 21
U1 0
U2 2
SN 1554-7477
EI 1935-469X
UT WOS:000374325300019
PM 26787756
ER

PT J
AU Ibrahim, Ahmed M. S.
   Vargas, Christina R.
   Koolen, Pieter G. L.
   Chuang, Danielle J.
   Lin, Samuel J.
   Lee, Bernard T.
TI Readability of online patient resources for melanoma
SO MELANOMA RESEARCH
VL 26
IS 1
BP 58
EP 65
DI 10.1097/CMR.0000000000000210
PD FEB 2016
PY 2016
AB Medical information is often difficult for patients to understand. With
   specialized vocabulary and complex pathophysiology, even well-educated
   adults have trouble interpreting information about their healthcare. The
   average American adult reads at a seventh-grade level. In light of the
   inherent complexity of health information, the American Medical
   Association and National Institutes of Health have recommended that
   information for patients should be written at a sixth-grade level. The
   goal of this study was to evaluate the most commonly used online patient
   resources about melanoma in the context of these recommendations. A web
   search for 'melanoma' identified the 10 most-accessed websites. Location
   filters were disabled and sponsored results were excluded to avoid
   inadvertent search bias. All relevant, patient-directed articles were
   downloaded and formatted into plain text. Pictures, videos, links,
   advertisements, and references were removed. Readability analysis was
   carried out using 10 established tests, both overall and arranged by
   parent website for comparison. A total of 130 articles for melanoma
   information were identified. The overall mean reading grade level was
   12.6. All sites exceeded the recommended sixth-grade level. Secondary
   analysis of articles grouped by website indicated a range of readability
   across sites from 9.9 (high school freshman) to 14.9 (university
   sophomore). Online patient resources for melanoma uniformly exceed the
   recommended reading level and may be too difficult for many Americans to
   understand. The range of readability among websites may indicate an
   opportunity for physicians to direct patients to more appropriate
   resources for their level of health literacy.
RI Lee, Bernard T./K-1106-2016; Lin, Samuel/P-6158-2019; Vargas, Christina/AAK-8805-2020; Chen, Austin D/N-3879-2017
OI Lee, Bernard T./0000-0002-5533-3166; Vargas,
   Christina/0000-0003-2368-3425; 
ZS 0
ZA 0
ZR 0
TC 20
ZB 3
Z8 0
Z9 20
U1 1
U2 9
SN 0960-8931
EI 1473-5636
UT WOS:000372844100009
PM 26479217
ER

PT J
AU Gorres-Martens, Brittany K.
   Segovia, Angela R.
   Pfefer, Mark T.
TI Positive outcomes increase over time with the implementation of a
   semiflipped teaching model
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 40
IS 1
BP 32
EP 37
DI 10.1152/advan.00034.2015
PD FEB 2016
PY 2016
AB The flipped teaching model can engage students in the learning process
   and improve learning outcomes. The purpose of the present study was to
   assess the outcomes of a semiflipped teaching model over time.
   Neurophysiology students spent the majority of class time listening to
   traditional didactic lectures, but they also listened to 5 online
   lectures and spent 8-10 class periods completing an active learning
   assignment. At the end of the term, students completed a survey to
   assess the outcomes of the active learning assignments. The positive
   outcomes were greater the second time the course was taught in a
   semiflipped manner. While completely flipping a course takes a
   tremendous amount of time, instructors can still obtain positive
   outcomes by implementing a semiflipped teaching model.
ZA 0
Z8 0
TC 10
ZS 0
ZB 0
ZR 0
Z9 10
U1 0
U2 23
SN 1043-4046
EI 1522-1229
UT WOS:000373931400005
PM 26847255
ER

PT J
AU McLean, Sarah
   Attardi, Stefanie M.
   Faden, Lisa
   Goldszmidt, Mark
TI Flipped classrooms and student learning: not just surface gains
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 40
IS 1
BP 47
EP 55
DI 10.1152/advan.00098.2015
PD FEB 2016
PY 2016
AB The flipped classroom is a relatively new approach to undergraduate
   teaching in science. This approach repurposes class time to focus on
   application and discussion; the acquisition of basic concepts and
   principles is done on the students' own time before class. While current
   flipped classroom research has focused on student preferences and
   comparative learning outcomes, there remains a lack of understanding
   regarding its impact on students' approaches to learning. Focusing on a
   new flipped classroom-based course for basic medical sciences students,
   the purpose of the present study was to evaluate students' adjustments
   to the flipped classroom, their time on task compared with traditional
   lectures, and their deep and active learning strategies. Students in
   this course worked through interactive online learning modules before
   in-class sessions. Class time focused on knowledge application of online
   learning module content through active learning methods. Students
   completed surveys and optional prequiz questions throughout the term to
   provide data regarding their learning approaches. Our results showed
   that the majority of students completed their prework in one sitting
   just before class. Students reported performing less multitasking
   behavior in the flipped classroom compared with lecture-based courses.
   Students valued opportunities for peer-peer and peer-instructor
   interactions and also valued having multiple modes of assessment.
   Overall, this work suggests that there is the potential for greater
   educational gains from the flipped classroom than the modest
   improvements in grades previously demonstrated in the literature; in
   this implementation of the flipped classroom, students reported that
   they developed independent learning strategies, spent more time on task,
   and engaged in deep and active learning.
RI Goldszmidt, Mark/G-3297-2011; Attardi, Stefanie M/AFC-2547-2022
OI Goldszmidt, Mark/0000-0002-5861-5222; Attardi, Stefanie
   M/0000-0003-3291-490X
ZS 5
ZB 3
Z8 1
ZR 0
ZA 2
TC 111
Z9 118
U1 6
U2 180
SN 1043-4046
EI 1522-1229
UT WOS:000373931400007
PM 26847257
ER

PT J
AU Whitcroft, K. L.
   Moss, B.
   Mcrae, A.
TI ENT and airways in the emergency department: national survey of junior
   doctors' knowledge and skills
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 130
IS 2
BP 183
EP 189
DI 10.1017/S0022215115003102
PD FEB 2016
PY 2016
AB Background: Given the urgent nature of ENT emergencies, appropriate
   knowledge is required amongst front-line staff. Junior doctors account
   for almost one quarter of emergency department doctors. It has been
   shown that undergraduate coverage of ENT is variable. This study
   therefore aimed to determine whether emergency department junior doctors
   were confident in dealing with ENT emergencies, with special focus on
   the airway.
   Method: An online survey was circulated to junior doctors working in
   emergency medicine, at the discretion of their training co-ordinators.
   Results: A total of 104 responses were received. Junior doctors were not
   confident in managing patients who have undergone tracheostomy or
   laryngectomy. Management of stridor varied, with 51 per cent giving
   oxygen and only 77 per cent referring such patients as an emergency to
   ENT. Most training on the management of airway emergencies was not
   provided through hospital induction.
   Conclusion: Training should be provided to junior doctors starting work
   in the emergency department. We suggest mandatory multidisciplinary
   induction training for such staff.
RI Moss, Basil/K-8222-2019
OI Moss, Basil/0000-0003-1071-478X
TC 13
Z8 0
ZB 4
ZA 0
ZS 0
ZR 0
Z9 13
U1 0
U2 2
SN 0022-2151
EI 1748-5460
UT WOS:000372635800014
PM 26740073
ER

PT J
AU Miller, Jenna O.
   Thammasitboon, Satid
   Hsu, Deborah C.
   Shah, Manish I.
   Minard, Charles G.
   Graf, Jeanine M.
TI Continuing Medical Education for Air Medical Providers The Successes and
   Challenges
SO PEDIATRIC EMERGENCY CARE
VL 32
IS 2
BP 87
EP 92
DI 10.1097/PEC.0000000000000416
PD FEB 2016
PY 2016
AB Objective Research has shown that patients transported by nonpediatric
   teams have higher rates of morbidity and mortality. There is currently a
   paucity of pediatric standardized ongoing medical education for
   emergency medical service providers, thus we aimed to develop a model
   curriculum to increase their knowledge regarding pediatric respiratory
   distress and failure.
   Methods The curriculum was based on the Kolb Learning Cycle to optimize
   learning. Target learners were flight nurses (registered nurse) and
   emergency medical technicians of a private helicopter emergency
   transport team. The topics included were pediatric stridor, wheezing,
   and respiratory failure. Online modules were developed for continued
   spaced education. Knowledge gained from the interventions was measured
   by precurricular and postcurricular testing and compared with paired t
   tests. A linear mixed regression model was used to investigate
   covariates of interest.
   Results Sixty-two learners attended the workshop. Fifty-nine learners
   completed both precurricular and postcurricular testing. The mean
   increase between pretest and posttest scores was 12.1% (95% confidence
   interval, 9.4, 14.8; P < 0.001). Type of licensure (private emergency
   medical technician vs registered nurse) and number of years experience
   had no association with the level of knowledge gained. Learners who had
   greater than 1 year of pediatric transport experience scored higher on
   their pretests. There was no significant retention shown by those who
   participated in spaced education.
   Conclusions The curriculum was associated with a short term increased
   knowledge regarding pediatric respiratory distress and failure for
   emergency helicopter transport providers and could be used as an
   alternative model to develop standardized ongoing medical education in
   pediatrics. Further work is needed to achieve knowledge retention in
   this learner population.
OI Thammasitboon, Satid/0000-0001-6896-092X
ZR 0
Z8 0
ZS 0
ZA 0
TC 8
ZB 0
Z9 8
U1 0
U2 3
SN 0749-5161
EI 1535-1815
UT WOS:000373407700006
PM 26841111
ER

PT J
AU Baker, Michael
   Long, Neil
   Parker, Colin
TI The world of FOAM: A practical guide to free online paediatric education
   resources
SO JOURNAL OF PAEDIATRICS AND CHILD HEALTH
VL 52
IS 2
BP 105
EP 108
DI 10.1111/jpc.13133
PD FEB 2016
PY 2016
ZA 0
ZB 0
TC 2
Z8 0
ZS 0
ZR 0
Z9 2
U1 0
U2 2
SN 1034-4810
EI 1440-1754
UT WOS:000373929900002
PM 27062611
ER

PT J
AU Sorenson, Rebecca
   Scott, Ingrid U.
   Tucker, Steven H.
   Chinchilli, Vernon M.
   Papachristou, George C.
TI Practice patterns of cataract surgeons at academic medical centers for
   the management of inadequate capsule support for intracapsular or sulcus
   intraocular lens placement during cataract surgery
SO JOURNAL OF CATARACT AND REFRACTIVE SURGERY
VL 42
IS 2
BP 239
EP 245
DI 10.1016/j.jcrs.2015.09.022
PD FEB 2016
PY 2016
AB PURPOSE: To determine practice patterns with regard to intraocular lens
   (IOL) placement during cataract surgery when there is inadequate capsule
   support for intracapsular or sulcus IOL placement.
   SETTING: Pennsylvania State College of Medicine, Hershey, Pennsylvania,
   USA.
   DESIGN: Cross-sectional study of anonymous survey results.
   METHODS: An online survey was e-mailed to the coordinators of all
   Accreditation Council for Graduate Medical Education accredited
   ophthalmology residency programs with a request to forward to all
   faculty who perform cataract surgery.
   RESULTS: Sixty-seven (57.2%) of 117 confirmed survey recipients
   participated. Thirty-six (62.1%) said they felt comfortable placing
   scleral-fixated posterior chamber IOLs (PC IOLs) independently. Faced
   with inadequate capsule support, 58.6% would place a primary anterior
   chamber IOL (AC IOL), 29.3% would place a primary scleral-fixated PC
   IOL, and 5.3% would leave the patient aphakic for secondary
   scleral-fixated PC IOL placement. Surgeons not comfortable placing
   scleral-fixated PC IOLs were most likely to choose primary AC IOLs
   (77.3%). Surgeons comfortable placing scleral-fixated PC IOLs were more
   evenly divided between primary AC IOLs (47.2%) and scleral-fixated PC
   IOLs (41.7%). Among surgeons who favored primary scleral-fixated PC
   IOLs, 63.7% cited a decreased risk for long-term complications as their
   reason for IOL choice; 50.0% of surgeons who favored primary AC IOLs
   cited avoidance of a second surgery.
   CONCLUSIONS: In general, primary AC IOL placement was preferred in the
   setting of inadequate capsule support, although less so among surgeons
   who were comfortable placing scleral-fixated PC IOLs. Lack of comfort
   with scleral-fixated PC IOL placement suggests a potential unmet
   training need in residency and fellowship programs. (C) 2016 ASCRS and
   ESCRS
OI Tucker, Steven/0000-0002-3588-3072; Scott, Ingrid/0000-0002-3908-7153
ZA 0
ZS 0
ZR 0
TC 7
Z8 0
ZB 2
Z9 7
U1 0
U2 1
SN 0886-3350
EI 1873-4502
UT WOS:000373315300010
PM 27026448
ER

PT J
AU Bester, Nicolette
   Di Vito-Smith, Michelle
   McGarry, Theresa
   Riffkin, Michael
   Kaehler, Stefan
   Pilot, Richard
   Bwire, Robert
TI The Effectiveness of an Educational Brochure as a Risk Minimization
   Activity to Communicate Important Rare Adverse Events to Health-Care
   Professionals
SO ADVANCES IN THERAPY
VL 33
IS 2
BP 167
EP 177
DI 10.1007/s12325-016-0284-y
PD FEB 2016
PY 2016
AB Educational brochures are an important tool for communicating risk to
   health-care professionals. It is important to evaluate the impact of any
   risk minimization tool to understand the effectiveness of the strategy.
   The objective of this study was to assess the effectiveness (i.e.,
   respondents' awareness and understanding of the communication) of a
   targeted educational brochure distributed to health-care professionals
   (HCPs) as a risk minimization strategy for the communication of new rare
   and important adverse events (AEs).
   A prospective, non-interventional, online survey was performed following
   distribution of a specifically designed brochure highlighting new and
   important adverse events to a targeted HCP population, consisting of
   known users of the target medicine, as represented by a commercial
   database. Predefined multiple-choice survey questions assessed overall
   HCP awareness of the brochure and understanding and retention of
   information in those HCPs who reported receiving the brochure.
   The educational brochure was sent to a total of 565 HCPs; 121 (21.4%)
   responded to the survey. The majority of respondents (95.0%) had
   previously prescribed or dispensed the target medicine. In all, 88
   (72.7%) respondents said they had received the educational brochure, of
   whom 95.5% stated they had at least scanned the main points. More
   participants who had received the brochure (86.4% to 96.6%) answered the
   five individual survey questions correctly compared with those who did
   not (51.5% to 97.0%); this was significant for four out of five
   questions (P a parts per thousand currency sign 0.005). Significantly
   more HCPs who received the brochure achieved the predefined pass rate
   (at least four of five questions answered correctly) compared with HCPs
   who did not receive the brochure (93.2% vs 57.6%, respectively; P =
   0.000003).
   Distribution of targeted educational brochures may be an effective risk
   minimization strategy to raise HCP awareness of new rare and important
   AEs; educational brochures may also be an effective channel for sharing
   information on how these AEs can be best managed and on the importance
   and means of reporting AEs.
   Celgene Pty Ltd, Melbourne, Australia.
ZS 0
Z8 0
ZR 0
TC 11
ZB 7
ZA 0
Z9 11
U1 0
U2 3
SN 0741-238X
EI 1865-8652
UT WOS:000371264700003
PM 26801772
ER

PT J
AU Raspe, M.
   Mueller-Marbach, A.
   Schneider, M.
   Siepmann, T.
   Schulte, K.
TI Work- and Training Conditions of young German physicians in internal
   medicine Results of a nationwide survey by young internists from the
   GSIM and GPAI
SO DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT
VL 141
IS 3
BP 202
EP 210
DI 10.1055/s-0041-109329
PD FEB 2016
PY 2016
AB Zusammenfassung
   Hintergrund | Die Arbeits- und Weiterbildungsbedingungen in Deutschland
   tatiger internistischer Assistenzarzte haben sich im Zuge weitreichender
   Veranderungen im Gesundheitssystem (u. a. diagnosebezogene Fallgruppen,
   okonomisierung / Kommerzialisierung, demografischer Wandel) geandert und
   zu Unzufriedenheit sowie Systemkritik gefuhrt. Bislang existieren jedoch
   wenig publizierte Daten, welche diese Kritik quantitativ, im nationalen
   Kontext und mit Fokus auf die Teilaspekte okonomisierung und
   psychosoziale Arbeitsbelastung beschreiben.
   Methoden | Die Jungen Internisten der Deutschen Gesellschaft fur Innere
   Medizin und das Junge Forum des Berufsverbands Deutscher Internisten
   haben eine online-basierte Befragung aller dort organisierter
   internistischer Weiterbildungsassistenten vorgenommen. Der Fragebogen
   deckt funf wesentliche Konfliktfelder internistischer Arbeits- und
   Weiterbildungsbedingungen ab. Zusatzlich wurde das Modell beruflicher
   Gratifikationskrisen zur Beurteilung psychosozialer Arbeitsbelastung
   eingesetzt.
   Ergebnisse | 1696 Arzte haben an der Befragung teilgenommen. Im stark
   verdichteten Arbeitsalltag kommen ihnen Fort- und Weiterbildung, sowie
   Familien- und Forschungsfreundlichkeit zu kurz. Ein Teil der Arzte zieht
   hieraus personliche Konsequenzen. Der Einfluss okonomischer Erwagungen
   ist deutlich spurbar. Die psychosoziale Belastung der befragten Arzte
   ist sehr hoch und stellt ein Risiko fur die Gesundheit der Arzte selbst
   und die Behandlungsqualitat der Patienten dar.
   Schlussfolgerungen | Anpassungen der Arbeits- und
   Weiterbildungsbedingungen in der Inneren Medizin erscheinen auf
   Grundlage der erhobenen Daten erforderlich, um die Gesundheit der
   betroffenen Arzte, die Qualitat der Patientenversorgung und die
   Attraktivitat des Berufsbildes fur die Zukunft zu gewahrleisten.
   Abstract
   Background: Major transformations within the German healthcare system
   (e. g. implementation of the G-DRG system, growing focus on economic
   aspects, demographic changes) led to changes of work and training
   conditions of young internists and to criticism and dissatisfaction. So
   far, there is a lack of up-to-date and nationwide data analyzing these
   issues with focus on economic pressure and psychosocial strain.
   Methods: The young internists of the two professional bodies conducted
   an online-based survey addressing all their members in training. The
   questionnaire covers five central areas of conflict. Furthermore, the
   model of effort-reward-imbalance (ERI) was applied to measure
   psychosocial strain at work.
   Results: 1696 internists in training participated in the survey.
   Workdays characterized by high pace and workload do not leave much room
   for professional training as well as for family and research friendly
   working conditions. A relevant part of the affected physicians draws or
   at least considers personal consequences. Economical pressure is clearly
   noticeable. Psychosocial strain among the questioned internists is very
   high and conveys a risk for physicians' health and patients' quality of
   care.
   Conclusion: Adjustments of working and training conditions in internal
   medicine are necessary to preserve physicians health, high-quality
   medical treatment and to ensure an attractive working environment.
RI Siepmann, Timo/AAJ-1344-2021
TC 28
ZB 8
Z8 0
ZS 0
ZA 0
ZR 0
Z9 28
U1 2
U2 20
SN 0012-0472
EI 1439-4413
UT WOS:000369755600014
PM 26841185
ER

PT J
AU Yu, L.
   Peterson, B.
   Inhorn, M. C.
   Boehm, J. K.
   Patrizio, P.
TI Knowledge, attitudes, and intentions toward fertility awareness and
   oocyte cryopreservation among obstetrics and gynecology resident
   physicians
SO HUMAN REPRODUCTION
VL 31
IS 2
BP 403
EP 411
DI 10.1093/humrep/dev308
PD FEB 2016
PY 2016
AB What knowledge, attitudes and intentions do US obstetrics and gynecology
   (OB/GYN) residents have toward discussing age-related fertility decline
   and oocyte cryopreservation with their patients?
   Most OB/GYN residents believe that age-related fertility decline, but
   not oocyte cryopreservation, should be discussed during well-woman
   annual exams; furthermore, nearly half of residents overestimated the
   age at which female fertility markedly declines.
   Oocyte cryopreservation can be utilized to preserve fertility potential.
   Currently, no studies of US OB/GYN residents exist that question their
   knowledge, attitudes, and intentions toward discussing age-related
   fertility decline and oocyte cryopreservation with patients.
   A cross-sectional online survey was conducted during the fall of 2014
   among residents in American Council for Graduate (ACOG) Medical
   Education-approved OB/GYN residency programs. Program directors were
   emailed via the ACOG Council on Resident Education in Obstetrics and
   Gynecology server listing and asked to solicit resident participation.
   Participants included 238 residents evenly distributed between
   post-graduate years 1-4 with varied post-residency plans; 90% of
   residents were women and 75% were 26-30 years old. The survey was
   divided into three sections: demographics, fertility awareness, and
   attitudes toward discussing fertility preservation options with
   patients. Descriptive and inferential statistics were conducted.
   A strong majority of residents (83%) believed an OB/GYN should initiate
   discussions about age-related fertility decline with patients (mean
   patient age 31.8), and 73% percent believed these discussions should be
   part of an annual exam. One third of residents overestimated the age at
   which there is a slight decline in female fertility, while nearly half
   of residents overestimated the age at which female fertility markedly
   declines. Over three-quarters of residents (78.4%) also overestimated
   the likelihood of success using assisted reproductive treatments (ARTs).
   Residents were likely to support oocyte cryopreservation in cancer
   patients irrespective of the woman's age, but much less likely to
   support elective oocyte cryopreservation. For elective oocyte
   cryopreservation, 40% believed OB/GYNs should initiate discussions with
   patients (mean age 31.1), while only 20% believed this topic should be
   part of an annual exam.
   Because the study invitation was sent through US OB/GYN residency
   program directors rather than directly to residents, it is possible that
   some residents did not receive the invitation to participate. This
   limits the generalizability of the findings.
   Within the USA, there appears to be a critical need for improved
   education on fertility decline in OB/GYN residency programs. To promote
   informed reproductive decision-making among patients, efforts should be
   made to help OB/GYNs provide comprehensive fertility education to all
   women, while also respecting patient choices.
   None.
RI Patrizio, Pasquale/AGO-0674-2022; Yu, Lissa/
OI Yu, Lissa/0000-0003-1840-5615
ZR 0
Z8 1
TC 61
ZS 0
ZA 0
ZB 18
Z9 61
U1 3
U2 15
SN 0268-1161
EI 1460-2350
UT WOS:000371149400020
PM 26677956
ER

PT J
AU Pata, Kai
   Santos, Patricia
   Burchert, Joanna
TI Social recognition provision patterns in professional Q&A forums in
   Healthcare and Construction
SO COMPUTERS IN HUMAN BEHAVIOR
VL 55
BP 571
EP 583
DI 10.1016/j.chb.2015.06.046
PN A
PD FEB 2016
PY 2016
AB For some decades, professional Q&A forums have been used as a mainstream
   way of sharing practices between novices and experts. Several forums
   have had time to develop their own communities and habits, which made
   them a suitable place to explore patterned epistemic practices. In this
   paper we look at the social recognition, help seeking and informal
   learning patterns in communities of practice; our aim is to use the
   corresponding outputs to scaffold technology supported informal
   learning. We analyzed professional discussion forums in two countries
   (UK and Germany) in two different sectors (Healthcare and Construction).
   We identified a set of interrelated patterns that are used for socially
   verifying and maturing rules and guidelines, solving problems,
   introducing new practices and triggering learning. Some particular
   social recognition and learning trends common in Healthcare and
   Construction sector Q&A forums are highlighted. We discuss epistemic
   practice pattern networks for developing scaffolds to enhance the
   quality of informal learning in workplace environments in an integrated
   way. We suggest and validate empirically a model of social recognition
   provision in Q&A forums. (C) 2015 Elsevier Ltd. All rights reserved.
OI Pata, Kai/0000-0002-8952-7698; Santos, Patricia/0000-0002-7337-2388
ZB 0
ZR 0
ZS 0
TC 5
Z8 0
ZA 0
Z9 5
U1 0
U2 27
SN 0747-5632
EI 1873-7692
UT WOS:000367755400059
ER

PT J
AU Moriceau, G.
   Gagneux-Brunon, A.
   Gagnaire, J.
   Mariat, C.
   Lucht, F.
   Berthelot, P.
   Botelho-Nevers, E.
TI Preventing healthcare-associated infections: Residents and attending
   physicians need better training in advanced isolation precautions
SO MEDECINE ET MALADIES INFECTIEUSES
VL 46
IS 1
BP 14
EP 19
DI 10.1016/j.medmal.2015.11.001
PD FEB 2016
PY 2016
AB Objective. - Compliance with advanced isolation precautions (IPs) is
   crucial to reduce healthcare-associated infections. Our aim was to
   evaluate physician's knowledge and attitudes related to IPs.
   Methods. - An online questionnaire was sent to our hospital's physicians
   (attending physicians and residents).
   Results. - A total of 111 physicians completed the questionnaire: 60
   (54%) attending physicians and 51 (46%) residents. Overall, respondents
   had a poor knowledge of the three types of IPs, especially droplet
   precautions (13 correct answers, 11.7%) and airborne IP (17 correct
   answers, 16.3%). We observed a statistically significant difference
   between attending physicians and residents for the type of IP to
   prescribe to a patient presenting with multidrug-resistant urinary
   infection: 44 residents (86%) gave the correct answer vs 42 attending
   physicians (70%), P = 0.04. Physicians (both residents and attending
   physicians) who were already familiar with the dedicated webpage
   available on the hospital's intranet (n = 40) obtained a score of
   4.75/10 (+/- 2.0) compared with 4.03/10 (+/- 1.7) for those who had
   never used that tool (n = 71). The difference was statistically
   significant (P = 0.04). The average score for both residents and
   attending physicians was 4.3/10 (+/- 1.9, range: 1-10). Attending
   physicians' and residents' scores were 4/10 (+/- 1.8) and 4.5/10 (+/-
   1.9), respectively, but the difference was not statistically significant
   (P = 0.14).
   Conclusion. - Physicians' knowledge of IPs was insufficient. Improvement
   in medical training is needed. The use of a dedicated webpage on
   hospitals' intranet could help physicians acquire better knowledge on
   that matter. (C) 2015 Elsevier Masson SAS. All rights reserved.
RI Botelho-Nevers, Elisabeth/H-2063-2019; Gagneux-Brunon, Amandine/ABA-1693-2021; Gagneux-Brunon, Amandine/V-4269-2019; Berthelot, Philippe/
OI Botelho-Nevers, Elisabeth/0000-0003-2773-7750; Gagneux-Brunon,
   Amandine/0000-0002-0892-2187; Berthelot, Philippe/0000-0001-9356-8081
Z8 0
ZB 0
ZR 0
ZS 1
ZA 0
TC 2
Z9 3
U1 0
U2 11
SN 0399-077X
UT WOS:000371847300004
PM 26654322
ER

PT J
AU Waltzman, Joshua T.
   Tadisina, Kashyap K.
   Zins, James E.
TI The Rise of Technology in Plastic Surgery Education: Is the Textbook
   Dead on Arrival (DOA)?
SO AESTHETIC SURGERY JOURNAL
VL 36
IS 2
BP 237
EP 243
DI 10.1093/asj/sjv144
PD FEB 2016
PY 2016
AB Background: Over the past decade there has been a dramatic rise in the
   use of technology. Evaluating our use of technology is crucial to
   advancing the next generation of plastic surgeons.
   Objectives: The goals of this study were to assess the current use of
   technology by residents, help Program Directors allocate financial
   resources, and predict the future of technology and education.
   Methods: A 17-question online survey was emailed to American Society for
   Aesthetic Plastic Surgery resident/fellow members (n = 447). The survey
   evaluated current use of technology, preferred use of educational
   resources, and directions for the future. Ample space was allocated for
   free response questions.
   Results: The response rate was 40%. The average age of respondents was
   32 years old (standard deviation 3.7). The majority (86.5%) of residents
   own iPhones, and 90% of residents own tablets. There was a heavy daily
   reliance on smartphone technology. Sixty percent of residents used
   physical textbooks on a weekly basis. The Plastic Surgery Education
   Network was used on a weekly basis by 42% of residents. In contrast, 78%
   of residents were not aware of, or had never used, the readily available
   digital aesthetic resource (RADAR) Resource iPad application.
   Conclusions: In order to remain at the forefront of education, we as a
   specialty need to adapt with technology. Program Directors should
   support integrating technology with electronic access to educational
   materials. There exists an opportunity in resident education to increase
   awareness and utilization of the RADAR Resource. The future of plastic
   surgery education will be reliant on platforms like the iPhone and iPad
   to conveniently provide large volumes of information with only a finger
   touch.
ZA 0
Z8 0
ZR 0
ZB 0
TC 18
ZS 0
Z9 18
U1 0
U2 6
SN 1090-820X
EI 1527-330X
UT WOS:000371692700027
PM 26384712
ER

PT J
AU Peacock, Justin G.
   Grande, Joseph P.
TI An online app platform enhances collaborative medical student group
   learning and classroom management
SO MEDICAL TEACHER
VL 38
IS 2
BP 174
EP 180
DI 10.3109/0142159X.2015.1020290
PD FEB 1 2016
PY 2016
AB Purpose: The authors presented their results in effectively using a free
   and widely-accessible online app platform to manage and teach a
   first-year pathology course at Mayo Medical School.
   Methods used: The authors utilized the Google "Blogger", "Forms",
   "Flubaroo", "Sheets", "Docs", and "Slides" apps to effectively build a
   collaborative classroom teaching and management system. Students were
   surveyed on the use of the app platform in the classroom, and 44 (94%)
   students responded.
   Results: Thirty-two (73%) of the students reported that "Blogger" was an
   effective place for online discussion of pathology topics and questions.
   43 (98%) of the students reported that the "Forms/Flubaroo"
   grade-reporting system was helpful. 40 (91%) of the students used the
   remote, collaborative features of "Slides" to create team-based learning
   presentations, and 39 (89%) of the students found those collaborative
   features helpful. "Docs" helped teaching assistants to collaboratively
   create study guides or grading rubrics. Overall, 41 (93%) of the
   students found that the app platform was helpful in establishing a
   collaborative, online classroom environment.
   Conclusions: The online app platform allowed faculty to build an
   efficient and effective classroom teaching and management system. The
   ease of accessibility and opportunity for collaboration allowed for
   collaborative learning, grading, and teaching.
RI Peacock, Justin G/C-3609-2015; Grande, Joseph P./AAG-2128-2020
OI Peacock, Justin G/0000-0003-1510-8367; Grande, Joseph
   P./0000-0001-5674-1682
ZS 0
Z8 0
ZA 0
ZR 0
TC 14
ZB 1
Z9 14
U1 0
U2 25
SN 0142-159X
EI 1466-187X
UT WOS:000370869000009
PM 25782601
ER

PT J
AU Dawson, L. C.
   Dewey, C. E.
   Stone, E. A.
   Guerin, M. T.
   Niel, L.
TI A survey of animal welfare experts and practicing veterinarians to
   identify and explore key factors thought to influence canine and feline
   welfare in relation to veterinary care
SO ANIMAL WELFARE
VL 25
IS 1
BP 125
EP 134
DI 10.7120/09627286.25.1.125
PD FEB 2016
PY 2016
AB Veterinary care is important for maintaining companion animal health;
   however, it also has the potential to impact other aspects of patient
   welfare. To investigate factors related to veterinary care that are
   likely to influence canine and feline welfare, animal welfare
   researchers, veterinarians with an expertise in animal welfare, and
   Canadian and American companion and mixed animal veterinarians were
   invited to participate in a three-stage online survey. Participants were
   asked to do the following: i) identify factors related to the veterinary
   experience that impact patient welfare; ii) rate the relative impact of
   each factor; and iii) gauge the feasibility of measuring and improving
   each factor. Overall, 78 participants identified 85 factors that impact
   animal welfare in the clinic (eg restraint techniques) and home
   environment (eg advice regarding behaviour and training). Among factors,
   seven themes emerged: physical environment of the clinic; routine animal
   care provided by veterinary team members ('staff'); interactions between
   the patient, staff, and client; clinic management; medical and surgical
   procedures; staff attitudes and education; and communication between the
   veterinarian and client. Mean relative impact scores ranged from 1.0 to
   3.8 on a five-point scale (0-4), with 70% of factors receiving a score
   greater than 3. Most participants (> 80%) agreed that 68% of the
   identified factors could be feasibly improved in an average veterinary
   clinic and that 43% of the factors could be feasibly measured during a
   welfare assessment. These results identify key areas where veterinary
   care may impact the welfare of canine and feline patients and highlight
   priority areas where assessment and improvement are possible.
RI Dawson, Lauren/AAN-5537-2020; Dawson, Lauren/
OI Dawson, Lauren/0000-0002-7654-3947
ZB 8
ZA 0
ZR 0
Z8 0
TC 22
ZS 0
Z9 22
U1 0
U2 77
SN 0962-7286
UT WOS:000369432900013
ER

PT J
AU Jovanovic, N.
   Podlesek, A.
   Volpe, U.
   Barrett, E.
   Ferrari, S.
   Kuzman, M. Rojnic
   Wuyts, P.
   Papp, S.
   Nawka, A.
   Vaida, A.
   Moscoso, A.
   Andlauer, O.
   Tateno, M.
   Lydall, G.
   Wong, V.
   Rujevic, J.
   Clausen, N. Platz
   Psaras, R.
   Delic, A.
   Losevich, M. A.
   Flegar, S.
   Crepin, P.
   Shmunk, E.
   Kuvshinov, I.
   Loibl-Weiss, E.
   Beezhold, J.
TI Burnout syndrome among psychiatric trainees in 22 countries: Risk
   increased by long working hours, lack of supervision, and psychiatry not
   being first career choice
SO EUROPEAN PSYCHIATRY
VL 32
BP 34
EP 41
DI 10.1016/j.eurpsy.2015.10.007
PD FEB 2016
PY 2016
AB Background: Postgraduate medical trainees experience high rates of
   burnout, but evidence regarding psychiatric trainees is missing. We aim
   to determine burnout rates among psychiatric trainees, and identify
   individual, educational and work-related factors associated with severe
   burnout.
   Methods: In an online survey psychiatric trainees from 22 countries were
   asked to complete the Maslach Burnout Inventory (MBI-GS) and provide
   information on individual, educational and work-related parameters.
   Linear mixed models were used to predict the MBI-GS scores, and a
   generalized linear mixed model to predict severe burnout.
   Results: This is the largest study on burnout and training conditions
   among psychiatric trainees to date. Complete data were obtained from
   1980 out of 7625 approached trainees (26%; range 17.8-65.6%).
   Participants were 31.9 (SD 5.3) years old with 2.8 (SD 1.9) years of
   training. Severe burnout was found in 726 (36.7%) trainees. The risk was
   higher for trainees who were younger (P < 0.001), without children (P =
   0.010), and had not opted for psychiatry as a first career choice (P =
   0.043). After adjustment for socio-demographic characteristics, years in
   training and country differences in burnout, severe burnout remained
   associated with long working hours (P < 0.001), lack of supervision (P <
   0.001), and not having regular time to rest (P = 0.001). Main findings
   were replicated in a sensitivity analysis with countries with response
   rate above 50%.
   Conclusions: Besides previously described risk factors such as working
   hours and younger age, this is the first evidence of negative influence
   of lack of supervision and not opting for psychiatry as a first career
   choice on trainees' burnout. (C) 2016 Published by Elsevier Masson SAS.
RI Nawka, Alexander/O-7259-2017; Barrett, Elizabeth/N-5429-2019; Barrett, Elizabeth/O-6697-2018; Ferrari, Silvia/G-5964-2011; Jovanovic, Nikolina/S-1052-2018; Papp, Szilvia/G-2325-2019; Podlesek, Anja/; Delic, Amra/; Moscoso, Ana/; Volpe, Umberto/
OI Nawka, Alexander/0000-0002-5564-8694; Barrett,
   Elizabeth/0000-0001-9793-478X; Barrett, Elizabeth/0000-0001-9793-478X;
   Ferrari, Silvia/0000-0001-7929-4520; Jovanovic,
   Nikolina/0000-0002-7554-9837; Papp, Szilvia/0000-0002-6270-6952;
   Podlesek, Anja/0000-0003-2987-8338; Delic, Amra/0000-0002-4154-0893;
   Moscoso, Ana/0000-0002-6277-5616; Volpe, Umberto/0000-0001-9166-7609
TC 58
ZS 4
ZB 14
ZR 0
Z8 1
ZA 0
Z9 60
U1 0
U2 40
SN 0924-9338
EI 1778-3585
UT WOS:000369691700006
PM 26802982
ER

PT J
AU Bays, Harold E.
   Jones, Peter H.
   Orringer, Carl E.
   Brown, W. Virgil
   Jacobson, Terry A.
TI National Lipid Association Annual Summary of Clinical Lipidology 2016
SO JOURNAL OF CLINICAL LIPIDOLOGY
VL 10
IS 1
BP S1
EP S43
DI 10.1016/j.jacl.2015.08.002
SU S
PD FEB 2016
PY 2016
AB The National Lipid Association (NLA) Annual Summary of Clinical
   Lipidology is a yearly updated summary of principles important to the
   patient-centered evaluation, management, and care of patients with
   dyslipidemia. This summary is intended to be a "living document," with
   future annual updates based on emerging science, clinical
   considerations, and new NLA Position, Consensus, and Scientific
   Statements, thus providing an ongoing resource that applies the latest
   in medical science towards the clinical management of patients with
   dyslipidemia. Topics include the NLA Recommendations for
   Patient-Centered Management of Dyslipidemia, genetics, Familial
   Hypercholesterolemia, secondary causes of dyslipidemia, biomarkers and
   advanced lipid testing, nutrition, physical activity, obesity,
   adiposopathy, metabolic syndrome, diabetes mellitus, lipid
   pharmacotherapy, lipid-altering drug interactions, lipoprotein
   apheresis, dyslipidemia management and treatment based upon age
   (children, adolescents, and older individuals), dyslipidemia
   considerations based upon race, ethnicity and gender, dyslipidemia and
   human immune virus infection, dyslipidemia and immune disorders,
   adherence strategies and collaborative care, and lipid-altering drugs in
   development. Hyperlinks direct the reader to sentinel online tables,
   charts, and figures relevant to lipidology, access to online
   atherosclerotic cardiovascular disease risk calculators, worldwide lipid
   guidelines, recommendations, and position/scientific statements, as well
   as links to online audio files, websites, slide shows, applications,
   continuing medical education opportunities, and patient information. (C)
   2016 National Lipid Association. All rights reserved.
RI Jacobson, Terry/AAK-4757-2020
OI Jacobson, Terry/0000-0002-9926-2179
TC 65
ZB 26
ZR 3
ZA 0
ZS 2
Z8 3
Z9 72
U1 0
U2 17
SN 1933-2874
EI 1876-4789
UT WOS:000370991400001
PM 26891998
ER

PT J
AU Ji, Chenyang
   Li, Ruiting
   Liang, Weiqiang
   Chen, Yuhong
   Zhang, Jinming
TI Plasticine Model: An Useful Surgical Training in Plastic Surgery
SO AESTHETIC PLASTIC SURGERY
VL 40
IS 1
BP 174
EP 181
DI 10.1007/s00266-015-0602-9
PD FEB 2016
PY 2016
AB To help surgical trainees reach a deep understanding of plastic
   operations, we developed and evaluated an economical and convenient
   model using plasticine for plastic surgical training.
   From Sep of 2012 to Dec of 2014, we invited 57 medical interns to
   participate in a program designed for the qualitative evaluation of this
   model. In this program, 57 interns were asked to simulate certain
   surgical operations under guidance of the experienced staff of our
   department using the plasticine model. The value of the plasticine model
   was evaluated through questionnaire surveys. Their acceptance of the
   plasticine model, as well as the benefits and the flaws, was evaluated
   by the questionnaire survey.
   All the participants completed the training session as well as the
   questionnaire, all of whom felt that the plasticine model had increased
   their familiarity with the surgical procedure they were assigned. By
   remodeling plasticine, the trainees understood either the brief surgical
   procedures or some confusing operative details in plastic surgery. In
   the questionnaire surveys, the trainees showed considerable consensus
   with the training program. The flaws of this method were also listed.
   The flaws generally reflected that "it is difficult to model into a
   vivid image" and "it is not suitable for all the operation".
   Overall, the plasticine model is accepted by the participants in this
   survey. This model is economical and versatile, and could be used as a
   complementary training tool for novices in simulated operation training
   of plastic surgery.
   This journal requires that authors assign a level of evidence to each
   article. For a full description of these Evidence-Based Medicine
   ratings, please refer to the Table of Contents or the online
   Instructions to Authors http://www.springer.com/00266.
Z8 0
ZB 0
TC 3
ZA 0
ZR 0
ZS 0
Z9 3
U1 0
U2 4
SN 0364-216X
EI 1432-5241
UT WOS:000370239600022
PM 26715575
ER

PT J
AU Incorvaia, Cristoforo
   Mauro, Marina
   Leo, Gualtiero
   Ridolo, Erminia
TI Adherence to Sublingual Immunotherapy
SO CURRENT ALLERGY AND ASTHMA REPORTS
VL 16
IS 2
AR 12
DI 10.1007/s11882-015-0586-1
PD FEB 2016
PY 2016
AB Adherence is a major issue in any medical treatment. Allergen
   immunotherapy (AIT) is particularly affected by a poor adherence because
   a flawed application prevents the immunological effects that underlie
   the clinical outcome of the treatment. Sublingual immunotherapy (SLIT)
   was introduced in the 1990s, and the early studies suggested that
   adherence and compliance to such a route of administration was better
   than the traditional subcutaneous route. However, the recent data from
   manufacturers revealed that only 13 % of patients treated with SLIT
   reach the recommended 3-year duration. Therefore, improved adherence to
   SLIT is an unmet need that may be achieved by various approaches. The
   utility of patient education and accurate monitoring during the
   treatment was demonstrated by specific studies, while the success of
   technology-based tools, including online platforms, social media,
   e-mail, and a short message service by phone, is currently considered to
   improve the adherence. This goal is of pivotal importance to fulfill the
   object of SLIT that is to modify the natural history of allergy,
   ensuring a long-lasting clinical benefit, and a consequent
   pharmaco-economic advantage, when patients complete at least a 3-year
   course of treatment.
ZS 0
Z8 1
ZR 0
TC 32
ZA 0
ZB 10
Z9 33
U1 0
U2 2
SN 1529-7322
EI 1534-6315
UT WOS:000370809600001
PM 26758865
ER

PT J
AU Ahmad, Maha
   Sleiman, Naama H.
   Thomas, Maureen
   Kashani, Nahid
   Ditmyer, Marcia M.
TI Use of High-Definition Audiovisual Technology in a Gross Anatomy
   Laboratory: Effect on Dental Students' Learning Outcomes and
   Satisfaction
SO JOURNAL OF DENTAL EDUCATION
VL 80
IS 2
BP 128
EP 132
PD FEB 2016
PY 2016
AB Laboratory cadaver dissection is essential for three-dimensional
   understanding of anatomical structures and variability, but there are
   many challenges to teaching gross anatomy in medical and dental schools,
   including alack of available space and qualified anatomy faculty. The
   aim of this study was to determine the efficacy of high-definition
   audiovisual educational technology in the gross anatomy laboratory in
   improving dental students' learning outcomes and satisfaction. Exam
   scores were compared for two classes of first-year students at one U.S.
   dental school: 2012-13 (no audiovisual technology) and 2013-14
   (audiovisual technology), and section exams were used to compare
   differences between semesters. Additionally, an online survey was used
   to assess the satisfaction of students who used the technology. All 284
   first-year students in the two years (2012-13 N=144; 2013-14 N=140)
   participated in the exams. Of the 140 students in the 2013-14 class, 63
   completed the survey (45% response rate). The results showed that those
   students who used the technology had higher scores on the laboratory
   exams than those who did not use it, and students in the winter semester
   scored higher (90.17 +/- 0.56) than in the fall semester (82.10 +/-
   0.68). More than 87% of those surveyed strongly agreed or agreed that
   the audiovisual devices represented anatomical structures clearly in the
   gross anatomy laboratory. These students reported an improved experience
   in learning and understanding anatomical structures, found the
   laboratory to be less overwhelming, and said they were better able to
   follow dissection instructions and understand details of anatomical
   structures with the new technology. Based on these results, the study
   concluded that the ability to provide the students a clear view of
   anatomical structures and high-quality imaging had improved their
   learning experience.
TC 10
ZS 0
ZR 0
Z8 0
ZA 0
ZB 0
Z9 10
U1 0
U2 4
SN 0022-0337
EI 1930-7837
UT WOS:000370395700003
PM 26834129
ER

PT J
AU Sethi, Ahsan
   Schofield, Susie
   Ajjawi, Rola
   McAleer, Sean
TI How do postgraduate qualifications in medical education impact on health
   professionals?
SO MEDICAL TEACHER
VL 38
IS 2
BP 162
EP 167
DI 10.3109/0142159X.2015.1009025
PD FEB 1 2016
PY 2016
AB Background and Purpose: The number of degree-awarding programmes in
   medical education is steadily increasing. Despite the popularity and
   extensive investment in these courses, there is little research into
   their impact. This study investigated the perceived impact of an
   internationally-renowned postgraduate programme in medical education on
   health professionals' development as educators.
   Methods: An online survey of the 2008-12 graduates from the Centre for
   Medical Education, University of Dundee was carried out. Their
   self-reported shifts in various educational competencies and scholarship
   activities were analysed using non-parametric statistics. Qualitative
   data were also collected and analysed to add depth to the quantitative
   findings.
   Results: Of the 504 graduates who received the online questionnaire 224
   responded. Participants reported that a qualification in medical
   education had significantly (p < 0.001) improved their professional
   educational practices and engagement in scholarly activities. Masters
   graduates reported greater impact compared to Certificate graduates on
   all items, including ability to facilitate curriculum reforms, and in
   assessment and feedback practices. Masters graduates also reported more
   engagement in scholarship activities, with significantly greater
   contributions to journals. These qualifications equally benefited all
   participants regardless of age. International graduates reported greater
   impact of the qualification than their UK counterparts.
   Conclusion: A postgraduate medical education programme can significantly
   impact on the practices and behaviours of health professionals in
   education, improving self-efficacy and instilling an increased sense of
   belonging to the educational community.
OI Sethi, Ahsan/0000-0001-9176-3254; Ajjawi, Rola/0000-0003-0651-3870
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
TC 23
Z9 23
U1 0
U2 13
SN 0142-159X
EI 1466-187X
UT WOS:000370869000007
PM 25683175
ER

PT J
AU Koppe, Hilton
   van de Mortel, Thea F.
   Ahern, Christine M.
TI How effective and acceptable is Web 2.0 Balint group participation for
   general practitioners and general practitioner registrars in regional
   Australia? A pilot study
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 24
IS 1
BP 16
EP 22
DI 10.1111/ajr.12212
PD FEB 2016
PY 2016
AB ObjectiveGeneral practitioners (GPs) and general practice registrars
   report work-related stress. Balint groups may improve coping mechanisms.
   However, attendance at a face-to-face Balint group is difficult for
   rural doctors due to distance constraints. The study aim was to evaluate
   online Balint groups for rural doctors and determine effect size for a
   full-scale trial.
   DesignA mixed-methods approach, including a pre-post controlled trial
   and thematic analysis of qualitative data.
   SettingRural primary care.
   ParticipantsThirteen GPs and 8 general practice registrars completed the
   study.
   InterventionsBalint groups were delivered over 8-9 fortnightly online
   sessions. GPs and GP registrars participated in separate groups. Data
   were collected on work-related affect, psychological medicine skills and
   professional isolation using the Warr's Work-Related Affect Scale, the
   Psychological Medicine Inventory, and a professional isolation scale.
   Main outcome measuresChange scores on Warr's Work-Related Affect Scale,
   the Psychological Medicine Inventory, and a professional isolation
   scale.
   ResultsBalint participants' scores were significantly higher
   post-intervention on the Psychological Medicine Inventory (mean 6.49
   (0.20) versus 5.43 (+/- 0.26); P<0.01) and Warr's Work-Related Affect
   (mean 4.09 (+/- 0.09) versus 3.60 (+/- 0.12); P<0.01) scales than
   control group scores. Effect size on these scales ranged from 0.46 to
   0.50. The greatest challenge was technical problems related to
   insufficient broadband speed.
   ConclusionsOnline Balint groups appear to improve rural doctors'
   psychological medicine skills and work-related affect. New data on
   effect size will inform a full-scale trial. Improved national broadband
   infrastructure may enhance online support opportunities for rural
   doctors.
ZS 0
ZB 0
ZR 0
TC 12
ZA 0
Z8 2
Z9 14
U1 1
U2 21
SN 1038-5282
EI 1440-1584
UT WOS:000370148500004
PM 26114400
ER

PT J
AU Page, Amy T.
   Hamilton, Sandy J.
   Hall, Maeva
   Fitzgerald, Kathryn
   Warner, Wayne
   Nattabi, Barbara
   Thompson, Sandra C.
TI Gaining a "proper sense' of what happens out there: An "Academic Bush
   Camp' to promote rural placements for students
SO AUSTRALIAN JOURNAL OF RURAL HEALTH
VL 24
IS 1
BP 41
EP 47
DI 10.1111/ajr.12199
PD FEB 2016
PY 2016
AB Undergraduates who undertake rural placements often choose a rural
   career. Reluctance from universities to send students to rural settings
   limits placement numbers. The Western Australian Centre for Rural Health
   (WACRH) invited allied health and nursing academics and clinical
   placement coordinators from Western Australian (WA) universities to an
   Academic Bush Camp. Based on situated learning theory, this camp
   modelled student programs through experiential learning and structured
   workshops. It aimed to build relationships and showcase innovative rural
   learning opportunities.
   ObjectiveTo build relationships and showcase innovative rural learning
   opportunities.
   DesignAn evaluation of a residential camp based on situated learning
   theory.
   SettingThe camp stated and finished in Geraldton, WA and was centered in
   Mt Magnet, WA a remote town 600 kilometres northeast of Perth.
   ParticipantsWACRH invited allied health and nursing academics and
   clinical placement coordinators from Western Australian (WA)
   universities.
   InterventionThis camp modelled student programs through experiential
   learning and structured workshops. Online pre- and post-camp
   questionnaires included open-ended questions and questions on a 5-point
   Likert scale. Responses were analysed in SPSS 22 using descriptive
   statistics and Wilcoxon signed-rank test. Follow-up phone interviews six
   months later assessed longer-term reflections and changes in student
   placement practice.
   Main outcome measuresThe main outcome measure was whether the camp met
   participants' expectations, and their knowledge about and interest in
   WACRH's programs.
   ResultsTwelve academics from five WA universities and seven health
   disciplines attended. Nine had previously lived or worked rurally. The
   camp met participants' expectations and all would recommend the
   opportunity to a colleague. Many valued the interaction with community
   and clinical placement partners and would have preferred more of this.
   The camp increased awareness of WACRH's programs and benefits of longer
   rural placements and a service-learning environment. Six months later,
   participants' familiarity with WACRH's placement model, supports and
   staff had led to an enhanced willingness to place students.
   ConclusionRural academics can influence rural placement intentions by
   demonstrating the infrastructure, learning and academic support
   available. A camp experience increases metropolitan academics' awareness
   of rural placement programs and willingness to encourage student
   participation. Participants with rural backgrounds appeared more
   receptive to rural learning possibilities.
RI Page, Amy Theresa/F-9424-2013; Thompson, Sandra/H-5955-2014; Nattabi, Barbara/G-8802-2013; Hamilton, Sandra/H-9340-2014
OI Page, Amy Theresa/0000-0002-2084-8469; Thompson,
   Sandra/0000-0003-0327-7155; Nattabi, Barbara/0000-0001-5125-2820;
   Hamilton, Sandra/0000-0002-1181-5702
ZR 0
ZA 0
ZS 0
TC 1
ZB 0
Z8 0
Z9 1
U1 0
U2 9
SN 1038-5282
EI 1440-1584
UT WOS:000370148500008
PM 26119965
ER

PT J
AU Masud, Sarwat
   Ayub, Ayaz
   Mahboob, Usman
TI Use of Massive Online Open Courses as a Potential Resource to Provide
   Continuing Medical Education in Pakistan
SO JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN
VL 26
IS 2
BP 160
EP 161
PD FEB 2016
PY 2016
AB The Pakistan Medical and Dental Council (PM&DC) has made Continuing
   Medical Education (CME) mandatory for doctors, from 2015 onwards. A
   minimum of 15 credit hours of CME per year for general practitioners and
   30 credit hours for specialist doctors have been made mandatory for
   renewal of the PMDC registration. While doctors can attend conferences
   to earn this CME credit, the opportunities are minimum and limited to
   major cities across Pakistan. Web-based CME is an attractive alternative
   to attending conferences. It can make up for 25% of the yearly PMDC
   requirement. So far, only two web-based CME providers have been launched
   in Pakistan, which is a shortage. Could Massive Online Open Courses
   (MOOCs) be used to fill this shortage? The MOOCs are online courses that
   are easily accessible to all learners irrespective of geographical
   boundary and resources, and can be used as a tool to provide CME to
   physicians. The problem as to how credit from PM& DC can be obtained,
   will need to be explored further.
RI Mahboob, Usman/O-4336-2019; Mahboob, Usman/GQP-4120-2022
OI Mahboob, Usman/0000-0002-4756-6787
ZB 1
ZA 0
TC 5
ZS 0
Z8 1
ZR 0
Z9 6
U1 0
U2 11
SN 1022-386X
EI 1681-7168
UT WOS:000369704200022
PM 26876410
ER

PT J
AU Mason, Suzanne
   O'Keeffe, Colin
   Carter, Angela
   Stride, Chris
TI A longitudinal study of well-being, confidence and competence in junior
   doctors and the impact of emergency medicine placements
SO EMERGENCY MEDICINE JOURNAL
VL 33
IS 2
BP 91
EP 98
DI 10.1136/emermed-2014-204514
PD FEB 2016
PY 2016
AB Objectives To measure levels of, and change in junior doctor well-being,
   confidence and self-reported competence over their second postgraduate
   training year and the impact of emergency department (ED) placements on
   these outcomes.
   Design A longitudinal study using an online survey administered at four
   time points (2010-2011).
   Setting 28 Acute Hospital Trusts, drawn from nine participating
   Postgraduate Deaneries in England.
   Participants Junior doctors who had a placement in an ED as part of
   their second postgraduate training year.
   Main outcome measures Levels of anxiety, depression, motivation, job
   satisfaction, confidence and self-reported competence, collected at four
   time points spread over the period of the doctor's second training year
   (F2).
   Results 217 junior doctors were recruited to the study. Over the year
   there was a significant increase in their overall job satisfaction,
   confidence and self-reported competence. Junior doctors also reported
   significantly increased levels of motivation and anxiety, and
   significantly decreased levels of extrinsic job satisfaction when
   working in ED compared with other specialties. There were also
   significant increases in both junior doctor confidence and self-reported
   competence after their placement in ED relative to other specialties.
   Conclusions While elements of junior doctor wellbeing worsened in their
   ED placement compared with their time spent in other specialties, the
   increased levels of anxiety and reduced extrinsic job satisfaction were
   within the normal range for other healthcare workers. These deficits
   were also balanced by greater improvements in motivation, confidence in
   managing common acute clinical conditions and perceived competence in
   performing acute procedures compared with benefits offered by placements
   in other specialties.
OI Mason, Suzanne/0000-0002-1701-0577; O'Keeffe, Colin/0000-0002-4484-7401;
   Stride, Christopher/0000-0001-9960-2869
TC 16
Z8 0
ZA 0
ZB 0
ZS 1
ZR 0
Z9 16
U1 0
U2 9
SN 1472-0205
EI 1472-0213
UT WOS:000370009100004
PM 26338523
ER

PT J
AU Donnelly, Elizabeth A.
   Oehme, Karen
   Melvin, Rebecca
TI What do EMS personnel think about domestic violence? An exploration of
   attitudes and experiences after participation in training
SO JOURNAL OF FORENSIC AND LEGAL MEDICINE
VL 38
BP 64
EP 69
DI 10.1016/j.jflm.2015.11.020
PD FEB 2016
PY 2016
AB Introduction: In 2012, the American College of Emergency Physicians
   (ACEP) reaffirmed that domestic violence is a serious public health
   hazard that emergency medical services (EMS) personnel will encounter.
   Many victims of domestic violence may refuse transport to the hospital,
   making EMS pre-hospital field personnel -EMTs and paramedics- their only
   contact with healthcare providers. Despite these facts, the interaction
   of field EMS personnel and victims of domestic violence remains largely
   unexamined.
   Objectives: Given the importance of the interaction of field EMS
   personnel have with victims of domestic violence, the goal of this study
   is to explore attitudes about and experiences of EMS personnel on the
   issue of domestic violence after completing a training on domestic
   violence.
   Methods: Participants were recruited by researchers contacting multiple
   EMS agencies. Data were gathered using a survey attached to an online
   domestic violence training for field EMS personnel (EMTs and paramedics)
   circulated in a large southern state. Participants were able to obtain
   continuing education credits for completing the online modules.
   Results: A total of 403 respondents completed the survey. 71% of
   respondents indicated that they frequently encounter patients who
   disclose domestic violence; 45% believe that if a victim does not
   disclose abuse, there is little they can do to help; and from 32% to 43%
   reported assumptions and attitudes that indicate beliefs that victims
   are responsible for the abuse.
   Conclusions: Implications of the data are discussed suggesting that EMS
   providers are aware that they frequently assist victims of domestic
   violence, yet many continue to endorse common myths and negative
   attitudes about victims. Core components of training that can educate
   EMS personnel about the dynamics of domestic violence are described, and
   a new free online training for medical professionals on domestic
   violence is offered for use as part of ongoing education to enhance the
   EMS response to victims. (C) 2015 Elsevier Ltd and Faculty of Forensic
   and Legal Medicine. All rights reserved.
RI Donnelly, Elizabeth/N-6008-2014
OI Donnelly, Elizabeth/0000-0001-9942-3203
Z8 0
ZB 0
ZS 1
ZA 0
TC 4
ZR 0
Z9 4
U1 0
U2 15
SN 1752-928X
EI 1532-2009
UT WOS:000369613000011
PM 26708351
ER

PT J
AU Sheng, Alexander Y.
   Castro, Alexandra
   Lewiss, Resa E.
TI Awareness, Utilization, and Education of the ACR Appropriateness
   Criteria: A Review and Future Directions
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 13
IS 2
BP 131
EP 136
DI 10.1016/j.jacr.2015.08.026
PD FEB 2016
PY 2016
AB Purpose: With the overall rise in the use of medical imaging over the
   past two decades, overutilization has become a major concern. The ACR
   Appropriateness Criteria (AC) are an evidence-based, web-based,
   peer-reviewed resource designed to assist clinicians in making the most
   appropriate imaging decisions. In this literature review, the authors
   assess the current knowledge, utilization, and education of the AC among
   undergraduate and graduate medical education trainees and practicing
   physicians in both radiologic and nonradiologic specialties.
   Methods: A comprehensive literature search was completed using the
   PubMed, Cochrane, and MedEdPORTAL databases with the query "American
   College of Radiology Appropriateness Criteria." Articles written in
   English and published from 1993, the year when the AC were introduced,
   to present were included for review. Retrieved articles were reviewed
   for relevance.
   Results: The published literature is sparse. A review suggests a low
   rate of incorporation of the AC into clinical practice. Formal training
   in appropriate imaging ordering practices in both undergraduate and
   graduate medical education is lacking. The several studies targeting the
   use of the AC demonstrate that educational interventions increase
   awareness of the criteria as a decision tool.
   Conclusions: The low rate of incorporation of the AC into clinical
   practice may reflect the lack of formal training in appropriate imaging
   order practices, specifically in the use of the AC, in both
   undergraduate and graduate medical education. The integration of the AC
   into decision support may reduce overutilization, but this has not been
   fully studied. Greater integration of the AC into medical training would
   require more universal physician buy-in to use the AC as a resource to
   optimize imaging utilization. This further requires sustained efforts to
   improve the "user-friendliness" of the AC and maximization of
   collaboration with nonradiology specialties in the development of the
   AC.
OI Sheng, Alexander/0000-0002-4327-2028
ZA 0
ZS 0
Z8 0
TC 27
ZR 0
ZB 1
Z9 27
U1 0
U2 1
SN 1546-1440
UT WOS:000369877800010
PM 26499160
ER

PT J
AU Arleo, Elizabeth Kagan
   Bluth, Edward
   Francavilla, Michael
   Straus, Christopher M.
   Reddy, Sravanthi
   Recht, Michael
TI Surveying Fourth-Year Medical Students Regarding the Choice of
   Diagnostic Radiology as a Specialty
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 13
IS 2
BP 188
EP 195
DI 10.1016/j.jacr.2015.08.005
PD FEB 2016
PY 2016
AB Purpose: The aim of this study was to survey fourth-year medical
   students, both those choosing and those not choosing diagnostic
   radiology as their specialty, regarding factors influencing their choice
   of specialty and their perceptions of radiology.
   Methods: A voluntary anonymous online survey hyperlink was sent to 141
   US medical schools for distribution to fourth-year students. Topics
   included demographics, radiology education, specialty choice and
   influencing factors, and opinions of radiology.
   Results: A representative sampling (7%) of 2015 fourth-year medical
   students (n = 1,219; 51% men, 49% women) participated: 7% were applying
   in radiology and 93% were not. For respondents applying in radiology,
   the most important factor was intellectual challenge. For respondents
   applying in nonradiology specialties, degree of patient contact was the
   most important factor in the decision not to choose radiology; job
   market was not listed as a top-three factor. Women were less likely than
   men to apply in radiology (P < .001), with radiology selected by 11.8%
   of men (56 of 476) and only 2.8% of women (13 of 459). Respondents
   self-identifying as Asian had a significantly higher (P = .015)
   likelihood of selecting radiology (19 of 156 [12.2%]) than all other
   races combined (44 of 723 [6.1%]). Respondents at medical schools with
   required dedicated medical imaging rotations were more likely to choose
   radiology as a specialty, but most schools still do not require the
   clerkship (82%).
   Conclusions: The reasons fourth-year medical students choose, or do not
   choose, diagnostic radiology as a specialty are multifactorial, but
   noncontrollable factors, such as the job market, proved less compelling
   than controllable factors, such as taking a radiology rotation.
RI Francavilla, Matteo/L-6146-2013; Bluth, Edward I./A-8613-2011; Francavilla, Michael/; , michael/
OI Francavilla, Michael/0000-0003-1347-7097; , michael/0000-0002-8546-6314
ZA 0
ZR 0
TC 43
Z8 0
ZS 0
ZB 1
Z9 43
U1 0
U2 3
SN 1546-1440
UT WOS:000369877800023
PM 26499162
ER

PT J
AU Butler, Marilyn W.
TI Developing pediatric surgery in low- and middle-income countries: An
   evaluation of contemporary education and care delivery models
SO SEMINARS IN PEDIATRIC SURGERY
VL 25
IS 1
BP 43
EP 50
DI 10.1053/j.sempedsurg.2015.09.008
PD FEB 2016
PY 2016
AB There are several different models of education and care delivery models
   in low- and middle-income countries (LMICs), and many endeavors combine
   more than one of the described models. This article summarizes the
   burden of pediatric surgical disease and discusses the benefits and
   shortcomings of the following: faith-based missions; short-term surgical
   trips; partnerships, twinning, and academic collaborations; teaching
   workshops, "train the trainer," and pediatric surgery camps; specialty
   treatment centers; online conferences, telemedicine, and mobile health;
   specific programs for exchange and education; and training in
   high-income countries (HICs), fellowships, and observorships. It then
   addresses ethical concerns common to all humanitarian pediatric surgical
   efforts. (C) 2016 Elsevier Inc. All rights reserved.
ZB 5
Z8 0
ZS 0
ZA 0
ZR 0
TC 25
Z9 25
U1 0
U2 16
SN 1055-8586
EI 1532-9453
UT WOS:000370117400008
PM 26831137
ER

PT J
AU del Carmen Castillo-Arcos, Lubia
   Alicia Benavides-Torres, Raquel
   Lopez-Rosales, Fuensanta
   Julia Onofre-Rodriguez, Dora
   Valdez-Montero, Carolina
   Maas-Gongora, Lucely
TI The effect of an Internet-based intervention designed to reduce HIV/AIDS
   sexual risk among Mexican adolescents
SO AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
VL 28
IS 2
BP 191
EP 196
DI 10.1080/09540121.2015.1073663
PD FEB 1 2016
PY 2016
AB Introduction: The purpose of the study was to evaluate the effect of an
   Internet-based intervention to reduce sexual risk behaviors and increase
   resilience to sexual risk behaviors among Mexican adolescents, a key
   HIV/AIDS risk group. Methodology: The study had a quasi-experimental
   design with single-stage cluster sampling. Participants ages 14-17 were
   stratified by gender and randomly assigned to either receive
   intervention Connect (which included face-to-face and Internet-based
   sessions designed to reduce sexual risk behaviors and increase
   resilience to sexual risk) or control (a general educational video on
   reducing health risks). A total of 9 survey instruments were
   administered online through SurveyMonkey pre- and post-intervention to
   assess changes in sexual risk and protective factors as well as two
   outcomes of interest: risky sexual behaviors and resilience. Pearson
   correlation assessed instrument reliability while multivariable linear
   regression models assessed two study hypotheses: (1) the effect of the
   intervention on sexual behavior and resilience is mediated by adolescent
   age, gender, and sexual experience and (2) risk and protective factors
   are mediators between the intervention and sexual behavior. Results: The
   sample was composed of 193 adolescents between 14 and 17 years old (n=96
   in the control group and n=97 in the experimental group). Survey
   instruments were reliable. Age was associated with pre-to-post test
   changes in sexual resilience (=-6.10, p=.019), which partially mediated
   the effect of the intervention on sexual resilience (=5.70, p=.034).
   Social support was associated with pre-to-post test changes in risky
   sexual behavior (=-0.17, p=.039). Conclusion: Intervention Connect was
   independently associated with improved self-reported resilience to risky
   sexual behaviors, though not with a reduction in those behaviors in
   multivariate analyses. This is the first Internet-based intervention
   designed to reduce HIV/AIDS sexual risk among Mexican adolescents.
RI Rosales, Fuensanta Lopez/AAD-3378-2020; Torres, Raquel Alicia Benavides/A-7385-2015
OI Rosales, Fuensanta Lopez/0000-0002-6555-4333; Torres, Raquel Alicia
   Benavides/0000-0001-5113-4250
Z8 0
TC 6
ZR 0
ZA 0
ZS 0
ZB 2
Z9 6
U1 0
U2 12
SN 0954-0121
EI 1360-0451
UT WOS:000368608200007
PM 26301864
ER

PT J
AU Gaydos, Charlotte A.
   Jett-Goheen, Mary
   Barnes, Mathilda
   Dize, Laura
   Barnes, Perry
   Hsieh, Yu-Hsiang
TI Use of a risk quiz to predict infection for sexually transmitted
   infections: a retrospective analysis of acceptability and positivity
SO SEXUALLY TRANSMITTED INFECTIONS
VL 92
IS 1
BP 44
EP U115
DI 10.1136/sextrans-2015-052058
PD FEB 2016
PY 2016
AB Background Individuals who are sexually active may want to make a
   decision as to whether they are at risk for having a sexually
   transmitted infection (STI) such as Chlamydia trachomatis, Neisseria
   gonorrhoeae and Trichomonas vaginalis. Our goal was to develop and
   evaluate a simple self-taken sexual risk quiz for participants, ordering
   an online STI self-collection test kit to determine whether the score
   predicted infection status.
   Methods As part of the IWantTheKit programme for home sample
   self-collection for STIs, 2010-2013, the programme asked male and female
   users to voluntarily take a risk quiz. The six-question quiz was about
   risk behaviour and included an age question. Data analyses were
   stratified by gender as determined a priori. Scores 0-10 were stratified
   into risk groups for each gender based on similar risk score-specific
   STI prevalence. Retrospective analyses were performed to assess whether
   risk group predicted aggregate STI positivity. Urogenital/rectal mailed
   samples were tested by nucleic acid amplification tests.
   Results More females (N=836) than males (N=558) provided voluntary risk
   scores. The percentage of eligible participants who submitted scores was
   43.9% for both females and males. There was a higher STI infection rate
   in females (14.0%) than in males (7.0%) for having any STI (p<0.001).
   Multivariate logistic analysis for females, which controlled for age and
   race, demonstrated that a higher risk score group independently
   predicted risk for having an STI (OR of 2.2 for risk scores 5-7 and 4.2
   OR for scores of 8-10). For males, the multivariate model, which
   controlled for race, indicated that no risk score group was associated
   having an STI.
   Conclusions Results of a participant's own sexual risk quiz score
   independently predicted STI positivity for women, but not for men.
   Further study of this simple risk quiz is required.
RI Gaydos, Charlotte A./E-9937-2010
ZS 0
Z8 0
TC 18
ZR 0
ZA 0
ZB 10
Z9 18
U1 0
U2 4
SN 1368-4973
EI 1472-3263
UT WOS:000368561600011
PM 26285773
ER

PT J
AU Seth, Akhil K.
   Vargas, Christina R.
   Chuang, Danielle J.
   Lee, Bernard T.
TI Readability Assessment of Patient Information about Lymphedema and Its
   Treatment
SO PLASTIC AND RECONSTRUCTIVE SURGERY
VL 137
IS 2
BP 287E
EP 295E
DI 10.1097/01.prs.0000475747.95096.ab
PD FEB 2016
PY 2016
AB Background: Patient use of online resources for health information is
   increasing, and access to appropriately written information has been
   associated with improved patient satisfaction and overall outcomes. The
   American Medical Association and the National Institutes of Health
   recommend that patient materials be written at a sixth-grade reading
   level. In this study, the authors simulated a patient search of online
   educational content for lymphedema and evaluated readability.
   Methods: An online search for the term lymphedema was performed, and the
   first 12 hits were identified. User and location filters were disabled
   and sponsored results were excluded. Patient information from each site
   was downloaded and formatted into plain text. Readability was assessed
   using established tests: Coleman-Liau, Flesch-Kincaid, Flesch Reading
   Ease Index, FORCAST Readability Formula, Fry Graph, Gunning Fog Index,
   New Dale-Chall Formula, New Fog Count, Raygor Readability Estimate, and
   Simple Measure of Gobbledygook Readability Formula.
   Results: There were 152 patient articles downloaded; the overall mean
   reading level was 12.6. Individual website reading levels ranged from
   9.4 (cancer.org) to 16.7 (wikipedia.org). There were 36 articles
   dedicated to conservative treatments for lymphedema; surgical treatment
   was mentioned in nine articles across four sites. The average reading
   level for conservative management was 12.7, compared with 15.6 for
   surgery (p < 0.001).
   Conclusions: Patient information found through an Internet search for
   lymphedema is too difficult for many American adults to read. Websites
   queried had a range of readability, and surgeons should direct patients
   to sites appropriate for their level. There is limited information about
   surgical treatment available on the most popular sites; this information
   is significantly harder to read than sections on conservative measures.
RI Vargas, Christina/AAK-8805-2020; Lee, Bernard T./K-1106-2016
OI Vargas, Christina/0000-0003-2368-3425; Lee, Bernard
   T./0000-0002-5533-3166
TC 19
ZR 0
ZS 0
ZA 0
ZB 1
Z8 0
Z9 19
U1 0
U2 16
SN 0032-1052
EI 1529-4242
UT WOS:000369443800001
PM 26818318
ER

PT J
AU Zinchenko, Ruslan
   Perry, Fiona M.
   Dheansa, Baljit S.
TI Burns teaching in UK medical schools: Is it enough?
SO BURNS
VL 42
IS 1
BP 178
EP 183
DI 10.1016/j.burns.2015.10.003
PD FEB 2016
PY 2016
AB Background: Burns are frequently seen and managed in non-specialist
   settings. The crowding of the UK medical undergraduate curriculum may
   have resulted in the reduction of teaching on burns.
   Aim: To determine the burns education experience and the level of
   competence among UK final year medical students in assessing and acutely
   managing patients with burns.
   Methods: An online questionnaire was circulated among UK final year
   medical students.
   Results: There was a total of 348 respondents. The majority of the
   respondents (70%) have not received any specific teaching on how to
   manage patients with burns. Nearly two-thirds of the students (66%) have
   never seen a patient being managed for burns throughout their training.
   Over 90% of respondents stated that they would not feel confident in
   initially managing a burn in the emergency department. The majority of
   the respondents (57%) have not heard of the criteria for referring a
   burns patient for further specialist management. There was almost
   universal agreement about the importance of knowing how to manage a burn
   initially.
   Conclusions: There seems to be a lack of consistent undergraduate
   training in burns management and final year students lack the experience
   and knowledge to initially manage burns. (C) 2015 Elsevier Ltd and ISBI.
   All rights reserved.
RI Karim, Osman/Z-3507-2019; Dheansa, Baljit/
OI Dheansa, Baljit/0000-0003-1418-9986
ZB 0
ZS 0
TC 10
ZR 1
Z8 0
ZA 0
Z9 11
U1 0
U2 7
SN 0305-4179
EI 1879-1409
UT WOS:000368840600022
PM 26531844
ER

PT J
AU Laliberte, Vincent
   Rapoport, Mark J.
   Andrew, Melissa
   Davidson, Marla
   Rej, Soham
TI Career Interests of Canadian Psychiatry Residents: What Makes Residents
   Choose a Research Career?
SO CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
VL 61
IS 2
BP 86
EP 92
DI 10.1177/0706743715625952
PD FEB 2016
PY 2016
AB Objectives: Training future clinician-researchers remains a challenge
   faced by Canadian psychiatry departments. Our objectives were to
   determine the prevalence of residents interested in pursuing research
   and other career options as part of their practice, and to identify the
   factors associated with interest in research.
   Method: Data from a national online survey of 207 Canadian psychiatry
   residents from a total of 853 (24.3% response rate) were examined. The
   main outcome was interest in research as part of residents' future
   psychiatrist practice. Bivariate and multivariate analyses were
   performed to identify demographic and vocational variables associated
   with research interest.
   Results: Interest in research decreases by 76% between the first and
   fifth year of psychiatry residency (OR 0.76 per year, 95% CI 0.60 to
   0.97). Training in a department with a residency research track did not
   correlate with increased research interest (chi 2 = 0.007, df = 1, P =
   0.93).
   Conclusions: Exposing and engaging psychiatry residents in research as
   early as possible in residency training appears key to promoting future
   research interest. Psychiatry residency programs and research tracks
   could consider emphasizing research training initiatives and protected
   research time early in residency.
RI Rapoport, Mark/AAD-8581-2020; Laliberté, Vincent/AAC-7998-2021
ZR 0
ZS 0
Z8 0
ZA 0
ZB 1
TC 5
Z9 5
U1 0
U2 5
SN 0706-7437
EI 1497-0015
UT WOS:000369160500003
PM 27253699
ER

PT J
AU Cleland, Jennifer
   Johnston, Peter
   Watson, Verity
   Krucien, Nicolas
   Skatun, Diane
TI What do UK doctors in training value in a post? A discrete choice
   experiment
SO MEDICAL EDUCATION
VL 50
IS 2
BP 189
EP 202
DI 10.1111/medu.12896
PD FEB 2016
PY 2016
AB CONTEXT Many individual and job-related factors are known to influence
   medical careers decision making. Medical trainees' (residents) views of
   which characteristics of a training post are important to them have been
   extensively studied but how they trade-off these characteristics is
   under-researched. Such information is crucial for the development of
   effective policies to enhance recruitment and retention. Our aim was to
   investigate the strength of UK foundation doctors' and trainees'
   preferences for training post characteristics in terms of monetary
   value.
   METHODS We used an online questionnaire study incorporating a discrete
   choice experiment (DCE), distributed to foundation programme doctors and
   doctors in training across all specialty groups within three UK regions,
   in August-October 2013. The main outcome measures were monetary values
   for training-post characteristics, based on willingness to forgo and
   willingness to accept extra income for a change in each job
   characteristic, calculated from regression coefficients.
   RESULTS The questionnaire was answered by 1323 trainees. Good working
   conditions were the most influential characteristics of a training
   position. Trainee doctors would need to be compensated by an additional
   49.8% above the average earnings within their specialty to move from a
   post with good working conditions to one with poor working conditions. A
   training post with limited rather than good opportunities for one's
   spouse or partner would require compensation of 38.4% above the average
   earnings within their specialty. Trainees would require compensation of
   30.8% above the average earnings within their specialty to move from a
   desirable to a less desirable locality. These preferences varied only to
   a limited extent according to individual characteristics.
   DISCUSSION Trainees place most value on good working conditions, good
   opportunities for their partners and desirable geographical location
   when making career-related decisions. This intelligence can be used to
   develop alternative models of workforce planning or to develop
   information about job opportunities that address trainees' values.
RI Krucien, Nicolas/I-9911-2019; Watson, Verity/; Cleland, Jennifer/AAI-9412-2020
OI Krucien, Nicolas/0000-0001-9179-6558; Watson,
   Verity/0000-0002-3824-5076; Cleland, Jennifer/0000-0003-1433-9323
ZR 0
ZS 0
TC 28
ZB 3
Z8 0
ZA 0
Z9 28
U1 3
U2 12
SN 0308-0110
EI 1365-2923
UT WOS:000369132200009
PM 26812998
ER

PT J
AU Valentino, Michael A.
   Chervoneva, Inna
   Diemer, Gretchen A.
TI Changes in the preferences of US physicians-in-training for medical
   interventions throughout medical education
SO MEDICAL EDUCATION
VL 50
IS 2
BP 214
EP 224
DI 10.1111/medu.12938
PD FEB 2016
PY 2016
AB CONTEXT There exists a disparity between the views of physicians and the
   views of their patients on end-of-life decisions. However, the timing of
   when the end-of-life preferences of physicians and non-medically-trained
   individuals diverge is currently unknown. The objective of this paper is
   to characterise how preferences for medical interventions change
   throughout medical education and residency or fellowship training when
   confronted with scenarios of critical or terminal illness.
   METHODS This is a single-centre cross-sectional study that enrolled
   medical students at Sidney Kimmel Medical College and residents and
   fellows at Thomas Jefferson University Hospital. Through an online
   survey we determined the preferences of medical trainees for specific
   interventions throughout medical training when presented with different
   clinical scenarios. Interventions were organised into three categories:
   standard, intermediate and aggressive. We analysed responses to
   questions regarding different scenarios in separate repeated measures
   logistic regression models. The probability of declining medical
   interventions was modelled, and significant predictors of refusal of
   interventions were identified.
   RESULTS Years of training was a significant predictor of declining
   interventions for several scenarios. When faced with permanent physical
   disability, increased years of training led to a higher rate of refusal
   of intermediate (OR = 1.14 [1.021.28], p=0.02) and aggressive
   interventions (OR=1.15 [1.031.28], p=0.01). For the scenario of terminal
   illness with associated physical disability, years of training
   significantly influenced refusal of intermediate (OR=1.14 [1.041.26],
   p=0.006) and aggressive (OR=1.20 [1.081.34], p=0.001) interventions. For
   the scenario of permanent cognitive impairment, increased years of
   training led to a higher rate of refusal of standard (OR=1.14
   [1.011.29], p=0.03), intermediate (OR=1.30 [1.131.50], p < 0.001) and
   aggressive (OR=1.38 [1.141.66], p=0.001) interventions.
   CONCLUSION Changes in end-of-life preferences occur throughout medical
   training. Years of training influenced the likelihood of declining
   medical interventions when faced with scenarios of terminal illness and
   physical or cognitive disability.
OI Diemer, Gretchen/0000-0002-5243-9256
Z8 0
ZB 1
ZS 0
ZA 0
TC 1
ZR 0
Z9 1
U1 0
U2 5
SN 0308-0110
EI 1365-2923
UT WOS:000369132200011
PM 26813000
ER

PT J
AU Huang, Jidong
   Kim, Yoonsang
   Vera, Lisa
   Emery, Sherry L.
TI Electronic Cigarettes Among Priority Populations Role of Smoking
   Cessation and Tobacco Control Policies
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 50
IS 2
BP 199
EP 209
DI 10.1016/j.amepre.2015.06.032
PD FEB 2016
PY 2016
AB Introduction: The electronic cigarette (e-cigarette) market has evolved
   rapidly in recent years, with exploding growth in brands and product
   types; however, e-cigarette use among priority (sexual minority and
   low-income) populations and its relationship with smoking-cessation and
   tobacco control policies have yet to be fully characterized.
   Methods: The authors conducted a nationally representative online survey
   of 17,522 U.S. adults in 2013. Participants were drawn from GfK's
   KnowledgePanels. Logistic regression models were used to analyze
   relationships between e-cigarettes (awareness, ever use, current use)
   and cigarette smoking and cessation behaviors, tobacco control policies,
   and demographics. Analyses were conducted in 2014.
   Results: Approximately 15% of participants reported ever use of
   e-cigarettes, 5.1% reported current use, and 34.5% of ever users
   reported current use. E-cigarette awareness was lower among women,
   minorities, and those with low education. Ever and current use of
   e-cigarettes was higher among current cigarette smokers, young adults,
   and those with low SES; both ever use and current use were correlated
   with current cigarette smoking status, particularly when combined with
   quit intentions or attempts. Lesbian/gay/bisexual/transgender
   respondents had higher rates of ever use and current use. Ever use was
   lower in states with comprehensive smoking bans. No significant
   relationship between cigarette price and e-cigarette use was detected.
   Conclusions: Ongoing surveillance of e-cigarette use among subpopulation
   groups and monitoring their use for combustible cigarette cessation are
   needed. Important variations in the patterns and correlates of
   e-cigarette awareness and use exist among priority populations. These
   findings have implications for future e-cigarette policy decisions. (C)
   2016 American Journal of Preventive Medicine
OI Huang, Jidong/0000-0002-3425-9155
ZR 0
TC 36
Z8 1
ZS 0
ZB 12
ZA 0
Z9 37
U1 1
U2 34
SN 0749-3797
EI 1873-2607
UT WOS:000368247600013
PM 26410185
ER

PT J
AU Lim-Dunham, Jennifer E.
   Ensminger, David C.
   McNulty, John A.
   Hoyt, Amy E.
   Chandrasekhar, Arcot J.
TI A Vertically Integrated Online Radiology Curriculum Developed as a
   Cognitive Apprenticeship: Impact on Student Performance and Learning
SO ACADEMIC RADIOLOGY
VL 23
IS 2
BP 252
EP 261
DI 10.1016/j.acra.2015.09.018
PD FEB 2016
PY 2016
AB Rationale and Objectives: The principles of Collins' cognitive
   apprenticeship model were used to design a radiology curriculum in which
   medical students practice radiological skills using online case-based
   modules. The modules are embedded within clinical third-year clerkships,
   and students are provided with personalized feedback from the
   instructors. We describe the development of the vertical online
   radiology curriculum and evaluate its impact on student achievement and
   learning process using a mixed method approach.
   Materials and Methods: The curriculum was developed over a 2-year
   period. Student participation was voluntary in the first year and
   mandatory in the second year. For quantitative curriculum evaluation,
   student metrics for voluntary versus mandatory groups were assessed
   using independent sample t tests and variable entry method regression
   analysis. For qualitative analysis, responses from a survey of students
   about the value of the curriculum were organized into defined themes
   using consensus coding.
   Results: Mandatory participation significantly improved (p = .001) the
   mean radiology examination score (82 %) compared to the voluntary group
   (73%), suggesting that mandatory participation had a beneficial effect
   on student performance. Potential preexisting differences in underlying
   general academic performance were accounted for by including mean basic
   science grades as the first variable in the regression model. The
   significant increase in R-2 from .16 to .28 when number of radiology
   cases completed was added to the original model, and the greater value
   of the standardized beta for this variable, suggest that the curriculum
   made a significant contribution to students' radiology examination
   scores beyond their baseline academic performance. Five dominant themes
   about curricular characteristics that enhanced student learning and
   beneficial outcomes emerged from consensus coding. These themes were (1)
   self-paced design, (2) receiving feedback from faculty, (3) clinical
   relevance of cases, (4) gaining confidence in interpreting radiological
   images, and (5) transfer of conceptual knowledge to actual practice.
   Conclusions: The vertically integrated online radiology curriculum can
   positively impact student performance and learning process in the
   context of the cognitive apprenticeship model.
OI Lim-Dunham, Jennifer/0000-0002-9947-7866
ZA 0
ZS 0
Z8 0
ZR 0
TC 14
ZB 0
Z9 14
U1 2
U2 19
SN 1076-6332
EI 1878-4046
UT WOS:000368470900015
PM 26719161
ER

PT J
AU Liebert, Cara A.
   Lin, Dana T.
   Mazer, Laura M.
   Bereknyei, Sylvia
   Lau, James N.
TI Effectiveness of the Surgery Core Clerkship Flipped Classroom: a
   prospective cohort trial
SO AMERICAN JOURNAL OF SURGERY
VL 211
IS 2
BP 451
EP U214
DI 10.1016/j.amjsurg.2015.10.004
PD FEB 2016
PY 2016
AB BACKGROUND: The flipped classroom has been proposed as an alternative
   curricular approach to traditional didactic lectures but has not been
   previously applied to a surgery clerkship.
   METHODS: A 1-year prospective cohort of students (n = 89) enrolled in
   the surgery clerkship was taught using a flipped classroom approach. A
   historical cohort of students (n = 92) taught with a traditional lecture
   curriculum was used for comparison. Pretest and post-test performance,
   end-of-clerkship surveys, and National Board of Medical Examiners (NBME)
   scores were analyzed to assess effectiveness.
   RESULTS: Mean pretest and post-test scores increased across all modules
   (P < . 001). There was no difference between mean NBME examination score
   in the prospective and historical cohorts (74.75 vs 75.74, P = .28).
   Mean ratings of career interest in surgery increased after curriculum
   completion (4.75 to 6.50, P < .001), with 90% reporting that the flipped
   classroom contributed to this increase.
   CONCLUSIONS: Implementation of a flipped classroom in the surgery
   clerkship is feasible and results in high learner satisfaction,
   effective knowledge acquisition, and increased career interest in
   surgery with noninferior NBME performance. (C) 2016 Elsevier Inc. All
   rights reserved.
RI Merrell, Sylvia Bereknyei/AAB-2813-2019; Liebert, Cara/
OI Merrell, Sylvia Bereknyei/0000-0002-5525-0379; Liebert,
   Cara/0000-0002-5848-9895
ZS 2
ZR 0
ZB 6
TC 73
Z8 0
ZA 0
Z9 74
U1 1
U2 50
SN 0002-9610
EI 1879-1883
UT WOS:000368344800023
PM 26687962
ER

PT J
AU Kim, Roger H.
   Gilbert, Timothy
   Suh, Sookyung
   Miller, Janet Karen
   Eggerstedt, Jane M.
TI General surgery residency interviews: are we following best practices?
SO AMERICAN JOURNAL OF SURGERY
VL 211
IS 2
BP 476
EP U217
DI 10.1016/j.amjsurg.2015.10.003
PD FEB 2016
PY 2016
AB BACKGROUND: The interview is one of the most important factors in
   selecting candidates for general surgery residency. There is significant
   research on best practices for conducting interviews. Blinded interviews
   and standardized questions improve interview utility and accuracy;
   however, their utilization in surgical residency programs is unclear.
   The purpose of this study was to determine the current practices of
   surgery residency programs in the interview process and the application
   of established best practices.
   METHODS: An online survey consisting of 26 questions was distributed to
   program directors of accredited surgery residency programs in the United
   States and Canada.
   RESULTS: Overall, 108 responses (40%) were received. The vast majority
   of programs (90%) reported basing at least 25% of their final ranking on
   the interview score. Only 22 (20%) programs reported using some form of
   blinding for their interviewers. Five programs (5%) reported using
   standardized interview questions.
   CONCLUSIONS: Few residency programs use blinded interviews or
   standardized questions. This may indicate a gap between research
   findings and practice and may represent an area for improvement in the
   resident selection process. (C) 2016 Elsevier Inc. All rights reserved.
RI Kim, Roger/I-2838-2019; Kim, Roger/
OI Kim, Roger/0000-0003-0718-7376
ZR 0
ZS 0
ZB 2
Z8 0
ZA 0
TC 14
Z9 14
U1 0
U2 8
SN 0002-9610
EI 1879-1883
UT WOS:000368344800026
PM 26701698
ER

PT J
AU Lal, Rachnanjali
   Peters, Matthew E.
   Kan, Carol
   Chisolm, Margaret S.
TI Reading the Mind: A Social Media-Facilitated Collaboration of US and UK
   Graduate Psychiatry Trainees
SO ACADEMIC PSYCHIATRY
VL 40
IS 1
BP 141
EP 144
DI 10.1007/s40596-015-0286-0
PD FEB 2016
PY 2016
OI Kan, Carol/0000-0002-2511-0682
ZB 0
Z8 0
ZS 0
TC 3
ZA 0
ZR 0
Z9 3
U1 0
U2 4
SN 1042-9670
EI 1545-7230
UT WOS:000377097100026
PM 25739935
ER

PT J
AU Lee, Kyung-Suk
   Rha, Yeong-Ho
   Oh, In-Hwan
   Choi, Yong-Sung
   Choi, Sun-Hee
TI Socioeconomic and sociodemographic factors related to allergic diseases
   in Korean adolescents based on the Seventh Korea Youth Risk Behavior
   Web-based Survey: a cross-sectional study
SO BMC PEDIATRICS
VL 16
AR 19
DI 10.1186/s12887-016-0549-2
PD JAN 27 2016
PY 2016
AB Background: Various international reports have shown that socioeconomic
   and sociodemographic variables are correlated with allergic diseases;
   however, little is known about how these variables affect Korean
   adolescents. This study was conducted to identify socioeconomic and
   sociodemographic risk factors for allergic diseases in Korean
   adolescents to provide information for preventing and managing such
   conditions.
   Methods: Data from the 2011 Korea Youth Risk Behavior Web-based Survey
   (KYRBWS-VII) of 75,643 adolescents were used. An anonymously
   administered online survey was conducted to collect dependent variable
   information on perceived sexes, residence, family affluence (Family
   Affluence Scale; FAS), parental education levels, subjective academic
   achievement, obesity, drinking and smoking. The independent variables
   were asthma, allergic rhinitis and atopic dermatitis. Multivariate
   logistic regression was used to analyze the correlations between the
   dependent and independent variables.
   Results: Low subjective academic achievement, obesity, drinking and
   smoking were risk factors for asthma. High FAS, parental bachelor's
   degree and high subjective academic achievement were risk factors for
   allergic rhinitis. Finally, high FAS, maternal bachelor's degree and
   high subjective academic achievement were risk factors for atopic
   dermatitis.
   Conclusion: We found that high socioeconomic status (SES) was a risk
   factor for allergic diseases in Korean adolescents. We propose that the
   greater access to medical services and immunization (e.g., hygiene
   hypothesis) afforded by high SES influenced the prevalence of allergic
   diseases. Thus, as the Korean economy develops further, the prevalence
   of allergic diseases is likely to increase. Controlling harmful
   behavioral risk factors, such as drinking and smoking, may help to
   prevent adolescent allergic diseases.
RI Oh, In Hwan/AAI-9070-2020; Rha, Yeong Ho/
OI Oh, In Hwan/0000-0002-5450-9887; Rha, Yeong Ho/0000-0001-5593-5020
ZS 1
TC 20
ZR 0
Z8 0
ZA 0
ZB 6
Z9 21
U1 0
U2 9
EI 1471-2431
UT WOS:000368656400001
PM 26819079
ER

PT J
AU MacWalter, Gordon
   McKay, John
   Bowie, Paul
TI Utilisation of internet resources for continuing professional
   development: a cross-sectional survey of general practitioners in
   Scotland
SO BMC MEDICAL EDUCATION
VL 16
DI 10.1186/s12909-016-0540-5
PD JAN 21 2016
PY 2016
AB Background: Participation in continuing professional development (CPD)
   is a professional and regulatory expectation of general practitioners
   (GPs). Traditionally, CPD activity was undertaken face-to-face in
   educational settings, but internet based formats have found increasing
   favour. The need for doctors to use the internet for service and
   educational purposes is growing, particularly in support of specialty
   training and appraisal. We aimed to determine how GPs in Scotland
   utilise online resources in support of their CPD. This involved
   identifying which resources are used and how frequently, along with
   their preferences as to how and why they access these resources.
   Methods: A cross sectional study was undertaken using an online
   questionnaire to survey general practitioners across Scotland. Data were
   subjected to descriptive analysis and differences in attitudinal
   responses between groups and Fischer's exact tests were calculated.
   Results: Three hundred and eighty-three GP responses were received, with
   the majority being female (n = 232, 60.6 %) and GP partners (n = 236,
   61.6 %). The majority used the internet on three or more working days
   per week or more frequently (n = 361, 94.3 %) with the three most common
   reasons being to obtain information for a patient (n = 358, 93.5 %),
   answering a clinical question (n = 357, 93.2 %) and CPD purposes (n =
   308, 80.4 %). Of 37 online resources used by respondents, the top five
   were SIGN Guidelines (n = 303, 79.3 %), BMJ Learning (n = 279, 73.0 %),
   NICE Guidelines (n = 255, 66.8 %), GP Notebook (n = 243, 63.6 %) and
   Google (n = 234, 61.3 %). Low use of social media such as Facebook (n =
   11, 2.9 %) and Twitter (n = 11, 2.9 %) was reported for CPD. A majority
   agreed that 'reading information online' (95.0 %) and 'completing online
   learning modules' (87.4 %) were the most valued online activities. Slow
   internet connections (n = 240, 62.7 %), website access restrictions (n =
   177, 46.2 %) and difficulties logging into online CPD resources (n =
   163, 42.6 %) were reported barriers. Significant response differences (P
   < 0.05) were found between groups based on high volume online usage,
   gender and age.
   Conclusions: The majority of respondents had positive attitudes to using
   online resources for continuing professional development, and a
   preference for evidence-based and peer reviewed online resources.
   Information technology (IT) difficulties remain a barrier to effective
   utilisation. The findings have implications for future planning and
   design of online resources and IT infrastructure.
TC 23
ZR 0
ZS 3
ZA 0
Z8 0
ZB 2
Z9 25
U1 0
U2 24
EI 1472-6920
UT WOS:000368390900001
PM 26791566
ER

PT J
AU Robert, Philippe
   Leroi, Iracema
   Manera, Valeria
TI Editorial: ICT for Assessment and Rehabilitation in Alzheimer's Disease
   and Related Disorders
SO FRONTIERS IN AGING NEUROSCIENCE
VL 8
AR 6
DI 10.3389/fnagi.2016.00006
PD JAN 20 2016
PY 2016
RI Manera, Valeria/O-3498-2016; Leroi, Iracema/
OI Manera, Valeria/0000-0003-4490-4485; Leroi, Iracema/0000-0003-1822-3643
TC 4
Z8 0
ZS 0
ZA 0
ZB 1
ZR 0
Z9 4
U1 0
U2 6
SN 1663-4365
UT WOS:000368532100001
PM 26834631
ER

PT J
AU Bird, Yelena
   Islam, Adiba
   Moraros, John
TI Community-based clinic volunteering: an evaluation of the direct and
   indirect effects on the experience of health science college students
SO BMC MEDICAL EDUCATION
VL 16
AR 21
DI 10.1186/s12909-016-0547-y
PD JAN 18 2016
PY 2016
AB Background: The present study was conducted in a multi service-learning,
   student managed and operated, community-based clinic. Its aim was to
   measure the direct and indirect effects of how proximal factors (i.e.,
   'management', 'support received', 'duration of involvement', and
   'average time spent per month') and mediators (i.e., 'training
   received', 'motivation', and 'commitment') influence distal outcomes
   (i.e., 'performance', 'satisfaction', and 'overall experience') within a
   volunteer organization.
   Methods: Participants were recruited through the use of an email list
   server. An online survey was used containing multi-item measures from
   validated scales. Data were collected from 170 volunteers from July to
   August 2013. Data analysis used a structural equation modeling (SEM)
   framework for the estimation of direct and indirect effects on
   constructs and variables of interest. Only statistically significant
   relationships were reported at p<0.05.
   Results: In this study, there are several direct effects worthy of note.
   First, the proximal factor of 'management' plays an important role in
   influencing the mediators of 'motivation' (standardized beta = 0.55) and
   'training received' (0.65) by the student volunteers but has a
   relatively small impact on their 'commitment' (0.39) to the
   organization. Second, the mediator of 'motivation' proved to have the
   strongest impact on the distal outcome of volunteer 'performance' and
   'satisfaction' levels (0.41 and 0.58 respectively), whereas 'commitment'
   (0.44) was the key in determining their 'overall experience' with the
   organization. These results in turn, help contextualize the indirect
   effects observed in our study. Namely, the proximal factor of
   'management' played a distinctive role in influencing the distal
   outcomes of volunteer 'performance' (0.32) and 'overall experience'
   (0.66), whereas the organizational 'support received' by the volunteers
   was key to their 'satisfaction' (0.21).
   Conclusions: The findings of the present study shed light into the
   direct and indirect effects of how proximal factors and mediators,
   influence student volunteers distal outcomes within a community-based
   clinic. These results provide useful information and serve as a valuable
   tool to higher education (curriculum experts, accreditation specialists,
   students, faculty and administrators) and non-profit community
   organizations (clients, staff and managers) in their efforts to improve
   student volunteer satisfaction and performance outcomes.
ZA 0
ZB 0
ZR 0
TC 3
ZS 0
Z8 0
Z9 3
U1 0
U2 29
SN 1472-6920
UT WOS:000368390500001
PM 26781996
ER

PT J
AU Misso, Marie L.
   Ilic, Dragan
   Haines, Terry P.
   Hutchinson, Alison M.
   East, Christine E.
   Teede, Helena J.
TI Development, implementation and evaluation of a clinical research
   engagement and leadership capacity building program in a large
   Australian health care service
SO BMC MEDICAL EDUCATION
VL 16
AR 13
DI 10.1186/s12909-016-0525-4
PD JAN 14 2016
PY 2016
AB Background: Health professionals need to be integrated more effectively
   in clinical research to ensure that research addresses clinical needs
   and provides practical solutions at the coal face of care. In light of
   limited evidence on how best to achieve this, evaluation of strategies
   to introduce, adapt and sustain evidence-based practices across
   different populations and settings is required. This project aims to
   address this gap through the co-design, development, implementation,
   evaluation, refinement and ultimately scale-up of a clinical research
   engagement and leadership capacity building program in a clinical
   setting with little to no co-ordinated approach to clinical research
   engagement and education.
   Methods/Design: The protocol is based on principles of research capacity
   building and on a six-step framework, which have previously led to
   successful implementation and long-term sustainability. A mixed methods
   study design will be used. Methods will include: (1) a review of the
   literature about strategies that engage health professionals in research
   through capacity building and/or education in research methods; (2) a
   review of existing local research education and support elements; (3) a
   needs assessment in the local clinical setting, including an online
   cross-sectional survey and semi-structured interviews; (4) co-design and
   development of an educational and support program; (5) implementation of
   the program in the clinical environment; and (6) pre- and
   post-implementation evaluation and ultimately program scale-up. The
   evaluation focuses on research activity and knowledge, attitudes and
   preferences about clinical research, evidence-based practice and
   leadership and post implementation, about their satisfaction with the
   program. The investigators will evaluate the feasibility and effect of
   the program according to capacity building measures and will revise
   where appropriate prior to scale-up.
   Discussion: It is anticipated that this clinical research engagement and
   leadership capacity building program will enable and enhance clinically
   relevant research to be led and conducted by health professionals in the
   health setting. This approach will also encourage identification of
   areas of clinical uncertainty and need that can be addressed through
   clinical research within the health setting.
RI Haines, Terrence/E-9372-2015; East, Christine/H-4938-2013; Hutchinson, Alison/R-3547-2016; Teede, Helena/; Ilic, Dragan/I-2437-2014
OI Haines, Terrence/0000-0003-3150-6154; East,
   Christine/0000-0002-1196-8426; Hutchinson, Alison/0000-0001-5065-2726;
   Teede, Helena/0000-0001-7609-577X; Ilic, Dragan/0000-0001-5127-9185
ZB 1
ZS 0
ZA 0
ZR 0
TC 19
Z8 0
Z9 19
U1 1
U2 19
SN 1472-6920
UT WOS:000368389500001
PM 26768258
ER

PT J
AU Bradley, Kendall E
   Andolsek, Kathryn M
TI A pilot study of orthopaedic resident self-assessment using a
   milestones' survey just prior to milestones implementation.
SO International journal of medical education
VL 7
BP 11
EP 8
DI 10.5116/ijme.5682.6dfd
PD 2016 Jan 11
PY 2016
AB OBJECTIVE: To pilot test if Orthopaedic Surgery residents could
   self-assess their performance using newly created milestones, as defined
   by the Accreditation Council on Graduate Medical Education.
   METHODS: In June 2012, an email was sent to Program Directors and
   administrative coordinators of the 154 accredited Orthopaedic Surgery
   Programs, asking them to send their residents a link to an online
   survey. The survey was adapted from the Orthopaedic Surgery Milestone
   Project. Completed surveys were aggregated in an anonymous, confidential
   database. SAS 9.3 was used to perform the analyses.
   RESULTS: Responses from 71 residents were analyzed. First and second
   year residents indicated through self-assessment that they had
   substantially achieved Level 1 and Level 2 milestones. Third year
   residents reported they had substantially achieved 30/41, and fourth
   year residents, all Level 3 milestones. Fifth year, graduating
   residents, reported they had substantially achieved 17 Level 4
   milestones, and were extremely close on another 15. No milestone was
   rated at Level 5, the maximum possible. Earlier in training, Patient
   Care and Medical Knowledge milestones were rated lower than the
   milestones reflecting the other four competencies of Practice Based
   Learning and Improvement, Systems Based Practice, Professionalism, and
   Interpersonal Communication. The gap was closed by the fourth year.
   CONCLUSIONS: Residents were able to successfully self-assess using the
   41 Orthopaedic Surgery milestones. Respondents' rate improved
   proficiency over time. Graduating residents report they have
   substantially, or close to substantially, achieved all Level 4
   milestones. Milestone self-assessment may be a useful tool as one
   component of a program's overall performance assessment strategy.
RI Andolsek, Kathryn/AAP-6370-2020; Andolsek, Kathryn/ABB-4457-2020
OI Andolsek, Kathryn/0000-0001-7994-3869; 
ZS 1
ZR 0
ZA 0
Z8 0
ZB 1
TC 16
Z9 16
U1 0
U2 5
EI 2042-6372
UT MEDLINE:26752012
PM 26752012
ER

PT J
AU Van Es, Simone L.
   Kumar, Rakesh K.
   Pryor, Wendy M.
   Salisbury, Elizabeth L.
   Velan, Gary M.
TI Cytopathology whole slide images and adaptive tutorials for senior
   medical students: a randomized crossover trial
SO DIAGNOSTIC PATHOLOGY
VL 11
AR 1
DI 10.1186/s13000-016-0452-z
PD JAN 8 2016
PY 2016
AB Background: Diagnostic cytopathology is an essential part of clinical
   decision-making. However, due to a combination of factors including
   curriculum reform and shortage of pathologists to teach introductory
   cytopathology, this area of pathology receives little or no formal
   attention in most medical school curricula. We have previously described
   the successful use of efficient and effective digital learning
   resources, including whole slide images (WSI) and virtual microscopy
   adaptive tutorials (VMATs), to teach cytopathology to pathology
   specialist trainees - a group that had prior exposure to cytopathology
   in their day to day practice. Consequently, in the current study we
   attempted to demonstrate the efficiency and efficacy of this eLearning
   resource in a cohort of senior medical students that was completely
   naive to the subject matter (cytopathology).
   Methods: We evaluated both the quantitative and qualitative impact of
   these digital educational materials for learning cytopathology compared
   with existing resources (e-textbooks and online atlases). The senior
   medical students were recruited from The University of New South Wales
   Australia for a randomized cross-over trial. Online assessments,
   administered after each arm of the trial, contained questions which
   related directly to a whole slide image. Two categories of questions in
   the assessments (focusing on either diagnosis or identification of
   cellular features) were utilized to determine efficacy. User experience
   and perceptions of efficiency were evaluated using online questionnaires
   containing Likert scale items and open-ended questions.
   Results: For this cohort of senior medical students, virtual microscopy
   adaptive tutorials (VMATs) proved to be at least as effective as
   existing digital resources for learning cytopathology. Importantly,
   virtual microscopy adaptive tutorials had superior efficacy in
   facilitating accurate diagnosis on whole slide images. Student
   perceptions of VMATs were positive, particularly regarding the immediate
   feedback, interactivity and equity of learning which this learning
   resource provides.
   Conclusions: Virtual microscopy adaptive tutorials have the potential to
   improve the efficacy of learning microscopic pathology for medical
   students. The enhanced learning experience provided by these eLearning
   tools merits further investigation of their utility for other cohorts,
   including specialist trainees.
RI Kumar, Rakesh K/J-6124-2012; Velan, Gary/
OI Kumar, Rakesh K/0000-0002-9531-8411; Velan, Gary/0000-0002-4535-6663
ZA 0
TC 13
ZR 0
ZS 0
Z8 0
ZB 4
Z9 13
U1 0
U2 4
SN 1746-1596
UT WOS:000367708900001
PM 26746436
ER

PT J
AU Bavinton, Benjamin R.
   Holt, Martin
   Grulich, Andrew E.
   Brown, Graham
   Zablotska, Iryna B.
   Prestage, Garrett P.
TI Willingness to Act upon Beliefs about 'Treatment as Prevention' among
   Australian Gay and Bisexual Men
SO PLOS ONE
VL 11
IS 1
AR e0145847
DI 10.1371/journal.pone.0145847
PD JAN 7 2016
PY 2016
AB HIV 'treatment as prevention' (TasP) is highly effective in reducing HIV
   transmission in serodiscordant couples. There has been little
   examination of gay and bisexual men's attitudes towards TasP,
   particularly regarding men's willingness to act on beliefs about TasP.
   We conducted an online cross-sectional survey of Australian men in late
   2012 to investigate knowledge and beliefs about new developments in HIV
   prevention. Amongst 839 men (mean age 39.5 years), men tended to
   disagree that TasP was sufficiently effective to justify reduced condom
   use, although HIV-positive men had more favourable attitudes. Only a
   minority of men were aware of any evidence for TasP; and one-quarter
   incorrectly believed that evidence for the effectiveness of TasP already
   existed for the homosexual population. One-fifth (20.5%) of men reported
   that they would be willing to have condomless anal intercourse with an
   opposite-status sexual partner when the HIV-positive partner was taking
   HIV treatments. Factors independently associated with such willingness
   were: HIV-positive serostatus, reporting any serodiscordant or
   serononconcordant condomless anal intercourse with a regular male
   partner in the previous six months, reporting any condomless anal
   intercourse with a casual male partner in the previous six months, and
   having greater beliefs in the effectiveness of TasP. This indicated that
   the men most willing to rely on TasP to prevent transmission were
   already engaging in higher risk practices. Biomedical HIV prevention
   represents a rapidly changing environment with new research as well as
   community and policy responses emerging at a fast pace. For men with
   serodiscordant sexual partners to successfully apply TasP to reducing
   transmission risk, more support and education is needed to enable better
   utilisation of TasP in specific relational and sexual contexts.
RI Holt, Martin/X-6482-2019; Bavinton, Benjamin Robert/; Prestage, Garrett/; Brown, Graham/
OI Holt, Martin/0000-0002-2586-8274; Bavinton, Benjamin
   Robert/0000-0001-5834-8278; Prestage, Garrett/0000-0003-3917-8992;
   Brown, Graham/0000-0003-4901-0974
ZR 0
ZA 0
ZS 1
ZB 6
TC 16
Z8 0
Z9 16
U1 0
U2 7
SN 1932-6203
UT WOS:000367810600011
PM 26741143
ER

PT J
AU Smith, Nicola
   Rapley, Tim
   Jandial, Sharmila
   English, Christine
   Davies, Barbara
   Wyllie, Ruth
   Foster, Helen E.
TI Paediatric musculoskeletal matters (pmm) - collaborative development of
   an online evidence based interactive learning tool and information
   resource for education in paediatric musculoskeletal medicine
SO PEDIATRIC RHEUMATOLOGY
VL 14
AR 1
DI 10.1186/s12969-015-0062-4
PD JAN 5 2016
PY 2016
AB Background: We describe the collaborative development of an evidence
   based, free online resource namely 'paediatric musculoskeletal matters'
   (pmm). This resource was developed with the aim of reaching a wide range
   of health professionals to increase awareness, knowledge and skills
   within paediatric musculoskeletal medicine, thereby facilitating early
   diagnosis and referral to specialist care.
   Methods: Engagement with stakeholder groups (primary care, paediatrics,
   musculoskeletal specialties and medical students) informed the essential
   'core' learning outcomes to derive content of pmm. Representatives from
   stakeholder groups, social science and web development experts
   transformed the learning outcomes into a suitable framework. Target
   audience representatives reviewed the framework and their opinion was
   gathered using an online survey (n = 74) and focus groups (n = 2).
   Experts in paediatric musculoskeletal medicine peer reviewed the content
   and design.
   Results: User preferences informed design with mobile, tablet and web
   compatible versions to facilitate access, various media and formats to
   engage users and the content presented in module format (i.e. Clinical
   assessment, Investigations and management, Limping child, Joint pain by
   site, Swollen joint(s) and Resources).
   Conclusions: We propose that our collaborative and evidence-based
   approach has ensured that pmm is user-friendly, with readily accessible,
   suitable content, and will help to improve access to paediatric
   musculoskeletal medicine education. The content is evidence-based with
   the design and functionality of pmm to facilitate optimal and 'real
   life' access to information. pmm is targeted at medical students and the
   primary care environment although messages are transferable to all
   health care professionals involved in the care of children and young
   people.
ZR 0
TC 15
Z8 0
ZB 2
ZA 0
ZS 0
Z9 15
U1 0
U2 16
SN 1546-0096
UT WOS:000367429800001
PM 26728031
ER

PT J
AU Swallow, Veronica
   Carolan, Ian
   Smith, Trish
   Webb, Nicholas J. A.
   Knafl, Kathleen
   Santacroce, Sheila
   Campbell, Malcolm
   Harper-Jones, Melanie
   Hanif, Noreen
   Hall, Andrew
TI A novel Interactive Health Communication Application (IHCA) for parents
   of children with long-term conditions: Development, implementation and
   feasibility assessment
SO INFORMATICS FOR HEALTH & SOCIAL CARE
VL 41
IS 1
BP 20
EP 46
DI 10.3109/17538157.2014.948174
PD JAN 2 2016
PY 2016
AB Background: Few evidence-based, on-line resources exist to support
   home-based care of childhood long-term conditions. Methods: In a
   feasibility study, children with stages 3, 4, or 5 chronic kidney
   disease, parents and professionals collaboratively developed a novel
   Online Parent Information and Support (OPIS) application. Parents were
   randomized to an intervention arm with access to OPIS or a control arm
   without access. OPIS usage was assessed using Google Analytics. Parents
   in the intervention arm completed the Suitability Assessment of
   Materials (SAM) and User Interface Satisfaction (USE) questionnaires and
   participated in qualitative interviews. Results: Twenty parents accessed
   OPIS with a mean of 23.3 (SD 20.8, range 2-64) visits per user.
   Responses from the SAM and USE questionnaires were positive, most
   respondents rating OPIS highly and finding it easy to use. Qualitative
   suggestions include refinement of OPIS components, enabling
   personalization of OPIS functionalities and proactive endorsements of
   OPIS by professionals. Conclusions: Implementation of OPIS into standard
   practice is feasible in the centre where it was developed. Suggested
   developments will augment reported strengths to inform ongoing testing
   in the wider UK network of units. Our design and methods are
   transferrable to developing and evaluating web-applications to support
   home-based clinical care-giving for other long-term conditions.
RI Marignol, Laure/AAE-1407-2020; Swallow, Veronica/AAV-2046-2020; Campbell, Malcolm/D-3925-2011
OI Marignol, Laure/0000-0002-2680-6200; Campbell,
   Malcolm/0000-0002-6125-5731
Z8 0
ZA 0
ZS 1
ZB 3
ZR 0
TC 13
Z9 14
U1 0
U2 11
SN 1753-8157
EI 1753-8165
UT WOS:000372152500002
PM 25119067
ER

PT J
AU Cann, Alan J.
TI Increasing Student Engagement with Practical Classes Through Online
   Pre-Lab Quizzes
SO JOURNAL OF BIOLOGICAL EDUCATION
VL 50
IS 1
BP 101
EP 112
DI 10.1080/00219266.2014.986182
PD JAN 2 2016
PY 2016
AB Laboratory practicals classes are an essential component of all science
   degrees, but are a pinch point because of rising student numbers, rising
   student expectations and falling student exposure to laboratory work
   prior to entering higher education. Augmentation of physical laboratory
   work with online interventions is not new, but as virtual laboratories
   become increasingly sophisticated, cutting-edge approaches have become
   less available to many institutions as they are unable to meet the
   investment or specialist skills needed to build or maintain these
   complex tools. This case study examines the possibilities for increasing
   student engagement with practical work using the simplest tools
   available in any standard virtual learning environment and available to
   all. Based on results obtained from a large student cohort, the results
   indicate that this low-cost, low-tech approach can achieve high levels
   of student satisfaction.
ZS 0
ZA 0
TC 10
ZR 0
Z8 0
ZB 1
Z9 10
U1 1
U2 40
SN 0021-9266
EI 2157-6009
UT WOS:000371921700011
ER

PT J
AU Kalu, Nnenna
   Cain, Gloria
   McLaurin-Jones, TyWanda
   Scott, Denise
   Kwagyan, John
   Fassassi, Catsim
   Greene, Wendy
   Taylor, Robert E.
TI Impact of a multicomponent screening, brief intervention, and referral
   to treatment (SBIRT) training curriculum on a medical residency program
SO SUBSTANCE ABUSE
VL 37
IS 1
BP 242
EP 247
DI 10.1080/08897077.2015.1035841
PD JAN 2 2016
PY 2016
AB Background: Substance-related disorders are a growing problem in the
   United States. The patient-provider setting can serve as a crucial
   environment to detect and prevent at-risk substance use. Screening,
   brief intervention, and referral to treatment (SBIRT) is an integrated
   approach to deliver early intervention and treatment services for
   persons who have or are at risk for substance-related disorders. SBIRT
   training components can include online modules, in-person instruction,
   practical experience, and clinical skills assessment. This paper will
   evaluate the impact of multiple modes of training on acquisition of
   SBIRT skills as observed in a clinical skills assessment. Methods:
   Residents were part of an SBIRT training program, from 2009 through
   2013, consisting of lecture, role-play, online modules, patient
   encounters, and clinical skills assessment (CSA). Differences were
   assessed across satisfactory and unsatisfactory CSA performance.
   Results: Seventy percent of the residents satisfactorily completed CSA.
   Demographics, type of components completed, and number of components
   completed were similar among residents who demonstrated satisfactory
   clinical skills compared with those who did not. All components of the
   training program were accepted equally across specialties and resident
   matriculation cohorts. Conclusion: The authors conclude that the
   components employed in SBIRT training do not have to be numerous or of a
   particular mode of training in order to see observable demonstration of
   SBIRT skills among medical residents. Thus, residency educators who have
   limited time or resources may utilize as few as 1 mode of training to
   effectually disseminate SBIRT skills among health care providers. As
   SBIRT continues to evolve as a promising tool to address at-risk
   substance-related disorders, it is critical to train medical residents
   and other health professionals.
ZS 0
ZA 0
TC 9
ZB 0
ZR 0
Z8 0
Z9 9
U1 1
U2 6
SN 0889-7077
EI 1547-0164
UT WOS:000372743900040
PM 25961140
ER

PT J
AU McCauley, Jenna L.
   Leite, Renata S.
   Melvin, Cathy L.
   Fillingim, Roger B.
   Brady, Kathleen T.
TI Dental opioid prescribing practices and risk mitigation strategy
   implementation: Identification of potential targets for provider-level
   intervention
SO SUBSTANCE ABUSE
VL 37
IS 1
BP 9
EP 14
DI 10.1080/08897077.2015.1127870
PD JAN 2 2016
PY 2016
AB Background: Given the regular use of immediate-release opioids for
   dental pain management, as well as documented opioid misuse among dental
   patients, the dental visit may provide a viable point of intervention to
   screen, identify, and educate patients regarding the risks associated
   with prescription opioid misuse and diversion. The aims of this
   statewide survey of dental practitioners were to assess (a) awareness of
   the scope of prescription opioid misuse and diversion; (b) current
   opioid prescribing practices; (c) use of and opinions regarding risk
   mitigation strategies; and (d) use and perceived utility of drug
   monitoring programs. Methods: This cross-sectional study surveyed
   dentists (N = 87) participating in statewide professional and alumni
   organizations. Dentists were invited via e-mail and listserv
   announcement to participate in a one-time, online, 59-item,
   self-administered survey. Results: A majority of respondents reported
   prescribing opioids (n = 66; 75.8%). A minority of respondents (n = 38;
   44%) reported regularly screening for current prescription drug abuse.
   Dentists reported low rates of requesting prior medical records (n = 5;
   5.8%). Only 38% (n = 33) of respondents had ever accessed a prescription
   drug monitoring program (PDMP), and only 4 (4.7%) consistently used a
   PDMP. Dentists reporting prior training in drug diversion were
   significantly more likely to have accessed their PDMP, P < .01. Interest
   in continuing education regarding assessment of prescription drug
   abuse/diversion and use of drug monitoring programs was high.
   Conclusions: Although most dentists received training related to
   prescribing opioids, findings identified a gap in existing dental
   training in the assessment/identification of prescription opioid misuse
   and diversion. Findings also identified gaps in the implementation of
   recommended risk mitigation strategies, including screening for
   prescription drug abuse, consistent provision of patient education, and
   use of a PDMP prior to prescribing opioids.
RI Fillingim, Roger/K-3569-2019; Fillingim, Roger/; Brady, Kathleen/
OI Fillingim, Roger/0000-0002-7699-8183; Brady,
   Kathleen/0000-0002-3944-8051
ZA 0
ZB 14
Z8 0
ZR 0
TC 35
ZS 0
Z9 35
U1 0
U2 8
SN 0889-7077
EI 1547-0164
UT WOS:000372743900004
PM 26675303
ER

PT J
AU Loukisas, Theodoros D.
   Papoudi, Despina
TI Mothers' Experiences of Children in the Autistic Spectrum in Greece:
   Narratives of Development, Education and Disability Across their Blogs
SO INTERNATIONAL JOURNAL OF DISABILITY DEVELOPMENT AND EDUCATION
VL 63
IS 1
SI SI
BP 64
EP 78
DI 10.1080/1034912X.2015.1111304
PD JAN 2 2016
PY 2016
AB Autism occupies a prominent place in scientific research both as a
   medical and as a socio-cultural phenomenon. Autism is studied as a
   disorder and a diagnostic label, as an experience of people with autism,
   their parents and their supporters, and finally as a disability related
   to stigma and rejection. The purpose of this article is to describe the
   posted experiences on personal blogs of five mothers who have
   school-aged children in the autistic spectrum in Greece. The qualitative
   method of content analysis is used for analysing the personal narratives
   across their blogs because this method focuses on describing and
   understanding the presented experiences and acknowledges the central
   role of the researcher in describing and signifying the issues
   discussed. The results of the content analysis show that the mothers
   seem to view autism through a developmental perspective and as they lead
   efforts for their child's developmental timeline they are worried about
   their child's developmental course and tend to experience high levels of
   anxiety, depression and burnout. The mothers act as practical scientists
   and co-therapists, taking an active role in educating and raising their
   children, finding a school and selecting appropriate interventions. The
   mothers struggle to obtain quality in education and services, while
   faced with the absence of technical infrastructure and understaffing in
   schools, lack of funding, covert or overt practices of acceptance and
   rejection of people with disabilities in the educational system, the
   attitudes and ignorance of some educators, and the high cost of private
   services. These mothers, at first, view autism as a tragedy and within
   their social environment they face covert or overt rejection since their
   children are stigmatised as "abnormal". Later on, the mothers accept
   their child's disability as a prerequisite for gaining a new life
   experience. It seems that the mothers have a mixed perception of
   disability, which sometimes tends to be closer to the medical model,
   sometimes to the hybrid model, while other times to the social model of
   disability.
OI Papoudi, Despina/0000-0002-1079-5471
ZB 0
TC 20
ZA 0
ZS 0
ZR 0
Z8 0
Z9 20
U1 2
U2 20
SN 1034-912X
EI 1465-346X
UT WOS:000371341800005
ER

PT J
AU Abu-Rish Blakeney, Erin
   Pfeifle, Andrea
   Jones, Mandy
   Hall, Leslie Walter
   Zierler, Brenda K.
TI Findings from a mixed-methods study of an interprofessional faculty
   development program
SO JOURNAL OF INTERPROFESSIONAL CARE
VL 30
IS 1
BP 83
EP 89
DI 10.3109/13561820.2015.1051615
PD JAN 2 2016
PY 2016
AB Forty faculty members from eight schools participated in a year-long
   National Faculty Development Program (NFDP) conducted in 2012-2013,
   aimed at developing faculty knowledge and skills for interprofessional
   education (IPE). The NFDP included two live conferences. Between
   conferences, faculty teams implemented self-selected IPE projects at
   their home institutions and participated in coaching and peer-support
   conference calls. This paper describes program outcomes. A mixed methods
   approach was adopted. Data were gathered through online surveys and
   semi-structured interviews. The study explored whether faculty were
   satisfied with the program, believed the program was effective in
   developing knowledge and skills in designing, implementing, and
   evaluating IPE, and planned to continue newly-implemented IPE and
   faculty development (FD). Peer support and networking were two of the
   greatest perceived benefits. Further, this multi-institutional program
   appears to have facilitated early organizational change by bringing
   greater contextual understanding to assumptions made at the local level
   that in turn could influence hidden curricula and networking. These
   findings may guide program planning for future FD to support IPE.
RI Blakeney, Erin/ABA-4959-2021; Blakeney, Erin/
OI Blakeney, Erin/0000-0002-4902-181X
ZA 0
ZB 0
TC 13
ZR 0
ZS 0
Z8 0
Z9 13
U1 0
U2 6
SN 1356-1820
EI 1469-9567
UT WOS:000371380000013
PM 26576839
ER

PT J
AU Spickard, Anderson, III
   Ahmed, Toufeeq
   Lomis, Kimberly
   Johnson, Kevin
   Miller, Bonnie
TI Changing Medical School IT to Support Medical Education Transformation
SO TEACHING AND LEARNING IN MEDICINE
VL 28
IS 1
BP 80
EP 87
DI 10.1080/10401334.2015.1107488
PD JAN 2 2016
PY 2016
AB Problem: Many medical schools are modifying curricula to reflect the
   rapidly evolving health care environment, but schools struggle to
   provide the educational informatics technology (IT) support to make the
   necessary changes. Often a medical school's IT support for the education
   mission derives from isolated work units employing separate technologies
   that are not interoperable. Intervention: We launched a redesigned,
   tightly integrated, and novel IT infrastructure to support a completely
   revamped curriculum at the Vanderbilt School of Medicine. This system
   uses coordinated and interoperable technologies to support new
   instructional methods, capture students' effort, and manage feedback,
   allowing the monitoring of students' progress toward specific competency
   goals across settings and programs. Context: The new undergraduate
   medical education program at Vanderbilt, entitled Curriculum 2.0, is a
   competency-based curriculum in which the ultimate goal is medical
   student advancement based on performance outcomes and personal goals
   rather than a time-based sequence of courses. IT support was essential
   in the creation of Curriculum 2.0. In addition to typical learning and
   curriculum management functions, IT was needed to capture data in the
   learning workflow for analysis, as well as for informing individual and
   programmatic success. We aligned people, processes, and technology to
   provide the IT infrastructure for the organizational transformation.
   Outcomes: Educational IT personnel were successfully realigned to create
   the new IT system. The IT infrastructure enabled monitoring of student
   performance within each competency domain across settings and time via
   personal student electronic portfolios. Students use aggregated
   performance data, derived in real time from the portfolio, for
   mentor-guided performance assessment, and for creation of individual
   learning goals and plans. Poorly performing students were identified
   earlier through online communication systems that alert the appropriate
   instructor or coach of low quiz grades or missed learning goals.
   Graphical and narrative displays of a student's competency performance
   across courses and clinical experiences informed high-stake decisions
   made about student progress by the promotions committee. Similarly,
   graphical display of aggregate student outcomes provided education
   leaders with information needed to adjust and improve the curriculum.
   Lessons Learned: With the alignment of people, processes, and
   technology, educational IT can facilitate transformational steps in the
   training of medical students.
OI Lomis, Kimberly/0000-0002-3504-6776
ZB 0
ZS 0
ZR 0
ZA 0
Z8 0
TC 17
Z9 17
U1 0
U2 19
SN 1040-1334
EI 1532-8015
UT WOS:000368713700009
PM 26787088
ER

PT J
AU Smith, Samuel G.
   Pandit, Anjali
   Rush, Steven R.
   Wolf, Michael S.
   Simon, Carol J.
TI The Role of Patient Activation in Preferences for Shared Decision
   Making: Results From a National Survey of US Adults
SO JOURNAL OF HEALTH COMMUNICATION
VL 21
IS 1
BP 67
EP 75
DI 10.1080/10810730.2015.1033115
PD JAN 2 2016
PY 2016
AB Studies investigating preferences for shared decision making (SDM) have
   focused on associations with sociodemographic variables, with few
   investigations exploring patient factors. We aimed to investigate the
   relationship between patient activation and preferences for SDM in 6
   common medical decisions among a nationally representative
   cross-sectional survey of American adults. Adults older than 18 were
   recruited online (n=2,700) and by telephone (n=700). Respondents
   completed sociodemographic assessments and the Patient Activation
   Measure. They were also asked whether they perceived benefit (yes/no) in
   SDM in 6 common medical decisions. Nearly half of the sample (45.9%)
   reached the highest level of activation (Level 4). Activation was
   associated with age (p<.001), higher income (p=.001), higher education
   (p=.010), better self-rated health (p<.001), and fewer chronic
   conditions (p=.050). The proportion of people who agreed that SDM was
   beneficial varied from 53.1% (deciding the necessity of a diagnostic
   test) to 71.8% (decisions associated with making lifestyle changes).
   After we controlled for participant characteristics, higher activation
   was associated with greater perceived benefit in SDM across 4 of the 6
   decisions. Preferences for SDM varied among 6 common medical scenarios.
   Low patient activation is an important barrier to SDM that could be
   ameliorated through the development of behavioral interventions.
RI Wolf, Michael/V-3351-2018; Smith, Samuel/
OI Wolf, Michael/0000-0002-4342-6517; Smith, Samuel/0000-0003-1983-4470
ZB 1
ZR 0
TC 27
ZA 0
ZS 0
Z8 0
Z9 27
U1 1
U2 13
SN 1081-0730
EI 1087-0415
UT WOS:000367547400006
PM 26313690
ER

PT J
AU Maggio, Lauren A.
   Moorhead, Laura L.
   Willinsky, John M.
TI Qualitative study of physicians' varied uses of biomedical research in
   the USA
SO BMJ OPEN
VL 6
IS 11
AR e012846
DI 10.1136/bmjopen-2016-012846
PD 2016
PY 2016
AB Objective: To investigate the nature of physicians' use of research
   evidence in experimental conditions of open access to inform training
   and policy.
   Design: This qualitative study was a component of a larger mixed-methods
   initiative that provided 336 physicians with relatively complete access
   to research literature via PubMed and UpToDate, for 1 year via an online
   portal, with their usage recorded in web logs. Using a semistructured
   interview protocol, a subset of 38 physician participants were
   interviewed about their use of research articles in general and were
   probed about their reasons for accessing specific articles as identified
   through their web logs. Transcripts were analysed using a general
   inductive approach.
   Setting: Physician participants were recruited from and registered in
   the USA.
   Participants: 38 physicians from 16 US states, engaged in 22 medical
   specialties, possessing more than 1 year of experience postresidency
   training participated.
   Results: 26 participants attested to the value of consulting research
   literature within the context of the study by making reference to their
   roles as clinicians, educators, researchers, learners, administrators
   and advocates. The physicians reported previously encountering what they
   experienced as a prohibitive paywall barrier to the research literature
   and other frustrations with the nature of information systems, such as
   the need for passwords.
   Conclusions: The findings, against the backdrop of growing open access
   to biomedical research, indicate that a minority of physicians, at least
   initially, is likely to seek out and use research and do so in a variety
   of common roles. Physicians' use of research in these roles has not
   traditionally been part of their training or part of the considerations
   for open access policies. The findings have implications for educational
   and policy initiatives directed towards increasing the effectiveness of
   this access to and use of research in improving the quality of
   healthcare.
OI Willinsky, John/0000-0001-6192-8687; Maggio, Lauren/0000-0002-2997-6133
TC 13
ZB 4
ZR 0
ZS 0
ZA 0
Z8 0
Z9 13
U1 0
U2 0
SN 2044-6055
UT WOS:000391303400120
PM 27872121
ER

PT S
AU Marchante, Elizabete
   Marchante, Helia
BE Castro, P
   Azeiteiro, UM
   BacelarNicolau, P
   Filho, WL
   Azul, AM
TI Engaging Society to Fight Invasive Alien Plants in Portugal-One of the
   Main Threats to Biodiversity
SO BIODIVERSITY AND EDUCATION FOR SUSTAINABLE DEVELOPMENT
SE World Sustainability Series
BP 107
EP 122
DI 10.1007/978-3-319-32318-3_8
PD 2016
PY 2016
AB Invasive alien species (IAS) are a major threat to biodiversity all over
   the world and Portugal is no exception. The problem is so serious that
   such species are recognized by the Portuguese legislation since 1999
   which includes 32 species of invasive animal and plants. Nevertheless, a
   large proportion of the population is still unaware of the problem.
   Considering that citizens represent a vector of introduction and spread
   of IAS and, on the other hand, can play a major role in helping to
   prevent and control IAS, this lack of awareness can be largely
   detrimental. In an attempt to reduce this gap, and aiming to contribute
   for a more sustainable environment and society, researchers from CFE/UC
   and from ESAC/IPC have been raising public awareness and engaging the
   public with the IAS problem, namely with invasive plants. Since 2003,
   several strategies have been used, including the website invasoras.pt
   which aims to aggregate several elements of these strategies. The most
   recent version of the website is online since 2013 and includes as core
   element a citizen science platform that aims to engage the public
   countrywide, voluntarily, to report sightings of invasive plants.
   Publications about invasive plants in Portugal, including a field guide
   and other printed materials, workshops and social media have been used
   to engage the public with the WebMapping platform. Additionally,
   field-work projects for university students and training courses for
   professionals dealing with alien plants and for school teachers have
   been organized. In this chapter, the different strategies implemented
   and the results of an effort to evaluate the effectiveness and outreach
   of these various approaches are presented. Overall, awareness about IAS
   is increasing amongst the Portuguese population, with citizens more
   educated about the problem and contributing more to the prevention and
   control of IAS, but much more work is needed. The challenge to reach
   publics other than the peers or professionals related to the topic is
   still daunting.
RI Marchante, Elizabete/D-3858-2011; Marchante, Hélia/I-1066-2012
OI Marchante, Elizabete/0000-0003-1303-7489; Marchante,
   Hélia/0000-0002-3247-5663
ZS 0
TC 14
Z8 0
ZR 0
ZB 9
ZA 0
Z9 14
U1 0
U2 46
SN 2199-7373
EI 2199-7381
BN 978-3-319-32318-3; 978-3-319-32317-6
UT WOS:000409551700009
D2 10.1007/978-3-319-32318-3
ER

PT J
AU Greveson, Kay
   Shepherd, Thomas
   Mulligan, John P
   Hamilton, Mark
   Woodward, Sue
   Norton, Christine
   Murray, Charles
TI Travel health and pretravel preparation in the patient with inflammatory
   bowel disease.
SO Frontline gastroenterology
VL 7
IS 1
BP 60
EP 65
DI 10.1136/flgastro-2014-100548
PD 2016-Jan
PY 2016
AB BACKGROUND AND AIMS: Foreign travel for people with inflammatory bowel
   disease (IBD) carries an increased risk of travel-related morbidity.
   There is limited research looking specifically at travel-associated
   health risks and travel preparation in patients with IBD. The aims of
   this study are to explore the experience of travel, pretravel
   preparation undertaken by the patient with IBD and examine IBD
   healthcare professionals' (HCP) confidence at providing travel advice
   and the content of that advice.
   METHODS: A survey of patients with IBD attending an outpatient clinic
   with a separate online survey sent to IBD HCPs recruited using regional
   and international network databases.
   RESULTS: A total of 132 patients with IBD, Crohn's disease (67/132,
   51%), male (60/132, 45%) and 128 HCPs (IBD nurse specialist 113, 88%;
   IBD physician 15, 12%) completed the questionnaires. IBD affected travel
   to some extent in 62% (82/132) of patients, and 64% (84/132) had
   experienced an IBD flare, of whom 64% still travelled overseas during
   this time. Only 23% (31/132) travellers sought pretravel medical advice
   and 40% (53/132) obtained travel insurance. Forty-eight per cent of
   respondents on immunomodulator therapy were unaware of the need to avoid
   live vaccines. Twenty-seven per cent (34/128) of IBD HCPs are not
   confident at providing pretravel advice; vaccination advice (54%),
   obtaining travel insurance (61%) and healthcare abroad (78%) are the
   areas of most uncertainty.
   CONCLUSIONS: Patients do not seek adequate pretravel advice and
   consultations for those who do are often deficient. The majority of IBD
   professionals are not confident to provide comprehensive travel advice.
   Greater IBD-specific travel education and awareness is needed for both
   patients with IBD and professionals.
RI Murray, Charles/K-5327-2013; Murray, Charles D R/T-7847-2019; Woodward, Sue/
OI Murray, Charles/0000-0001-6736-1546; Murray, Charles D
   R/0000-0001-6736-1546; Woodward, Sue/0000-0001-5390-7253
TC 10
Z8 0
ZS 0
ZB 4
ZR 0
ZA 0
Z9 10
U1 0
U2 5
SN 2041-4137
UT MEDLINE:28839835
PM 28839835
ER

PT B
AU Gillespie, Robyn
   Burns, Pippa
   Harrison, Lindsey
   Baker, Amanda
   Win, Khin
   Traynor, Victoria
   Mullan, Judy
BE Moretti, DV
TI Medication Management for People Living with Dementia: Development and
   Evaluation of a Multilingual Information Resource for Family Caregivers
   of People Living with Dementia
SO UPDATE ON DEMENTIA
BP 493
EP 514
DI 10.5772/64661
PD 2016
PY 2016
AB The aim of this chapter is to describe the development and evaluation of
   an online multilingual information resource focused on medication
   management, targeting people living with dementia and their family
   caregivers. Maintaining effective medication management is important to
   allow ongoing quality of life within the community setting and avoiding
   medication-related preventable hospitalisations for the person living
   with dementia. Family caregivers are likely to assume the role of
   medication management on behalf of the person in their care as dementia
   progresses. Little training or information is available to family
   caregivers to assist them with this role. A pilot online information
   resource was developed and evaluated. Responding to the evaluation, this
   resource was improved, and a more extensive evaluation process was
   undertaken. The development and evaluation process are outlined with a
   view to guiding the development of similar resources, especially those
   targeting linguistically diverse family caregivers and those with
   dementia. This is especially important given that many older adults will
   migrate during their lifetime, often to a country where they are not
   familiar with the language or health services. Extra support is needed
   to assist older immigrants who are themselves at risk or are caring for
   someone with dementia.
RI Baker, Amanda/AAS-8167-2021; Mullan, Judy R/G-6642-2015; Win, Khin Than/F-7491-2018; Traynor, Victoria/U-2130-2017; Gillespie, Robyn J./
OI Baker, Amanda/0000-0001-5806-4419; Mullan, Judy R/0000-0003-3772-7986;
   Win, Khin Than/0000-0002-7810-6388; Traynor,
   Victoria/0000-0003-4515-7602; Gillespie, Robyn J./0000-0002-0237-6517
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 1
Z9 1
U1 1
U2 4
BN 978-953-51-2655-3; 978-953-51-2654-6
UT WOS:000403811800020
D2 10.5772/61983
ER

PT J
AU Abdalla, Fayrouz Mohammed
   Abu Omar, Maye
   Badr, Elsheikh Elsiddig
TI Contribution of Sudanese medical diaspora to the healthcare delivery
   system in Sudan: exploring options and barriers
SO HUMAN RESOURCES FOR HEALTH
VL 14
AR 28
DI 10.1186/s12960-016-0123-x
SU 1
PD 2016
PY 2016
AB Background: Medical diaspora options, including the engagement of
   expatriate physicians in development efforts within their home country,
   are being called for to reverse the effects of brain drain from
   developing countries. This paper presents the results of a study
   exploring the potential contributions for the Sudanese Medial Diaspora
   Options to the healthcare delivery system (HCDS) in Sudan, focusing on
   the options of temporal and permanent returns and the likely obstacles
   faced in their implementation.
   Methods: This was a cross-sectional study using a mixed methods design
   including quantitative and qualitative approaches. For the quantitative
   approach, the study, which focused on the possible contribution of the
   diaspora to healthcare delivery in Sudan, was based on an online survey
   using random purposive and snowballing sampling techniques involving 153
   Sudanese physicians working in Saudi Arabia and other Gulf States, the
   United Kingdom, the Republic of Ireland, and the United States of
   America. The qualitative approach involved in-depth interviews with
   returnee physicians and key informants in Sudan, focusing on the return
   experiences, the barriers for return, and the options to improve future
   contributions.
   Results: Despite contributions of the Sudanese medical diaspora being of
   a small scale considering the size of the phenomenon, as well as
   infrequent and not appropriately organized, their inputs to academia and
   the links built with overseas institutions and specialist clinical
   services were nevertheless remarkable. The main barrier to temporal
   return was inappropriate organization by the local counterparts, while
   those for permanent return of physicians were poor work environment,
   insufficient financial payment, unsecured accommodation, and offspring
   education. The study identified short-term return as a feasible option
   considering the country's current conditions. Proper coordination
   mechanisms for short-term returns and facilitation of permanent return
   through stakeholders' collaboration were proposed to improve diaspora
   contributions.
   Conclusions: The potentials of Sudanese medial diaspora contributions to
   the HCDS in Sudan are promising. Short-term contributions were observed
   as the best option for the current country situation. Creation of a
   coordinating body from within the healthcare sector in Sudan to
   effectively coordinate diaspora contributions is recommended.
Z8 0
ZR 0
ZA 0
TC 12
ZS 0
ZB 1
Z9 12
U1 0
U2 1
SN 1478-4491
UT WOS:000406681900008
PM 27380630
ER

PT J
AU Brugha, Ruairi
   McAleese, Sara
   Dicker, Pat
   Tyrrell, Ella
   Thomas, Steve
   Normand, Charles
   Humphries, Niamh
TI Passing through - reasons why migrant doctors in Ireland plan to stay,
   return home or migrate onwards to new destination countries
SO HUMAN RESOURCES FOR HEALTH
VL 14
AR 35
DI 10.1186/s12960-016-0121-z
SU 1
PD 2016
PY 2016
AB Background: International recruitment is a common strategy used by
   high-income countries to meet their medical workforce needs. Ireland,
   despite training sufficient doctors to meet its internal demand,
   continues to be heavily dependent on foreign-trained doctors, many of
   whom may migrate onwards to new destination countries. A cross-sectional
   study was conducted to measure and analyse the factors associated with
   the migratory intentions of foreign doctors in Ireland.
   Methods: A total of 366 non-European nationals registered as medical
   doctors in Ireland completed an online survey assessing their reasons
   for migrating to Ireland, their experiences whilst working and living in
   Ireland, and their future plans. Factors associated with future plans
   -whether to remain in Ireland, return home or migrate to a new
   destination country - were tested by bivariate and multivariate
   analyses, including discriminant analysis.
   Results: Of the 345 foreign doctors who responded to the question
   regarding their future plans, 16 % of whom were Irish-trained, 30 %
   planned to remain in Ireland, 23 % planned to return home and 47 % to
   migrate onwards. Country of origin, personal and professional reasons
   for migrating, experiences of training and supervision, opportunities
   for career progression, type of employment contract, citizenship status,
   and satisfaction with life in Ireland were all factors statistically
   significantly associated with the three migratory outcomes.
   Conclusion: Reported plans may not result in enacted emigration.
   However, the findings support a growing body of evidence highlighting
   dissatisfaction with current career opportunities, contributing to the
   emigration of Irish doctors and onward migration of foreign doctors.
   Implementation of the WHO Global Code, which requires member states to
   train and retain their own health workforce, could also help reduce
   onward migration of foreign doctors to new destination countries.
   Ireland has initiated the provision of tailored postgraduate training to
   doctors from Pakistan, enabling these doctors to return home with
   improved skills of benefit to the source country.
RI humphries, niamh/AAE-8118-2020; Brugha, Ruairi/C-8420-2012; Normand, Charles/; Thomas, Steve/; Humphries, Niamh/
OI Brugha, Ruairi/0000-0003-0729-0197; Normand,
   Charles/0000-0002-0885-5754; Thomas, Steve/0000-0001-9306-0114;
   Humphries, Niamh/0000-0003-2959-1652
ZB 0
ZS 0
ZA 0
TC 11
ZR 1
Z8 0
Z9 12
U1 1
U2 3
SN 1478-4491
UT WOS:000406681900013
PM 27381409
ER

PT J
AU Tyrrell, Ella
   Keegan, Conor
   Humphries, Niamh
   McAleese, Sara
   Thomas, Steve
   Normand, Charles
   Brugha, Ruairi
TI Predictors of career progression and obstacles and opportunities for
   non-EU hospital doctors to undertake postgraduate training in Ireland
SO HUMAN RESOURCES FOR HEALTH
VL 14
AR 23
DI 10.1186/s12960-016-0120-0
SU 1
PD 2016
PY 2016
AB Background: The World Health Organization's Global Code on the
   International Recruitment of Health Personnel urges Member States to
   observe fair recruitment practices and ensure equality of treatment of
   migrant and domestically-trained health personnel. However,
   international medical graduates (IMGs) have experienced difficulties in
   accessing postgraduate training and in progressing their careers in
   several destination countries. Ireland is highly dependent on IMGs, but
   also employs non-European Union (EU) doctors who qualified as doctors in
   Ireland. However, little is known regarding the career progression of
   these doctors. In this context, the present study assesses the
   determinants of career progression of non-EU doctors with particular
   focus on whether barriers to progression exist for those graduating
   outside Ireland compared to those who have graduated within.
   Methods: The study utilises quantitative data from an online survey of
   non-EU doctors registered with the Medical Council of Ireland undertaken
   as part of the Doctor Migration Project (2011-2013). Non-EU doctors
   registered with the Medical Council of Ireland were asked to complete an
   online survey about their recruitment, training and career experiences
   in Ireland. Analysis was conducted on the responses of 231 non-EU
   hospital doctors whose first post in Ireland was not permanent. Career
   progression was analysed by means of binary logistic regression
   analysis.
   Results: While some of the IMGs had succeeded in accessing specialist
   training, many experienced slow or stagnant career progression when
   compared with Irish-trained non-EU doctors. Key predictors of career
   progression for non-EU doctors working in Ireland showed that doctors
   who qualified outside of Ireland were less likely than Irish-trained
   non-EU doctors to experience career progression. Length of stay as a
   qualified doctor in Ireland was strongly associated with career
   progression. Those working in anaesthesia were significantly more likely
   to experience career progression than those in other specialities.
   Conclusions: The present study highlights differences in terms of
   achieving career progression and training for Irish-trained non-EU
   doctors, compared to those trained elsewhere. However, the findings
   herein warrant further attention from a workforce planning and policy
   development perspective regarding Ireland's obligations under the Global
   Code of hiring, promoting and remunerating migrant health personnel on
   the basis of equality of treatment with the domestically-trained health
   workforce.
RI Normand, Charles/; Brugha, Ruairi/C-8420-2012; Humphries, Niamh/; Thomas, Steve/
OI Normand, Charles/0000-0002-0885-5754; Brugha,
   Ruairi/0000-0003-0729-0197; Humphries, Niamh/0000-0003-2959-1652;
   Thomas, Steve/0000-0001-9306-0114
ZS 0
TC 5
ZA 0
ZB 0
ZR 0
Z8 0
Z9 5
U1 1
U2 4
EI 1478-4491
UT WOS:000406681900003
PM 27381321
ER

PT J
AU Dias Pereira, Ana Paula
   Paes, Angela Tavares
   Sanchez, Zila M.
TI Factors associated with the implementation of programs for drug abuse
   prevention in schools
SO REVISTA DE SAUDE PUBLICA
VL 50
AR 44
DI 10.1590/S1518-8787.2016050005819
PD 2016
PY 2016
AB OBJECTIVE: To analyze if characteristics of managers, schools, and
   curriculum are associated with the implementation of programs for drug
   abuse prevention in elementary and high schools.
   METHODS: Cross-sectional study, with random sample of 263 school
   managers. Data were collected between 2012 and 2013 by a program that
   sends forms via internet. A closed self-filling questionnaire was
   applied online. Statistical analysis included Chi-square tests and
   logistic regression models. The outcome variable was the presence of
   program for drug abuse prevention inserted in the daily life and
   educational program of the school. The explanatory variables were
   divided into: demographic data of the manager; characteristics of the
   school and of the curriculum; health education; and drug use in the
   school.
   RESULTS: We found that 42.5% (95% CI 36.1-49.1) of the evaluated schools
   had programs for drug abuse prevention. With the multiple logistic
   regression model, we observed that the more time the manager has worked
   with education, the chance of the school having a program increased at
   about 4.0%. Experimenting with innovative teaching techniques also
   increased at about six times the chance of the school developing a
   program for drug abuse prevention. The difficulties in the
   implementation of the programs were more present in state and municipal
   schools, when compared with private schools, due to, for instance: lack
   of teaching materials, lack of money, and competing demands for teaching
   other subjects.
   CONCLUSIONS: The implementation of programs for drug abuse prevention in
   the city of Sao Paulo is associated with the experience of the manager
   in education and with the teaching strategies of the school.
RI Sanchez, Zila M/F-7994-2010; Sanchez, Zila M/AAA-2369-2019; Paes, Angela T/B-7110-2014; Paes, Angela/
OI Sanchez, Zila M/0000-0002-7427-7956; Sanchez, Zila
   M/0000-0002-7427-7956; Paes, Angela/0000-0002-7405-3442
ZB 4
ZR 0
Z8 0
ZS 5
ZA 0
TC 10
Z9 14
U1 1
U2 8
SN 0034-8910
EI 1518-8787
UT WOS:000380728000047
PM 27509010
ER

PT C
AU Rojas, David
   Kapralos, Bill
   Dubrowski, Adam
BE Westwood, JD
   Westwood, SW
   FellanderTsai, L
   Fidopiastis, CM
   Liu, A
   Senger, S
   Vosburgh, KG
TI The Role of Game Elements in Online Learning within Health Professions
   Education
SO MEDICINE MEETS VIRTUAL REALITY 22
SE Studies in Health Technology and Informatics
VL 220
BP 329
EP 334
DI 10.3233/978-1-61499-625-5-329
PD 2016
PY 2016
AB Given the highly competitive and motivating nature of today's students,
   gamification, when properly implemented, can be an effective learning
   tool. Here we studied which gamification (gaming) elements that medical
   students would be interested in having when using an online learning
   system to acquire clinical skills. Focus groups sessions were held with
   medical students, game developers, and game designers to develop an
   understanding about their perception and preferences regarding
   gamification. Overall it was determined that gamification will lead to
   increased engagement and motivation and should include both competitive
   and social elements.
CT 22nd Conference on Medicine Meets Virtual Reality (MMVR)
CY APR 07-09, 2016
CL Los Angeles, CA
ZR 0
ZA 0
TC 17
ZB 0
ZS 0
Z8 0
Z9 17
U1 0
U2 9
SN 0926-9630
BN 978-1-61499-625-5; 978-1-61499-624-8
UT WOS:000403669000058
PM 27046600
ER

PT J
AU Atkins, Salla
   Yan, Weirong
   Meragia, Elnta
   Mahomed, Hassan
   Rosales-Klintz, Senia
   Skinner, Donald
   Zwarenstein, Merrick
CA ARCADE Consortium
TI Student experiences of participating in five collaborative blended
   learning courses in Africa and Asia: a survey
SO GLOBAL HEALTH ACTION
VL 9
AR 28145
DI 10.3402/gha.v9.28145
PD 2016
PY 2016
AB Background: As blended learning (BL; a combination of face-to-face and
   e-learning methods) becomes more commonplace, it is important to assess
   whether students find it useful for their studies. ARCADE HSSR and
   ARCADE RSDH (African Regional Capacity Development for Health Systems
   and Services Research; Asian Regional Capacity Development for Research
   on Social Determinants of Health) were unique capacity-building
   projects, focusing on developing BL in Africa and Asia on issues related
   to global health.
   Objective: We aimed to evaluate the student experience of participating
   in any of five ARCADE BL courses implemented collaboratively at
   institutions from Africa, Asia, and Europe.
   Design: A post-course student survey with 118 students was conducted.
   The data were collected using email or through an e-learning platform.
   Data were analysed with SAS, using bivariate and multiple logistic
   regression. We focused on the associations between various demographic
   and experience variables and student-reported overall perceptions of the
   courses.
   Results: In total, 82 students responded to the survey. In bivariate
   logistic regression, the course a student took [p = 0.0067, odds ratio
   (OR) = 0.192; 95% confidence interval (CI): 0.058 -0.633], male gender
   of student (p = 0.0474, OR = 0.255; 95% CI: 0.066 -0.985), not
   experiencing technical problems (p < 0.001, OR = 17.286; 95% CI: 4.629
   -64.554), and reporting the discussion forumas adequate for student
   needs (p = 0.0036, OR = 0.165; 95% CI: 0.049 -0.555) were found to be
   associatedwith a more positive perception of BL, asmeasured by student
   rating of the overall helpfulness of the e-learning component to their
   studies. In contrast, perceiving the assessment as adequate was
   associated with a worse perception of overall usefulness. In a multiple
   regression, the course, experiencing no technical problems, and
   perceiving the discussion as adequate remained significantly associated
   with a more positively rated perception of the usefulness of the online
   component of the blended courses.
   Discussion: The results suggest that lack of technical problems and
   functioning discussion forums are of importance during BL courses
   focusing on global health-related topics. Through paying attention to
   these aspects, global health education could be provided using BL
   approaches to student satisfaction.
RI Atkins, Salla/ABH-1071-2021; Zwarenstein, Merrick F/P-5210-2014; Atkins, Salla/; Rosales Klintz, Senia/
OI Zwarenstein, Merrick F/0000-0003-0162-7027; Atkins,
   Salla/0000-0002-4116-893X; Rosales Klintz, Senia/0000-0002-2897-6123
TC 18
ZB 3
ZS 2
Z8 0
ZR 0
ZA 0
Z9 20
U1 0
U2 19
SN 1654-9880
UT WOS:000395811700001
ER

PT J
AU Zweigenthal, Virginia E. M.
   Marquez, Emma
   London, Leslie
TI 'Why do an MPH?' Motivations and intentions of physicians undertaking
   postgraduate public health training at the University of Cape Town
SO GLOBAL HEALTH ACTION
VL 9
AR 32735
DI 10.3402/gha.v9.32735
PD 2016
PY 2016
AB Background: Public health (PH) approaches underpin the management and
   transformation of health systems in low-and middle-income countries.
   Despite the Master of Public Health (MPH) rarely being a prerequisite
   for health service employment in South Africa, many physicians pursue
   MPH qualifications.
   Objectives: This study identifies their motivations and career
   intentions and explored MPH programme strengths and gaps in under-and
   post-graduate PH training.
   Design: A cross-sectional study using an online questionnaire was
   completed by physicians graduating with an MPH between 2000 and 2009 and
   those enrolled in the programme in 2010 at the University of Cape Town.
   Results: Nearly a quarter of MPH students were physicians. Of the 65
   contactable physicians, 48% responded. They were mid-career physicians
   who wished to obtain research training (55%), who wished to gain broader
   perspectives on health (32%), and who used the MPH to advance careers
   (90%) as researchers, policy-makers, or managers. The MPH widened
   professional opportunities, with 62% changing jobs. They believed that
   inadequate undergraduate exposure should be remedied by applying PH
   approaches to clinical problems in community settings, which would
   increase the attractiveness of postgraduate PH training.
   Conclusions: The MPH allows physicians to transition from pure clinical
   to research, policy and/or management work, preparing them to innovate
   changes for effective health systems, responsive to the health needs of
   populations. Limited local job options and incentives are important
   constraining factors. Advocacy for positions requiring qualifications
   and benchmarking exit competencies of programmes nationally may promote
   enrolment.
RI Zweigenthal, Virginia/AAW-6425-2021; Zweigenthal, Virginia/U-6341-2018
OI Zweigenthal, Virginia/0000-0003-3914-2156; Zweigenthal,
   Virginia/0000-0003-3914-2156
Z8 0
TC 4
ZR 0
ZS 0
ZA 0
ZB 0
Z9 4
U1 3
U2 8
EI 1654-9880
UT WOS:000395819400001
ER

PT J
AU Berizzi, G.
   Zanazzo, G.A.
   Capurso, M.
   Dennis, J.L.
TI Moodle my style: e-learning improves attributional style for
   cancer-diagnosed children
SO International Journal of Technology Enhanced Learning
VL 8
IS 3-4
BP 253
EP 63
PD 2016
PY 2016
AB Metacognitive skills and a positive attributional style are extremely
   important for young cancer patients. The present research shows how
   attributional styles and metacognitive training via information and
   communication technologies (ICTs) can enhance a positive
   self-attributional style in young cancer patients. A quasi-experimental
   prospective study measured participant attribution style before and
   after metacognitive and attributional online training programs that last
   about six months. Results demonstrated a significant positive impact of
   training on metacognitive skills and attributional style. The program
   presented expands knowledge on the prevention of negative cognitive
   long-term side effects associated with the treatment of children with
   cancer.
RI Dennis, John Lawrence/F-6002-2016; Capurso, Michele/K-5985-2015
OI Dennis, John Lawrence/0000-0002-0848-8077; Capurso,
   Michele/0000-0002-0044-626X
ZR 0
ZA 0
ZS 0
ZB 0
Z8 0
TC 1
Z9 1
U1 1
U2 7
SN 1753-5255
UT INSPEC:16878841
ER

PT J
AU Zheng, Yumei
   Wei, Dawei
   Li, Junlong
   Zhu, Tao
   Ning, Huansheng
TI Internet Use and Its Impact on Individual Physical Health
SO IEEE ACCESS
VL 4
BP 5135
EP 5142
DI 10.1109/ACCESS.2016.2602301
PD 2016
PY 2016
AB Internet use has seriously affected individual health in potential and
   subtle ways. Past research on the subject mainly concentrated on the
   mental health caused by addictive use, e.g., impulse control disorders
   and obsessive-compulsive disorder. With the constant development of
   cyber technology, Internet has been an indispensable element of living
   and working, which can provide more convenient and efficient support and
   help. At the same time, the effects of Internet use more than Internet
   addiction on individual health cannot be ignored in living and working.
   This paper aims to identify the most common physical complaints
   associated with Internet use, and further investigate the association
   between the frequency of Internet use and individual physical health.
   Five hundred and thirteen participants completed the questionnaires by
   online or offline manner, which covers demographic questions and
   questions concerning Internet use and physical complaints. The most
   common complaints were involving dry eyes, decreased vision, and
   cervical pain. The positive pearson correlation coefficient were found
   between the level of physical complaints and the frequency of Internet
   use, place of residence and education. Especially, the higher amount of
   time for the Internet use is strongly associated with a higher level of
   physical complaints.
RI Zhu, Tao/I-5069-2019; Ning, Huansheng/; , Tao/
OI Zhu, Tao/0000-0003-0228-3916; Ning, Huansheng/0000-0001-6413-193X; ,
   Tao/0000-0002-5879-5980
ZB 1
Z8 0
ZA 0
ZS 1
ZR 0
TC 15
Z9 15
U1 5
U2 37
SN 2169-3536
UT WOS:000401659000001
ER

PT C
AU Atique, Suleman
   Hosueh, Mowafa
   Fernandez-Luque, Luis
   Gabarron, Elia
   Wan, Marian
   Singh, Onkar
   Salcedo, Vicente Traver
   Li, Yu-Chuan (Jack)
   Shabbir, Syed-Abdul
BE Patton, J
   Barbieri, R
   Ji, J
   Jabbari, E
   Dokos, S
   Mukkamala, R
   Guiraud, D
   Jovanov, E
   Dhaher, Y
   Panescu, D
   Vangils, M
   Wheeler, B
   Dhawan, AP
TI Lessons Learnt from a MOOC about Social Media for Digital Health
   Literacy
SO 2016 38TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN
   MEDICINE AND BIOLOGY SOCIETY (EMBC)
SE IEEE Engineering in Medicine and Biology Society Conference Proceedings
BP 5636
EP 5639
PD 2016
PY 2016
AB Nowadays, the Internet and social media represent prime channels for
   health information seeking and peer support. However, benefits of health
   social media can be reduced by low digital health literacy. We designed
   a massive open online course (MOOC) course about health social media to
   increase the students' digital health literacy. In this course, we
   wanted to explore the difficulties confronted by the MOOC users in
   relation to accessing quality online health information and to propose
   methods to overcome the issues. An online survey was carried out to
   assess the students' digital health literacy. This survey was one of the
   activities for the enrolled learners in an online course entitled
   "Social Media in Health Care" on "FutureLearn", one of the popular MOOC
   platforms. The course was hosted by Taipei Medical University, Taiwan.
   Data from a total of 300 respondents were collected through the online
   survey from 14 December 2015 to 10 January 2016.
   Most participants (61%) considered finding online health information is
   easy or very easy, while 39% were unsure or found it difficult to
   retrieve online health information. Most (63%) were not sure about
   judging whether available information can be used for making health
   decisions.
   This study indicates a demand for more training to increase skills to
   improve the capability of health consumers to identify trustworthy,
   useful health information. More research to understand the health
   information seeking process will be crucial in identifying the skillsets
   that need to be further developed. MOOCs about digital health can be a
   great source of knowledge when it comes to studying patients' needs.
CT 38th Annual International Conference of the
   IEEE-Engineering-in-Medicine-and-Biology-Society (EMBC)
CY AUG 16-20, 2016
CL Orlando, FL
SP IEEE Engn Med & Biol Soc
RI Househ, Mowafa/GPX-8430-2022; Atique, Suleman/ABA-4998-2020; Atique, Suleman/N-3469-2015; Syed Abdul, Shabbir/AAI-2322-2020; Fernandez-Luque, Luis/C-6723-2011; Gabarron, Elia/; Li, Yu-Chuan (Jack)/
OI Atique, Suleman/0000-0002-5149-0703; Atique,
   Suleman/0000-0002-5149-0703; Syed Abdul, Shabbir/0000-0002-0412-767X;
   Fernandez-Luque, Luis/0000-0001-8165-9904; Gabarron,
   Elia/0000-0002-7188-550X; Li, Yu-Chuan (Jack)/0000-0001-6497-4232
TC 11
ZB 1
ZS 1
ZA 0
Z8 0
ZR 0
Z9 11
U1 0
U2 9
SN 1557-170X
BN *****************
UT WOS:000399823505240
PM 28269533
ER

PT B
AU Pho, Lana N.
   Champine, Marjan
   Leachman, Sancy A.
   Kohlmann, Wendy
BE TorresCabala, CA
   Curry, JL
TI Inherited Gene Mutations in Melanoma
SO GENETICS OF MELANOMA
SE Cancer Genetics-Series
BP 117
EP 149
DI 10.1007/978-1-4939-3554-3_5
PD 2016
PY 2016
AB The future of melanoma prevention and early diagnosis lies in
   personalized medicine. Patient-tailored management should target
   processes of initiation, uncontrolled proliferation, and invasion of
   melanocytes to abort progressive and incurable disease. Our growing
   knowledge of the somatic mutations in melanogenesis and the hereditary
   melanoma susceptibility genes is enabling clinicians to manipulate the
   neoplastic genotypes and develop effective treatments and raise the
   potential for a cure. Genomic analyses using high-throughput sequencing
   and comparative genomic hybridization have been instrumental in
   identifying these key molecules in melanomagenic pathways.
   We subcategorize various aspects of the genetics of melanoma into the
   following updated review: inherited syndromes predisposing to melanoma
   risk, molecular mechanisms in melanogenesis and metastasis, new
   tumor-targeted drug therapies, and clinical prevention/management
   guidelines for high-risk patients. Genetic counseling is an integral
   service owing to the surmounting evidence for the hereditary nature and
   genetic pathogenesis of melanoma. Genetic consulting addresses and
   provides patient education on genetic principles, genetic testing
   availability, and interpretation of melanoma susceptibility testing. In
   concert, geneticists, oncologists, and clinicians offer personalized
   prevention, early detection, and treatment algorithms based on the
   patient's genetic and environmental influences and to select antitumor
   therapies aimed at neoplastic genotypic traits with sustainable
   treatment success.
Z8 0
ZA 0
ZB 1
ZS 0
ZR 0
TC 1
Z9 1
U1 0
U2 1
BN 978-1-4939-3554-3; 978-1-4939-3552-9
UT WOS:000398298600006
D2 10.1007/978-1-4939-3554-3
ER

PT J
AU Webb, Stephanie
   Chonody, Jill
   Ranzijn, Rob
   Bryan, Janet
   Owen, Mikaela
TI A Qualitative Investigation of Gerontological Practice: The Views of
   Social Work and Psychology Students, Faculty, and Practitioners.
SO Gerontology & geriatrics education
VL 37
IS 4
BP 402
EP 422
PD 2016 Oct-Dec
PY 2016
AB Recently there has been an increase in the population of older adults;
   however, this increase has not been reflected in the helping
   professions. The aim of this study was to qualitatively investigate
   barriers to working with older adults within the human service
   professions. An online survey was sent to students, academic faculty,
   and practitioners from the disciplines of social work and psychology
   throughout Australia, addressing issues related to work with older
   adults. Thematic analysis was used to extract themes and subthemes from
   the responses (N = 252). The most important finding was that a barrier
   to working with older adults appears to be a consequence of a
   perpetuating cycle among students, academic faculty, and professionals
   collectively. Faculty members did not feel knowledgeable in the area of
   gerontology and were therefore not able to educate students in this area
   appropriately, leading to students to enter the workforce as either
   faculty members and/or practitioners without expertise to work with
   older adults. This study highlighted the importance of including more
   comprehensive gerontological information within social sciences'
   curriculum, which may promote more realistic images of older adults and
   help alleviate barriers to working with this population.
OI Owen, Mikaela/0000-0002-8346-6943; Webb, Stephanie/0000-0002-5960-5878
ZS 0
Z8 0
ZB 0
TC 10
ZA 0
ZR 0
Z9 10
U1 0
U2 4
EI 1545-3847
UT MEDLINE:25826574
PM 25826574
ER

PT J
AU Chen, Ning-Hung
   Hang, Liang-Wen
   Lin, Chia-Mo
TI Sleep medicine in Taiwan
SO SLEEP AND BIOLOGICAL RHYTHMS
VL 14
BP S11
EP S19
DI 10.1007/s41105-015-0007-9
SU 1
PD JAN 2016
PY 2016
AB The sleep medicine is a young medical science in Taiwan. It began from
   less than 10 sleep beds 20 years ago in four hospitals all over Taiwan.
   By the organization of sleep team in Chang Gung Memorial Hospital and
   the initiation of Taiwan Society of Sleep Medicine, sleep medicine
   becomes a popular medicine in the past decades. The setting of Sleep
   Society in 2002 is the milestone to promote the sleep medicine, educate
   the public and professionals, and control of the quality of clinical
   practice. Epidemiologic study in Taiwan shows many Taiwanese suffer from
   sleep disorders and hence more sleep institutes are needed.
   Accreditation has become a mission of the Taiwan Society of Sleep
   Medicine. Technicians, sleep centers, sleep specialists and sleep
   phycologists are gradually certified by the society. 215 sleep
   technicians, 307 sleep physicians, 31 iCBT therapists and 21 sleep
   centers are certified by the society till 2015. The first sleep related
   medical courses are initiated in the Department of Respiratory Therapy
   in Chang Gung University from 2003. For the following years, eight
   medical courses are set in six Universities now. Given the fact that the
   Asian accounts for the largest proportion of population in the world,
   investigation on the OSA in Asian population is essential. In this
   article, we aimed to demonstrate the outcomes of OSA-related research in
   Asia. In particular, the progress driven by the studies in Taiwan will
   be discussed. Data were obtained online from the Science Citation Index
   Expanded database of the Thomson Reuters' Web of Science Core
   Collection. Keywords including "apnea'' and "hyponea'' were used to
   search by applying the filters of the title and the publication years
   between 1991 and 2014. In total, 2623 articles were hit, subject to the
   criteria for data search. Among the 2623 articles, sleep and breathing
   related articles (128, 4.95 %) were the most frequently reported. Japan
   is the country that published the highest amount of OSA-related
   articles. The Asian institutions that ranked the first two in the number
   of OSA-related articles were Technion-Israel Institute of Technology and
   Tel Aviv University in Israel. In Taiwan, Chang Gung Memorial Hospital
   and Chang Gung University ranked fourth and fifth. Both institutes
   reported 63 articles. In Asia, Japan leads in the quantity of
   publication and the Japanese research institutes performed evenly. China
   had rapid growth in the number of articles since 2011. Although sleep
   medicine developed smoothly in the past decades in Taiwan, there were
   problems that the sleep society and specialists had to encounter.
   Insurance limits the expansion of sleep labs and the reimbursement is
   very low for sleep medicine to survive. The affiliations of sleep
   specialist and the sleep education are also important issue that the
   sleep specialists in the society have to discuss. The previous
   achievements do not guarantee future success. We have to face these
   problems seriously and take action for the following years to maintain
   the development of sleep medicine in Taiwan.
ZB 0
ZA 0
Z8 0
ZR 0
ZS 0
TC 4
Z9 4
U1 1
U2 3
SN 1446-9235
EI 1479-8425
UT WOS:000371506800003
PM 26855608
ER

PT J
AU Kendel, Friederike
   Rockenbauch, Katrin
   Deubner, Rolf
   Philipp, Swetlana
   Fabry, Gotz
TI The Effort and Reward of Teaching Medical Psychology in Germany: an
   Online Survey.
SO GMS journal for medical education
VL 33
IS 5
BP Doc76
EP Doc76
PD 2016
PY 2016
AB Background: The increasing significance of university teaching also
   leads to higher demands for academic teachers. Against this background
   this study inquires how teachers in the field of medical pychology
   experience and evaluate their various activities and how their efforts
   on the one hand and gratifications on the other hand relate to each
   other (as conceptualized by the effort-reward-imbalance, ERI). Methods:
   A cross-sectional online survey was conducted in 2012 among the academic
   staff of departments of medical psychology in Germany. The questionnaire
   was answered by 188 participants (return rate: 39.2%), of whom 62% were
   women. Work stress was measured according to Siegrist's
   effort-reward-imbalance (ERI) model. Further questions referred to the
   distribution of academic activities and meaningfulness. Results: Among
   all participants, 67.3% were satisfied with the portion of their
   workload devoted to teaching, while 63% wanted more time for research.
   The ERI-coefficient was on average M=0.76 (SD=0.45), thus indicating a
   shift towards reward. There were no associations with gender, age, or
   fixed-term work contracts. Meaningfulness was associated negatively with
   the ERI (r=-.21, p=.012), and positively with overcommitment (r=.52,
   p<.001) and the desire for less administrative tasks (r=.24, p=.017).
   Conclusions: Teaching medical psychology is evaluated as positive and
   meaningful by a majority of respondents. In general, the rewarding
   aspects seem to outweigh the stressful factors. Thus, teaching might be
   a protective factor with regard to coping with work related burden.
AB Zielsetzung: Mit dem zunehmenden Stellenwert der universitaren Lehre
   wachsen auch die Anforderungen an die Lehrenden. Vor diesem Hintergrund
   wird in dieser Studie untersucht, wie Lehrende im Fach Medizinische
   Psychologie ihre Tatigkeit erleben und bewerten und in welchem
   Verhaltnis bei ihnen Anstrengungen auf der einen und Gratifikationen auf
   der anderen Seite stehen (im Sinne der Effort-Reward-Imbalance,
   ERI).Methodik: Im Jahr 2012 wurde eine querschnittliche Online-Befragung
   mit Mitarbeitern der medizinpsychologischen Institute in Deutschland
   durchgefuhrt. Der Fragebogen wurde von 188 Teilnehmern (62% Frauen)
   beantwortet (Rucklaufquote 39.2%) und enthielt neben Fragen zur
   Lehrsituation den ERI-Fragebogen ERI-Q und Items zur Sinnhaftigkeit und
   Aufteilung der Arbeitsbereiche.Ergebnisse: Von den Befragten waren 67.3%
   mit dem Anteil der Lehre an ihren Arbeitsaufgaben zufrieden. Fur den
   Forschungsbereich wunschten sich jedoch 63% der Befragten mehr Zeit. Der
   ERI-Koeffizient lag bei durchschnittlich M=.76 (SD=.45) und damit in
   einem Bereich, der eine Verschiebung zugunsten der Belohnung anzeigt. Es
   ergaben sich keine Assoziationen zwischen Geschlecht, Alter oder einer
   Befristung des Arbeitsverhaltnisses mit der ERI. Die ERI korrelierte
   negativ mit dem Erleben von Sinnhaftigkeit in der Lehre (r=-.21, p=.012)
   und positiv mit Verausgabungsbereitschaft (r=.52, p<.001) und dem Wunsch
   nach weniger administrativen Aufgaben (r=.24, p=.017).Schlussfolgerung:
   Die Lehrtatigkeit in der Medizinischen Psychologie wird von der
   uberwiegenden Mehrheit der Befragten als positiv und sinnhaft beurteilt.
   Trotz einzelner Belastungsfaktoren scheinen insgesamt die belohnenden
   Aspekte zu uberwiegen. Die Lehrtatigkeit konnte somit ein protektiver
   Faktor im Hinblick auf den Umgang mit berufsbedingten Belastungen sein.
OI Kendel, Friederike/0000-0002-3726-0338
ZA 0
Z8 0
ZS 0
TC 0
ZR 0
ZB 0
Z9 0
U1 0
U2 3
EI 2366-5017
UT MEDLINE:27990472
PM 27990472
ER

PT J
AU Prediger, Sarah
   Harendza, Sigrid
TI Analysis of educational research at a medical faculty in Germany and
   suggestions for strategic development - a case study.
SO GMS journal for medical education
VL 33
IS 5
BP Doc71
EP Doc71
PD 2016
PY 2016
AB Background: Evidence-based medical education is playing an increasingly
   important role in the choice of didactic methods and the development of
   medical curricula and assessments. In Germany, a growing number of
   educational research projects has accompanied an ongoing change in the
   medical education process. The aim of this project was to assess medical
   education research activities at one medical faculty to develop
   procedural recommendations for the support and development of best
   evidence medical education. Methods: Using a newly developed online
   questionnaire, the 65 institutes and departments of the medical faculty
   of Hamburg University at Hamburg University Medical-Center (UKE) were
   asked to report their medical education research and service projects,
   medical education publications, medical education theses, financial
   support for educational projects, and supportive structures that they
   would consider helpful in the future. The data were grouped, and a SWOT
   analysis was performed. Results: In total, 60 scientists who were
   involved in 112 medical education research publications between 1998 and
   2014 were identified at the UKE. Twenty-five of them had published at
   least one manuscript as first or last author. Thirty-three UKE
   institutions were involved in educational service or research projects
   at the time of the study, and 75.8% of them received internal or
   external funding. Regular educational research meetings and the
   acquisition of co-operation partners were mentioned most frequently as
   beneficial supportive structures for the future. Conclusion: An analysis
   to define the status quo of medical education research at a medical
   faculty seems to be a helpful first step for the development of a
   strategy and structure to further support researchers in medical
   education.
AB Hintergrund: Evidenzbasierte medizinische Ausbildung spielt eine immer
   wichtiger werdende Rolle bei der Auswahl didaktischer Methoden und der
   Entwicklung medizinscher Curricula und Prufungen.In Deutschland hat eine
   wachsende Zahl von Ausbildungsforschungsprojekten den fortschreitenden
   Wandel des medizinischen Ausbildungsprozesses begleitet. Ziel dieses
   Projektes war es, die medizinischen Ausbildungsforschungsaktivitaten an
   einer medizinischen Fakultat einzuschatzen, um Prozessempfehlungen zur
   Unterstutzung und Entwicklung von evidenzbasierter medizinischer
   Ausbildung zu entwickeln.Methoden: Mit einem neu entwickelten
   Online-Fragebogen wurden 65 Institute und Abteilungen der Medizinischen
   Fakultat der Universitat Hamburg am Universitatsklinikum
   Hamburg-Eppendorf (UKE) gebeten, uber ihre Ausbildungsforschungs- und
   Serviceprojekte, ihre Publikationen in der Ausbildungsforschung,
   Promotionsarbeiten im Bereich der Ausbildungsforschung, Fordermittel fur
   Ausbildungsprojekte und unterstutzende Strukturen, die sie als zukunftig
   hilfreich einstufen wurden, zu berichten. Die Daten wurden
   zusammengestellt und es wurde eine SWOT-Analyse
   durchgefuhrt.Ergebnissen: Insgesamt 60 Wissenschaftler_innen des UKE
   waren an 112 Publikationen im Bereich der medizinischen
   Ausbildungsforschung zwischen 1998 und 2014 beteiligt. 25 von ihnen
   haben mindestens ein Manuskript in Erst- oder Letztautorenschaft
   veroffentlicht. 33 der Abteilungen am UKE waren an ausbildungsbezogenen
   Service- oder Ausbildungsforschungsprojekten beteiligt und 75.8% von
   ihnen erhielten interne oder externe Fordermittel. RegelmaSSige Treffen
   zu Ausbildungsforschungsthemen und Unterstutzung bei der Suche nach
   Kooperationspartner_innen wurden am haufigsten als nutzliche
   unterstutzende Strukturen fur die Zukunft genannt.Schlussfolgerung: Eine
   Erhebung zur Feststellung des Ist-Zustandes der medizinischen
   Ausbildungsforschung an einer medizinischen Fakultat scheint ein
   hilfreicher erster Schritt zur Entwicklung von Strategie und Struktur
   zur weiteren Unterstutzung von Forscher_innen in der medizinischen
   Ausbildungsforschung zu sein.
OI Prediger, Sarah/0000-0001-5483-1983
ZS 0
ZB 0
ZA 0
TC 2
Z8 0
ZR 0
Z9 2
U1 0
U2 0
EI 2366-5017
UT MEDLINE:27990467
PM 27990467
ER

PT J
AU Woermann, Ulrich
   Weltsch, Lena
   Kunz, Alexandra
   Stricker, Daniel
   Guttormsen, Sissel
TI Attitude towards and Readiness for Interprofessional Education in
   Medical and Nursing Students of Bern.
SO GMS journal for medical education
VL 33
IS 5
BP Doc73
EP Doc73
PD 2016
PY 2016
AB Objectives: Interprofessional collaboration is becoming increasingly
   important in health care for various reasons. Interprofessional
   Education (IPE) can provide a basis for this. The aim of our study was
   to find out how medical (MS) and nursing students (NS) think about their
   own and other professions, what they know about each other, how strong
   their willingness to embrace IPE is, and what forms of IPE they deem
   useful. Methodology: Seven IPE experts rated the two measuring
   instruments, Readiness for Interprofessional Learning Scale RIPLS, and
   Interdisciplinary Education Perception Scale IEPS in terms of relevance
   of the items, and the quality of translation into German. Nine RIPLS
   items and 13 IEPS items were considered content-valid. All MS of the
   University of Bern and NS of the two Bernese educational institutions
   for nursing were invited to the online survey in the fall of 2014 by
   email. Results: 498 (254 MS, 244 NS) of the 2374 invited students
   completely filled in the questionnaire (21%). The results of the reduced
   RIPLS allowed no conclusive statements. When assessing their own
   occupational group in the IEPS, the MS attributed "competence and
   autonomy" to themselves significantly more frequently, while to the NS,
   the same was true for the item, "actual cooperation". MS know
   significantly less about the training of other health professionals. NS
   show a significantly higher willingness to embrace IPE. Teaching ethics,
   communication, team training, and clinical skills are deemed suitable
   for IPE by both groups. From the comments it appears that in both groups
   a majority welcomes IPE; however, the various arguments had different
   prevalence in both groups. Both groups fear that IPE leads to heightened
   stress during the study. A subgroup of MS fears a lowering of academic
   level. Conclusion: The results of this survey of Bernese MS and NS
   concerning IPE provide important information for the planning and
   implementation of IPE. Important steps in the introduction of IPE will
   be a clear justification and the definition of its objectives. These
   must be explicitly communicated to all students.
AB Zielsetzung: Interprofessionelle Zusammenarbeit wird im Gesundheitswesen
   aus verschiedenen Grunden immer wichtiger. Interprofessional Education
   (IPE) kann eine Basis hierfur schaffen.Ziel unserer Studie war zu
   erfahren, wie Medizin- (MS) und Pflegestudierende (PS) uber ihre eigene
   und andere Berufsgruppen denken, was sie voneinander wissen, wie ihre
   Bereitschaft zu IPE aussieht und welche Formen von IPE sie fur sinnvoll
   halten.Methodik: Sieben IPE- Expertinnen und- Experten beurteilten die
   zwei Messinstrumente Readiness for Interprofessional Learning Scale
   RIPLS und Interdisciplinary Education Perception Scale IEPS bezuglich
   Relevanz der Items sowie die Qualitat der Ubersetzung ins Deutsche. Neun
   Items der RIPLS und 13 Items der IEPS wurden als inhaltlich valide
   erachtet. Alle MS der Universitat Bern und PS der zwei Berner Pflege
   Bildungsinstitutionen wurden im Herbst 2014 per E-Mail zur
   Online-Umfrage eingeladen.Ergebnisse: 498 (254 MS, 244 PS) der 2374
   eingeladenen Studierenden fullten den Fragebogen vollstandig aus
   (21%).Die Resultate der reduzierten RIPLS erlaubten keine schlussigen
   Aussagen. Bei der Einschatzung der eigenen Berufsgruppe in der IEPS
   schrieben sich die MS signifikant haufiger Kompetenz und Autonomie zu,
   die PS hingegen signifikant haufiger Tatsachliche Kooperation. MS wissen
   signifikant weniger uber die Ausbildung anderer Gesundheitsberufe. Bei
   PS besteht signifikant hohere Bereitschaft zu IPE. Lehre zu Ethik,
   Kommunikation, Team-Training und Clinical Skills werden von beiden
   Gruppen als fur IPE geeignet erachtet.Aus den Kommentaren geht hervor,
   dass beide Gruppen IPE mehrheitlich begruSSen, wobei die verschiedenen
   Argumente unterschiedlich haufig genannt werden. Beide Gruppen furchten,
   dass IPE zu vermehrter Belastung im Studium fuhrt. Eine Untergruppe der
   MS befurchtet eine Senkung des akademischen Niveaus.Schlussfolgerung:
   Die Resultate dieser Umfrage zu IPE bei Berner MS und PS liefern
   wichtige Informationen fur die Planung und Durchfuhrung von IPE.
   Wichtige Schritte bei der Einfuhrung von IPE werden eine klare
   Begrundung sowie die Definition ihrer Ziele sein. Diese mussen explizit
   allen Studierenden kommuniziert werden.
ZR 0
ZS 0
Z8 0
ZB 0
TC 13
ZA 0
Z9 13
U1 0
U2 4
EI 2366-5017
UT MEDLINE:27990469
PM 27990469
ER

PT J
AU Lew, Edward K.
   Nordquist, Erik K.
TI Asynchronous learning: student utilization out of sync with their
   preference
SO MEDICAL EDUCATION ONLINE
VL 21
AR 30587
DI 10.3402/meo.v21.30587
PD 2016
PY 2016
AB Background: Asynchronous learning is gaining popularity. Data are
   limited regarding this learning method in medical students rotating in
   emergency medicine (EM). In EM, faculty time is limited to give
   in-person lectures. The authors sought to create an online curriculum
   that students could utilize as an additional learning modality.
   Objective: The goal was to evaluate effectiveness, participation, and
   preference for this mode of learning.
   Methods: We developed five online, narrated PowerPoint presentations.
   After orientation, access to the online curriculum was provided to the
   students, which they could review at their leisure.
   Results: One hundred and seven fourth-year medical students
   participated. They reported the curriculum to be of high quality.
   Pretest scores were similar for those that viewed all lectures
   -compliant group (CG) (9.5 [CI 4.8 - 14.1]) and those that did not view
   any -non-compliant group (NCG) (9.6 [CI 5.9 - 13.4]). There was no
   statistical significant difference in posttest scores between the groups
   although there was improvement overall: CG 14.6 (CI 6.9 - 22.1); NCG11.4
   (CI 5.7 - 17.1). Amajority (69.2%) favored inclusion of asynchronous
   learning, but less than a quarter (22.4%) reported viewing all five
   modules and more than a third (36.4%) viewed none.
   Conclusion: Despite student-expressed preference for an online
   curriculum, they used the online resource less than expected. This
   should give pause to educators looking to convert core EM topics to an
   online format. However, when high-quality online lectures are utilized
   as a learning tool, this study demonstrates that they had neither a
   positive nor a negative impact on test scores.
ZB 1
Z8 0
TC 16
ZA 0
ZR 0
ZS 0
Z9 17
U1 1
U2 2
SN 1087-2981
UT WOS:000395977700001
ER

PT J
AU Bessette, Jennifer
   Camden, Chantal
TI How are Canadian universities training and supporting undergraduate
   medical, physiotherapy and occupational therapy students for global
   health experiences in international low-resource settings?
SO CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE
VL 107
IS 4-5
BP E373
EP E380
DI 10.17269/CJPH.107.5567
PD 2016
PY 2016
AB OBJECTIVES: Canadian medical (MD), physiotherapy (PT) and occupational
   therapy (OT) students increasingly show an interest in global health
   experiences (GHEs). As certain moral hazards can occur as a result of
   student GHEs, a growing consensus exists that universities must have an
   established selection process, in-depth pre-departure training (PDT),
   adequate onsite supervision and formal debriefing for their students.
   This study aimed to identify current practices in Canadian MD, PT and OT
   programs and discuss areas for improvement by comparing them with
   recommendations found in the literature.
   METHODS: Canadian MD, PT and OT programs (n = 45) were invited to answer
   an online survey about their current practices for GHE support and
   training. The survey included 24 close-ended questions and 18 open-ended
   questions. Descriptive statistics and a thematic analysis were performed
   on the data and results were discussed in comparison with
   recommendations found in the literature.
   RESULTS: Twenty-three programs responded to the survey. Student
   selection processes varied across universities; examples included using
   academic performance, interviews and motivation letters. All but one MD
   program had mandatory PDT; content and teaching formats varied, as did
   training duration (2-38 hours). All but one MD program had onsite
   supervision; local clinicians were frequently involved. Debriefing,
   although not systematic, covered similar content; debriefing was
   variable in duration (1-8 hours).
   CONCLUSIONS: Many current practices are encouraging, but areas for
   improvement exist. Integrating global health content into the regular
   curriculum, with advanced study options for students participating in
   GHEs, could help universities standardize support and training.
ZS 0
ZR 0
TC 3
Z8 0
ZB 0
ZA 0
Z9 3
U1 1
U2 12
SN 0008-4263
EI 1920-7476
UT WOS:000392817900007
PM 28026700
ER

PT J
AU Jelec, Katarina
   Sukalic, Sabina
   Friganovic, Adriano
TI Nursing and Implementation of Modern Technology
SO SIGNA VITAE
VL 12
IS 1
BP 23
EP 27
DI 10.22514/SV121.102016.3
PD 2016
PY 2016
AB Introduction. Implementation of technology in health care has become a
   global trend. The society modernization has led to the increasing
   development of technology and information systems. Nurses in everyday
   work encounter with the application of communications and information
   technologies. The implementation of modern technology in nursing
   increases nurses efficiency, but it is also changing the way of care for
   patients. Implementation of modern technology in nursing is the result
   of interactions between technical skills, culture and social acceptance
   in the working environment.
   Aim. The aim of this article was to investigate the application of
   modern technology in nursing and how it affects the nursing profession,
   what competencies are required for the introduction of technology and
   the role of nurses in the process.
   Materials and methods. PubMed database, OJIN base (Online Journal of
   Issues in Nursing), HCA (Hospital Corporation of America) were searched
   with the aim of finding appropriate studies and articles. Keywords which
   were used: nursing, modern technology, nursing challenges, education.
   Results. During a search of the databases, we found seven articles of
   which according to the inclusion criteria for this study we used three.
   Data from the literature that was used showed that the application of
   modern technology in nursing is still in the initial process of
   adaptation.
   Conclusion. Modern technology in the nursing profession is in its
   infancy, a lot of factors are contributing to slower development such as
   high cost, a shortage of nurses and training of medical staff to work
   with the new technology.
RI Friganovic, Adriano/AAM-3895-2020
OI Friganovic, Adriano/0000-0002-9528-6464
Z8 0
ZA 0
ZB 1
TC 8
ZS 1
ZR 0
Z9 8
U1 1
U2 16
SN 1334-5605
UT WOS:000392417200003
ER

PT J
AU Ma, Richard
   Shah, Radhika
TI Are medical educators in general practice untapped potential to increase
   training capacity in sexual and reproductive healthcare? Results of a
   survey in London, UK.
SO London journal of primary care
VL 8
IS 5
BP 85
EP 90
DI 10.1080/17571472.2016.1209875
PD 2016
PY 2016
AB BACKGROUND: Long waiting times for training in sexual and reproductive
   healthcare (SRH) including long acting reversible contraception (LARC)
   might lead to attrition from training programmes, leading to reduced
   capacity for sexual health services, and reduced access to such
   contraception for women.
   SETTING: General practice in London, UK.
   QUESTION: Can medical educators in general practice be used as untapped
   potential to train other health care professionals in sexual and
   reproductive healthcare?
   METHOD: We conducted an online survey to find out the qualifications,
   skills and willingness of established educators in primary care in
   London to train other clinicians in sexual and reproductive healthcare,
   including LARC.
   RESULTS: We received 124 responses from medical educators (10.1%
   response rate from general practitioner (GP) trainers and 59.0% of
   clinical supervisors for Foundation Year doctors). 86 (69.9%) had
   diploma of the Faculty of Sexual and Reproductive Healthcare (DFSRH)
   qualification and further 18 (14.6%) were interested in obtaining this
   qualification. Eleven respondents were trained to fit intrauterine
   contraception only, three for contraceptive implants only and 37 were
   trained to fit both. 50 (40.3%) of 124 respondents were willing get
   involved in DFSRH training; 74% of these were willing to teach on any
   component of DFSRH including LARC.
   DISCUSSION: There is a shortage of training places and long waiting list
   for clinicians who wish to train in SRH. This survey suggests there is a
   pool of GP educators with skills and experience in SRH and are willing
   to train others. This can potentially increase the training capacity and
   improve overall access to good contraception and LARC for women.
RI Ma, Richard/Z-6047-2019
OI Ma, Richard/0000-0001-6877-2785
ZA 0
ZB 0
ZS 0
Z8 0
TC 1
ZR 0
Z9 1
U1 0
U2 6
SN 1757-1472
UT MEDLINE:28250840
PM 28250840
ER

PT J
AU Gettig, Jacob P.
   Noronha, Sandhya
   Graneto, John
   Obucina, Lillian
   Christensen, Kelli J.
   Fjortoft, Nancy F.
TI Examining Health Care Students' Attitudes toward E-Professionalism
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 10
AR 169
PD 2016
PY 2016
AB Objective. To compare pharmacy, osteopathic medicine, dental medicine,
   and physician assistant (PA) students' perceptions of e-professionalism.
   Methods. A 20-item questionnaire was developed and administered to four
   cohorts of health care professions students early in their first
   professional year. The questionnaire contained 16 scenarios in which a
   hypothetical health care student or professional shared information or
   content electronically and students were asked to indicate how much they
   agreed that the scenario represented professional behavior.
   Results. Ninety-four percent of students completed the questionnaire.
   More female students were in the pharmacy and PA cohorts. There were
   statistical differences in students' perceptions of e-professionalism in
   five of 16 scenarios. Specific differences were most often between the
   osteopathic medicine students and the other cohorts.
   Conclusions. The health care professions students surveyed had similar
   perceptions of e-professionalism. Of the four cohorts, osteopathic
   medicine students appeared less conservative in their approach to
   e-professionalism than the other cohorts.
ZR 0
ZA 0
Z8 0
ZB 2
TC 6
ZS 0
Z9 6
U1 2
U2 13
SN 0002-9459
EI 1553-6467
UT WOS:000393666700008
PM 28179718
ER

PT J
AU Can, Elif
   Richter, Felicitas
   Valchanova, Ralitsa
   Dewey, Marc
TI Supervisors' perspective on medical thesis projects and dropout rates:
   survey among thesis supervisors at a large German university hospital
SO BMJ OPEN
VL 6
IS 10
AR e012726
DI 10.1136/bmjopen-2016-012726
PD 2016
PY 2016
AB Objectives: To identify underlying causes for failure of medical thesis
   projects and the constantly high drop-out rate in Germany from the
   supervisors' perspective and to compare the results with the students'
   perspective.
   Setting: Cross-sectional survey. Online questionnaire for survey of
   medical thesis supervisors among the staff of
   Charite-Universitatsmedizin Berlin, Germany. Published, earlier
   longitudinal survey among students for comparison.
   Participants: 1069 thesis supervisors participated.
   Data extraction and synthesis: Data are presented using descriptive
   statistics, and the chi(2) test served to compare the results among
   supervisors with the earlier data from the longitudinal survey of
   doctoral students.
   Primary and secondary outcomes: Not applicable. This survey is an
   observational study.
   Results: Of 3653 potential participants, 1069 (29.3%) supervising 3744
   doctoral candidates participated in the study. Supervisors considered
   themselves to be highly motivated and to offer adequate supervision. On
   the other hand, 87% stated that they did not feel well prepared for
   thesis supervision. Supervisors gave lack of timeliness of doctoral
   students and personal differences (p=0.024 and p=0.001) as the main
   reasons for terminating thesis projects. Doctoral students predominantly
   mentioned methodological problems and difficult subjects as critical
   issues (p=0.001 and p<0.001). Specifically, students felt ill prepared
   for the statistical part of their research-49.5% stated that they never
   received statistical assistance, whereas 97% of supervisors claimed to
   help their students with statistical analysis.
   Conclusions: The authors found that both thesis supervisors and medical
   students feel ill prepared for their roles in the process of a medical
   dissertation. Contradictory reasons for terminating medical thesis
   projects based on supervisors' and students' self-assessment suggest a
   lack of communication and true scientific collaboration between
   supervisors and doctoral students as the major underlying issue that
   requires resolution.
OI Dewey, Marc/0000-0002-4402-2733; Can, Elif/0000-0001-5319-7570
ZR 0
ZA 0
ZB 0
ZS 0
TC 8
Z8 0
Z9 8
U1 1
U2 6
SN 2044-6055
UT WOS:000391303200013
PM 27742631
ER

PT J
AU Holley, Debbie
   Santos, Patricia
   Cook, John
   Kerr, Micky
TI "Cascades, torrents & drowning" in information: seeking help in the
   contemporary general practitioner practice in the UK
SO INTERACTIVE LEARNING ENVIRONMENTS
VL 24
IS 5
SI SI
BP 954
EP 967
DI 10.1080/10494820.2015.1128206
PD 2016
PY 2016
AB This paper responds to the Alpine Rendez-Vous crisis in
   technology-enhanced learning. It takes a contested area of policy as
   well as a rapid change in the National Health Service, and documents the
   responses to information overload by a group of general practitioners
   practices in the North of England. Located between the spaces identified
   by Traxler and Lally as competitive industrialisation and web 1.0, and
   the consumer/ customer focus and ubiquitous ownership enabled by
   portable and devices and web 2.0, in this work we see the parallels of
   the responses of publicly funded bodies moving towards privatisation as
   part of a neo-liberal agenda. Interviews with health professionals (HPs)
   revealed marginalised spaces for informal learning in their workplaces,
   and a desire to build a community that would enable them to overcome the
   time/space barriers to networking. The EU Learning Layers Integrating
   Project develops mobile and social technologies that unlock and enable
   peer production within and across traditional workplace boundaries.
   Through the HP narratives, we capture insights into their daily life,
   which enable the articulation of their needs for an online Help-seeking
   networking service, underpinned by their desire to consult what Vygotsky
   calls the more capable peer.
OI Santos, Patricia/0000-0002-7337-2388; Cook, John/0000-0002-1846-9451
ZS 0
Z8 0
ZR 0
TC 5
ZA 0
ZB 0
Z9 5
U1 1
U2 12
SN 1049-4820
EI 1744-5191
UT WOS:000381422900003
ER

PT J
AU Poirier, Therese I.
   Devraj, Radhika
   Blankson, Faustina
   Xin, Huaibo
TI Interprofessional Online Global Health Course
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 9
AR 155
PD 2016
PY 2016
AB Objective. The design and evaluation of an online global health course
   targeted for pharmacy and other undergraduates is presented.
   Design. Enrolled students represented nursing, health education,
   pharmacy and a variety of other disciplines. The course was designed as
   an entirely online one with no class meetings. The course consisted of
   eight modules addressing global health competencies and
   interprofessional education competencies. Readings, quizzes, study
   question and team projects were tailored to the goals of each module.
   Students worked in interprofessional teams for their team projects.
   Assessment. Assessments consisted of pre and post course perceptions and
   course evaluation. Rubrics were designed to evaluate team assignments
   and peer assessment of team participation.
   Conclusion. Course was successful in enhancing perceptions of global
   health knowledge and understanding of roles and responsibilities of
   various health disciplines in addressing challenges of global health. No
   changes in teamwork perceptions were documented after completing the
   course. The overall course structure was successful in meeting course
   goals.
RI Poirier, Therese/ABC-3619-2020
TC 4
ZR 0
ZA 0
ZB 0
ZS 0
Z8 0
Z9 4
U1 0
U2 4
SN 0002-9459
EI 1553-6467
UT WOS:000392147500018
PM 28090104
ER

PT J
AU Kaminska-Winciorek, Grazyna
   Wydmanski, Jerzy
   Gajda, Maksymilian
   Tukiendorf, Andrzej
TI Melanoma awareness and prevalence of dermoscopic examination among
   Internet users: a cross-sectional survey
SO POSTEPY DERMATOLOGII I ALERGOLOGII
VL 33
IS 6
BP 421
EP 428
DI 10.5114/pdia.2016.63297
PD 2016
PY 2016
AB Introduction: Melanoma presents the greater threat to health the later
   the disease is detected and treated, although treatment results can be
   improved by the widespread use of dermoscopy. However, scarce data are
   available concerning the awareness of dermoscopy and the frequency of
   its performance in the non-patient population.
   Aim: To assess the awareness of melanoma detection by dermoscopic
   examination among the audience of a scientific website.
   Material and methods: Respondents were invited to participate in an
   online cross-sectional survey. They were asked to complete an online
   questionnaire designed by the authors. The preliminary analysis of 5,154
   collected forms and the exclusion of incomplete forms yielded 4,919
   fully completed questionnaires; the resulting database was analyzed
   statistically using logistic regression with the R software program (95%
   CI).
   Results: Less than two-fifths (39.2%) of respondents reported ever
   having sought the advice of a medical professional (dermatologist or
   other specialist), and 25.4% of the respondents had undergone dermoscopy
   at least once in their life. Furthermore, approximately one-tenth of
   respondents (10.7%) were not aware of this detection tool. The study
   respondents gained knowledge about dermoscopic examination from
   television and magazines. The performance of dermoscopy was more
   increasingly associated with inhabitants of larger locales, the use of
   higher-SPF sunscreens, and greater awareness of the relationship between
   the risk of melanoma and sunburn.
   Conclusions: Awareness of melanoma and sun care varied within the
   analyzed population. A subset of individuals at high risk of melanoma
   was identified. This group included those who engaged in risky sun
   exposure behaviors and who had never been examined by dermoscopy.
RI Kaminska-Winciorek, Grazyna/AAJ-8494-2020; Gajda, Maksymilian/Q-2260-2019; Wydmanski, Jerzy/; Gajda, Maksymilian/
OI Kaminska-Winciorek, Grazyna/0000-0002-9810-4945; Wydmanski,
   Jerzy/0000-0002-2879-3781; Gajda, Maksymilian/0000-0003-2240-3575
ZB 1
ZS 1
ZR 0
Z8 0
TC 4
ZA 0
Z9 4
U1 1
U2 6
SN 1642-395X
UT WOS:000389786000004
PM 28035218
ER

PT J
AU Hicks, Kristen K
   Murano, Peter S
TI Viewpoint regarding the limited nutrition education opportunities for
   physicians worldwide.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 27
IS 6
BP 439
EP 442
DI 10.1080/14739879.2016.1197048
PD 2016-Nov
PY 2016
AB Current trends in obesity and modifiable chronic disease are on the rise
   globally. Yet in primary care nutrition and lifestyle counseling,
   potentially the 'first line of defense' to address public health
   concerns, is limited. Unfortunately, nutrition and lifestyle education
   in the medical education curriculum is minimal and, in many countries,
   on the decline. Patients however expect their primary healthcare
   provider to assist them with diet and lifestyle modification to prevent
   and delay progression of chronic disease. This is indeed a paradox: the
   lack of nutrition focused education expertise in the face of the
   increased demand for nutrition counseling being placed on the physician.
   Across many countries, programmes of nutrition-centered continuing
   education, both online and face to face, are scarce. There is a pressing
   need for these educational opportunities to improve physician knowledge
   and self-efficacy in integrating nutrition counseling into routine
   practice, with the ultimate goal of improving overall patient health
   outcomes.
OI Roof, Kristen/0000-0001-7713-3037
ZS 0
ZB 0
ZA 0
TC 2
ZR 0
Z8 0
Z9 2
U1 0
U2 0
EI 1475-990X
UT MEDLINE:27384887
PM 27384887
ER

PT J
AU Celebi, Julie M
   Nguyen, Cathina T
   Sattler, Amelia L
   Stevens, Michael B
   Lin, Steven Y
TI Impact of a scholarly track on quality of residency program applicants.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 27
IS 6
BP 478
EP 481
DI 10.1080/14739879.2016.1197049
PD 2016-Nov
PY 2016
AB INTRODUCTION: It is generally believed that residency programs offering
   scholarly tracks attract higher quality applicants, although there is
   little evidence of this in the literature. We explored the impact of a
   clinician-educator track on the quality of applicants to our residency
   program by comparing the volume and characteristics of applicants before
   (2008-2011) and after (2012-2015) the track was introduced.
   METHODS: The total number of applications received was compared between
   the pre-track and post-track years. Among interviewees, data on United
   States Medical Licensing Examination (USMLE) Step 1 scores, Step 2
   Clinical Knowledge (CK) scores, Medical Student Performance Evaluation
   (MSPE) scores, and proportion of candidates with an advanced degree
   (e.g. MPH, PhD) were compared. An online survey was administered to all
   interviewees in 2014-2015 to measure interest in the track.
   RESULTS: The total number of applications to the residency program
   increased significantly from the pre-track to the post-track years.
   Compared to the pre-track years, interviewees during the post-track
   years had statistically higher USMLE Step 1 and Step 2 CK scores, better
   MSPE scores, and were more likely to have an advanced degree. Two-thirds
   of survey respondents reported that the track increased their interest
   in the residency program.
   DISCUSSION: A residency clinician-educator track may be associated with
   increased overall interest from applicants, higher application volume,
   and better measures of applicant quality based on USMLE scores, MSPE
   scores, and proportion of candidates with an advanced degree. Residency
   programs may consider a potential increase in the quality of their
   applicants as an added benefit of offering a scholarly track.
OI Celebi, Julie/0000-0002-8014-5204; Lin, Steven/0000-0001-8108-053X
Z8 0
ZS 0
ZA 0
ZB 1
TC 7
ZR 0
Z9 7
U1 0
U2 1
EI 1475-990X
UT MEDLINE:27312956
PM 27312956
ER

PT J
AU Kelman, Ariella
   Robinson, Caroline O.
   Cochin, Elisenda
   Ahluwalia, Nina J.
   Braverman, Julia
   Chiauzzi, Emil
   Simacek, Kristina
TI Communicating laboratory test results for rheumatoid factor: what do
   patients and physicians want?
SO PATIENT PREFERENCE AND ADHERENCE
VL 10
BP 2501
EP 2517
DI 10.2147/PPA.S104396
PD 2016
PY 2016
AB Objective: This study aimed to explore patient and physician
   perspectives on current laboratory test reporting practices and to
   elicit ideas for improvement.
   Methods: Two independent studies were conducted. The first solicited
   members of an online physician community for opinions on current
   laboratory test reporting practices and possible improvements. The
   second addressed the same topic, but solicited patient feedback, and
   included an evaluation of a mock laboratory test report for the
   rheumatoid factor blood test.
   Results: Both physicians and patients expressed a desire for
   patient-friendly information on laboratory reports. Physicians expressed
   a need for education for patients around false-positive and
   false-negative results within laboratory reports, while patients sought
   context around the meaning of results, relevance to other tests, and
   follow-up steps.
   Conclusion: Physicians and patients see value in enhancing laboratory
   test reports to improve communication. While reports should include the
   context that patients value, they should also contain cautionary
   interpretation emphasized by physicians. Patient consultation on
   improving laboratory reports may help improve such patient-focused
   communication and promote greater patient understanding of health
   information, thereby increasing patient participation in their own
   health care and improving outcomes.
   Practice implications: Laboratory reports are typically designed by
   experts. Including patients in laboratory report design may facilitate
   communication and improve outcomes through better patient engagement.
OI Simacek, Kristina/0000-0002-0478-4397
TC 9
ZB 2
Z8 0
ZA 0
ZR 0
ZS 0
Z9 9
U1 0
U2 6
SN 1177-889X
UT WOS:000389861200002
PM 28008236
ER

PT J
AU Jones, Andrea A.
   Ng, Enoch
   Deguise, Marc-Olivier
   Mak, Lauren
   Ouyang, Ben
   Sivapragasam, Milani
   MacNairn, Ian A. S.
   Nath, Siddharth
   Benesch, Matthew G. K.
   Forrest, Laura
   Wang, Xin
TI MD/PhD Training in Canada: Results from a national trainee and program
   director review
SO CLINICAL AND INVESTIGATIVE MEDICINE
VL 39
IS 4
BP E132
EP E139
PD 2016
PY 2016
AB Purpose: There has been limited examination of clinician scientist
   training in Canada, particularly regarding training integration and
   funding. This study assessed program structure, funding, tuition and
   mentorship structures available at Canadian MD/PhD programs.
   Methods: Clinician Investigator Trainee Association of Canada
   administered an anonymous survey to current trainees and program
   directors that captured program structure, trainee funding, tuition and
   mentorship opportunities and needs across institutions.
   Results: In June 2015, 101/228 (44%) trainees and 9/13 (69%) program
   directors completed the online survey. In all programs, students
   completed the PhD degree prior to clerkship training. Seven programs
   offered research training upon completion of pre-clerkship, four offered
   concurrent clinical and research training, and three offered alternative
   structures. Nine held seminars exposing students to clinical and
   research integration and two offered clinician scientist skills courses.
   Stipend funding and tuition varied, especially during clinical training
   years. Regarding mentorship, all programs held regular meetings, though
   eight programs do not have formal mentorship opportunities. Both
   trainees and program directors identified the need for further career
   planning and development support as a student priority.
   Conclusion: MD/PhD programs varied by program structure, funding,
   tuition and mentorship opportunities. Mechanisms to share and spread
   program innovations should be instated. Students may benefit from
   concurrent research and clinical training as well as courses specific to
   clinician scientist skill development. Decreasing debt burden may
   attract and retain trainees in this demanding path. To ensure mentorship
   programs align with trainee priorities, program directors should
   directly collaborate with students in their development and evaluation.
RI Benesch, Matthew/GRF-0677-2022; Deguise, Marc-Olivier/AAE-8463-2021; Nath, Siddharth/O-5872-2018; Ng, Enoch/
OI Deguise, Marc-Olivier/0000-0002-3802-1195; Nath,
   Siddharth/0000-0003-4520-7163; Ng, Enoch/0000-0002-4505-8391
ZA 0
Z8 0
ZB 4
ZR 0
TC 10
ZS 0
Z9 10
U1 0
U2 4
SN 0147-958X
EI 1488-2353
UT WOS:000389721900003
PM 27619400
ER

PT J
AU van Lieshout, Emile
   Dawson, Vaille
TI Knowledge of, and Attitudes Towards Health-related Biotechnology
   Applications Amongst Australian Year 10 High School Students
SO JOURNAL OF BIOLOGICAL EDUCATION
VL 50
IS 3
BP 329
EP 344
DI 10.1080/00219266.2015.1117511
PD 2016
PY 2016
AB Modern biotechnology has a large and rapidly increasing impact on
   society. New advances in genetics, stem cells and other areas hold great
   potential for human health but also presenting socioscientific issues
   that commonly divide public opinion. While knowledge is necessary to
   develop informed opinions about biotechnology, they may also be
   influenced by polarized discourse and fiction in the media. Here, we
   examined prior knowledge about and attitudes towards health-related
   biotechnological applications in Year 10 high school students from
   Western Australia using online questionnaires. The impact of teaching on
   students' understanding was tested by repeating the questionnaire after
   a lesson. Finally, students' argumentation skills were examined by
   recording responses to statements about biotechnological applications.
   We found that, prior to instruction, most students exhibited a
   reasonable understanding of biotechnology. There was little evidence for
   alternative conceptions, and instruction led to a diversification in
   understanding. Attitudes towards biotechnology were generally positive
   but varied. Despite interest in biotechnological issues, argument for
   positions was generally cognitive-affective in nature. Consequently,
   biotechnology is a relevant topic for science education, and presents
   excellent opportunities to build on pre-existing knowledge. Rather than
   expanding students' knowledge, our results suggest educators should
   focus on deepening existing understanding and strengthening
   argumentation skills.
RI Dawson, Vaille M/I-4231-2014
OI Dawson, Vaille M/0000-0003-1754-9086
ZA 0
TC 10
ZR 0
Z8 0
ZS 0
ZB 2
Z9 10
U1 0
U2 18
SN 0021-9266
EI 2157-6009
UT WOS:000388883000011
ER

PT J
AU Kwok, See
   Pang, Jing
   Adam, Safwaan
   Watts, Gerald F.
   Soran, Handrean
TI An online questionnaire survey of UK general practitioners' knowledge
   and management of familial hypercholesterolaemia
SO BMJ OPEN
VL 6
IS 11
AR e012691
DI 10.1136/bmjopen-2016-012691
PD 2016
PY 2016
AB Objective: Early diagnosis and treatment of heterozygous familial
   hypercholesterolaemia (HeFH) is known to be associated with reduced
   mortality from premature coronary artery disease, but HeFH remains
   underdiagnosed. This survey aims to determine knowledge and current
   management of HeFH in general practice.
   Setting: An online questionnaire was administered to general
   practitioners' (GPs') in the North West of England to assess their
   knowledge and management of HeFH.
   Participants: Practising GPs in the North West of England were contacted
   by email and invited to complete an online questionnaire. Recruitment
   discontinued when the target of 100 was reached.
   Primary outcome: An assessment of the knowledge and current management
   of HeFH in GPs.
   Results: 100 GP responses were analysed. Although only 39% considered
   themselves to have reasonable knowledge of HeFH, 89% knew that HeFH was
   a genetic disorder and 74% selected the correct lipid profile for
   diagnosing the condition. More than half (61%) were aware of current
   guidelines on HeFH. Gaps in knowledge were evident when only 30%
   correctly identified the prevalence of HeFH and half were not aware of
   the pattern of inheritance. Increased cardiovascular risk was
   underestimated by majority. 33% thought that they had HeFH patients in
   their practice confirming underdiagnosis of the condition. Statin
   therapy was recognised by 94% to be the right medication for treating
   HeFH. The majority (82%) regarded GPs to be the most effective
   healthcare professional for early recognition of HeFH.
   Conclusions: GPs have an above-average knowledge of familial
   hypercholesterolaemia (FH) and almost universally consider that they
   have a key role in the early recognition of undiagnosed HeFH patients in
   the community. However, there are gaps in awareness that need to be
   addressed to further enhance the care of FH in the community.
RI Pang, Jing/T-6397-2019; Watts, Gerald/; Adam, Safwaan/
OI Pang, Jing/0000-0002-9700-6948; Watts, Gerald/0000-0003-2276-1524; Adam,
   Safwaan/0000-0001-8004-1897
TC 14
ZS 0
ZB 4
ZR 0
ZA 0
Z8 0
Z9 14
U1 0
U2 1
SN 2044-6055
UT WOS:000391303400107
PM 28186938
ER

PT J
AU Visser, Laura M.
   Bleijenbergh, Inge L.
   Benschop, Yvonne W. M.
   Van Riel, Allard C. R.
   Bloem, Bastiaan R.
TI Do online communities change power processes in healthcare? Using case
   studies to examine the use of online health communities by patients with
   Parkinson's disease
SO BMJ OPEN
VL 6
IS 11
AR e012110
DI 10.1136/bmjopen-2016-012110
PD 2016
PY 2016
AB Objective: Communication technologies, such as personal online health
   communities, are increasingly considered as a tool to realise patient
   empowerment. However, little is known about the actual use of online
   health communities. Here, we investigated if and how patients' use of
   online communities supports patient empowerment.
   Setting: A network of primary and secondary care providers around
   individual patients with Parkinson's disease.
   Participants: We conducted case studies to examine our research
   question. We interviewed 18 patients with Parkinson's disease and
   observed the use of online health communities of 14 of them for an
   average of 1 year.
   Primary outcome measures: We analysed the interviews and the online
   conversations between patients and healthcare providers, using
   Foucault's framework for studying power processes.
   Results: We observed that patient empowerment is inhibited by implicit
   norms that exist within these communities around the number and content
   of postings. First, patients refrained from asking too many questions of
   their healthcare providers, but felt obliged to offer them regular
   updates. Second, patients scrutinised the content of their postings,
   being afraid to come across as complainers. Third, patients were
   cautious in making knowledge claims about their disease.
   Conclusions: Changing implicit norms within online communities and the
   societal context they exist in seems necessary to achieve greater
   patient empowerment. Possibilities for changing these norms might lie in
   open dialogue between patient and healthcare providers about
   expectations, revising the curriculum of medical education and
   redesigning personal online health communities to support two-way
   knowledge exchange.
RI Bloem, B.R./H-8013-2014; van Riel, Allard/Z-4408-2019; van Riel, Allard/D-3618-2012; Visser, Laura Margaretha/D-4538-2012; Benschop, Yvonne/
OI Bloem, B.R./0000-0002-6371-3337; van Riel, Allard/0000-0002-9222-0574;
   van Riel, Allard/0000-0002-9222-0574; Visser, Laura
   Margaretha/0000-0002-1072-2504; Benschop, Yvonne/0000-0003-2247-1527
ZB 0
ZR 0
ZA 0
Z8 0
TC 17
ZS 0
Z9 17
U1 2
U2 13
SN 2044-6055
UT WOS:000391303400198
PM 27821596
ER

PT J
AU Zaletel, Ivan
   Maric, Gorica
   Gazibara, Tatjana
   Rakocevic, Jelena
   Borovic, Milica Labudovic
   Puskas, Nela
   Bajcetic, Milos
TI Relevance and attitudes toward histology and embryology course through
   the eyes of freshmen and senior medical students: Experience from Serbia
SO ANNALS OF ANATOMY-ANATOMISCHER ANZEIGER
VL 208
BP 217
EP 221
DI 10.1016/j.aanat.2016.07.002
PD 2016
PY 2016
AB Histology and embryology are prerequisite for understanding the
   complexity of cell and tissue organization, function and development.
   The aim of this study was to examine the attitudes of medical students
   toward relevance of histology and embryology in their pre-clinical and
   clinical medical practice. The study sample consisted of 900
   undergraduate students of 1st and 6th study year at the School of
   Medicine in Belgrade, Serbia. Data were collected using an anonymous
   questionnaire. Senior students reported the relevance of histology and
   embryology knowledge for learning pathology, dermatology, physiology,
   gynecology and obstetrics, pathophysiology and pediatrics. Examination
   of students' attitudes revealed that 1st year participants more often
   acknowledged histology and embryology as being of great importance for
   their professional career. Analysis according to gender indicated that
   female students consider embryology as of greater importance for further
   medical education and future clinical practice than male students.
   Overall, study results suggest that medical students have a positive
   attitude toward histology and embryology undergraduate course. This
   evidence could be used as an additional motive for the development of
   histology and embryology courses, with special emphasis on practical
   application of knowledge in clinically-oriented setting. (C) 2016
   Elsevier GmbH. All rights reserved.
RI Zaletel, Ivan/O-4681-2016; Gazibara, Tatjana/; Maric, Gorica/; Jelena, Kostic Rakocevic/
OI Zaletel, Ivan/0000-0002-4841-788X; Gazibara,
   Tatjana/0000-0002-9621-8375; Maric, Gorica/0000-0003-2739-142X; Jelena,
   Kostic Rakocevic/0000-0001-8365-4840
ZA 0
TC 11
ZB 1
Z8 0
ZS 0
ZR 0
Z9 11
U1 1
U2 6
SN 0940-9602
EI 1618-0402
UT WOS:000387521300034
PM 27496251
ER

PT J
AU Schwarz, Laura
   Sippel, Sonia
   Entwistle, Andrew
   Hell, Anna Kathrin
   Koenig, Sarah
TI Biographic Characteristics and Factors Perceived as Affecting Female and
   Male Careers in Academic Surgery: The Tenured Gender Battle to Make It
   to the Top
SO EUROPEAN SURGICAL RESEARCH
VL 57
IS 3-4
BP 139
EP 154
DI 10.1159/000446874
PD 2016
PY 2016
AB Purpose: Given the high attrition rate in the field of academic surgery,
   we aimed to characterise the professional and personal situations of
   female and male academic surgeons as well as to gather data on their
   respective perceptions of career advancement and work satisfaction.
   Methods: We conducted a cross-sectional survey in Germany, inviting all
   identifiable academically highly qualified female surgeons and their
   male counterparts in a 1: 2 ratio to participate. An anonymous 103-item
   online questionnaire was designed and the data collected between July
   and September 2014. Results: The questionnaire was sent to 93 female and
   200 male surgeons, of whom 63 women (67.7%) and 70 men (35.0%) replied.
   The average age was 47.5 and 47.1 years, respectively. Respondents
   identified 'high degree of expertise', 'ambition', and 'clarity of one's
   professional aims' as important factors affecting professional career
   development. Both groups felt 'workload', 'working hours/shifts', and
   'gender' to be a hindrance, the latter of significantly greater
   importance to female surgeons. The mean work satisfaction scores were
   high in both female (69.5%) and male (75.7%) surgeons. The predictors
   ;support from superiors' (standardised beta coefficient = 0.41) and
   'manual aptitude' (beta = 0.41) contributed incrementally to the
   variance in 'high degree of work satisfaction' (90-100%) observed for
   female surgeons. However, childcare provided by
   'kindergarten/crche/after-school care' had the greatest negative
   predictive value (beta = -1.33). Conclusions: Although there are many
   parallels, female faculty members experience the culture of academic
   surgery to some extent differently from their male counterparts,
   especially when impacted by parenthood and childcare. Faculty
   development programmes need to develop strategies to improve perceived
   equality in career opportunities by respecting individuals' requirements
   as well as offering gender-appropriate career guidance. (C) 2016 S.
   Karger AG, Basel
Z8 0
TC 5
ZA 0
ZB 0
ZS 0
ZR 0
Z9 5
U1 0
U2 6
SN 0014-312X
EI 1421-9921
UT WOS:000386887600001
PM 27376374
ER

PT J
AU Liang, Kevin E.
   Bernstein, Ilia
   Kato, Yoko
   Kawase, Takeshi
   Hodaie, Mojgan
TI Enhancing Neurosurgical Education in Low- and Middle-income Countries:
   Current Methods and New Advances
SO NEUROLOGIA MEDICO-CHIRURGICA
VL 56
IS 11
BP 709
EP 715
DI 10.2176/nmc.ra.2016-0092
PD 2016
PY 2016
AB Low- and middle-income countries (LMICs) face a critical shortage of
   basic surgical services. Adequate neurosurgical services can have a
   far-reaching positive impact on society's health care and, consequently,
   the economic development in LMICs. Yet surgery, and specifically
   neurosurgery has been a long neglected sector of global health. This
   article reviews the current efforts to enhance neurosurgery education in
   LMICs and outlines ongoing approaches for improvement. In addition, we
   introduce the concept of a sustainable and cost-effective model to
   enhance neurosurgical resources in LMICs and describe the process and
   methods of online curriculum development.
ZS 0
Z8 0
ZR 0
ZA 0
ZB 2
TC 20
Z9 20
U1 0
U2 1
SN 0470-8105
EI 1349-8029
UT WOS:000390412600007
PM 27616319
ER

PT J
AU Grall-Bronnec, Marie
   Caillon, Julie
   Humeau, Elise
   Perrot, Bastien
   Remaud, Manon
   Guilleux, Alice
   Rocher, Bruno
   Sauvaget, Anne
   Bouju, Gaelle
TI Gambling among European professional athletes. Prevalence and associated
   factors
SO JOURNAL OF ADDICTIVE DISEASES
VL 35
IS 4
BP 278
EP 290
DI 10.1080/10550887.2016.1177807
PD 2016
PY 2016
AB In Europe, the prevalence of gambling disorders in the general
   population ranges from 0.15 to 6.6%. Professional athletes are known for
   having risk factors for addictive behaviors, such as young age or
   sensation seeking, though no study has yet tried to evaluate the
   prevalence of gambling and gambling disorders among this specific
   population. The goals of this study were to estimate the prevalence of
   gambling, problematic or not, among European professional athletes and
   to explore the factors that are associated with gambling practice and
   gambling problems in professional athletes. A self-completion
   questionnaire was specifically designed for this study. The
   questionnaires were distributed by European Union athletes to
   professional ice hockey, rugby, handball, basketball, football, indoor
   football, volleyball, and cricket teams in Spain, France, Greece,
   Ireland, Italy, Sweden, and the United Kingdom. Socio-demographic
   variables (age, sex, education, marital and parental status, sport,
   country of birth, and country of practice), variables linked to gambling
   (gambling habits, screening of gambling problems with the Lie/Bet
   questionnaire, and gambling related cognitions), and impulsive behavior
   data (urgency, premeditation, perseverance, and sensation seeking
   [UPPS]-Short Form questionnaire) were gathered. There were 1,236
   questionnaires filled out. The percentage of professional athletes that
   had gambled at least once during the previous year was 56.6%. The
   prevalence of problem gambling, current or past, was 8.2%. A certain
   number of variables were associated with the gambling status. In
   particular, betting on one's own team (OR = 4.1, CI95% [1.5-11.5]),
   betting online (OR = 2.9, CI95% [1.6-5.4]), gambling regularly (OR =
   4.0, CI95% [2.1-7.6]), and having a high positive urgency score (OR =
   1.5, CI95% [1.3-1.7]) were associated with gambling problems, current or
   past, among professional athletes. Professional athletes are
   particularly exposed to both gambling and problem gambling.
OI Bruno, ROCHER/0000-0002-5558-4926; Perrot, Bastien/0000-0002-3701-6693;
   grall-bronnec, marie/0000-0003-0722-7243
Z8 0
ZA 0
ZR 0
TC 23
ZS 0
ZB 2
Z9 23
U1 1
U2 14
SN 1055-0887
EI 1545-0848
UT WOS:000386335600008
PM 27111296
ER

PT J
AU Latif, Asam
   Pollock, Kristian
   Anderson, Claire
   Waring, Justin
   Solomon, Josie
   Chen, Li-Chia
   Anderson, Emma
   Gulzar, Sulma
   Abbasi, Nasa
   Wharrad, Heather
TI Supporting underserved patients with their medicines: a study protocol
   for a patient/professional coproduced education intervention for
   community pharmacy staff to improve the provision and delivery of
   Medicine Use Reviews (MURs)
SO BMJ OPEN
VL 6
IS 12
AR e013500
DI 10.1136/bmjopen-2016-013500
PD 2016
PY 2016
AB Introduction: Community pharmacy increasingly features in global
   strategies to modernise the delivery of primary healthcare. Medicine Use
   Reviews (MURs) form part of the English Government's medicines
   management strategy to improve adherence and reduce medicine waste. MURs
   provide space for patient-pharmacist dialogue to discuss the well-known
   problems patients experience with medicine taking. However,
   'underserved' communities (eg, black and minority ethnic communities,
   people with mental illness), who may benefit the most, may not receive
   this support. This study aims to develop, implement and evaluate an
   e-learning education intervention which is coproduced between patients
   from underserved communities and pharmacy teams to improve MUR
   provision.
   Methods and analysis: This mixed-methods evaluative study will involve a
   2-stage design. Stage 1 involves coproduction of an e-learning resource
   through mixed patient-professional development (n=2) and review (n=2)
   workshops, alongside informative semistructured interviews with patients
   (n=10) and pharmacy staff (n=10). Stage 2 involves the implementation
   and evaluation of the intervention with community pharmacy staff within
   all community pharmacies within the Nottinghamshire geographical area
   (n=237). Online questionnaires will be completed at baseline and
   postintervention (3 months) to assess changes in engagement with
   underserved communities and changes in self-reported attitudes and
   behaviour. To triangulate findings, 10 pharmacies will record at
   baseline and postintervention, details of actual numbers of MURs
   performed and the proportion that are from underserved communities.
   Descriptive and inferential statistics will be used to analyse the data.
   The evaluation will also include a thematic analysis of one-to-one
   interviews with pharmacy teams to explore the impact on clinical
   practice (n=20). Interviews with patients belonging to underserved
   communities, and who received an MUR, will also be conducted (n=20).
   Ethics and dissemination: The study has received ethical approval from
   the NHS Research Ethics Committee (East Midlands-Derby) and governance
   clearance through the NHS Health Research Authority. Following the
   evaluation, the educational intervention will be freely accessible
   online.
RI Wharrad, Heather J/F-1788-2011; Anderson, Claire/; Latif, Asam/; Waring, Justin/C-5436-2015; Chen, Li-Chia/
OI Wharrad, Heather J/0000-0001-6030-5648; Anderson,
   Claire/0000-0002-5406-2296; Latif, Asam/0000-0003-0730-7120; Waring,
   Justin/0000-0003-1459-5896; Chen, Li-Chia/0000-0002-6158-6645
ZR 0
ZA 0
ZB 0
ZS 0
Z8 0
TC 11
Z9 11
U1 0
U2 7
SN 2044-6055
UT WOS:000391303600082
PM 27940633
ER

PT J
AU Hayes, L.
   Bhochhibhoya, A.
   Cheney, M.
   Larson, D.
   Branscum, P.
TI An Evaluation of the Effects of Formal Nutrition Education on Online
   Nutrition Information Retrieval among College Students
SO Journal of Consumer Health on the Internet
VL 20
IS 4
BP 139
EP 55
DI 10.1080/15398285.2016.1198878
PD 2016
PY 2016
AB Few studies have examined online nutrition-health information seeking
   practices by college students using observational methods. The purpose
   of this study was to describe how college students search for health
   facts and credible recommendations related to nutrition, and to examine
   differences in information searching practices between students who have
   completed or not completed a formal introductory nutrition course.
   Undergraduate students (n = 48) were given three nutrition fact
   scenarios and three nutrition recommendation scenarios and used the
   Internet to find solutions. Observations were recorded using video and
   audio recording software (Camtasia). Nutrition students had higher
   nutrition knowledge (p < .001) and reported significantly higher
   satisfaction with their overall performance (p < .035) compared to
   nonnutrition students. Overall, students with nutrition education were
   able to recognized reputable websites as sources, more so that students
   without nutrition education. Public health educators can use the
   information gained from this study to develop interventions that help
   young adults search for credible and accurate nutrition information
   online.
RI Bhochhibhoya, Amir/ABF-9521-2020
ZR 0
TC 0
ZA 0
Z8 0
ZS 0
ZB 0
Z9 0
U1 1
U2 15
SN 1539-8285
UT INSPEC:16457635
ER

PT C
AU Li, Xin
   Verspoor, Karin
   Gray, Kathleen
   Barnett, Stephen
BE Georgiou, A
   Schaper, LK
   Whetton, S
TI Analysing Health Professionals' Learning Interactions in an Online
   Social Network: A Longitudinal Study
SO DIGITAL HEALTH INNOVATION FOR CONSUMERS, CLINICIANS, CONNECTIVITY AND
   COMMUNITY
SE Studies in Health Technology and Informatics
VL 227
BP 93
EP 99
DI 10.3233/978-1-61499-666-8-93
PD 2016
PY 2016
AB This paper summarises a longitudinal analysis of learning interactions
   occurring over three years among health professionals in an online
   social network. The study employs the techniques of Social Network
   Analysis (SNA) and statistical modeling to identify the changes in
   patterns of interaction over time and test associated structural network
   effects. SNA results indicate overall low participation in the network,
   although some participants became active over time and even led
   discussions. In particular, the analysis has shown that a change of lead
   contributor results in a change in learning interaction and network
   structure. The analysis of structural network effects demonstrates that
   the interaction dynamics slow down over time, indicating that
   interactions in the network are more stable. The health professionals
   may be reluctant to share knowledge and collaborate in groups but were
   interested in building personal learning networks or simply seeking
   information.
CT 24th Australian National Health Informatics Conference (HIC)
CY 2016
CL Melbourne, AUSTRALIA
SP Hlth Informat Soc Australia
RI Verspoor, Karin/G-6034-2016; Li, Xin/
OI Verspoor, Karin/0000-0002-8661-1544; Li, Xin/0000-0003-2275-7277
ZS 0
TC 2
Z8 0
ZA 0
ZB 0
ZR 0
Z9 2
U1 2
U2 9
SN 0926-9630
BN 978-1-61499-666-8; 978-1-61499-665-1
UT WOS:000383619200015
PM 27440295
ER

PT J
AU Aronoff, Eyal
   Hillyer, Robert
   Leon, Michael
TI Environmental Enrichment Therapy for Autism: Outcomes with Increased
   Access
SO NEURAL PLASTICITY
VL 2016
AR 2734915
DI 10.1155/2016/2734915
PD 2016
PY 2016
AB We have previously shown in two randomized clinical trials that
   environmental enrichment is capable of ameliorating symptoms of autism
   spectrum disorder (ASD), and in the present study, we determined whether
   this therapy could be effective under real-world circumstances. 1,002
   children were given daily Sensory Enrichment Therapy, by their parents,
   using personalized therapy instructions given over the Internet. Parents
   were asked to assess the symptoms of their child every 2 weeks for up to
   7 months. An intention-to-treat analysis showed significant overall
   gains for a wide range of symptoms in these children, including
   learning, memory, anxiety, attention span, motor skills, eating,
   sleeping, sensory processing, self-awareness, communication, social
   skills, and mood/autism behaviors. The children of compliant caregivers
   were more likely to experience a significant improvement in their
   symptoms. The treatment was effective across a wide age range and there
   was equal progress reported for males and females, for USA and
   international subjects, for those who paid and those who did not pay for
   the therapy, and for individuals at all levels of initial symptom
   severity. Environmental enrichment, delivered via an online system,
   therefore appears to be an effective, low-cost means of treating the
   symptoms of ASD.
OI Leon, Michael/0000-0003-2684-6955
ZA 0
TC 21
ZR 1
ZB 13
ZS 0
Z8 0
Z9 21
U1 2
U2 26
SN 2090-5904
EI 1687-5443
UT WOS:000385090400001
ER

PT J
AU Lull, Melinda E.
   Mathews, Jennifer L.
TI Online Self-testing Resources Prepared by Peer Tutors as a Formative
   Assessment Tool in Pharmacology Courses
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 7
AR 124
PD 2016
PY 2016
AB Objective. To assess the effectiveness of optional online quizzes
   written by peer tutors in a pharmacology course for doctor of pharmacy
   students.
   Methods. Online quizzes were written by peer tutors for second-year
   pharmacy students. Quizzes reflected the material taught during lecture
   and were in a format similar to that of the examinations. Data related
   to performance on each quiz and each examination were collected
   throughout the semester. At the end of the semester, students and peer
   tutors were surveyed to gather information on the utility and success of
   the quizzes.
   Results. Students taking online quizzes performed significantly better
   on examinations than those who did not take quizzes. In addition,
   students received higher scores on examinations than when practicing
   with the quizzes. Surveys suggest that students liked the quizzes and
   felt they increased their confidence and performance on examinations.
   Conclusion. The quizzes were beneficial to student performance on
   examinations as well as student perception of performance and confidence
   going into the examinations. Quizzes were also beneficial learning
   experiences for peer tutors.
ZA 0
ZR 0
Z8 0
ZS 0
TC 10
ZB 1
Z9 10
U1 0
U2 10
SN 0002-9459
EI 1553-6467
UT WOS:000386496600016
PM 27756932
ER

PT J
AU Reid, Scott A.
TI A flipped classroom redesign in general chemistry
SO CHEMISTRY EDUCATION RESEARCH AND PRACTICE
VL 17
IS 4
BP 914
EP 922
DI 10.1039/c6rp00129g
PD 2016
PY 2016
AB The flipped classroom continues to attract significant attention in
   higher education. Building upon our recent parallel controlled study of
   the flipped classroom in a second-term general chemistry course (J.
   Chem. Educ., 2016, 93, 13-23), here we report on a redesign of the
   flipped course aimed at scaling up total enrollment while keeping
   discussion sizes small (i.e., <30 students), and maintaining equivalent
   contact hour load for faculty and workload for students. To that end,
   the course format featured lecture contact pushed outside of the
   classroom in the form of video lectures (mean duration 13 minutes)
   paired with online homework sets, and three parallel weekly one-hour
   discussion sections were held in adjoining lab rooms immediately prior
   to the three-hour laboratory session. As in our previous design, the
   discussion sections were led by teaching assistants; however, the weekly
   discussion meeting was shortened from 75 minutes to 50 minutes, and the
   primary instructor "floated'' between the three parallel sessions. Two
   such sessions were held each week, affording a possible enrollment of
   144; initial enrollment was 141, with students self-selecting into the
   course. We examine student performance in and satisfaction with the
   course using: (1) a pre-test/post-test design based on the paired
   questions American Chemical Society (ACS) first-term and second-term
   exams, (2) data on DFW (D, F, withdrawal) rates, and (3) student
   evaluations.
ZB 0
ZR 0
ZA 0
Z8 0
TC 28
ZS 0
Z9 28
U1 2
U2 97
SN 1109-4028
EI 1756-1108
UT WOS:000386698500021
ER

PT J
AU Goldie, John Gerard Scott
TI Connectivism: A knowledge learning theory for the digital age?
SO MEDICAL TEACHER
VL 38
IS 10
BP 1064
EP 1069
DI 10.3109/0142159X.2016.1173661
PD 2016
PY 2016
AB Background: The emergence of the internet, particularly Web 2.0 has
   provided access to the views and opinions of a wide range of individuals
   opening up opportunities for new forms of communication and knowledge
   formation. Previous ways of navigating and filtering available
   information are likely to prove ineffective in these new contexts.
   Connectivism is one of the most prominent of the network learning
   theories which have been developed for e-learning environments. It is
   beginning to be recognized by medical educators. This article aims to
   examine connectivism and its potential application.
   Content: The conceptual framework and application of connectivism are
   presented along with an outline of the main criticisms. Its potential
   application in medical education is then considered.
   Conclusions: While connectivism provides a useful lens through which
   teaching and learning using digital technologies can be better
   understood and managed, further development and testing is required.
   There is unlikely to be a single theory that will explain learning in
   technological enabled networks. Educators have an important role to play
   in online network learning.
OI Siemens, George/0000-0002-9567-9794
ZA 6
Z8 0
ZR 1
ZS 4
ZB 3
TC 139
Z9 149
U1 19
U2 114
SN 0142-159X
EI 1466-187X
UT WOS:000384882900013
PM 27128290
ER

PT J
AU Reid, Sandra D.
   Downes, Erica
   Khenti, Akwatu
TI Participants' perception of a unique community of practice for substance
   abuse education in the Caribbean
SO SUBSTANCE ABUSE
VL 37
IS 3
BP 427
EP 434
DI 10.1080/08897077.2015.1134753
PD 2016
PY 2016
AB Background: Substance abuse is a significant public health challenge in
   the Caribbean. It is important that health and allied professionals be
   adequately trained in this field. The Caribbean Institute on Alcoholism
   and other Drug Problems (CARIAD) was established to provide new
   knowledge and share successful best practices in substance abuse in the
   Caribbean. CARIAD brings together diverse participants from throughout
   the region in a structured community of practice and emphasizes local
   knowledge formation. This paper evaluates the acceptability and
   perceived impact of CARIAD to/on participants. Methods: The authors
   analyzed anonymous written evaluations of 458 CARIAD participants
   completed immediately after the program in 2003-2012. Questionnaires
   collected quantitative data on the acceptability of the program in
   meeting the learning needs of participants. Perception of program
   acceptability and impact on the participant were also obtained from
   descriptive content analysis of qualitative data obtained through
   open-ended questions. A 2013 online follow-up survey collected data
   about the utilization and dissemination of knowledge acquired at CARIAD
   from 141 graduates of the same period. Data analysis employed basic
   descriptive statistics and qualitative content analysis. Results:
   Participant evaluation immediately following CARIAD showed a high level
   of satisfaction with the organization, structure, content, and
   usefulness of the program. Participants valued the program's cultural
   relevance and the opportunity for networking and collaboration. They
   expressed a collective solidarity, and empowerment to address substance
   abuse problems. Participants reported that CARIAD had impacted
   positively on their professional practice and facilitated knowledge
   transfer to colleagues and communities. Conclusion: CARIAD is perceived
   as an effective community of practice, producing a network of graduates
   who use the acquired knowledge, skills, and motivation to lead in the
   field of substance abuse in the Caribbean. This process of learning can
   be recommended to countries where research is not prioritized and
   evidence-driven interventions are not always available.
TC 0
ZS 0
Z8 0
ZR 0
ZB 0
ZA 0
Z9 0
U1 0
U2 4
SN 0889-7077
EI 1547-0164
UT WOS:000382769800010
PM 26713402
ER

PT C
AU Park, Hyejin
   Park, Hyunmi
BE Sermeus, W
   Procter, PM
   Weber, P
TI eHealth Literacy Skills Among Undergraduate Nursing Students in the US
   and South Korea
SO NURSING INFORMATICS 2016: EHEALTH FOR ALL: EVERY LEVEL COLLABORATION -
   FROM PROJECT TO REALIZATION
SE Studies in Health Technology and Informatics
VL 225
BP 899
EP 900
DI 10.3233/978-1-61499-658-3-899
PD 2016
PY 2016
AB Online health information is a critical resource for health consumers.
   Nursing professionals need to be eHealth literate to support patients
   and their families. The purpose of the study was to explore eHealth
   literacy skills among undergraduate nursing students in the U.S. and
   South Korea. One hundred and sixty-nine undergraduate nursing students
   in two universities, one in the southern area of the U.S. and one in the
   eastern area of South Korea, participated. Participants were asked to
   complete the eHealth Literacy Scale. The majority of participants
   perceived that the Internet is a useful or very useful tool in helping
   them make health-related decisions. The participants either agreed or
   strongly agreed with the 7 items of the eHealth literacy scale except an
   item such as they can call high to low quality of online health
   information. The U.S students have higher mean scores of all eHealth
   literacy items than students of South Korea.
CT 13th International Conference on Nursing Informatics
CY JUN 25-29, 2016
CL Geneva, SWITZERLAND
TC 5
ZA 0
ZR 0
Z8 0
ZS 0
ZB 1
Z9 5
U1 1
U2 7
SN 0926-9630
BN 978-1-61499-658-3; 978-1-61499-657-6
UT WOS:000385238600240
PM 27332399
ER

PT C
AU Kerr, Madeleine J.
   Honey, Michelle L. L.
   Krzyzanowski, Brittany
BE Sermeus, W
   Procter, PM
   Weber, P
TI Geo-Spatial Informatics in International Public Health Nursing Education
SO NURSING INFORMATICS 2016: EHEALTH FOR ALL: EVERY LEVEL COLLABORATION -
   FROM PROJECT TO REALIZATION
SE Studies in Health Technology and Informatics
VL 225
BP 983
EP 984
DI 10.3233/978-1-61499-658-3-983
PD 2016
PY 2016
AB This poster describes results of an undergraduate nursing informatics
   experience. Students applied geo-spatial methods to community
   assessments in two urban regions of New Zealand and the United States.
   Students used the Omaha System standardized language to code their
   observations during a brief community assessment activity and entered
   their data into a mapping program developed in Esri ArcGIS Online, a
   geographic information system. Results will be displayed in tables and
   maps to allow comparison among the communities. The next generation of
   nurses can employ geo-spatial informatics methods to contribute to
   innovative community assessment, planning and policy development.
CT 13th International Conference on Nursing Informatics
CY JUN 25-29, 2016
CL Geneva, SWITZERLAND
RI Krzyzanowski, Brittany/T-3536-2019; Honey, Michelle/ABE-6235-2020; Honey, Michelle/
OI Honey, Michelle/0000-0002-0538-5320
ZR 0
Z8 0
TC 1
ZB 0
ZA 0
ZS 0
Z9 1
U1 0
U2 4
SN 0926-9630
BN 978-1-61499-658-3; 978-1-61499-657-6
UT WOS:000385238600284
PM 27332443
ER

PT C
AU Behrends, Marianne
   Stiller, Gerald
   Dudzinska, Agnieszka
   Schneidewind, Sabine
BE Mantas, J
   Hasman, A
   Gallos, P
   Kolokathi, A
   Househ, MS
TI Various Cinematic Forms of Educational Videos About the Physical
   Examination - Are There Differences in the Evaluation by Medical
   Students?
SO UNIFYING THE APPLICATIONS AND FOUNDATIONS OF BIOMEDICAL AND HEALTH
   INFORMATICS
SE Studies in Health Technology and Informatics
VL 226
BP 97
EP 100
DI 10.3233/978-1-61499-664-4-97
PD 2016
PY 2016
AB To improve medical students' competences in physical examination videos
   clips were created, with and without an explaining commentary. The
   uncommented videos show the communication and interaction between
   physician and patient during a physical examination, the commented
   videos show the single steps of the physical examination supplemented
   with an off-screen commentary emphasizing important facts. To
   investigate whether uncommented and more authentic videos are more
   helpful to practice a physical examination than commented videos we
   interviewed 133 students via online surveys. 72% of the students used
   the uncommented videos for practicing with others, compared to 55% using
   the commented videos. 37% of the students think that practical skills
   can be learned better with the uncommented videos. In general, 97% state
   that the videos helped them to improve their skills. Our findings
   indicate that the cinematic form of an educational video has an effect
   on learning behavior, learning success and didactic quality.
CT 14th Annual International Conference on Informatics, Management, and
   Technology in Healthcare (ICIMTH)
CY JUL 01-03, 2016
CL Athens, GREECE
ZB 0
ZA 0
ZS 0
ZR 0
Z8 0
TC 0
Z9 0
U1 0
U2 3
SN 0926-9630
BN 978-1-61499-664-4; 978-1-61499-663-7
UT WOS:000385446600022
PM 27350476
ER

PT C
AU Athanasopoulou, Christina
   Sakellari, Evanthia
BE Mantas, J
   Hasman, A
   Gallos, P
   Kolokathi, A
   Househ, MS
TI 'Schizophrenia' on Twitter: Content Analysis of Greek Language Tweets
SO UNIFYING THE APPLICATIONS AND FOUNDATIONS OF BIOMEDICAL AND HEALTH
   INFORMATICS
SE Studies in Health Technology and Informatics
VL 226
BP 271
EP 274
DI 10.3233/978-1-61499-664-4-271
PD 2016
PY 2016
AB Twitter is an online space whose users can create and share ideas and
   information instantly. The term schizophrenia is frequently used in a
   stigmatizing way in Greek language. In Greece, Twitter is the tenth most
   popular website. Tweets related to schizophrenia in Greek language, have
   not been investigated. We aimed to examine schizophrenia Tweets in
   comparison with other illness (diabetes). Deductive content analysis was
   applied. Schizophrenia Tweets (n=239), tended to be more negative,
   medically inappropriate, sarcastic, and used non-medically than diabetes
   Tweets (n=205). Our findings confirm the frequent, non-medical misuse of
   the term 'schizophrenia' in online sources written in Greek language.
   These results show that mental health education interventions are needed
   to raise awareness among the general population, in order to eliminate
   stigmatizing behaviors. Future anti-stigma actions, could also raise
   awareness among Internet users about the importance of, avoiding using
   medical terms in negative or sarcastic ways, and eliminate any potential
   stigmatizing content.
CT 14th Annual International Conference on Informatics, Management, and
   Technology in Healthcare (ICIMTH)
CY JUL 01-03, 2016
CL Athens, GREECE
ZB 0
ZS 0
ZR 0
Z8 0
ZA 0
TC 3
Z9 3
U1 1
U2 6
SN 0926-9630
EI 1879-8365
BN 978-1-61499-664-4; 978-1-61499-663-7
UT WOS:000385446600064
PM 27350523
ER

PT J
AU Wilbur, Kerry
TI Evaluating the online platform of a blended-learning pharmacist
   continuing education degree program
SO MEDICAL EDUCATION ONLINE
VL 21
AR 31832
DI 10.3402/meo.v21.31832
PD 2016
PY 2016
AB Background: Distance-based continuing education opportunities are
   increasingly embraced by health professionals worldwide.
   Methods: To evaluate the online component of a blended-learning degree
   program for pharmacists, we conducted a structured self-assessment and
   peer review using an instrument systematically devised according to
   Moore's principles of transactional distance. The web-based platform for
   14 courses was reviewed by both local and external faculty, followed by
   shared reflection of individual and aggregate results.
   Results: Findings indicated a number of course elements for modification
   to enhance the structure, dialog, and autonomy of the student learning
   experience.
   Conclusion: Our process was an important exercise in quality assurance
   and is worthwhile for other health disciplines developing and delivering
   distance-based content to pursue.
OI Wilbur, Kerry/0000-0002-5936-4429
ZS 0
ZR 0
ZB 1
ZA 0
Z8 0
TC 17
Z9 17
U1 1
U2 18
SN 1087-2981
UT WOS:000381052400001
ER

PT J
AU Hearne, Evelyn
   Van Hout, Marie Claire
TI "Trip-Sitting" in the Black Hole: A Netnographic Study of Dissociation
   and Indigenous Harm Reduction
SO JOURNAL OF PSYCHOACTIVE DRUGS
VL 48
IS 4
BP 233
EP 242
DI 10.1080/02791072.2016.1207827
PD 2016
PY 2016
AB An array of dissociative novel psychoactive substances, including
   "methoxetamine," "3-MeO-PCP," and "methoxphenidine," have emerged as
   substitutes for the illicit substance "ketamine." A netographic research
   methodology aimed to describe online, dissociative novel psychoactive
   substance users' perceptions of risk, informed knowledge around use, and
   indigenous harm-reduction practices as advocated within online drug
   fora, so as to provide credible information which can be used to inform
   public online health education and drug prevention. Systematic Internet
   searches were performed using the terms "synthetic dissociative,"
   "methoxetamine," "methoxphenidine," "diphenidine," "3-MeO-PCP,"
   "4-MeO-PCP," "2-MDP," and "dissociative research chemical" in
   combination with "forum." Following screening of 3,476 forum threads
   with removal of duplicates and exclusion criteria, 90 user trip reports
   and 115 fora threads from seven drug fora websites were analyzed by
   conducting content analysis. Five themes emerged with 43 categories. The
   findings illustrated how forum activity within the cyber drug user
   community disseminated and exchanged "communal folk pharmacology"
   relating to the use of dissociative novel psychoactive substances.
   Further research and consistent monitoring of Internet drug fora are
   advised to explore variations in harm-reduction tactics throughout
   dissociative NPS populations, and to consider how existing
   harm-reduction initiatives are influencing these hard-to-reach groups.
RI Van Hout, Marie Claire/O-1058-2017; Hearne, Evelyn/
OI Van Hout, Marie Claire/0000-0002-0018-4060; Hearne,
   Evelyn/0000-0002-5308-5736
ZR 0
ZB 3
TC 9
ZA 0
Z8 0
ZS 0
Z9 9
U1 0
U2 14
SN 0279-1072
EI 2159-9777
UT WOS:000383044800001
PM 27430659
ER

PT J
AU Jones, Tiffany
TI The needs of students with intersex variations
SO SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING
VL 16
IS 6
BP 602
EP 618
DI 10.1080/14681811.2016.1149808
PD 2016
PY 2016
AB To date, people with intersex variations have been mainly studied via
   small-scale clinical research, with only a small amount of reflective
   commentary contributed by sociocultural scholars. This paper reports on
   findings from a 2015 online Australian survey of 272 people with
   intersex variations, which aimed to redress the gap in research on this
   groups' experiences and perspectives concerning education. Participants
   ranged in age from 16 to 87 years, and represented all Australian states
   and territories. Most had experienced two medical treatment
   interventions related to their intersex variation: commonly reported
   interventions included hormonal treatment and genital surgery delivered
   to participants when they were aged under 18 years of age. Participants
   reported various physical and psychological impacts from these
   treatments. Well-being risks were high; most of the group had engaged in
   suicidal ideation, particularly when individuals first found out about
   their variation. This impacted on their schooling-almost one-fifth of
   survey respondents had received no high school certification due to
   their early dropout and the overwhelming majority did not attend schools
   with inclusive puberty/sex education provision or counselling. Most
   survey participants had not disclosed their intersex variation to staff,
   although more than half had done so to their classmates. Many had
   experienced bullying. Only one-quarter of participants rated their
   overall education experiences positively. Participants suggested
   improvements to schools' information provision and support features.
OI Jones, Tiffany/0000-0003-2930-7017
ZS 0
ZR 0
TC 31
Z8 0
ZA 0
ZB 2
Z9 31
U1 1
U2 11
SN 1468-1811
EI 1472-0825
UT WOS:000384594300003
ER

PT J
AU Kimber, S.
   Gardner, D. H.
TI Relationships between workplace well-being, job demands and resources in
   a sample of veterinary nurses in New Zealand
SO NEW ZEALAND VETERINARY JOURNAL
VL 64
IS 4
BP 224
EP 229
DI 10.1080/00480169.2016.1164092
PD 2016
PY 2016
AB AIM: To use a job demands-resources model to examine the associations
   among perceived job demands, job resources, family-to-work enrichment,
   positive team relationships, work engagement, emotional exhaustion,
   cynicism and intention to leave, in a sample of New Zealand veterinary
   nurses.
   METHODS: Data were collected by means of a self-reported online survey,
   with the help of eight New Zealand tertiary education providers and the
   New Zealand Veterinary Nurses' Association. Nine measures or variables
   were assessed using questions or statements with responses categorised
   on a linear scale. Measurement models for each of the variables in the
   study were assessed to establish whether the variables represented the
   respective item-level data. Structural equation modelling was then used
   to test the hypothesised interrelationships among study variables.
   RESULTS: There were 253 respondents; 17.1% of individuals who classified
   themselves as veterinary nurses in the 2013 New Zealand census. In the
   final structural model job demands were associated with emotional
   exhaustion (standardised regression coefficient beta=0.57), which was
   related to cynicism (beta=0.52) and intention to leave (beta=0.56). Job
   resources were negatively related to emotional exhaustion (beta=-0.32).
   Higher work engagement was associated with lower emotional exhaustion
   (beta=-0.29) and lower intention to leave (beta=-0.30). Job resources
   were associated with work-to-family enrichment (beta=0.69), which was
   related to work engagement (beta=0.57); and job resources were
   associated with positive team relationships (beta=0.79).
   CONCLUSION: It is important that job resources are available to help
   deal with demanding work. Without resources, demanding work is
   associated with exhaustion, cynicism and increased intention to leave,
   while positive spill over between work and family life are related to
   higher work engagement.
Z8 0
TC 13
ZR 0
ZS 0
ZA 0
ZB 3
Z9 13
U1 1
U2 31
SN 0048-0169
EI 1176-0710
UT WOS:000382314200005
PM 26961093
ER

PT J
AU Hincapie, Ana L.
   Cutler, Timothy W.
   Fingado, Amanda R.
TI Incorporating Health Information Technology and Pharmacy Informatics in
   a Pharmacy Professional Didactic Curriculum-with a Team-based Learning
   Approach
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 6
AR 107
PD 2016
PY 2016
AB Objective. To incorporate a pharmacy informatics program in the didactic
   curriculum of a team-based learning institution and to assess students'
   knowledge of and confidence with health informatics during the course.
   Design. A previously developed online pharmacy informatics course was
   adapted and implemented into a team-based learning (TBL) 3-credit-hour
   drug information course for doctor of pharmacy (PharmD) students in
   their second didactic year. During a period of five weeks (15 contact
   hours), students used the online pharmacy informatics modules as part of
   their readiness assurance process. Additional material was developed to
   comply with the TBL principles. Online pre/postsurveys were administered
   to evaluate knowledge gained and students' perceptions of the
   informatics program.
   Assessment. Eighty-three second-year students (84% response rate)
   completed the surveys. Participants' knowledge of electronic health
   records, computerized physician order entry, pharmacy information
   systems, and clinical decision support was significantly improved.
   Additionally, their confidence significantly improved in terms of
   describing health informatics terminology, describing the benefits and
   barriers of using health information technology, and understanding
   reasons for systematically processing health information.
   Conclusion. Students responded favorably to the incorporation of
   pharmacy informatics content into a drug information course using a TBL
   approach. Students met the learning objectives of seven thematic areas
   and had positive attitudes toward the course after its completion.
RI Hincapie, Ana/AAY-6350-2020; Malone, Patrick/AAT-7940-2020
ZA 0
Z8 0
TC 9
ZS 1
ZB 2
ZR 0
Z9 10
U1 0
U2 9
SN 0002-9459
EI 1553-6467
UT WOS:000383756500017
PM 27667844
ER

PT J
AU Funger, S M
   Lesevic, H
   Rosner, S
   Ott, I
   Berberat, P
   Nikendei, C
   Sonne, C
TI Improved self- and external assessment of the clinical abilities of
   medical students through structured improvement measures in an internal
   medicine bedside course.
SO GMS journal for medical education
VL 33
IS 4
BP Doc59
EP Doc59
DI 10.3205/zma001058
PD 2016
PY 2016
AB BACKGROUND: Bedside courses are of outstanding importance when training
   medical students. The fact that less and less teaching is taking place
   nowadays at the patient's bedside makes it all the more important that
   the available time be put to effective use. The aim of this study was to
   check whether structured improvement measures in the course (scripts,
   lecturer briefing, e-learning cases) would improve the abilities of the
   students on the basis of a subjective self-assessment as well as an
   external assessment by the lecturers with respect to clinical abilities.
   METHODS: Bedside teaching takes place in the fourth study year in the
   Medical Clinics of the TU Munich. Both students and lecturers had the
   chance to hand in an anonymous, quantitative self- and external
   assessment of the clinical abilities of the students (German grading
   system) after every course date. This assessment took place online in
   the three categories "Medical history & examination", "Diagnosis" and
   "Therapy". An overall period of four semesters, each with 6 course
   dates, was investigated. After two of the total of four semesters in the
   study, the course was changed by introducing scripts, lecturer briefing
   as well as interactive e-learning cases. The self- and external
   assessment was compared both within the semester (date 1-3: A; date 4-6:
   B), during the course as well as before and after introducing the
   improvement measures ("before" (T0): SS 2012, SS 2013, "after" (T1): WS
   2013/2014, SS 2014).
   RESULTS: There was a significant improvement in one's own abilities on
   the basis of the self-assessment within each semester when comparing the
   first (A) and the last (B) course dates. Moreover, there was a
   significant improvement in the performances in all three categories when
   T0 was compared with T1, from both the point of view of the students
   ("Medical history & examination": T0 =2.5±0.9, T1=2.2±0.7, pp<0.001;
   "Diagnosis" T0=3.1±1.0, T1=2.8 ±0.9, pp<0.001; "Therapy": T0=3.8±1.3,
   T1=3.5±1.2, pp<0.018) and in two of the three categories from the point
   of view of the lecturers ("Diagnosis": T0=3.0±1.0, T1=2.7±0.7, p.=0.028;
   "Therapy": T0=3.8±1.1, T1=3.1±1.0, p<0.001).
   SUMMARY: The structured measures to improve the course including the
   interactive e-learning cases could have contributed to improved
   practical abilities with respect to the medical history and examination
   techniques as well as diagnostic and therapeutic thinking. The external
   evaluation by lecturers confirmed the improvement with respect to the
   diagnostic and therapeutic abilities. They only saw no dynamic change in
   the student's taking histories and clinical examinations.
AB Hintergrund: Bedside-Kurse sind in der Ausbildung von
   Medizinstudierenden von herausragender Bedeutung. Die Tatsache, dass
   heutzutage immer weniger Unterricht am Krankenbett stattfindet, lasst es
   umso wichtiger erscheinen, die vorhandene Zeit effektiv zu nutzen. Ziel
   der Studie war es zu uberprufen, ob sich durch strukturierte
   VerbesserungsmaSSnahmen des Kurses (Skripte, Dozentenbriefing,
   E-Learning-Falle) die Fahigkeiten der Studenten auf Basis einer
   subjektiven Selbsteinschatzung sowie einer Fremdbeurteilung durch die
   Dozenten im Hinblick auf klinische Fahigkeiten verbessern. Methoden: Im
   vierten Studienjahr findet in den Medizinischen Kliniken der TU Munchen
   ein Bedside-Teaching statt. Sowohl Studenten als auch Dozenten hatten
   nach jedem Kurstermin die Moglichkeit eine anonyme, quantitative Selbst-
   und Fremdeinschatzung der klinischen Fahigkeiten der Studenten abzugeben
   (deutsches Notensystem). Diese Einschatzung erfolgte online in den drei
   Kategorien Anamnese & Untersuchung, Diagnose und Therapie. Insgesamt
   wurde ein Zeitraum von vier Semestern mit je 6 Kursterminen untersucht.
   Nach zwei der insgesamt vier untersuchten Semester wurde der Kurs durch
   die Einfuhrung von Skripten, einem Dozentenbriefing sowie interaktiven
   E-Learning Fallen verandert. Die Selbst- und Fremdeinschatzung wurde
   sowohl innerhalb der Semester (Termin 1-3: A; Termin 4-6: B), im Laufe
   des Kurses, als auch vor und nach Einfuhrung der VerbesserungsmaSSnahmen
   (vorher (T0): SS 2012, SS 2013, nachher (T1): WS 2013/2014, SS 2014)
   verglichen.Ergebnisse: Innerhalb eines jeden Semesters zeigte sich auf
   Basis der Selbsteinschatzung eine signifikante Verbesserung der eigenen
   Fahigkeiten beim Vergleich der ersten (A) mit den letzten (B)
   Kursterminen. AuSSerdem zeigte sich eine signifikante Verbesserung der
   Leistungen in allen drei Kategorien beim Vergleich von T0 zu T1 sowohl
   aus der Perspektive der Studenten (Anamnese & Untersuchung: T0 =2,5±0,9,
   T1=2,2±0,7, p<0,001; Diagnose: T0=3,1±1,0, T1=2,8 ±0,9, p<0,001;
   Therapie: T0=3,8±1,3, T1=3,5±1,2, p<0,018) sowie bei zwei der drei
   Kategorien aus der Sicht der Dozenten (Diagnose: T0=3,0±1,0, T1=2,7±0,7,
   p=0,028; Therapie: T0=3,8±1,1, T1=3,1±1,0, p<0,001). Zusammenfassung:
   Die strukturierten MaSSnahmen zur Verbesserung des Kurses inklusive der
   interaktiven E-Learning Falle konnten zu verbesserten praktischen
   Fahigkeiten im Hinblick auf Anamnese- und Untersuchungstechniken sowie
   diagnostisches und therapeutisches Denken beigetragen haben. In der
   Fremdevaluation durch Dozenten konnte die Verbesserung im Hinblick auf
   diagnostische und therapeutische Fahigkeiten bestatigt werden. Lediglich
   in der Anamneseerhebung und klinischen Untersuchung der Studenten sahen
   sie keine Dynamik.
Z8 1
ZR 0
ZS 0
ZB 0
ZA 0
TC 5
Z9 6
U1 1
U2 5
EI 2366-5017
UT MEDLINE:27579359
PM 27579359
ER

PT J
AU Karay, Yassin
   Matthes, Jan
TI A study on effects of and stance over tuition fees.
SO GMS journal for medical education
VL 33
IS 1
BP Doc6
EP Doc6
DI 10.3205/zma001005
PD 2016
PY 2016
AB AIM: Regarding tuition fees (that in Germany already have been
   abrogated) putative drawbacks like prolonged study duration have been
   suspected while benefits are not clearly proven. We investigated whether
   tuition fees (500 Euro per semester) affected the course of studies of
   Cologne medical students and asked for students' stance over tuition
   fees.
   METHODS: Of 1,324 students we analyzed the rate of those passing their
   first medical exam ("Physikum") within minimum time and students'
   discontinuation rate, respectively. Regression analysis tested for
   putative influences of tuition fees and demographic factors. In an
   additional online survey 400 students answered questions regarding the
   load by and their stance over tuition fees.
   RESULTS: We find that fees did not affect rate of Cologne students
   passing their first medical exam within minimum time or students'
   discontinuation rate. According to the online survey, at times of
   tuition fees significantly more students did not attend courses as
   scheduled. Time spent on earning money was significantly increased. 51%
   of students who had to pay tuition fees and 71% of those who never had
   to stated tuition fees to be not justified. More than two thirds of
   students did not recognize any lasting benefit from tuition fees.
   CONCLUSION: Tuition fees did not affect discontinuation rate or study
   duration of Cologne medical students. However, they obviously influenced
   the study course due to an increased need to pursue a sideline. Cologne
   medical students rather refused tuition fees and did not recognize their
   advantages in terms of enhanced quality of studies.
AB Zielsetzung: Durch die in Deutschland zurzeit wieder abgeschafften
   Studiengebuhren wurden Nachteile wie z.B. eine verlangerte Studiendauer
   befurchtet, wahrend der Nachweis eines Nutzens bislang aussteht. Wir
   haben den Einfluss von Gebuhren in Hohe von  500 pro Semester auf den
   Studienverlauf Kolner Medizinstudierender sowie deren Einstellung
   gegenuber diesen Abgaben untersucht.Methodik: Fur 1.324 Studierende, die
   im vorklinischen Studienabschnitt durchweg, zeitweise oder nie
   Studiengebuhren zu zahlen hatten, wurde die Einhaltung der
   Mindeststudienzeit und die Studienabbrecherquote bis zum ersten
   Abschnitt der arztlichen Prufung analysiert. Mithilfe einer
   Regressionsanalyse wurden etwaige Effekte durch Studiengebuhren und
   demografische Faktoren untersucht. Zusatzlich beantworteten 400
   Studierende in einer online-Befragung Fragen zu ihrer Belastung durch
   und ihrer Einstellung zu Studiengebuhren.Ergebnisse: Studiengebuhren
   hatten keinen erkennbaren Einfluss auf Studiendauer oder Abbrecherquote.
   Laut Angaben in der online-Befragung wichen zuzeiten der Studiengebuhren
   signifikant mehr Studierende vom vorgeschlagenen Stundenplan ab und sie
   verwendeten signifikant mehr Zeit darauf, nebenher Geld zu verdienen.
   51% der Studierenden, die Gebuhren gezahlt hatten und sogar 71% derer,
   die dies nie mussten, fanden Studiengebuhren nicht oder eher nicht
   gerechtfertigt. Mehr als zwei Drittel der Studierenden konnten keine
   anhaltende Verbesserung durch Studiengebuhren erkennen.Schlussfolgerung:
   Studiengebuhren hatten an der Medizinischen Fakultat zu Koln keinen
   Einfluss auf Abbrecherquote und Studiendauer. Sie veranderten aber
   offenbar das Studierverhalten durch die vermehrte Notwendigkeit, neben
   dem Studium Geld zu verdienen. Die Kolner Medizinstudierenden sahen die
   Studiengebuhren mehrheitlich kritisch und nahmen keinen nachhaltigen
   Nutzen im Sinne einer Verbesserung der Ausbildungsqualitat wahr.
RI Matthes, Jan/AAF-1229-2020
OI Matthes, Jan/0000-0003-2754-1555
TC 3
Z8 0
ZA 0
ZR 0
ZB 0
ZS 0
Z9 3
U1 1
U2 6
EI 2366-5017
UT MEDLINE:26958654
PM 26958654
ER

PT J
AU Tolks, Daniel
   Schafer, Christine
   Raupach, Tobias
   Kruse, Leona
   Sarikas, Antonio
   Gerhardt-Szep, Susanne
   Kllauer, Gertrud
   Lemos, Martin
   Fischer, Martin R
   Eichner, Barbara
   Sostmann, Kai
   Hege, Inga
TI An Introduction to the Inverted/Flipped Classroom Model in Education and
   Advanced Training in Medicine and in the Healthcare Professions.
SO GMS journal for medical education
VL 33
IS 3
BP Doc46
EP Doc46
DI 10.3205/zma001045
PD 2016
PY 2016
AB In describing the inverted classroom model (ICM), the following paper is
   meant to provide an introduction to the subject matter and to serve as a
   practical guide for those wishing to employ its methods in basic and
   advanced medical training and education. The ICM is a blended-learning
   method in which a self-directed learning phase (individual phase)
   precedes the classroom-instruction phase. During the online phase,
   factual knowledge is imparted that serves as a basis for the classroom
   phase. The classroom phase should subsequently be used to assimilate and
   implement the previously gained knowledge. In contrast, traditional
   course concepts impart factual knowledge in lectures, for example, or in
   other face-to-face teaching formats and are followed by the students'
   self-instruction in order to assimilate this knowledge. The goal of the
   ICM is the shift from passive learning to accelerated learning in order
   to foster learning at cognitively demanding levels such as analysis,
   synthesis and evaluation. The concurrent increase in production and use
   of screencasts and educational videos, the Open Educational Resources
   "movement" and the widespread use of Massive Open Online Courses (MOOCS)
   have contributed to the increased dissemination of the
   inverted-classroom method. The intention of the present paper is to
   provide an introduction to the subject matter and simultaneously to
   offer a short overview of important projects and research results in the
   field of medical education and other health professions. Furthermore, an
   outline is given of the advantages and disadvantages of the model as
   well as its potential benefit to the future of medical education and
   training.
AB Dieser Artikel beschreibt die Inverted-Classroom-Methode (ICM) im Sinne
   einer Einfuhrung in die Thematik und soll als Praxisleitleitfaden fur
   diejenigen dienen, die diese Methode in der medizinischen Aus-, Fort-
   und Weiterbildung einsetzen mochten. Es handelt sich bei der ICM um
   einen Blended-Learning-Methode, bei dem eine Selbstlernphase
   (individuelle Phase) vor die Prasenzunterrichtsphase gesetzt wird. In
   der Online-Phase wird Faktenwissen vermittelt, das als Grundlage fur die
   Prasenzphase dient. Die Prasenzphase soll anschlieSSend dafur genutzt
   werden, das erlernte Wissen zu vertiefen und anzuwenden. Dem gegenuber
   stehen die traditionellen Kurskonzepte, in denen das Faktenwissen
   beispielsweise in Vorlesungen oder in anderen Prasenzunterricht-Formaten
   vermittelt wird und die Vertiefung dieses Wissens durch die Studierenden
   im Anschluss daran im Selbststudium stattfinden soll.Das Ziel der ICM
   ist die Verschiebung des passiven Lernens hin zum aktivierenden Lernen,
   um das Lernen auf kognitiv anspruchvollen Ebenen wie Analyse, Synthese
   und Evaluation zu unterstutzen.Dabei haben die gestiegene Produktion und
   Nutzung von Screencasts und Lernvideos, die Bewegung der Open
   Educational Resources und die verbreitete Nutzung von Massive Open
   Online Courses (MOOCs) zu einer gestiegenen Verbreitung der
   Inverted-Classroom-Methode beigetragen. Der Artikel soll als Einfuhrung
   in die Thematik dienen und dabei eine kurze Ubersicht uber wichtige
   Projekte und Forschungsergebnisse in der medizinischen Ausbildung und in
   weiteren Gesundheitsberufen geben. AuSSerdem werden die Vor- und
   Nachteile der Methode und ihr potentieller Nutzen fur die zukunftige
   medizinische Aus- und Weiterbildung dargestellt.
RI Tolks, Daniel/ABA-6183-2021; Hege, Inga/
OI Tolks, Daniel/0000-0001-8597-5189; Hege, Inga/0000-0003-4335-5162
TC 112
Z8 2
ZR 0
ZA 0
ZB 10
ZS 6
Z9 117
U1 0
U2 48
EI 2366-5017
UT MEDLINE:27275511
PM 27275511
ER

PT J
AU Ellman, Matthew S
   Schwartz, Michael L
TI Online Learning Tools as Supplements for Basic and Clinical Science
   Education.
SO Journal of medical education and curricular development
VL 3
DI 10.4137/JMECD.S18933
PD 2016 Jan-Dec
PY 2016
AB Undergraduate medical educators are increasingly incorporating online
   learning tools into basic and clinical science curricula. In this paper,
   we explore the diversity of online learning tools and consider the range
   of applications for these tools in classroom and bedside learning.
   Particular advantages of these tools are highlighted, such as delivering
   foundational knowledge as part of the "flipped classroom" pedagogy and
   for depicting unusual physical examination findings and advanced
   clinical communication skills. With accelerated use of online learning,
   educators and administrators need to consider pedagogic and practical
   challenges posed by integrating online learning into individual learning
   activities, courses, and curricula as a whole. We discuss strategies for
   faculty development and the role of school-wide resources for supporting
   and using online learning. Finally, we consider the role of online
   learning in interprofessional, integrated, and competency-based
   applications among other contemporary trends in medical education are
   considered.
TC 6
Z8 0
ZS 0
ZA 0
ZR 0
ZB 0
Z9 6
U1 0
U2 7
SN 2382-1205
UT MEDLINE:29349323
PM 29349323
ER

PT J
AU Leong, Christine
   Alessi-Severini, Silvia
   Sareen, Jitender
   Enns, Murray W.
   Bolton, James
TI Community Pharmacists' Perspectives on Dispensing Medications With the
   Potential for Misuse, Diversion, and Intentional Overdose: Results of a
   Province-Wide Survey of Community Pharmacists in Canada
SO SUBSTANCE USE & MISUSE
VL 51
IS 13
BP 1724
EP 1730
DI 10.1080/10826084.2016.1197261
PD 2016
PY 2016
AB Background: Community pharmacists frequently encounter patients at risk
   of medication misuse, diversion, and intentional overdose. However, few
   studies have examined the perspective of the pharmacist on the
   identification and management of these patients. Objective: To
   understand the perspective of community pharmacists on the dispensing of
   select medications commonly associated with misuse, diversion, and
   overdose. Methods: An online survey was disseminated by electronic mail
   to community pharmacists listed in the College of Pharmacists of
   Manitoba directory. The survey was open from July to September 2014.
   Descriptive statistics were used to describe demographic information of
   the pharmacist and practice setting, and pharmacists' perceptions on the
   dispensing of select medications. Results: A total of 82 community
   pharmacists completed the survey. Most pharmacists considered a
   one-month supply appropriate for a psychotropic agent; but a 7-10
   day-supply was considered appropriate for an opioid for acute pain.
   Factors that aid pharmacist decisions on providing select medications to
   patients include familiarity with the patient, ease of access to medical
   history information, and ease of access to the prescribing physician.
   Only 10.3%, 16.2%, and 32.4% felt they have received adequate training
   on the management of patients at risk for suicide, drug diversion, and
   medication misuse, respectively. Conclusion: Findings from this study
   demonstrated a need for improved systems for managing patients at risk
   for medication misuse, diversion, and overdose. Strategies that warrant
   further attention for limiting the means of medication misuse include
   increased access to electronic medical records and providing additional
   continuing education support for community pharmacists.
OI Enns, Murray/0000-0002-8375-0151; Sareen, Jitender/0000-0001-8573-6495;
   Alessi-Severini, Silvia/0000-0002-6543-7719; Leong,
   Christine/0000-0003-0033-6877
Z8 0
ZR 0
ZA 0
ZB 1
ZS 0
TC 11
Z9 11
U1 0
U2 6
SN 1082-6084
EI 1532-2491
UT WOS:000383443000005
PM 27487323
ER

PT C
AU Cardoso, A.
   Teixeira, C.
   Henriques, J.
   Dourado, A.
TI Internet-based resources to support teaching of modelling, simulation
   and control of physiological systems in biomedical engineering courses
SO IFAC PAPERSONLINE
VL 49
IS 6
BP 332
EP 337
DI 10.1016/j.ifacol.2016.07.199
PD 2016
PY 2016
AB Engineering courses can benefit of the use of Internet-based resources
   to support teaching and online learning. A remote system can be an
   effective tool to be used in practical classes and to enhance the
   students' experimental skills. Online experimentation represents also a
   very important support in engineering teaching and can be used to
   improve the students learning process, for example in Biomedical
   Engineering courses, on topics such as modelling, simulation and control
   of physiological systems. This paper presents examples of web-based
   resources, including remote lab systems, to modelling, simulate and
   control physiological systems. Experimental setups are used to interact
   with the remote and virtual labs through a Web platform, where students
   can visualize and obtain data in real time from the remote systems. Some
   examples of online quizzes for assessment purposes are also presented.
   CO 2016, IFAC (International Federation of Automatic Control) Hosing by
   Elsevier Ltd. All rights reserved.
CT 11th IFAC Symposium on Advances in Control Education (ACE)
CY JUN 01-03, 2016
CL Bratislava, SLOVAKIA
SP Int Federat Automat Control, Tech Comm 9 4 Control Educ; Int Federat
   Automat Control, Tech Comm 2 1 Control Design; Int Federat Automat
   Control, Tech Comm 2 2 Linear Control Syst; Int Federat Automat Control,
   Tech Comm 4 1 Components & Technologies Control; Int Federat Automat
   Control, Tech Comm 7 1 Automot Control; Int Federat Automat Control,
   Tech Comm 7 5 Intelligent Autonomous Vehicles
RI Cardoso, Alberto/O-2550-2019; Dourado, Antonio/W-4304-2017; Teixeira, César A. D./A-3477-2012; Cardoso, Alberto J L/A-8696-2014; Henriques, Jorge/A-6015-2018
OI Cardoso, Alberto/0000-0003-1824-1075; Dourado,
   Antonio/0000-0002-5445-6893; Teixeira, César A. D./0000-0001-9396-1211;
   Cardoso, Alberto J L/0000-0003-1824-1075; Henriques,
   Jorge/0000-0003-4622-474X
ZS 0
ZA 0
ZR 0
TC 0
ZB 0
Z8 0
Z9 0
U1 0
U2 2
SN 2405-8963
UT WOS:000381504200058
ER

PT J
AU Wang, Fuhmei
TI Continuing Medical Education via Telemedicine and Sustainable
   Improvements to Health.
SO International journal of telemedicine and applications
VL 2016
BP 2424709
EP 2424709
DI 10.1155/2016/2424709
PD 2016
PY 2016
AB Background. This research aims to investigate the quantitative
   relationship between telemedicine and online continuing medical
   education (CME) and to find the optimal CME lectures to be delivered via
   telemedicine to improve the population's health status. Objective. This
   study examines the following: (1) What factors foster learning processes
   in CME via telemedicine? (2) What is the possible role of online CME in
   health improvement? And (3) How optimal learning processes can be
   integrated with various health services? Methods. By applying
   telemedicine experiences in Taiwan over the period 1995-2004, this study
   uses panel data and the method of ordinary least squares to embed an
   adequate set of phenomena affecting the provision of online CME lectures
   versus health status. Results. Analytical results find that a nonlinear
   online CME-health nexus exists. Increases in the provision of online CME
   lectures are associated with health improvements. However, after the
   optimum has been reached, greater provision of online CME lectures may
   be associated with decreasing population health. Conclusion. Health
   attainment could be partially viewed as being determined by the
   achievement of the appropriately providing online CME lectures. This
   study has evaluated the population's health outcomes and responded to
   the currently inadequate provision of online CME lectures via
   telemedicine. 
Z8 0
TC 1
ZA 0
ZR 0
ZS 0
ZB 0
Z9 1
U1 0
U2 5
SN 1687-6415
UT MEDLINE:27660637
PM 27660637
ER

PT J
AU Du Mont, Janice
   Kosa, Daisy
   Macdonald, Sheila
   Elliot, Shannon
   Yaffe, Mark
TI Development of skills-based competencies for forensic nurse examiners
   providing elder abuse care
SO BMJ OPEN
VL 6
IS 2
AR e009690
DI 10.1136/bmjopen-2015-009690
PD 2016
PY 2016
AB Objective: As a critical step in advancing a comprehensive response to
   elder abuse built on existing forensic nursing-led hospital-based
   programmes, we developed a list of skills-based competencies for use in
   an Elder Abuse Nurse Examiner curriculum.
   Participants and setting: Programme leaders of 30 hospital-based
   forensic nursing-led sexual assault and domestic violence treatment
   centres.
   Primary and secondary outcome measures: 149 verbatim recommendations for
   components of an elder abuse response were identified from a systematic
   scoping review. In 2 online Delphi consensus survey rounds, these
   components of care were evaluated by an expert panel for their overall
   importance to the elder abuse intervention under development and for
   their appropriateness to the scope of practice of an elder abuse nurse
   examiner. The components retained after evaluation were translated into
   skills-based competencies using Bloom's Taxonomy of Learning and, using
   the Nominal Group Technique, were subsequently reviewed and revised by a
   subset of members of the expert panel in a consensus meeting.
   Results: Of the 148 recommendations evaluated, 119 were rated as
   important and achieved consensus or high level of agreement. Of these,
   101 were determined to be within the scope of practice of an Elder Abuse
   Nurse Examiner and were translated into skills-based competencies.
   Following review and revision by meeting experts, 47 final competencies
   were organised by content into 5 metacompetencies: documentation, legal
   and legislative issues; interview with older adult, caregiver and other
   relevant contacts; assessment; medical and forensic examination; and
   case summary, discharge plan and follow-up care.
   Conclusions: We determined the skills-based competencies of importance
   to training forensic nurse examiners to respond to elder abuse in the
   context of a hospital-based intervention. These findings may have
   implications for violence and abuse treatment programmes with a forensic
   nursing component that are considering the provision of a dedicated
   response to the abuse of older women and men.
TC 7
ZS 1
ZA 0
ZR 0
ZB 1
Z8 0
Z9 7
U1 1
U2 18
SN 2044-6055
UT WOS:000381514500061
PM 26864579
ER

PT J
AU Maddalena, Victor
TI Leadership training for undergraduate medical students.
SO Leadership in health services (Bradford, England)
VL 29
IS 3
BP 348
EP 51
DI 10.1108/LHS-05-2016-0019
PD 2016-07-04
PY 2016
AB Purpose Physicians play an important leadership role in the management
   and governance of the healthcare system. Yet, many physicians lack
   formal management and leadership training to prepare them for this
   challenging role. This Viewpoint article argues that leadership concepts
   need to be introduced to undergraduate medical students early and
   throughout their medical education. Design/methodology/approach
   Leadership is an integral part of medical practice. The recent inclusion
   of "Leader" competency in the CanMEDS 2015 represents a subtle but
   important shift from the previous "manager" competency. Providing
   medical students with the basics of leadership concepts early in their
   medical education allows them to integrate leadership principles into
   their professional practice. Findings The Faculty of Medicine at the
   Memorial University of Newfoundland (MUN) has developed an eight-module,
   fully online Physician Leadership Certificate for their undergraduate
   medical education program. This program is cited as an example of an
   undergraduate medical curriculum that offers leadership training
   throughout the 4 years of the MD program. Originality/value There are a
   number of continuing professional development opportunities for
   physicians in the area of management and leadership. This Viewpoint
   article challenges undergraduate medical education programs to develop
   and integrate leadership training in their curricula.
ZS 0
ZR 0
ZB 1
TC 11
ZA 0
Z8 0
Z9 11
U1 0
U2 18
EI 1751-1887
UT MEDLINE:27397754
PM 27397754
ER

PT J
AU Goh, Poh Sun
   Sandars, John
TI An innovative approach to digitally flip the classroom by using an
   online "graffiti wall" with a blog
SO MEDICAL TEACHER
VL 38
IS 8
BP 858
EP 858
DI 10.1080/0142159X.2016.1204433
PD 2016
PY 2016
OI Goh, Poh-Sun/0000-0002-1531-2053
TC 1
ZR 0
ZB 0
Z8 0
ZA 0
ZS 0
Z9 1
U1 0
U2 4
SN 0142-159X
EI 1466-187X
UT WOS:000382327200016
PM 27414992
ER

PT J
AU Gera, Tarun
   Shah, Dheeraj
   Garner, Paul
   Richardson, Marty
   Sachdev, Harshpal S.
TI Integrated management of childhood illness (IMCI) strategy for children
   under five
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 6
AR CD010123
DI 10.1002/14651858.CD010123.pub2
PD 2016
PY 2016
AB Background
   More than 7.5 million children younger than age five living in low-and
   middle-income countries die every year. The World Health Organization
   (WHO) developed the integrated management of childhood illness (IMCI)
   strategy to reduce mortality and morbidity and to improve quality of
   care by improving the delivery of a variety of curative and preventive
   medical and behavioral interventions at health facilities, at home, and
   in the community.
   Objectives
   To evaluate the effects of programs that implement the IMCI strategy in
   terms of death, nutritional status, quality of care, coverage with IMCI
   deliverables, and satisfaction of beneficiaries.
   Search methods
   We searched the Cochrane Central Register of Controlled Trials (CENTRAL;
   2015, Issue 3), including the Cochrane Effective Practice and
   Organisation of Care (EPOC) Group Specialised Register; MEDLINE; EMBASE,
   Ovid; the Cumulative Index to Nursing and Allied Health Literature
   (CINAHL), EbscoHost; the Latin American Caribbean Health Sciences
   Literature (LILACS), Virtual Health Library (VHL); the WHO Library &
   Information Networks for Knowledge Database (WHOLIS); the Science
   Citation Index and Social Sciences Citation Index, Institute for
   Scientific Information (ISI) Web of Science; Population Information
   Online (POPLINE); the WHO International Clinical Trials Registry
   Platform (WHO ICTRP); and the Global Health, Ovid and Health Management,
   ProQuest database. We performed searches until 30 June 2015 and
   supplemented these by searching revised bibliographies and by contacting
   experts to identify ongoing and unpublished studies.
   Selection criteria
   We sought to include randomised controlled trials (RCTs) and controlled
   before-after (CBA) studies with at least two intervention and two
   control sites evaluating the generic IMCI strategy or its adaptation in
   children younger than age five, and including at minimum efforts to
   improve health care worker skills for case management. We excluded
   studies in which IMCI was accompanied by other interventions including
   conditional cash transfers, food supplementation, and employment. The
   comparison group received usual health services without provision of
   IMCI.
   Data collection and analysis
   Two review authors independently screened searches, selected trials, and
   extracted, analysed and tabulated data. We used inverse variance for
   cluster trials and an intracluster co-efficient of 0.01 when adjustment
   had not been made in the primary study. We used the GRADE (Grades of
   Recommendation, Assessment, Development and Evaluation Working Group)
   approach to assess the certainty of evidence.
   Main results
   Two cluster-randomised trials (India and Bangladesh) and two controlled
   before-after studies (Tanzania and India) met our inclusion criteria.
   Strategies included training of health care staff, management
   strengthening of health care systems (all four studies), and home
   visiting (two studies). The two studies from India included care
   packages targeting the neonatal period.
   One trial in Bangladesh estimated that child mortality may be 13% lower
   with IMCI, but the confidence interval (CI) included no effect (risk
   ratio (RR) 0.87, 95% CI 0.68 to 1.10; 5090 participants; low-certainty
   evidence). One CBA study in Tanzania gave almost identical estimates (RR
   0.87, 95% CI 0.72 to 1.05; 1932 participants).
   One trial in India examined infant and neonatal mortality by
   implementing the integrated management of neonatal and childhood illness
   (IMNCI) strategy including post-natal home visits. Neonatal and infant
   mortality may be lower in the IMNCI group compared with the control
   group (infant mortality hazard ratio (HR) 0.85, 95% CI 0.77 to 0.94;
   neonatal mortality HR 0.91, 95% CI 0.80 to 1.03; one trial, 60,480
   participants; low-certainty evidence).
   We estimated the effect of IMCI on any mortality measured by combining
   infant and child mortality in the one IMCI and the one IMNCI trial.
   Mortality may be reduced by IMCI (RR 0.85, 95% CI 0.78 to 0.93; two
   trials, 65,570 participants; low-certainty evidence).
   Two trials (India, Bangladesh) evaluated nutritional status and noted
   that there may be little or no effect on stunting (RR 0.94, 95% CI 0.84
   to 1.06; 5242 participants, two trials; low-certainty evidence) and
   there is probably little or no effect on wasting (RR 1.04, 95% CI 0.87
   to 1.25; two trials, 4288 participants; moderate-certainty evidence).
   The Tanzania CBA study showed similar results.
   Investigators measured quality of care by observing prescribing for
   common illnesses at health facilities (727 observations, two studies;
   very low-certainty evidence) and by observing prescribing by lay health
   careworkers (1051 observations, three studies; very low-certainty
   evidence). We could not confirm a consistent effect on prescribing at
   health facilities or by lay health care workers, as certainty of the
   evidence was very low.
   For coverage of IMCI deliverables, we examined vaccine and vitamin A
   coverage, appropriate care seeking, and exclusive breast feeding. Two
   trials (India, Bangladesh) estimated vaccine coverage for measles and
   reported that there is probably little or no effect on measles vaccine
   coverage (RR 0.92, 95% CI 0.80 to 1.05; two trials, 4895 participants;
   moderate-certainty evidence), with similar effects seen in the Tanzania
   CBA study. Two studies measured the third dose of diphtheria, pertussis,
   and tetanus vaccine; and two measured vitamin A coverage, all providing
   little or no evidence of increased coverage with IMCI.
   Four studies (2 from India, and 1 each from Tanzania and Bangladesh)
   reported appropriate care seeking and derived information from careful
   questioning of mothers about recent illness. Some studies on effects of
   IMCI may report better care seeking behavior, but others do not report
   this.
   All four studies recorded maternal responses on exclusive breast
   feeding. They provided mixed results and very low-certainty evidence.
   Therefore, we do not know whether IMCI impacts exclusive breast feeding.
   No studies reported on the satisfaction of mothers and service users.
   Authors' conclusions
   The mix of interventions examined in research studies evaluating the
   IMCI strategy varies, and some studies include specific inputs to
   improve neonatal health. Most studies were conducted in South Asia.
   Implementing the integrated management of childhood illnessstrategy may
   reduce child mortality, and packages that include interventions for the
   neonatal period may reduce infant mortality. IMCI may have little or no
   effect on nutritional status and probably has little or no effect on
   vaccine coverage. Maternal care seeking behavior may be more appropriate
   with IMCI, but study results have been mixed, providing evidence of very
   low certainty about whether IMCI has effects on adherence to exclusive
   breast feeding.
RI Garner, Paul/Y-8385-2019; Richardson, Marty/; Shah, Dheeraj/; Sachdev, Harshpal Singh/
OI Garner, Paul/0000-0002-0607-6941; Richardson, Marty/0000-0002-7097-8704;
   Shah, Dheeraj/0000-0002-8489-4472; Sachdev, Harshpal
   Singh/0000-0002-4956-9391
ZB 14
ZR 0
ZS 1
Z8 1
ZA 0
TC 62
Z9 63
U1 1
U2 18
SN 1469-493X
EI 1361-6137
UT WOS:000381106800030
PM 27378094
ER

PT J
AU Schroter, Sara
   Pakpoor, Julia
   Morris, Julie
   Chew, Mabel
   Godlee, Fiona
TI Effect of different financial competing interest statements on readers'
   perceptions of clinical educational articles: study protocol for a
   randomised controlled trial
SO BMJ OPEN
VL 6
IS 6
AR e012677
DI 10.1136/bmjopen-2016-012677
PD 2016
PY 2016
AB Introduction Financial ties with industry are varied and common among
   academics, doctors and institutions. Clinical educational articles are
   intended to guide patient care and convey authors' own interpretation of
   selected data. Author biases in educational articles tend to be less
   visible to readers compared to those in research papers. Little is known
   about which types of competing interest statements affect readers'
   interpretation of the credibility of these articles. This study aims to
   investigate how different competing interest statements in educational
   articles affect clinical readers' perceptions of the articles.
   Methods and analysis 2040 doctors who are members of the British Medical
   Association (BMA) and receive a copy of the British Medical Journal (The
   BMJ) each week will be randomly selected and invited by an email to
   participate in the study. They will be randomised to receive 1 of 2
   Clinical Reviews, each with 1 of 4 possible competing interest
   statements. Versions of each review will be identical except for
   permutations of the competing interest statement. Study participants
   will be asked to read their article and complete an online
   questionnaire. The questionnaire will ask participants to rate their
   confidence in the conclusions drawn in the article, the importance of
   the article, their level of interest in the article and their likeliness
   to change their practice from the article. Factorial analyses of
   variance and analyses of covariance will be carried out to assess the
   impact of the type of competing interest statement and Clinical Review
   on level of confidence, importance, interest and likeliness to change
   practice.
   Ethics and dissemination The study protocol, questionnaire and letter of
   invitation to participants have been reviewed by members of The BMJ's
   Ethics Committee for ethical concerns. The trial results will be
   disseminated to participants and published in a peer-reviewed journal.
   Trial registration number NCT02548312; Pre-results.
RI Schroter, Sara/G-3427-2012
OI Schroter, Sara/0000-0002-8791-8564
Z8 0
ZA 0
ZS 0
ZR 0
ZB 0
TC 2
Z9 2
U1 0
U2 6
SN 2044-6055
UT WOS:000380237100178
PM 27288389
ER

PT J
AU Fung, Albert
   Kelly, Paul
   Tait, Gordon
   Greig, Paul D
   McGilvray, Ian D
TI Creating an animation-enhanced video library of hepato-pancreato-biliary
   and transplantation surgical procedures.
SO Journal of visual communication in medicine
VL 39
IS 1-2
BP 27
EP 32
DI 10.1080/17453054.2016.1182474
PD 2016 Jan-Jun
PY 2016
AB The potential for integrating real-time surgical video and state-of-the
   art animation techniques has not been widely applied to surgical
   education. This paper describes the use of new technology for creating
   videos of liver, pancreas and transplant surgery, annotating them with
   3D animations, resulting in a freely-accessible online resource: The
   Toronto Video Atlas of Liver, Pancreas and Transplant Surgery (
   http://tvasurg.ca ). The atlas complements the teaching provided to
   trainees in the operating room, and the techniques described in this
   study can be readily adapted by other surgical training programmes. 
OI McGilvray, Ian/0000-0003-4649-546X
ZA 0
Z8 0
ZR 0
ZS 0
ZB 0
TC 5
Z9 5
U1 0
U2 1
EI 1745-3062
UT MEDLINE:27261244
PM 27261244
ER

PT J
AU Cangiarella, Joan
   Gillespie, Colleen
   Shea, Judy A.
   Morrison, Gail
   Abramson, Steven B.
TI Accelerating medical education: a survey of deans and program directors
SO MEDICAL EDUCATION ONLINE
VL 21
AR 31794
DI 10.3402/meo.v21.31794
PD 2016
PY 2016
AB Background: A handful of medical schools in the U.S. are awarding
   medical degrees after three years. While the number of three-year
   pathway programs is slowly increasing there is little data on the
   opinions of medical education leaders on the need for shortening
   training.
   Purpose: To survey deans and program directors (PDs) to understand the
   current status of 3-year medical degree programs and to elicit
   perceptions of the need for shortening medical school and the benefits
   and liabilities of 3-year pathway programs (3YPP).
   Methods: Online surveys were emailed to the academic deans of all U.S.
   medical schools and to a convenience sample of residency and fellowship
   PDs. Frequency distributions are reported for key survey items and
   content analysis was used to describe open-ended responses.
   Results: Of the respondents, 7% have a 3YPP, 4% were developing one, and
   35% were considering development. In 2014, 47% of educational deans and
   32% of PDs agreed that there may be a need to shorten medical school.
   From a list of benefits, both deans and PDs agreed that the greatest
   benefit to a 3YPP was debt reduction (68%). PDs and deans felt reduced
   readiness for independence, reduced exposure to complementary curricula
   regarding safety and quality improvement, premature commitment to a
   specialty, and burnout were all potential liabilities. From a list of
   concerns, PDs were concerned about depth of clinical exposure, direct
   patient care experience, ability to assume increased responsibility,
   level of maturity, and certainty regarding career choice.
   Conclusions: Over one-third of medical schools are considering the
   development of a 3YPP. While there may be benefits for a select group of
   students, concerns regarding maturity, depth of clinical exposure, and
   competency must be addressed for these programs to be well received.
OI Abramson, Steven/0000-0002-0668-6344; Gillespie,
   Colleen/0000-0001-9096-3430; cangiarella, joan/0000-0002-9364-2672
Z8 0
ZR 0
TC 14
ZS 0
ZA 0
ZB 0
Z9 14
U1 0
U2 8
SN 1087-2981
UT WOS:000381052100001
ER

PT J
AU Kassianos, Angelos P
   Raats, Monique M
   Gage, Heather
TI An Exploratory Study on the Information Needs of Prostate Cancer
   Patients and Their Partners.
SO Health psychology research
VL 4
IS 1
BP 4786
EP 4786
DI 10.4081/hpr.2016.4786
PD 2016-Jun-23
PY 2016
AB The aim of this study is to explore the information needs of men with
   prostate cancer and their partners retrospectively at various points in
   the treatment process. An online questionnaire was used to collect
   information from men with prostate cancer and their partners about
   information needs, and when these developed. Readers of a Prostate Care
   Cookbook and members of a Prostate Cancer Charity were invited to
   participate: 73 men with prostate cancer and 25 partners completed the
   questionnaire. Responses showed that participants develop their
   information needs close to diagnosis. Less educated men with prostate
   cancer and partners developed their needs closer to the time after
   diagnosis than those with higher education. Partners develop an interest
   on information related to treatment and interaction earlier than
   patients. Patients prioritised treatment and disease-specific
   information. Patients and partners differ in how their information needs
   develop. Medical information is prioritized by patients as opposed to
   practical information by partners. Health care provision can be tailored
   to meet the different needs of prostate cancer patients and their
   partners at different times in the treatment process. 
RI Raats, Monique/G-5348-2012; Kassianos, Angelos/AAN-5911-2021
OI Raats, Monique/0000-0002-8057-2783; Kassianos,
   Angelos/0000-0001-6428-2623
ZA 0
ZS 0
TC 7
Z8 0
ZB 1
ZR 0
Z9 7
U1 0
U2 6
SN 2420-8124
UT MEDLINE:27403460
PM 27403460
ER

PT J
AU Lo, Patrick
   Cho, Allan
   Leung, Man-hon
   Chiu, Dickson K. W.
   Ko, Eddie H. T.
   Ho, Kevin K. W.
TI Use of smartphones by art and design students for accessing library
   services and learning
SO LIBRARY HI TECH
VL 34
IS 2
BP 224
EP 238
DI 10.1108/LHT-02-2016-0015
PD 2016
PY 2016
AB Purpose - The purpose of this paper is to explore art and design
   students' use of smartphones for accessing library services and learning
   at the Hong Kong Design Institute (HKDI).
   Design/methodology/approach - A questionnaire survey involving 51 HKDI
   students was conducted to examine the students' utilization of apps and
   the internet on mobile devices to find information for the purpose of
   academic learning, social networking, and collaborative learning.
   Findings - Survey results showed that while the HKDI students were all
   smartphone owners and active users of such mobile communication devices,
   only a minority of them "frequently" use these mobile devices for formal
   learning purposes. They demonstrated a keen preference to use search
   engines, social communications, and other diverse use of smartphones.
   Except for research and image/audio-visual needs, the rest of their
   needs and usage behaviour is similar to mainstream university students.
   Practical implications - The results suggest opportunities for the
   libraries to develop services and facilities that could better fulfil
   students' information needs, and to improve the network coverage outside
   the library.
   Originality/value - This is probably the first study of its kind to
   explore art and design students' use of smartphones for learning needs.
   In particular, the recent capability of smartphones and mobile internet
   speed are comparable with desktops, it is vital to re-examine the much
   changed environment and user needs.
RI Ho, Kevin K.W./AAW-5001-2021; Cho, Allan/AAW-8464-2020; Ko, Eddie/P-2613-2015; Ho, Kai Wing Kevin/E-8297-2013; Chiu, Dickson K. W./B-9630-2017
OI Ho, Kevin K.W./0000-0003-1304-0573; Cho, Allan/0000-0001-5686-4930; Ko,
   Eddie/0000-0001-6716-6759; Ho, Kai Wing Kevin/0000-0003-1304-0573; 
Z8 0
ZS 1
ZR 0
ZA 1
TC 21
ZB 0
Z9 22
U1 2
U2 58
SN 0737-8831
UT WOS:000379825100004
ER

PT J
AU Holdsworth, Clare
   Skinner, Elizabeth H.
   Delany, Clare M.
TI Using simulation pedagogy to teach clinical education skills: A
   randomized trial
SO PHYSIOTHERAPY THEORY AND PRACTICE
VL 32
IS 4
BP 284
EP 295
DI 10.3109/09593985.2016.1139645
PD 2016
PY 2016
AB Introduction: Supervision of students is a key role of senior
   physiotherapy clinicians in teaching hospitals. The objective of this
   study was to test the effect of simulated learning environments (SLE) on
   educators' self-efficacy in student supervision skills. Methods: A pilot
   prospective randomized controlled trial with concealed allocation was
   conducted. Clinical educators were randomized to intervention (SLE) or
   control groups. SLE participants completed two 3-hour workshops, which
   included simulated clinical teaching scenarios, and facilitated debrief.
   Standard Education (StEd) participants completed two online learning
   modules. Change in educator clinical supervision self-efficacy (SE) and
   student perceptions of supervisor skill were calculated. Between-group
   comparisons of SE change scores were analyzed with independent t-tests
   to account for potential baseline differences in education experience.
   Results: Eighteen educators (n = 18) were recruited (SLE [n = 10], StEd
   [n = 8]). Significant improvements in SE change scores were seen in SLE
   participants compared to control participants in three domains of
   self-efficacy: (1) talking to students about supervision and learning
   styles (p = 0.01); (2) adapting teaching styles for students' individual
   needs (p = 0.02); and (3) identifying strategies for future practice
   while supervising students (p = 0.02). Conclusions: This is the first
   study investigating SLE for teaching skills of clinical education. SLE
   improved educators' self-efficacy in three domains of clinical
   education. Sample size limited the interpretation of student ratings of
   educator supervision skills. Future studies using SLE would benefit from
   future large multicenter trials evaluating its effect on educators'
   teaching skills, student learning outcomes, and subsequent effects on
   patient care and health outcomes.
TC 5
ZR 0
ZB 1
Z8 0
ZA 0
ZS 0
Z9 5
U1 3
U2 14
SN 0959-3985
EI 1532-5040
UT WOS:000377204000006
PM 27253336
ER

PT J
AU Karsch-Volk, Marlies
   Jakel, Kristina
   Schneider, Antonius
   Rupp, Alica
   Horlein, Elisabeth
   Steinhauser, Jost
TI [Evaluation of GP specialty training in Bavaria - An online survey among
   postgraduate trainees].
FT Einschatzung der Weiterbildung im Fach Allgemeinmedizin in Bayern - eine
   Online-Befragung von Arzten in Weiterbildung.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 113
BP 56
EP 65
DI 10.1016/j.zefq.2016.04.001
PD 2016
PY 2016
AB BACKGROUND: Statistical projections suggest that by 2020 the number of
   general practitioners (GPs) in Germany will have decreased by about 13%,
   which will lead to a risk of medical undersupply, especially in rural
   areas. This study was conducted on behalf of the Bavarian Ministry of
   Environment and Health in order to answer the following questions: How
   satisfied are young Bavarian physicians in GP specialty training with
   their training situation? To what extent are they willing to start a
   private practice, in general and, in particular, in rural areas?
   METHOD: The study's online questionnaire contained items concerning the
   context of GP specialty training and the willingness to set up a private
   practice. In addition, the "Heidelberger Niederlassungsbarometer", a
   structured questionnaire illustrating self-assessment of competencies of
   GPs in training, was included in the survey. We asked GP specialty
   trainees to participate by e-maiI, directly or via their GP trainers.
   RESULTS: In total, 99 questionnaires were returned, whereof 95 fulfilled
   the criteria for analysis. In 76% of the cases participants were female,
   63% working in practice and 37% in a structured training programme. The
   majority of participants (58%) preferred to work in a practice with more
   than one GP, followed by those preferring to work as a salaried GP
   (26%). Their disposition to work in rural areas after having passed
   their specialty certificate examination was high or very high (59%).
   Feedback on a regular basis was given to 29% of the study participants.
   Almost every second participant received a structured initial training
   programme. Most of the participating GP trainees (59%) were satisfied or
   very satisfied with their training.
   CONCLUSION: In general, there is a high level of motivation among study
   participants to become an independent and self-employed GP, also in
   rural areas. Despite the fact that not even every second received
   central training elements like individual feedback and structured
   initial training, the participants were mostly satisfied with their GP
   specialty training.
Z8 0
ZB 0
ZA 0
ZR 0
ZS 0
TC 5
Z9 5
U1 0
U2 2
EI 2212-0289
UT MEDLINE:27480190
PM 27480190
ER

PT J
AU Mattsson, Sofia
   Sjostrom, Hans-Erik
   Englund, Claire
TI Using a Virtual Tablet Machine to Improve Student Understanding of the
   Complex Processes Involved in Tablet Manufacturing
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 5
AR 87
DI 10.5688/ajpe80587
PD 2016
PY 2016
AB Objective. To develop and implement a virtual tablet machine simulation
   to aid distance students' understanding of the processes involved in
   tablet production.
   Design. A tablet simulation was created enabling students to study the
   effects different parameters have on the properties of the tablet. Once
   results were generated, students interpreted and explained them on the
   basis of current theory.
   Assessment. The simulation was evaluated using written questionnaires
   and focus group interviews. Students appreciated the exercise and
   considered it to be motivational. Students commented that they found the
   simulation, together with the online seminar and the writing of the
   report, was beneficial for their learning process.
   Conclusion. According to students' perceptions, the use of the tablet
   simulation contributed to their understanding of the compaction process.
ZS 0
Z8 0
TC 2
ZB 0
ZR 0
ZA 0
Z9 2
U1 0
U2 6
SN 0002-9459
EI 1553-6467
UT WOS:000379511400016
PM 27402990
ER

PT J
AU Clark, Sarah J.
   Cowan, Anne E.
   Filipp, Stephanie L.
   Fisher, Allison M.
   Stokley, Shannon
TI Parent HPV vaccine perspectives and the likelihood of HPV vaccination of
   adolescent males
SO HUMAN VACCINES & IMMUNOTHERAPEUTICS
VL 12
IS 1
BP 47
EP 51
DI 10.1080/21645515.2015.1073426
PD JAN 2016
PY 2016
AB In 2013, approximately one-third of US adolescent males age 13-17 y had
   received >= 1 doses of HPV vaccines and only 14% had received >= 3
   doses. This study used a nationally representative, online survey to
   explore experiences and attitudes related to HPV vaccination among
   parents with adolescent sons. Analyses compared the perspective of
   parents who do not intend to initiate HPV vaccine for >= 1 adolescent
   son to that of parents who are likely to initiate or continue HPV
   vaccination. Of 809 parents of sons age 11-17 years, half were
   classified as Unlikely to Initiate HPV vaccination and 39% as Likely to
   Vaccinate. A higher proportion of the Likely to Vaccinate group felt
   their son's doctor was knowledgeable about HPV vaccine, did a good job
   explaining its purpose, and spent more time discussing HPV vaccine; in
   contrast, over half of the Unlikely to Initiate group had never
   discussed HPV vaccine with their child's doctor. The majority of parents
   in both groups showed favorable attitudes to adolescent vaccination in
   general, with lower levels of support for HPV vaccine-specific
   statements. Physician-parent communication around HPV vaccine for
   adolescent males should build on positive attitude toward vaccines in
   general, while addressing parents' HPV vaccine-specific concerns.
TC 11
ZS 0
ZB 7
Z8 0
ZR 0
ZA 0
Z9 11
U1 0
U2 2
SN 2164-5515
EI 2164-554X
UT WOS:000375931700017
PM 26225463
ER

PT J
AU Palermo, Tonya M.
   Law, Emily F.
   Fales, Jessica
   Bromberg, Maggie H.
   Jessen-Fiddick, Tricia
   Tai, Gabrielle
TI Internet-delivered cognitive-behavioral treatment for adolescents with
   chronic pain and their parents: a randomized controlled multicenter
   trial
SO PAIN
VL 157
IS 1
BP 174
EP 185
DI 10.1097/j.pain.0000000000000348
PD JAN 2016
PY 2016
AB Internet-delivered interventions are emerging as a strategy to address
   barriers to care for individuals with chronic pain. This is the first
   large multicenter randomized controlled trial of Internet-delivered
   cognitive-behavioral therapy (CBT) for pediatric chronic pain.
   Participants included were 273 adolescents (205 females and 68 males),
   aged 11 to 17 years with mixed chronic pain conditions and their
   parents, who were randomly assigned in a parallel-group design to
   Internet-delivered CBT (n = 138) or Internet-delivered Education (n =
   135). Assessments were completed before treatment, immediately after
   treatment, and at 6-month follow-up. All data collection and procedures
   took place online. The primary analysis used linear growth models.
   Results demonstrated significantly greater reduction on the primary
   outcome of activity limitations from baseline to 6-month follow-up for
   Internet CBT compared with Internet education (b = -1.13, P = 0.03). On
   secondary outcomes, significant beneficial effects of Internet CBT were
   found on sleep quality (b = 0.14, P = 0.04), on reducing parent
   miscarried helping (b = -2.66, P = 0.007) and protective behaviors (b =
   -0.19, P = 0.001), and on treatment satisfaction (P values < 0.05). On
   exploratory outcomes, benefits of Internet CBT were found for
   parent-perceived impact (ie, reductions in depression, anxiety,
   self-blame about their adolescent's pain, and improvement in parent
   behavioral responses to pain). In conclusion, our Internet-delivered CBT
   intervention produced a number of beneficial effects on adolescent and
   parent outcomes, and could ultimately lead to wide dissemination of
   evidence-based psychological pain treatment for youth and their
   families.
ZS 1
TC 128
Z8 2
ZB 25
ZA 0
ZR 0
Z9 130
U1 3
U2 42
SN 0304-3959
EI 1872-6623
UT WOS:000377104800018
PM 26335910
ER

PT J
AU Lantzy, Tricia
TI Health literacy education: the impact of synchronous instruction
SO REFERENCE SERVICES REVIEW
VL 44
IS 2
BP 100
EP 121
DI 10.1108/RSR-02-2016-0007
PD 2016
PY 2016
AB Purpose - This paper aims to examine the integration of librarian-led
   health literacy instruction into an undergraduate course, focusing
   specifically on how the method of instruction impacts learning outcomes
   and self-reported confidence levels in completing a course assignment.
   Undergraduate students struggle to critically evaluate online health
   information in an increasingly diffuse information landscape. Assessing
   the success of different instructional techniques aimed at building
   these abilities can guide pedagogical choices and provide new
   opportunities to increase health literacy skills in a variety of library
   user populations.
   Design/methodology/approach - A quasi-experimental research design with
   pre- and post-tests and a participant survey was used to compare
   one-shot information literacy instruction techniques in two hybrid
   sections of a kinesiology course. One class received a traditional,
   face-to-face librarian-led session and the other a synchronous online
   instructional session through web conferencing.
   Findings - There were no significant differences in student learning
   between the in-person and online groups. Students in both conditions
   demonstrated an extremely significant increase from pre-test to
   post-test scores, suggesting that librarian-led instruction in either
   format can lead to substantial learning of online health literacy
   skills. Survey results showed no significant differences in confidence
   levels following instruction and suggest that both methods of
   instruction provide a positive learning experience for students.
   Originality/value - This study provides evidence that synchronous online
   instruction can be as effective as face-to-face instruction in teaching
   students to evaluate health-related information resources. These
   findings are valuable for librarians in a variety of settings who are
   considering providing health literacy education in an online
   environment.
ZS 1
Z8 0
TC 4
ZR 0
ZA 0
ZB 0
Z9 5
U1 1
U2 29
SN 0090-7324
EI 2054-1716
UT WOS:000386510200004
ER

PT J
AU Beyer, Charlotte
   Thomson, J. Scott
TI Promoting health literacy within a graduate-level nutrition curriculum
SO REFERENCE SERVICES REVIEW
VL 44
IS 2
BP 122
EP 131
DI 10.1108/RSR-02-2016-0008
PD 2016
PY 2016
AB Purpose - This paper describes how two academic health science
   librarians exposed graduate students to health literacy concepts in a
   graduate-level nutrition course. This paper aims to present an easy
   method for librarians to expose students in the health professions to
   concepts of health literacy.
   Design/methodology/approach - The Information and Health Literacy course
   is an online course co-taught by nutrition faculty and librarians at
   Rosalind Franklin University of Medicine and Science. The librarian-led
   one-week health literacy module begins with readings that define health
   literacy and continues with two online discussion board activities. One
   activity is identifying an example of low health literacy in their
   personal or professional lives, and the other is using criteria from the
   readings in their analysis of a consumer health website.
   Findings - Students often comment that prior to taking this course, they
   had not considered how patients might think about and understand their
   own health care, but they will now take it into account going forward.
   Many students also felt that the assignment made them view Web resources
   for patients differently and with a more critical eye.
   Originality/value - Those in allied health professions like registered
   dietitians often have direct contact with patients and have the ability
   to make a significant impact. If students are exposed to health literacy
   concepts through online activities within the curriculum, they may be
   more aware of this important concept when working with patients in the
   future.
RI Thomson, Scott/C-9144-2016
OI Thomson, Scott/0000-0001-6650-1455
TC 2
ZA 0
Z8 0
ZB 0
ZS 0
ZR 0
Z9 2
U1 1
U2 9
SN 0090-7324
EI 2054-1716
UT WOS:000386510200005
ER

PT J
AU Sandholzer, Maximilian
   Deutsch, Tobias
   Frese, Thomas
   Winter, Alfred
TI Medical students' attitudes and wishes towards extending an educational
   general practice app to be suitable for practice: A cross-sectional
   survey from Leipzig, Germany
SO EUROPEAN JOURNAL OF GENERAL PRACTICE
VL 22
IS 2
BP 141
EP 146
DI 10.3109/13814788.2016.1144746
PD 2016
PY 2016
AB Background: In medical education and practice, smartphone apps are
   increasingly becoming popular. In general practice, apps could play an
   important future role in supporting medical education and practice.
   Objectives: To explore medical students' perceptions regarding the
   potential of a general practice app for training and subsequent work as
   a physician.
   Methods: Cross-sectional survey among Leipzig fourth-year medical
   students who were provided with an app prototype for a mandatory general
   practice course.
   Results: Response rate was 99.3% (n=305/307); 59.0% were female and mean
   age was 24.5 years. Students certified that the app had a higher
   potential than textbooks in both education (57.4% vs. 18.0%) and
   practice (47.1% vs. 22.8%). Students' most desired possible app
   extensions when anticipating its use for subsequent work as a physician
   were looking up information for diagnostics, therapy and prediction
   (85.1%), access to electronic patient files (48.1%), communication and
   networking (44.3%), organization of medical training (42.9%) and online
   monitoring of patients (38.1%). Students experienced with medical
   smartphone apps were more interested in app extensions. Consideration to
   use the app to support the opening of their own practice was
   significantly associated with higher interest in accessing electronic
   patient files, networking with colleagues and telemedicine.
   Conclusion: Fourth year medical students from Leipzig see a high
   potential in smartphone apps for education and practice and are
   interested in further using the technology after undergraduate
   education.
ZA 0
ZB 1
Z8 0
TC 5
ZS 1
ZR 0
Z9 6
U1 0
U2 0
SN 1381-4788
EI 1751-1402
UT WOS:000379260000011
PM 27101949
ER

PT J
AU Orkin, Aaron M.
   Curran, Jeffrey D.
   Fortune, Melanie K.
   McArthur, Allison
   Mew, Emma J.
   Ritchie, Stephen D.
   Van de Velde, Stijn
   VanderBurgh, David
TI Health effects of training laypeople to deliver emergency care in
   underserviced populations: a systematic review protocol
SO BMJ OPEN
VL 6
IS 5
AR e010609
DI 10.1136/bmjopen-2015-010609
PD 2016
PY 2016
AB Introduction The Disease Control Priorities Project recommends emergency
   care training for laypersons in low-resource settings, but evidence for
   these interventions has not yet been systematically reviewed. This
   review will identify the individual and community health effects of
   educating laypeople to deliver prehospital emergency care interventions
   in low-resource settings.
   Methods and analysis This systematic review addresses the following
   question: in underserviced populations and low-resource settings (P),
   does first aid or emergency care training or education for laypeople (I)
   confer any individual or community health benefit for emergency health
   conditions (O), in comparison with no training or other forms of
   education (C)? We restrict this review to studies reporting
   quantitatively measurable outcomes, and search 12 electronic
   bibliographic databases and grey literature sources. A team of expert
   content and methodology reviewers will conduct title and abstract
   screening and full-text review, using a custom-built online platform.
   Two investigators will independently extract methodological variables
   and outcomes related to patient-level morbidity and mortality and
   community-level effects on resilience or emergency care capacity. Two
   investigators will independently assess external validity, selection
   bias, performance bias, measurement bias, attrition bias and
   confounding. We will summarise the findings using a narrative approach
   to highlight similarities and differences between the gathered studies.
   Ethics and dissemination Formal ethical approval is not required.
   Results The results will be disseminated through a peer-reviewed
   publication and knowledge translation strategy.
   Review registration number CRD42014009685.
RI Orkin, Aaron/K-2500-2014; Van de Velde, Stijn/F-6449-2013
OI Orkin, Aaron/0000-0002-1111-8720; Van de Velde,
   Stijn/0000-0001-8908-3823
TC 5
ZA 0
Z8 0
ZB 0
ZR 0
ZS 0
Z9 5
U1 0
U2 6
SN 2044-6055
UT WOS:000378414700057
PM 27194315
ER

PT J
AU Dandekar, M.
   Trivedi, R.
   Irawati, N.
   Prabhash, K.
   Gupta, S.
   Agarwal, J. P.
   D'Cruz, A. K.
TI Barriers in conducting clinical trials in oncology in the developing
   world: A cross-sectional survey of oncologists
SO INDIAN JOURNAL OF CANCER
VL 53
IS 1
BP 174
EP 177
DI 10.4103/0019-509X.180865
PD JAN-MAR 2016
PY 2016
AB BACKGROUND: Several obstacles impede oncologists from performing
   clinical trials in the developing world. This study aimed to identify
   these barriers in order of importance and suggest possible remedial
   measures. MATERIALS AND METHODS: Design - cross-sectional survey. Two
   part questionnaire capturing experience of oncologists in practice and
   conducting trials (Part 1) and perceived barriers pertaining to
   investigator (training, time), patient (strict follow-up protocol),
   infrastructure (funds) and professional environment (encouragement from
   seniors) (Part 2) were administered to oncologists in two different
   settings: (1) Online portal (Survey Monkey) (2) In person during a
   national conference (Best of American Society of Clinical Oncology).
   Responses were captured on a Likert scale (1-5). RESULTS: (436/3021)
   14.04% responded. A total of 313 (71.8%) had experience in conducting
   trials, but these were mainly industry-sponsored or small nonpractice
   changing studies. Lack of patient follow-up was the most significant
   barrier (inter quartile range [IQR] 4-5) followed by inadequate
   training, time and funds (IQR 2-5) and lack of encouragement (IQR 2-4)
   in decreasing order of frequency. Lack of adequate training was a
   barrier across all specialties (113 [71.97%] radiation oncologists, 71
   [60.68%] medical oncologists and 73 [71.56%] surgical oncologists). More
   than half of the respondents without experience in clinical trials
   worked in academic institutions (50.48%). They perceived time constraint
   as a barrier more than their counterparts into private practice (175/242
   [72.31%] vs. 119/177 [66.47%] respectively). CONCLUSION: Inability to
   maintain patient follow-up, lack of protected time and funds, inadequate
   training were the most significant barriers. Most of these can be
   addressed.
ZA 0
Z8 0
ZB 0
TC 6
ZS 0
ZR 0
Z9 6
U1 0
U2 4
SN 0019-509X
EI 1998-4774
UT WOS:000375843500046
PM 27146772
ER

PT J
AU Wendling, Andrea L.
   Wudyka, Andrea E.
   Phillips, Julie P.
   Levine, Diane L.
   Mulhem, Elie
   Neale, Anne Victoria
   Morley, Christopher P.
TI RU4PC? Texting to Quantify Feedback About Primary Care and Its
   Relationship With Student Career Interest
SO FAMILY MEDICINE
VL 48
IS 1
BP 21
EP 29
PD JAN 2016
PY 2016
AB BACKGROUND: Faculty and residents routinely offer feedback about medical
   students' specialty career preferences, yet influence of feedback has
   not been quantitatively evaluated. This study aims to report incidence
   and balance of primary care comments heard by medical students and
   determine the effect of comments on career interest.
   METHODS: This multicenter observational cohort study used text messaging
   and online surveys to examine positive and negative feedback about
   primary care, as reported by medical students in real time between
   September 2012 and April 2013. Participants from three universities sent
   short text messages when primary care comments were heard during two
   30-day periods; each period was preceded and followed by surveys
   assessing career interest.
   RESULTS: A total of 120 students (86.3% of recruits) participated in at
   least one texting period; 87 (62.6%) participated in all aspects of
   study. Overall, positive comments (851) outnumbered negative (616).
   Total number of negative comments reported per student was associated
   with a significantly lower interest in primary care career (5.04). There
   was an association between students' negative-to-positive comment ratios
   and lower interest in primary care that approached significance
   (beta=-.145) but only became significant (beta=-.191) when variables
   including institution were added to a linear regression model,
   supporting the hypothesis that culture toward primary care within an
   institution can influence graduates' primary care interest.
   CONCLUSIONS: Negatively perceived primary care comments were associated
   with lower interest in primary care careers by medical students. The
   study provides real-time quantitative data supporting the association
   between feedback received about primary care and students' career
   choices.
RI Morley, Christopher P./W-5037-2019; Morley, Christopher P./K-1907-2014; Phillips, Julie/
OI Morley, Christopher P./0000-0003-0185-7148; Morley, Christopher
   P./0000-0003-0185-7148; Phillips, Julie/0000-0001-5566-2384
ZS 0
ZB 0
ZA 0
ZR 0
Z8 0
TC 6
Z9 6
U1 0
U2 4
SN 0742-3225
EI 1938-3800
UT WOS:000368218400005
PM 26950662
ER

PT C
AU Feng, Steve
   Woo, Min-jae
   Kim, Hannah
   Kim, Eunso
   Ki, Sojung
   Shao, Lei
   Ozcan, Aydogan
BE Levitz, D
   Ozcan, A
   Erickson, D
TI A game-based crowdsourcing platform for rapidly training middle and high
   school students to perform biomedical image analysis
SO OPTICS AND BIOPHOTONICS IN LOW-RESOURCE SETTINGS II
SE Proceedings of SPIE
VL 9699
AR 96990T
DI 10.1117/12.2212310
PD 2016
PY 2016
AB We developed an easy-to-use and widely accessible crowd-sourcing tool
   for rapidly training humans to perform biomedical image diagnostic tasks
   and demonstrated this platform's ability on middle and high school
   students in South Korea to diagnose malaria infected red-blood-cells
   (RBCs) using Giemsa-stained thin blood smears imaged under light
   microscopes. We previously used the same platform (i.e., BioGames) to
   crowd-source diagnostics of individual RBC images, marking them as
   malaria positive (infected), negative (uninfected), or questionable
   (insufficient information for a reliable diagnosis). Using a
   custom-developed statistical framework, we combined the diagnoses from
   both expert diagnosticians and the minimally trained human crowd to
   generate a gold standard library of malaria-infection labels for RBCs.
   Using this library of labels, we developed a web-based training and
   educational toolset that provides a quantified score for
   diagnosticians/users to compare their performance against their peers
   and view misdiagnosed cells. We have since demonstrated the ability of
   this platform to quickly train humans without prior training to reach
   high diagnostic accuracy as compared to expert diagnosticians. Our
   initial trial group of 55 middle and high school students has
   collectively played more than 170 hours, each demonstrating significant
   improvements after only 3 hours of training games, with diagnostic
   scores that match expert diagnosticians'. Next, through a national-scale
   educational outreach program in South Korea we recruited > 1660 students
   who demonstrated a similar performance level after 5 hours of training.
   We plan to further demonstrate this tool's effectiveness for other
   diagnostic tasks involving image labeling and aim to provide an
   easily-accessible and quickly adaptable framework for online training of
   new diagnosticians.
CT Conference on Optics and Biophotonics in Low-Resource Settings II
CY FEB 13-14, 2016
CL San Francisco, CA
SP SPIE
RI Ozcan, Aydogan/I-2608-2013
OI Ozcan, Aydogan/0000-0002-0717-683X
ZS 0
TC 5
Z8 0
ZA 0
ZR 0
ZB 0
Z9 5
U1 0
U2 2
SN 0277-786X
EI 1996-756X
BN 978-1-62841-933-7
UT WOS:000378119600023
ER

PT J
AU Ciftci, Bestami
   Uzel, Nesibe
   Ozel, M Onur
   Zergeroglu, Sema
   Deger, Cetin
   Turasan, S Sare
   Karakoc, Ayse Gul
   Ozbalci, Semra
TI "Maternal Health and Family Planning Distance Education" experience
   among physicians: a three-phase study to determine the educational
   needs, develop education program, and evaluate efficacy of the education
   administered.
SO Advances in medical education and practice
VL 7
BP 347
EP 55
DI 10.2147/AMEP.S88806
PD 2016
PY 2016
AB AIM: This study aims to assess the educational needs of family
   practitioners and evaluate the efficacy of the ongoing "Maternal Health
   and Family Planning Distance Education" program conducted by the General
   Directorate of Health Research (SAGEM) of the Turkish Ministry of
   Health.
   METHODS: This study consisted of three phases. In the first phase, an
   online survey on maternal health and family planning educational needs
   was sent to 20,611 physicians via e-mail. Of the 20,611 physicians,
   4,729 completed the survey. In the second phase, of the 1,061 physicians
   registered to the education program, 632 physicians with active
   participation were included. In the third phase, the preeducation
   expectations of 287 physicians and posteducation satisfaction of 54
   physicians were analyzed with a questionnaire.
   RESULTS: The majority of the physicians were employed in a family health
   center (97.4%) and practicing for 16-20 years (23.2%) without any prior
   in-service training (60.9%). High-to-very high educational need was
   expressed by 56.4% of physicians for pregnancy, delivery, and
   puerperality. Topics that the physicians, including both those with ≥16
   years in practice and without prior in-service training, expressed need
   for more detailed content were pregnancy, delivery, and puerperality
   (37.5%); emergency obstetric approach in the primary care setting
   (33.1%); and gynecological infectious diseases and treatment approach
   (32.4%). Following the education program, the participants' expectations
   were fulfilled in terms of refreshing their knowledge, particularly in
   the field of Maternal Health and Family Planning (87.1% and 75.9%) and
   the percentage of participants who expressed that they had sufficient
   high level knowledge increased from 55% to 68.5%.
   CONCLUSION: The education on Maternal Health and Family Planning
   refreshed the knowledge of participants and highly met the preeducation
   expectations. Determining the educational needs and expectations of the
   target population prior to the education program seems to have an
   important role on determining its overall success.
RI Zergeroglu, Sema/ABI-4890-2020
OI Zergeroglu, Sema/0000-0003-2348-7379
ZA 0
TC 0
ZS 0
Z8 0
ZB 0
ZR 0
Z9 0
U1 0
U2 0
SN 1179-7258
UT MEDLINE:27354837
PM 27354837
ER

PT J
AU Suleiman, Ahna Ballonoff
   Lin, Jessica S.
   Constantine, Norman A.
TI Readability of Educational Materials to Support Parent Sexual
   Communication With Their Children and Adolescents
SO JOURNAL OF HEALTH COMMUNICATION
VL 21
IS 5
BP 534
EP 543
DI 10.1080/10810730.2015.1103334
PD 2016
PY 2016
AB Sexual communication is a principal means of transmitting sexual values,
   expectations, and knowledge from parents to their children and
   adolescents. Many parents seek information and guidance to support
   talking with their children about sex and sexuality. Parent education
   materials can deliver this guidance but must use appropriate readability
   levels to facilitate comprehension and motivation. This study appraised
   the readability of educational materials to support parent sexual
   communication with their children. Fifty brochures, pamphlets, and
   booklets were analyzed using the Flesch-Kincaid, Gunning Fog, and Simple
   Measure of Gobbledygook (SMOG) index methods. Mean readability
   grade-level scores were 8.3 (range = 4.5-12.8), 9.7 (range = 5.5-14.9),
   and 10.1 (range = 6.7-13.9), respectively. Informed by National
   Institutes of Health-recommended 6th to 7th grade levels and American
   Medical Association-recommended 5th to 6th grade levels, percentages
   falling at or below the 7.0 grade level were calculated as 38%, 12%, and
   2% and those falling at or below the 6.0 grade level were calculated as
   12%, 2%, and 0% based on the Flesch-Kincaid, Gunning Fog, and SMOG
   methods, respectively. These analyses indicate that the majority of
   educational materials available online to support parents' communication
   with their children about sex and sexuality do not meet the needs of
   many or most parents. Efforts to improve the accessibility of these
   materials are warranted.
RI Suleiman, Ahna/AAV-2372-2020; Lin, Jessica/
OI Suleiman, Ahna/0000-0002-3636-707X; Lin, Jessica/0000-0002-6533-666X
ZA 0
Z8 0
ZR 0
TC 12
ZB 2
ZS 0
Z9 12
U1 0
U2 9
SN 1081-0730
EI 1087-0415
UT WOS:000377997600007
PM 27116292
ER

PT J
AU Wightman, Rachel Sarah
   Hoffman, Robert S.
   Howland, Mary Ann
   Rice, Brian
   Biary, Rana
   Lugassy, Daniel
TI Not your regular high: cardiac dysrhythmias caused by loperamide
SO CLINICAL TOXICOLOGY
VL 54
IS 5
BP 454
EP 458
DI 10.3109/15563650.2016.1159310
PD 2016
PY 2016
AB Objective: Loperamide, a non-prescription anti-diarrheal agent, is a
   peripheral mu-opioid receptor agonist that is excluded from the
   blood-brain barrier by p-glycoprotein at therapeutic doses. Overdoses of
   loperamide penetrate the central nervous system (CNS), leading to abuse.
   We report cardiac conduction abnormalities and dysrhythmias after
   ingestion of a recreational supra-therapeutic dose of loperamide
   confirmed with an elevated blood loperamide concentration. Case details:
   A 48-year-old woman with a history of alcohol and benzodiazepine abuse
   presented to the emergency department (ED) with somnolence, weakness and
   slurred speech. She was taking 20 to 40 tablets of 2 mg loperamide 1-2
   times/day for weeks along with clonazepam and whiskey. Vital signs were:
   blood pressure (BP), 124/90mmHg; heart rate (HR), 88/min; respiratory
   rate(RR), 20/min; T, 36.9 degrees C; O-2 saturation 100% on room air
   (RA). Glucose was 6.4mmol/L. Electrocardiogram (ECG) had a ventricular
   rate of 58/min, QRS 164 ms, QT 582ms with no discernable p-waves.
   Lactate was 3.5mmol/L and potassium was 6.2 mEq/L. Labs were notable for
   an anion gap of 20 mEq/L, ethanol of 3.9mmol/L, creatinine of 2.3mg/dL
   and loperamide concentration of 210 ng/mL (average therapeutic plasma
   concentration 1.2 ng/mL). She became hypotensive, but responded to
   fluids. Following treatment for hyperkalemia with calcium, insulin,
   dextrose, and hypertonic sodium bicarbonate a repeat ECG had a
   ventricular rate of 66/min, QRS 156ms, and QT 576 ms. Magnesium was
   given and pacer pads were placed. During the infusion of magnesium, her
   BP fell to 92/58mmHg with a HR of 54/min, RR 14/min, O-2 saturation of
   97% on RA so the infusion was stopped. The ECG after the magnesium
   infusion had a ventricular rate of 51/min, QRS of 134ms, and QT 614ms.
   In the ICU she had multiple runs of non-sustained ventricular
   tachycardia that did not require therapy. Over the next 48 h she
   improved and was transferred to a floor bed. On day four of
   hospitalization the patient left against medical advice. At that time,
   her ECG showed sinus tachycardia with a heart rate 114/min, QRS 82 ms,
   QT 334 ms. Discussion: Loperamide produces both QRS and QT prolongation
   at supra-therapeutic dosing. A blood loperamide concentration of 210
   ng/mL is among the highest concentrations reported. Supra-therapeutic
   dosing of loperamide is promoted on multiple drug-use websites and
   online forums as a treatment for opioid withdrawal, as well as for
   euphoric effects. With the current epidemic of prescription opioid
   abuse, toxicity related to loperamide, an opioid agonist that is readily
   available without a prescription is occurring more frequently. It is
   important for clinicians to be aware of the potentially life-threatening
   toxicity related to loperamide abuse in order to provide proper
   diagnosis, management and patient education.
RI Rice, Brian/I-7855-2019; Wightman, Rachel/; Hoffman, Robert/
OI Rice, Brian/0000-0002-9093-1831; Wightman, Rachel/0000-0001-6141-1776;
   Hoffman, Robert/0000-0002-0091-9573
ZA 0
ZS 0
TC 34
Z8 0
ZB 12
ZR 0
Z9 34
U1 0
U2 8
SN 1556-3650
EI 1556-9519
UT WOS:000375617500012
PM 27022002
ER

PT J
AU Hess, Rick
   Hagemeier, Nicholas E.
   Blackwelder, Reid
   Rose, Daniel
   Ansari, Nasar
   Branham, Tandy
TI Teaching Communication Skills to Medical and Pharmacy Students Through a
   Blended Learning Course
SO AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION
VL 80
IS 4
AR 64
PD 2016
PY 2016
AB Objective. To evaluate the impact of an interprofessional blended
   learning course on medical and pharmacy students' patient-centered
   interpersonal communication skills and to compare precourse and
   postcourse communication skills across first-year medical and
   second-year pharmacy student cohorts.
   Methods. Students completed ten 1-hour online modules and participated
   in five 3-hour group sessions over one semester. Objective structured
   clinical examinations (OSCEs) were administered before and after the
   course and were evaluated using the validated Common Ground Instrument.
   Nonparametric statistical tests were used to examine pre/postcourse
   domain scores within and across professions.
   Results. Performance in all communication skill domains increased
   significantly for all students. No additional significant pre/postcourse
   differences were noted across disciplines.
   Conclusion. Students' patient-centered interpersonal communication
   skills improved across multiple domains using a blended learning
   educational platform. Interview abilities were embodied similarly
   between medical and pharmacy students postcourse, suggesting both groups
   respond well to this form of instruction.
ZB 1
ZA 1
TC 34
ZS 1
Z8 0
ZR 0
Z9 36
U1 2
U2 24
SN 0002-9459
EI 1553-6467
UT WOS:000376971200011
PM 27293231
ER

PT J
AU Crivera, Concetta
   Nelson, Winnie W.
   Schein, Jeff R.
   Witt, Edward A.
TI Attitudes toward anticoagulant treatment among nonvalvular atrial
   fibrillation patients at high risk of stroke and low risk of bleed
SO PATIENT PREFERENCE AND ADHERENCE
VL 10
BP 795
EP 805
DI 10.2147/PPA.S106215
PD 2016
PY 2016
AB Background: Atrial fibrillation (AF) is associated with an increased
   risk of stroke. Anticoagulant (AC) therapies are effective at treating
   AF, but carry with them an increased risk of bleed. Research suggests
   that a large proportion of AF patients who have high risk of stroke and
   low risk of bleeding are not currently receiving AC treatment. The goal
   of this study was to understand the reasons why these patients do not
   engage in this potentially life-saving treatment.
   Method: Through a self-report online survey, using validated
   instruments, 1,184 US adults who self-reported a diagnosis of AF were
   screened for the risk of stroke and bleed. Of these patients, 230
   (19.4%) were at high risk of stroke, low risk of bleed, and not
   currently using an AC treatment, and were asked follow-up questions to
   assess their reasons for nontreatment, attitudes toward treatment, and
   attitudes toward dosing regimens.
   Results: The most common reasons patients stopped AC treatment were
   concerns regarding bleeding (27.8%) and other medical concerns (26.6%),
   whereas the most common reason cited for not being prescribed an AC in
   the first place was the use of antiplatelet therapy as an alternative
   (57.1%). In both cases, potentially erroneous decisions regarding
   perceived stoke and/or bleeding risk were also a factor. Finally, the
   largest factors regarding attitudes toward treatment and dosing regimen
   were instructions from an authority figure (eg, physician, pharmacist)
   and ease of use, respectively.
   Conclusion: Results suggest that many AF patients who are at high risk
   of stroke but at low risk of bleed may not be receiving AC due to
   potentially inaccurate beliefs about risk. This study also found that AF
   patients place trust in physicians above other factors such as cost when
   making treatment decisions. Increased education of patients by
   physicians on the risks and benefits may be a simple strategy to improve
   outcomes.
ZR 0
ZB 2
ZS 0
TC 7
ZA 0
Z8 0
Z9 7
U1 0
U2 3
SN 1177-889X
UT WOS:000376271600001
PM 27274206
ER

PT J
AU Keeley, Kimberly
   Walker, Stacy E.
   Hankemeier, Dorice A.
   Martin, Malissa
   Cappaert, Thomas A.
TI Athletic Trainers' Beliefs About and Implementation of Evidence-Based
   Practice
SO JOURNAL OF ATHLETIC TRAINING
VL 51
IS 1
BP 35
EP 46
DI 10.4085/1062-6050-51.2.11
PD JAN 2016
PY 2016
AB Context: Understanding the beliefs about and use of evidence-based
   practice (EBP) among athletic trainers (ATs) will help to determine
   appropriate strategies to improve implementation.
   Objective: To examine the ATs' beliefs about and use of EBP.
   Design: Cross-sectional study.
   Setting: Online survey instrument.
   Patients or Other Participants: A total of 467 ATs responded to the
   survey request, a response rate of 11.67%. A total of 385 (9.6%)
   completed the EBP Beliefs Scale and 342 (8.5%) completed the EBP
   Implementation Scale.
   Main Outcome Measure(s): The EBP Beliefs Scale and EBP Implementation
   Scale were administered. The surveys collected demographic information
   in addition to information about participants' beliefs regarding EBP and
   implementation of EBP in clinical practice.
   Results: The ATs demonstrated a level of neither agree nor disagree
   (56.00 +/- 7.86) on the EBP Beliefs Scale. Belief scores were higher
   among those ATs required to document for third-party reimbursement (P =
   .001), those with access to current research through professional
   journals other than the Journal of Athletic Training (P = .02), and
   those with a doctoral degree (P = .01). A low level of implementation
   (9.00 +/- 11.38), representing the implementation of EBP approximately 0
   times in the previous 8 weeks, was found on the EBP Implementation
   Scale. Implementation scores were higher among preceptors (P = .01),
   those required to document for third-party reimbursement (P < .001),
   those with access to current research through professional journals (P =
   .002), and those with a doctoral degree (P = .01).
   Conclusions: Participants had a positive attitude toward EBP; however,
   they were not implementing EBP concepts when providing patient care.
   This suggests that additional information and EBP resources are needed
   so ATs can better implement EBP in practice. To provide the best patient
   care and to promote EBP within the profession, clinicians should make
   EBP a priority and advocate for EBP implementation.
RI Walker, Stacy/ABC-3789-2020; Cappaert, Thomas/AAF-9262-2020; Cappaert, Thomas/K-2725-2012
TC 6
ZS 0
ZB 2
ZA 0
ZR 0
Z8 0
Z9 6
U1 0
U2 3
SN 1062-6050
EI 1938-162X
UT WOS:000374755000005
PM 26845629
ER

PT J
AU Karpinski, Christine A.
   Milliner, Kellianne
TI Assessing Intentions to Eat a Healthful Diet Among National Collegiate
   Athletic Association Division II Collegiate Athletes
SO JOURNAL OF ATHLETIC TRAINING
VL 51
IS 1
BP 89
EP 96
DI 10.4085/1062-6050-51.2.06
PD JAN 2016
PY 2016
AB Context: Many athletes fail to obtain the optimal levels of energy and
   nutrients to support health and performance. The constructs underlying
   the Theory of Planned Behavior (TPB) may help identify barriers to
   healthful eating that can be addressed in nutrition-education programs.
   Objective: To use the TPB to examine factors regarding collegiate male
   and female student-athletes' intentions of eating a healthful diet.
   Design: Cross-sectional study.
   Setting: Online survey tool.
   Patients or Other Participants: The survey was taken by 244 male and
   female National Collegiate Athletic Association Division II athletes,
   and data from 201 were analyzed. Mean age of the athletes was 20 +/-
   1.31 years (range, 18-24 years); most were white (86.1%) and female
   (78.6%).
   Main Outcome Measure(s): We assessed predictive strength of attitude,
   subjective norms, and perceived behavioral control on behavioral
   intentions. Regression analysis evaluated how the variables of TPB were
   valued and how they predict behavioral intentions.
   Results: The combination of attitude, subjective norms, and perceived
   behavioral controls accounted for 73.4% (R-2) of the variance in
   behavioral intention (F = 180.82, P < .001). Attitude had the greatest
   influence on behavioral intentions (beta = .534, P < .001).
   Conclusions: Understanding both the intentions of collegiate athletes to
   eat healthfully and how highly they value nutrition is crucial for the
   development of effective nutrition education and counseling programs.
Z8 0
ZA 0
ZB 0
TC 6
ZS 0
ZR 0
Z9 6
U1 1
U2 12
SN 1062-6050
EI 1938-162X
UT WOS:000374755000012
PM 26752168
ER

PT J
AU Willoughby, Karen A
   Rodriguez, Charo
   Boillat, Miriam
   Dove, Marion
   Nugus, Peter
   Steinert, Yvonne
   Lalla, Leonora
TI Assessing students' perceptions of the effects of a new Canadian
   longitudinal pre-clerkship family medicine experience.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 27
IS 3
BP 180
EP 7
DI 10.1080/14739879.2016.1172033
PD 2016-May
PY 2016
AB BACKGROUND: Despite the implementation of longitudinal community-based
   pre-clerkship courses in several Canadian medical schools, there is a
   paucity of data assessing students' views regarding their experiences.
   The present study sought to measure students' perceived effects of the
   new Longitudinal Family Medicine Experience (LFME) course at McGill
   University.
   METHODS: A 34-item questionnaire called the 'LFME Survey (Student
   Version)' was created, and all first-year medical students completed it
   online.
   RESULTS: The participation rate was 64% (N = 120). Eight factors were
   identified in the factor analysis performed: overall satisfaction,
   satisfaction with preceptor, knowledge, affective learning, clinical
   skills, teaching/feedback, professional identity/professionalism and
   attitude toward primary care. Factor composite scores were above
   4.5/7,indicating that students had positive perceptions of the LFME.
   Students felt that the LFME was a valuable educational experience and
   that their preceptors were good role-models. The course improved
   students' confidence, reinforced their commitment to being a physician
   and increased their positive attitude toward primary care.
   INTERPRETATION: Along with similar pre-clerkship courses, the LFME
   provides a valuable context for developing students' clinical skills,
   providing real-world cases, teaching patient-centred care and improving
   attitudes toward primary care. The LFME Survey appears to be a promising
   and innovative tool that deserves further validation.
TC 7
ZR 0
Z8 0
ZA 0
ZB 0
ZS 0
Z9 7
U1 0
U2 3
EI 1475-990X
UT MEDLINE:27121287
PM 27121287
ER

PT J
AU Gharib, Mitra
   Zolfaghari, Mitra
   Mojtahedzadeh, Rita
   Mohammadi, Aeen
   Gharib, Atoosa
TI Promotion of critical thinking in e-learning: a qualitative study on the
   experiences of instructors and students.
SO Advances in medical education and practice
VL 7
BP 271
EP 9
DI 10.2147/AMEP.S105226
PD 2016
PY 2016
AB BACKGROUND: With the increasing popularity of e-learning programs,
   educational stakeholders are attempting to promote critical thinking in
   the virtual education system. This study aimed to explore the
   experiences of both the instructors and the students about critical
   thinking promotion within the virtual education system.
   METHODS: This qualitative study recruited the instructors and students
   from four academic disciplines provided by the Virtual School of Tehran
   University of Medical Sciences (Tehran, Iran). All programs were
   master's degree programs and utilized a blended (combination of
   e-learning and face to face) training. Semistructured interviews with
   the participants were used to collect data.
   RESULTS: The participants had a variety of experiences about how to
   promote critical thinking. These experiences were conceptualized in four
   main themes, namely, instructional design, educational leadership and
   management, local evidence, and belief systems.
   CONCLUSION: The present study clarified the factors affecting critical
   thinking promotion in e-learning. Not only the instructors but also the
   educational designers and leaders can benefit from our findings to
   improve the quality of virtual education programs and promote critical
   thinking.
RI Gharib, Atoosa/AAX-9820-2020; Zolfaghari, Mitra/A-2853-2019; Mojtahedzadeh, Rita/M-6431-2018; Mohammadi, Aeen/A-3654-2019
OI Zolfaghari, Mitra/0000-0003-3374-1115; Mojtahedzadeh,
   Rita/0000-0003-4560-6973; Mohammadi, Aeen/0000-0002-2745-3873
TC 10
ZR 0
ZA 0
Z8 0
ZB 0
ZS 1
Z9 11
U1 0
U2 18
SN 1179-7258
UT MEDLINE:27217807
PM 27217807
ER

PT J
AU Marusic, Ana
   Wager, Elizabeth
   Utrobicic, Ana
   Rothstein, Hannah R.
   Sambunjak, Dario
TI Interventions to prevent misconduct and promote integrity in research
   and publication
SO COCHRANE DATABASE OF SYSTEMATIC REVIEWS
IS 4
AR MR000038
DI 10.1002/14651858.MR000038.pub2
PD 2016
PY 2016
AB Background
   Improper practices and unprofessional conduct in clinical research have
   been shown to waste a significant portion of healthcare funds and harm
   public health.
   Objectives
   Our objective was to evaluate the effectiveness of educational or policy
   interventions in research integrity or responsible conduct of research
   on the behaviour and attitudes of researchers in health and other
   research areas.
   Search methods
   We searched the CENTRAL, MEDLINE, LILACS and CINAHL health research
   bibliographical databases, as well as the Academic Search Complete,
   AGRICOLA, GeoRef, PsycINFO, ERIC, SCOPUS and Web of Science databases.
   We performed the last search on 15 April 2015 and the search was limited
   to articles published between 1990 and 2014, inclusive. We also searched
   conference proceedings and abstracts from research integrity conferences
   and specialized websites. We handsearched 14 journals that regularly
   publish research integrity research.
   Selection criteria
   We included studies that measured the effects of one or more
   interventions, i.e. any direct or indirect procedure that may have an
   impact on research integrity and responsible conduct of research in its
   broadest sense, where participants were any stakeholders in research and
   publication processes, from students to policy makers. We included
   randomized and non-randomized controlled trials, such as controlled
   before-and-after studies, with comparisons of outcomes in the
   intervention versus non-intervention group or before versus after the
   intervention. Studies without a control group were not included in the
   review.
   Data collection and analysis
   We used the standard methodological procedures expected by Cochrane. To
   assess the risk of bias in non-randomized studies, we used a modified
   Cochrane tool, in which we used four out of six original domains
   (blinding, incomplete outcome data, selective outcome reporting, other
   sources of bias) and two additional domains (comparability of groups and
   confounding factors). We categorized our primary outcome into the
   following levels: 1) organizational change attributable to intervention,
   2) behavioural change, 3) acquisition of knowledge/skills and 4)
   modification of attitudes/perceptions. The secondary outcome was
   participants' reaction to the intervention.
   Main results
   Thirty-one studies involving 9571 participants, described in 33
   articles, met the inclusion criteria. All were published in English.
   Fifteen studies were randomized controlled trials, nine were controlled
   before-and-after studies, four were non-equivalent controlled studies
   with a historical control, one was a non-equivalent controlled study
   with a post-test only and two were non-equivalent controlled studies
   with pre-and post-test findings for the intervention group and post-test
   for the control group. Twenty-one studies assessed the effects of
   interventions related to plagiarism and 10 studies assessed
   interventions in research integrity/ethics. Participants included
   undergraduates, postgraduates and academics from a range of research
   disciplines and countries, and the studies assessed different types of
   outcomes.
   We judged most of the included randomized controlled trials to have a
   high risk of bias in at least one of the assessed domains, and in the
   case of non-randomized trials there were no attempts to alleviate the
   potential biases inherent in the non-randomized designs.
   We identified a range of interventions aimed at reducing research
   misconduct. Most interventions involved some kind of training, but
   methods and content varied greatly and included face-to-face and online
   lectures, interactive online modules, discussion groups, homework and
   practical exercises. Most studies did not use standardized or validated
   outcome measures and it was impossible to synthesize findings from
   studies with such diverse interventions, outcomes and participants.
   Overall, there is very low quality evidence that various methods of
   training in research integrity had some effects on participants'
   attitudes to ethical issues but minimal (or short-lived) effects on
   their knowledge. Training about plagiarism and paraphrasing had varying
   effects on participants' attitudes towards plagiarism and their
   confidence in avoiding it, but training that included practical
   exercises appeared to be more effective. Training on plagiarism had
   inconsistent effects on participants' knowledge about and ability to
   recognize plagiarism. Active training, particularly if it involved
   practical exercises or use of text-matching software, generally
   decreased the occurrence of plagiarism although results were not
   consistent. The design of a journal's author contribution form affected
   the truthfulness of information supplied about individuals'
   contributions and the proportion of listed contributors who met
   authorship criteria. We identified no studies testing interventions for
   outcomes at the organizational level. The numbers of events and the
   magnitude of intervention effects were generally small, so the evidence
   is likely to be imprecise. No adverse effects were reported.
   Authors' conclusions
   The evidence base relating to interventions to improve research
   integrity is incomplete and the studies that have been done are
   heterogeneous, inappropriate for meta-analyses and their applicability
   to other settings and population is uncertain. Many studies had a high
   risk of bias because of the choice of study design and interventions
   were often inadequately reported. Even when randomized designs were
   used, findings were difficult to generalize. Due to the very low quality
   of evidence, the effects of training in responsible conduct of research
   on reducing research misconduct are uncertain. Low quality evidence
   indicates that training about plagiarism, especially if it involves
   practical exercises and use of text-matching software, may reduce the
   occurrence of plagiarism.
RI Marusic, Ana/E-7683-2013; Sambunjak, Dario/; Utrobicic, Ana/
OI Marusic, Ana/0000-0001-6272-0917; Sambunjak, Dario/0000-0002-9016-2198;
   Utrobicic, Ana/0000-0001-9015-3593
ZR 0
ZS 1
TC 48
ZA 0
Z8 0
ZB 4
Z9 48
U1 4
U2 81
SN 1469-493X
EI 1361-6137
UT WOS:000375928100031
PM 27040721
ER

PT J
AU Chen, Huei-Yang
   Panegyres, Peter K.
TI The Role of Ethnicity in Alzheimer's Disease: Findings From The C-PATH
   Online Data Repository
SO JOURNAL OF ALZHEIMERS DISEASE
VL 51
IS 2
BP 515
EP 523
DI 10.3233/JAD-151089
PD 2016
PY 2016
AB Background: Ethnic minorities seem to be at an increased risk of
   Alzheimer's disease (AD). However, little is known about ethnic
   differences and the risks of early onset AD (EOAD).
   Objective: Cognitive function changes over time and odds of EOAD by
   ethnicity were analyzed by the mixed model and the logistic regression.
   Methods: Information on demographics, self-reported co-morbidities,
   cognitive functions (MMSE and ADAS-COG), and ApoE genotypes were
   collected for 6,500 subjects with AD obtained from the placebo arm of
   clinical trials; this data was examined by ethnicities: Caucasian,
   Asian, African American, Hispanic, and other minorities-including Native
   Alaskans, Americans, and Hawaiians.
   Results: Of the total subjects, Caucasians accounted for 89.0%, followed
   by 4.7% Asians, 2.7% African Americans, 2.4% Hispanics, and 1.2% Native
   Americans, Alaskans, and Hawaiians. Age, gender, EOAD status,
   co-morbidities, family history of AD, and ApoE genotypes were
   significantly different by ethnicity. ApoE epsilon 2 allele is possibly
   overrepresented in the Native Americans, Africans, Hawaiians, and
   African Americans. A significant interaction with time, ethnicity, and
   cognitive performance was found, indicating more cognitive deterioration
   in other minorities than Caucasians for mini-mental state (p < 0.01).
   After adjusting for co-morbidities and gender, the odds of EOAD among
   African Americans (OR: 1.6, 95% CI: 1.1-2.4) and Native Alaskans,
   Americans, and Hispanics (OR: 2.1, 95% CI: 1.2-3.5) were significantly
   higher, compared with Caucasians.
   Conclusions: Ethnicity may impact AD through age of onset,
   co-morbidities, family history, ApoE gene status, and cognitive change
   over time. The greater odds of EOAD among African Americans, Alaskans,
   and Hawaiians suggest that some ethnicities may be at risk of AD at a
   younger age.
RI Chen, Huei-Yang/AAU-7751-2020
OI Chen, Huei-Yang/0000-0003-1630-4570
TC 25
ZS 0
ZA 0
Z8 0
ZR 0
ZB 10
Z9 25
U1 0
U2 12
SN 1387-2877
EI 1875-8908
UT WOS:000374240000017
PM 26890783
ER

PT J
AU Adilman, Rachel
   Rajmohan, Yanchini
   Brooks, Edward
   Urgoiti, Gloria Roldan
   Chung, Caroline
   Hammad, Nazik
   Trinkaus, Martina
   Naseem, Madiha
   Simmons, Christine
TI Social Media Use Among Physicians and Trainees: Results of a National
   Medical Oncology Physician Survey
SO JOURNAL OF ONCOLOGY PRACTICE
VL 12
IS 1
BP 79
EP +
DI 10.1200/JOP.2015.006429
PD JAN 2016
PY 2016
AB Purpose
   Cancer management requires coordinated care from many health care
   providers, and its complexity requires physicians be up to date on
   current research. Web-based social media support physician collaboration
   and information sharing, but the extent to which physicians use social
   media for these purposes remains unknown. The complex field of oncology
   will benefit from increased use of online social media to enhance
   physician communication, education, and mentorship. To facilitate this,
   patterns of social media use among oncologists must be better
   understood.
   Methods
   A nine-item survey investigating physician social media use, designed
   using online survey software, was distributed via e-mail to 680 oncology
   physicians and physicians in training in Canada. Responses were analyzed
   using descriptive statistics.
   Results
   A total of 207 responses (30%) were received; 72% of respondents
   reported using social media. Social media use was highest, at 93%, in
   respondents age 25 to 34 years and lowest, at 39%, in those age 45 to 54
   years. This demonstrates a significant gap in social media use between
   younger users and mid- to late-career users. The main barrier to use was
   lack of free time.
   Conclusion
   The identified gap in social media use between age cohorts may have
   negative implications for communication in oncology. Despite
   advancements in social media and efforts to integrate social media into
   medical education, most oncologists and trainees use social media
   rarely, which, along with the age-related gap in use, may have
   consequences for collaboration and education in oncology. Investigations
   to further understand barriers to social media use should be undertaken
   to enhance physician collaboration and knowledge sharing through social
   media.
RI Chung, Caroline/AAM-5504-2021; Naseem, Madiha/; Chung, Caroline/
OI Naseem, Madiha/0000-0001-9232-6865; Chung, Caroline/0000-0002-9662-1519
ZS 0
Z8 0
TC 52
ZA 0
ZB 10
ZR 0
Z9 52
U1 0
U2 5
SN 1554-7477
EI 1935-469X
UT WOS:000374325200027
PM 26443837
ER

PT J
AU Smith, Kevin M.
   Geletta, Simon
   Langan, Travis
TI Assessment of a Cultural Competency Program in Podiatric Medical
   Education
SO JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
VL 106
IS 1
BP 68
EP 75
DI 10.7547/14-067
PD JAN-FEB 2016
PY 2016
AB Background: Des Moines University College of Podiatric Medicine and
   Surgery (CPMS) is implementing a cultural competency program for
   third-year podiatric medical students. This study assessed the
   effectiveness of the new educational program on cultural competency at
   CPMS by comparing pretest and posttest scores of students from the CPMS
   graduating classes of 2013 and 2014.
   Methods: Students from the class of 2013 completed a 10-week online
   course on cultural competency, and the class of 2014 students did not. A
   pretest and posttest survey was used to assess cultural competency. The
   questions were categorized to assess either knowledge acquisition or
   attitudinal change. The 2013 students completed the pretest before the
   course and a posttest after completing the course. Without taking the
   course, 2014 students completed the same pretest and posttest separated
   by 10 weeks. A repeated-measures analysis of variance was used to
   compare the knowledge acquisition scores and attitudinal change scores.
   Results: The repeated-measures analysis of variance revealed a
   significant interaction effect of taking the attitudinal change course
   (F(1,77) = 15.2; P < .001). The course did not show a significant
   interaction on knowledge acquisition (F(1,77) = 0.72; P > .05).
   Conclusions: The analysis showed a statistically significant improvement
   in attitudinal change scores. The study suggests that there needs to be
   a greater knowledge acquisition component to the cultural competency
   course at CPMS.
RI Geletta, Simon/X-7851-2019
OI Geletta, Simon/0000-0002-0513-1654
TC 1
ZA 0
ZS 0
Z8 0
ZB 0
ZR 0
Z9 1
U1 0
U2 2
SN 8750-7315
EI 1930-8264
UT WOS:000374839400011
PM 26895364
ER

PT J
AU Myroniuk, L.
   Adamiak, P.
   Bajaj, S.
   Myhre, D. L.
TI Recruitment and retention of physicians in rural Alberta: the spousal
   perspective
SO RURAL AND REMOTE HEALTH
VL 16
IS 1
AR 3620
PD JAN-MAR 2016
PY 2016
AB Introduction: The overall geographic distribution of physicians in
   Canada, including Alberta, is misaligned with the population
   distribution. Some strategies, such as debt repayment, are currently in
   practice to increase recruitment and retention of physicians in rural
   locations. Of the factors influencing choice of practice location,
   'spousal influence' is considered to play a significant role in
   recruitment and retention of physicians in literature. Most studies have
   focused on the physicians' perspective of their spouses' influence on
   staying in a rural location. This study is unique as it approaches rural
   recruitment and retention from the perspective of the physician spouse.
   Methods: The physician population for this study consisted of doctors
   practicing in rural southern Alberta. Participants were recruited via an
   email invitation and were invited to complete an online survey. The
   survey collected information regarding physician demographics and some
   relationship characteristics. The email invitation also contained a link
   to a second survey specific to the physician spouse or partner, asking a
   similar panel of questions. Physicians were asked to request their
   spouse or partner to complete this survey. Semi-structured interviews
   were conducted for those who consented to be contacted for interviews.
   Results: Descriptive statistical analysis of the survey data was carried
   out. Thematic analysis of the qualitative interview data was conducted
   and was organized into three sections. The first and second sections
   present the personal experiences of rural recruitment and rural
   retention. The third section presents recommendations made by physicians
   and spouses to improve these processes. Specific interview quotes led
   the authors to derive themes under each section.
   Conclusions: The results of this study raise the voice and profile of
   the spouse in the process of rural recruitment and retention. In this
   study, the spouses of Canadian medical graduates were a positive
   influence in rural recruitment and retention, while the spouses of
   international medical graduates were generally less supportive of a
   rural lifestyle. Considerations to accommodate the educational,
   professional and cultural needs of the physician spouse must be
   incorporated into policy if large areas of underserved rural communities
   will continue to rely on international recruitment.
ZS 0
ZA 0
ZR 0
ZB 0
Z8 0
TC 9
Z9 9
U1 0
U2 7
SN 1445-6354
UT WOS:000374925500013
PM 26859245
ER

PT J
AU Le, Quang Tuan
   Pedro, Akeem
   Pham, Hai Chien
   Park, Chan Sik
TI A Virtual World Based Construction Defect Game for Interactive and
   Experiential Learning
SO INTERNATIONAL JOURNAL OF ENGINEERING EDUCATION
VL 32
IS 1
SI SI
BP 457
EP 467
PN B
PD 2016
PY 2016
AB In the construction process, defects occur inevitably and repeatedly,
   making significant contributions to cost overruns and time delays. Many
   studies have focused on quality education to reduce the reoccurrence of
   defects. So far, most of them have emphasized the necessity of teaching
   about defects in construction classes without considering how to take
   advantage of new technologies such as virtual worlds in order to improve
   the education process. In recent years, Virtual World (VW) has been
   successfully applied as a pedagogical tool in the medical field, with
   applications in nursing training, healthcare education, and other areas.
   The concept of VW is still new and there are few studies on the topic in
   the construction discipline. With this regard, this study proposes an
   online 3D VW platform, which allows students to participate in
   role-playing, dialogic learning, and social interaction for construction
   defect education. In this approach, a construction defect game-based
   learning system using VW platform is developed. The system comprises of
   the following three modules: (1) A Construction Defect Learning Module
   (CDL) which delivers lecture based quality information within the
   virtual environment to teach students about common defects and their
   prevention methods; (2) A Defect Inspection Game Module (DIG) where
   students identify and correct defects in a virtual construction site;
   (3) A Construction Activity Game Module (CAG) which allows students to
   engage in construction activities within the virtual environment and
   recognize actions which may lead to defects. The game system is tested
   with real scenarios in order to address the system's potentials and
   limitations. The study emphasizes the advantages and benefits of VW that
   can provide students with the real construction defect experience
   through learning by doing. Finally, this paper discusses the
   extensibility of the system to training program for workers in advance
   of working in construction site.
CT 4th International Research Symposium on Problem Based Learning (IRSBL)
CY JUL 02-03, 2013
CL Kuala Lumpur, MALAYSIA
RI Pham, Hai Chien/AAD-1248-2019
OI Pham, Hai Chien/0000-0001-7830-7967
ZA 0
ZB 0
ZR 0
ZS 0
Z8 0
TC 6
Z9 6
U1 0
U2 12
SN 0949-149X
UT WOS:000374234700015
ER

PT J
AU Palomino, Marco
   Taylor, Tim
   Goker, Ayse
   Isaacs, John
   Warber, Sara
TI The Online Dissemination of Nature-Health Concepts: Lessons from
   Sentiment Analysis of Social Media Relating to "Nature-Deficit Disorder"
SO INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
VL 13
IS 1
AR 142
DI 10.3390/ijerph13010142
PD JAN 2016
PY 2016
AB Evidence continues to grow supporting the idea that restorative
   environments, green exercise, and nature-based activities positively
   impact human health. Nature-deficit disorder, a journalistic term
   proposed to describe the ill effects of people's alienation from nature,
   is not yet formally recognized as a medical diagnosis. However, over the
   past decade, the phrase has been enthusiastically taken up by some
   segments of the lay public. Social media, such as Twitter, with its
   opportunities to gather "big data" related to public opinions, offers a
   medium for exploring the discourse and dissemination around
   nature-deficit disorder and other nature-health concepts. In this paper,
   we report our experience of collecting more than 175,000 tweets,
   applying sentiment analysis to measure positive, neutral or negative
   feelings, and preliminarily mapping the impact on dissemination.
   Sentiment analysis is currently used to investigate the repercussions of
   events in social networks, scrutinize opinions about products and
   services, and understand various aspects of the communication in
   Web-based communities. Based on a comparison of nature-deficit-disorder
   "hashtags" and more generic nature hashtags, we make recommendations for
   the better dissemination of public health messages through changes to
   the framing of messages. We show the potential of Twitter to aid in
   better understanding the impact of the natural environment on human
   health and wellbeing.
OI Taylor, Timothy/0000-0002-2625-7408; Isaacs, John/0000-0002-5340-5605;
   Goker, Ayse/0000-0002-4462-5489; Palomino, Marco/0000-0002-1680-4703
ZB 5
ZS 1
Z8 0
ZA 0
ZR 0
TC 29
Z9 31
U1 3
U2 66
EI 1660-4601
UT WOS:000374186100136
PM 26797628
ER

PT J
AU Silva Ferreira, Ana Paula
   Gomes de Souza Pegorare, Ana Beatriz
   Salgado, Pedro Rippel
   Casafus, Filemon Silva
   Christofoletti, Gustavo
TI Impact of a Pelvic Floor Training Program Among Women with Multiple
   Sclerosis A Controlled Clinical Trial
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 95
IS 1
BP 1
EP 8
DI 10.1097/PHM.0000000000000302
PD JAN 2016
PY 2016
AB Objective The objective of this study was to investigate the effects of
   two programs for strengthening the pelvic floor on the urinary
   incontinence of patients with multiple sclerosis (MS).
   Design This is a prospective study of the clinical trial type, monitored
   for 6 mos, in which 24 women in the moderate stage of MS participated in
   a program of exercises for strengthening the pelvic floorassociated
   (experimental group) or not (control group) with electrotherapy. The
   variables analyzed were as follows: quality-of-life, overactivity of the
   bladder, perineal contraction, and level of anxiety and depression. The
   statistical procedures involved multivariate analyses of repeated
   measurements, with a significance of 5%.
   Results Initial homogeneity being observed in the anthropometric and
   clinical variables, both protocols resulted in improvements in
   quality-of-life (P = 0.001), overactive bladder (P = 0.001), perineal
   contraction (P = 0.004), and level of anxiety (P = 0.001) and depression
   (P = 0.001), in relation to the initial comparison. The association of
   electrotherapy with strengthening exercises increased the improvement of
   the patients regarding overactive bladder (P = 0.039) and perineal
   contraction (P = 0.001), in comparison with the control group.
   Conclusions The results reinforce the benefit of exercises for
   strengthening the musculature of the pelvic floor in women with
   overactive bladder in MS and demonstrate a potential of the action when
   associated with electrotherapy.
RI Christofoletti, Gustavo/G-4810-2013
OI Christofoletti, Gustavo/0000-0002-7879-239X
ZA 0
ZB 3
ZR 0
Z8 1
ZS 0
TC 17
Z9 18
U1 0
U2 23
SN 0894-9115
EI 1537-7385
UT WOS:000366818100001
PM 25888662
ER

PT J
AU Heard, Amy M.
   Harris, Jennifer L.
   Liu, Sai
   Schwartz, Marlene B.
   Li, Xun
TI Piloting an online grocery store simulation to assess children's food
   choices
SO APPETITE
VL 96
BP 260
EP 267
DI 10.1016/j.appet.2015.09.020
PD JAN 1 2016
PY 2016
AB Public health interventions must address poor diet among U.S. children,
   but research is needed to better understand factors influencing
   children's food choices. Using an online grocery store simulation, this
   research piloted a novel method to assess children's snack selection in
   a controlled but naturalistic laboratory setting, evaluate predictors of
   choice, and experimentally test whether promotions on food packages
   altered choices. Children (7-12 years, N = 61) were randomly assigned to
   one of three conditions: promotions on healthy products; promotions on
   unhealthy products; and no promotions (control). They selected from a
   variety of healthy and unhealthy foods and beverages and rated all
   products on healthfulness and taste. Promotions on food packaging did
   not affect snack selection in this study, but findings supported our
   other hypothesis that perceived taste would be the strongest predictor
   of food choice. Children accurately rated product healthfulness, but
   these ratings did not predict healthy snack choices or taste ratings
   forhealthy or unhealthy snacks. These results suggest that interventions
   to improve children's food choices should focus on increasing
   availability of healthy options and identifying opportunities to enhance
   children's liking of healthy options. However, nutrition education alone
   is unlikely to improve children's diets. Further testing is required,
   but the simulated online grocery store method shows potential for
   measuring children's food choices. (C) 2015 Elsevier Ltd. All rights
   reserved.
OI Schwartz, Marlene/0000-0002-8939-1954; Egbert, Amy/0000-0001-8499-8610
ZB 5
ZS 0
TC 20
Z8 0
ZR 0
ZA 0
Z9 20
U1 0
U2 31
SN 0195-6663
EI 1095-8304
UT WOS:000367114000034
PM 26409642
ER

PT J
AU Gonzalez-Beiras, Camila
   Marks, Michael
   Chen, Cheng Y.
   Roberts, Sally
   Mitja, Oriol
TI Epidemiology of Haemophilus ducreyi Infections
SO EMERGING INFECTIOUS DISEASES
VL 22
IS 1
BP 1
EP 8
DI 10.3201/eid2201.150425
PD JAN 2016
PY 2016
AB Medscape, LLC is pleased to provide online continuing medical education
   (CME) for this journal article, allowing clinicians the opportunity to
   earn CME credit.
   This activity has been planned and implemented in accordance with the
   Essential Areas and policies of the Accreditation Council for Continuing
   Medical Education through the joint providership of Medscape, LLC and
   Emerging Infectious Diseases. Medscape, LLC is accredited by the ACCME
   to provide continuing medical education for physicians.
   Medscape, LLC designates this Journal-based CME activity for a maximum
   of 1.0 AMA PRA Category 1 Credit(s)(TM). Physicians should claim only
   the credit commensurate with the extent of their participation in the
   activity.
   All other clinicians completing this activity will be issued a
   certificate of participation. To participate in this journal CME
   activity: (1) review the learning objectives and author disclosures; (2)
   study the education content; (3) take the post-test with a 75% minimum
   passing score and complete the evaluation at
   http://www.medscape.org/journal/eid; (4) view/print certificate.
RI chen, chen/GRY-7085-2022; Mitjà, Oriol/W-4181-2018; chen, cheng/AAE-4460-2019; Mitja, Oriol/; Gonzalez-Beiras, Camila/; Marks, Michael/
OI Mitjà, Oriol/0000-0003-3266-8868; Mitja, Oriol/0000-0002-6469-529X;
   Gonzalez-Beiras, Camila/0000-0001-6617-0748; Marks,
   Michael/0000-0002-7585-4743
ZR 0
ZB 25
ZS 3
Z8 0
TC 38
ZA 0
Z9 39
U1 0
U2 6
SN 1080-6040
EI 1080-6059
UT WOS:000367418300001
PM 26694983
ER

PT J
AU Daley, Brian J.
   Cherry-Bukowiec, Jill
   Van Way, Charles W., III
   Collier, Bryan
   Gramlich, Leah
   McMahon, M. Molly
   McClave, Stephen A.
CA ASPEN Task Force Postgrad Med Educ
TI Current Status of Nutrition Training in Graduate Medical Education From
   a Survey of Residency Program Directors: A Formal Nutrition Education
   Course Is Necessary
SO JOURNAL OF PARENTERAL AND ENTERAL NUTRITION
VL 40
IS 1
BP 95
EP 99
DI 10.1177/0148607115571155
PD JAN 2016
PY 2016
AB Introduction: Nutrition leaders surmised graduate medical nutrition
   education was not well addressed because most medical and surgical
   specialties have insufficient resources to teach current nutrition
   practice. A needs assessment survey was constructed to determine
   resources and commitment for nutrition education from U.S. graduate
   medical educators to address this problem. Methods: An online survey of
   36 questions was sent to 495 Accreditation Council for Graduate Medical
   Education (ACGME) Program Directors in anesthesia, family medicine,
   internal medicine, pediatrics, obstetrics/gynecology, and general
   surgery. Demographics, resources, and open-ended questions were
   included. There was a 14% response rate (72 programs), consistent with
   similar studies on the topic. Results: Most (80%) of the program
   directors responding were from primary care programs, the rest surgical
   (17%) or anesthesia (3%). Program directors themselves lacked knowledge
   of nutrition. While some form of nutrition education was provided at 78%
   of programs, only 26% had a formal curriculum and physicians served as
   faculty at only 53%. Sixteen programs had no identifiable expert in
   nutrition and 10 programs stated that no nutrition training was
   provided. Training was variable, ranging from an hour of lecture to a
   month-long rotation. Seventy-seven percent of program directors stated
   that the required educational goals in nutrition were not met. The
   majority felt an advanced course in clinical nutrition should be
   required of residents now or in the future. Conclusions: Nutrition
   education in current graduate medical education is poor. Most programs
   lack the expertise or time commitment to teach a formal course but
   recognize the need to meet educational requirements. A broad-based,
   diverse universal program is needed for training in nutrition during
   residency.
ZS 0
TC 29
ZA 0
ZB 8
ZR 0
Z8 0
Z9 29
U1 0
U2 12
SN 0148-6071
EI 1941-2444
UT WOS:000367253900015
PM 25672985
ER

PT J
AU Magin, Parker J
   Morgan, Simon
   Tapley, Amanda
   Davis, Joshua S
   McArthur, Lawrie
   Henderson, Kim M
   Mulquiney, Katie J
   Dallas, Anthea
   Davey, Andrew R
   Scott, John
   van Driel, Mieke L
TI Reducing general practice trainees' antibiotic prescribing for
   respiratory tract infections: an evaluation of a combined face-to-face
   workshop and online educational intervention.
SO Education for primary care : an official publication of the Association
   of Course Organisers, National Association of GP Tutors, World
   Organisation of Family Doctors
VL 27
IS 2
BP 98
EP 105
DI 10.1080/14739879.2015.1106085
PD 2016-Mar
PY 2016
AB Over-prescription of antibiotics for non-pneumonia respiratory tract
   infections (RTIs) is a major concern in general practice. Australian
   general practice registrars (trainees) have inappropriately high rates
   of prescription of antibiotics for RTIs. The 'apprenticeship'
   educational model and the trainee-trainer relationship are drivers of
   this inappropriate prescribing. We aimed to reduce registrars'
   non-pneumonia RTI antibiotic prescribing via an educational intervention
   (a 90-min face-to-face workshop supported by online modules),
   complemented by delivery of the same intervention, separately, to their
   trainers. We conducted a pre- and post-intervention comparison of the
   registrars' intention to prescribe antibiotics for common RTIs using
   McNemar's test. We similarly tested changes in supervisors' intended
   prescribing. Prescribing intentions were elicited by responses to six
   written clinical vignettes (upper respiratory tract infection, otitis
   media, sore throat and three acute bronchitis vignettes). We found that,
   for registrars, there were statistically significant reductions in
   antibiotic prescribing for the sore throat (24.0% absolute reduction),
   otitis media (17.5% absolute reduction) and two of the three acute
   bronchitis (12.0% and 18.0% absolute reduction) vignettes. There were
   significant reductions in supervisors' antibiotic prescribing intentions
   for the same four vignettes. We conclude that our intervention produced
   a significant change in registrars' intention to prescribe antibiotics
   for non-pneumonia RTIs. 
RI van Driel, Mieke/D-1167-2011; Hai, Lin/B-2138-2010; Davis, Joshua/N-2288-2013
OI van Driel, Mieke/0000-0003-1711-9553; Davis, Joshua/0000-0001-9864-5699
TC 11
ZB 2
ZR 0
Z8 0
ZA 0
ZS 0
Z9 11
U1 0
U2 0
SN 1473-9879
UT MEDLINE:27005837
PM 27005837
ER

PT J
AU Mutluoglu, Mesut
   Metin, Suleyman
   Arziman, Ibrahim
   Uzun, Gunalp
   Yildiz, Senol
TI The use of hyperbaric oxygen therapy for carbon monoxide poisoning in
   Europe
SO UNDERSEA AND HYPERBARIC MEDICINE
VL 43
IS 1
BP 49
EP 56
PD JAN-FEB 2016
PY 2016
AB Background: The aim of this survey was to identify practice differences
   in the treatment of carbon monoxide (CO) poisoning with hyperbaric
   oxygen (HBO2) therapy among centers in Europe.
   Materials and methods: Using a commercial online survey website
   (surveymonkey.com), we created a questionnaire and invited the medical
   directors of hyperbaric centers in Europe by email to complete the
   survey.
   Results: Sixty-eight centers from 23 countries participated in the
   survey. While transient or prolonged unconsciousness was unanimously
   recognized as an indication for HBO2 therapy, positive neurological
   findings, ECG suggesting acute ischemia and pregnancy were considered
   important indications of HBO2 therapy in more than 95% of the centers.
   Twenty-three (44%) centers reported that they used carboxyhemoglobin
   (COHb) levels as a criterion for patient selection. Among responders,
   39% (18/46) reported delivering a single session within the first 24
   hours of CO poisoning, and nine (19%) reported delivering three sessions
   in the first day. The majority of the centers (52%) replied that they
   initially gave a single session per patient, which was repeated if
   symptoms persisted. We identified a total of 21 different HBO2 profiles
   used in European centers.
   Conclusion: Our results showed that the indications of CO poisoning for
   HBO2 therapy are still not universally recognized. Additionally, HBO2
   therapy protocols used at European hyperbaric centers varied
   significantly, suggesting a need for more education regarding the
   published guidelines.
RI Uzun, Gunalp/C-2363-2009; Metin, Suleyman/
OI Uzun, Gunalp/0000-0002-8717-6230; Metin, Suleyman/0000-0002-7952-4944
ZS 0
ZA 0
ZB 7
ZR 0
Z8 1
TC 14
Z9 15
U1 0
U2 4
SN 1066-2936
UT WOS:000369880300006
PM 27000013
ER

PT J
AU Fink, Arlene
   Kwan, Lorna
   Osterweil, Dan
   Van Draanen, Jenna
   Cooke, Alexis
   Beck, John C
TI Assessing the Usability of Web-Based Alcohol Education for Older Adults:
   A Feasibility Study.
SO JMIR research protocols
VL 5
IS 1
BP e11
EP e11
DI 10.2196/resprot.4545
PD 2016 Feb 01
PY 2016
AB BACKGROUND: Older adults can experience unfavorable health effects from
   drinking at relatively low consumption levels because of age-related
   physiological changes and alcohol's potentially adverse interactions
   with declining health, increased medication-use and diminishing
   functional status. At the same time, alcohol use in older adults may be
   protective against heart disease, stroke, and other disorders associated
   with aging. We developed "A Toast to Health in Later Life! Wise Drinking
   as We Age," a web-based educational intervention to teach older adults
   to balance drinking risks and benefits.
   OBJECTIVE: To examine the intervention's feasibility in a sample of
   community-dwelling current drinkers ≥55 years of age and examine its
   effects on their quantity and frequency of alcohol use, adherence to
   standard drinking guidelines, and alcohol-related risks.
   METHODS: Participants were recruited in person, by mail and by telephone
   between September and October 2014 from a community-based social
   services organization serving Los Angeles County. Once enrolled,
   participants were randomly assigned to the intervention or to a control
   group. The conceptual frameworks for the intervention were the Health
   Belief Model, models of adult learning, and the US Department of Health
   and Human Services guidelines for designing easy-to-use websites. The
   intervention's content focuses on the relationship between drinking and
   its effects on older adults' medical conditions, use of medications, and
   ability to perform daily activities. It also addresses quantity and
   frequency of alcohol use, drinking and driving and binge drinking. The
   control group did not receive any special intervention. Data on alcohol
   use and risks for both groups came from the online version of the
   Alcohol-Related Problems Survey and were collected at baseline and four
   weeks later. Data on usability were collected online from the
   intervention group immediately after it completed its review of the
   website.
   RESULTS: The 49 intervention and 47 control participants did not differ
   at baseline in age, ethnicity, medication use, medical conditions, or
   alcohol use and both groups were mostly female, college-educated, and in
   good health. Of the intervention participants, 94% (46/49) had little or
   no difficulty using the website, with 67% (33/49) reporting that they
   will change the way they think about drinking because of their exposure
   to the education. At the 4-week follow-up, the intervention group
   reported drinking less (P=.02). No changes between groups were found in
   quantity and frequency, adherence to recommended guidelines, or risk
   status.
   CONCLUSIONS: Community-dwelling older adults are receptive to online
   alcohol education. To be most effective, the education should be
   included as a component of a larger effort consisting of screening and
   counseling preferably in a health care setting.
OI van Draanen, Jenna/0000-0003-0486-6525; Cooke,
   Alexis/0000-0002-7053-1208
Z8 0
ZB 2
ZS 0
ZA 0
ZR 0
TC 4
Z9 4
U1 0
U2 39
SN 1929-0748
UT MEDLINE:26832213
PM 26832213
ER

PT J
AU Dosani, Farah
   Neuberger, Lindsay
TI Anatomy and Humanity: Examining the Effects of a Short Documentary Film
   and First Anatomy Laboratory Experience on Medical Students
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 1
BP 28
EP 39
DI 10.1002/ase.1532
PD JAN-FEB 2016
PY 2016
AB Medical students begin their education inside a laboratory dissecting
   cadavers to learn human gross anatomy. Many schools use the course
   experience as a way to instill empathy and some have begun integrating
   video and recorded interviews with body donors to humanize the
   experience, but their impact has yet to be measured. This study examines
   the effects of a brief documentary film and the initial cadaver
   encounter on student perceptions and attitudes towards the laboratory
   experience. A pre-test, exposure, post-test design was used with 77
   first-year medical students at the University of Central Florida. A
   previously validated questionnaire was adapted to measure attitudes,
   emotions, initial reaction to cadaver, perception of the donor as a
   person, and impressions of the film. An online questionnaire was
   completed before the first day of laboratory, in which students watched
   the film Anatomy and Humanity and handled their respective cadavers (no
   dissection was performed). The post-test was administered immediately
   following the activities of the first laboratory day. Results indicate
   an increase in negative attitudes towards dissection, but a more
   positive initial reaction to the cadaver than originally anticipated.
   Students also experienced a decrease in emotions like sadness and guilt
   regarding anatomy laboratory and were less likely to view the cadaver as
   a once-living person. Findings suggest a higher comfort level, but also
   greater detachment toward the cadavers from day one despite the video
   intervention. These results provide novel insight that may aid other
   interventions aimed at promoting humanism in the anatomy laboratory
   experience. (C) 2015 American Association of Anatomists.
ZA 0
ZB 1
TC 23
Z8 0
ZS 2
ZR 0
Z9 24
U1 1
U2 27
SN 1935-9772
EI 1935-9780
UT WOS:000371546800004
PM 25919991
ER

PT J
AU Syrowatka, Ania
   Kroemker, Doerthe
   Meguerditchian, Ari N.
   Tamblyn, Robyn
TI Features of Computer-Based Decision Aids: Systematic Review, Thematic
   Synthesis, and Meta-Analyses
SO JOURNAL OF MEDICAL INTERNET RESEARCH
VL 18
IS 1
AR e20
DI 10.2196/jmir.4982
PD JAN 2016
PY 2016
AB Background: Patient information and education, such as decision aids,
   are gradually moving toward online, computer-based environments.
   Considerable research has been conducted to guide content and
   presentation of decision aids. However, given the relatively new shift
   to computer-based support, little attention has been given to how
   multimedia and interactivity can improve upon paper-based decision aids.
   Objective: The first objective of this review was to summarize published
   literature into a proposed classification of features that have been
   integrated into computer-based decision aids. Building on this
   classification, the second objective was to assess whether integration
   of specific features was associated with higher-quality decision making.
   Methods: Relevant studies were located by searching MEDLINE, Embase,
   CINAHL, and CENTRAL databases. The review identified studies that
   evaluated computer-based decision aids for adults faced with
   preference-sensitive medical decisions and reported quality of
   decision-making outcomes. A thematic synthesis was conducted to develop
   the classification of features. Subsequently, meta-analyses were
   conducted based on standardized mean differences (SMD) from randomized
   controlled trials (RCTs) that reported knowledge or decisional conflict.
   Further subgroup analyses compared pooled SMDs for decision aids that
   incorporated a specific feature to other computer-based decision aids
   that did not incorporate the feature, to assess whether specific
   features improved quality of decision making.
   Results: Of 3541 unique publications, 58 studies met the target criteria
   and were included in the thematic synthesis. The synthesis identified
   six features: content control, tailoring, patient narratives, explicit
   values clarification, feedback, and social support. A subset of 26 RCTs
   from the thematic synthesis was used to conduct the meta-analyses. As
   expected, computer-based decision aids performed better than usual care
   or alternative aids; however, some features performed better than
   others. Integration of content control improved quality of decision
   making (SMD 0.59 vs 0.23 for knowledge; SMD 0.39 vs 0.29 for decisional
   conflict). In contrast, tailoring reduced quality of decision making
   (SMD 0.40 vs 0.71 for knowledge; SMD 0.25 vs 0.52 for decisional
   conflict). Similarly, patient narratives also reduced quality of
   decision making (SMD 0.43 vs 0.65 for knowledge; SMD 0.17 vs 0.46 for
   decisional conflict). Results were varied for different types of
   explicit values clarification, feedback, and social support.
   Conclusions: Integration of media rich or interactive features into
   computer-based decision aids can improve quality of preference-sensitive
   decision making. However, this is an emerging field with limited
   evidence to guide use. The systematic review and thematic synthesis
   identified features that have been integrated into available
   computer-based decision aids, in an effort to facilitate reporting of
   these features and to promote integration of such features into decision
   aids. The meta-analyses and associated subgroup analyses provide
   preliminary evidence to support integration of specific features into
   future decision aids. Further research can focus on clarifying
   independent contributions of specific features through experimental
   designs and refining the designs of features to improve effectiveness.
RI Core, CHAI/AAD-5240-2022; Tamblyn, Robyn/L-6010-2016
TC 47
ZB 7
Z8 4
ZR 0
ZA 0
ZS 0
Z9 51
U1 3
U2 38
SN 1438-8871
UT WOS:000371405200009
PM 26813512
ER

PT J
AU Khasawneh, Rima
   Simonsen, Kari
   Snowden, Jessica
   Higgins, Joy
   Beck, Gary
TI The effectiveness of e-learning in pediatric medical student education
SO MEDICAL EDUCATION ONLINE
VL 21
AR 29516
DI 10.3402/meo.v21.29516
PD 2016
PY 2016
AB Background: Electronic learning allows individualized education and may
   improve student performance. This study assessed the impact of e-modules
   about infection control and congenital infections on medical knowledge.
   Methods: A descriptive study was conducted involving third-year medical
   students on pediatric clerkship. e-Module content in three different
   formats was developed: a text monograph, a PowerPoint presentation, and
   a narrated PowerPoint lecture. Students' use of the e-modules was
   tracked, as was participation in the infectious disease rotation and the
   order of pediatric rotation. Pre- and posttests specific to the e-module
   content and National Board of Medical Examiners (NBME) pediatric exam
   scores were recorded.
   Results: Among 67 participants, 63% of them visited at least one
   e-module. Neither accessing any e-modules, timing of pediatric
   clerkship, nor assignment to ID rotation resulted in improved posttest
   nor NBME scores. Seventy percent of students rated the e-modules as
   satisfactory and reported usage improved their confidence with the
   congenital infections topic.
   Discussion: e-Modules did not improve student performance on NBME or
   posttest; however, they were perceived as satisfactory and to have
   improved confidence among those who used them. This study underscores
   the importance of formally evaluating electronic and other innovative
   curricula when implemented within existing medical education frameworks.
OI Snowden, Jessica/0000-0002-0715-151X
TC 20
Z8 0
ZB 1
ZA 0
ZS 0
ZR 1
Z9 22
U1 0
U2 11
SN 1087-2981
UT WOS:000371022500001
ER

PT J
AU Paterson, Ruth E.
   Redman, Susan G.
   Unwin, Rachel
   McElhinney, Evelyn
   Macphee, Michael
   Downer, Frances
TI Non-medical prescribing assessment - An evaluation of a nationally
   agreed multi method approach
SO NURSE EDUCATION IN PRACTICE
VL 16
IS 1
BP 280
EP 286
DI 10.1016/j.nepr.2015.10.008
PD JAN 2016
PY 2016
AB In the United Kingdom, legislation permits nurses and allied health
   professionals to prescribe for patients within their care. Preparation
   for this role includes learning, teaching and assessment that is
   embedded in practice, supervised by a designated medical practitioner
   (DMP) and evidenced in a reflective learning in practice portfolio.
   Aim: The objectives were to explore; (1) which assessment in the
   practice portfolio was ranked most valuable in terms of achieving safe,
   effective prescribing practice and, (2) whether a practice based
   assessment (SDEP) was an acceptable alternative to an Observed Simulated
   Clinical Examination (OSCE). Methods: Online surveys were conducted and
   follow up semi structured telephone interviews were conducted across 5
   universities in Scotland with students, DMPs and line managers.
   Results: Students ranked the learning log most valuable and DMPs and
   line managers ranked the SDEP most valuable. Survey and follow up
   interviews suggested that the portfolio provided the opportunity to
   develop prescribing skills and knowledge relevant to their specific
   clinical speciality. There was agreement amongst all participants that
   clinical assessment in the practice portfolio effectively enable
   non-medical prescribing students to evidence prescribing competence.
   Summary: The novel use of the SDEP and reflective summary offers a
   viable alternative to an OSCE and was viewed as one of the most valued
   components of the assessment strategy. (C) 2015 Elsevier Ltd. All rights
   reserved.
OI McElhinney, Evelyn/0000-0002-0733-4447; Unwin,
   Rachel/0000-0002-9430-8211
Z8 0
ZS 0
TC 2
ZA 0
ZR 0
ZB 0
Z9 2
U1 1
U2 17
SN 1471-5953
UT WOS:000370769000045
PM 26526295
ER

PT J
AU Protic, Dragana
   Vujasinovic-Stupar, Nada
   Bukumiric, Zoran
   Pavlov-Dolijanovic, Slavica
   Baltic, Snezana
   Mutavdzin, Slavica
   Markovic-Denic, Ljiljana
   Zdravkovic, Marija
   Todorovic, Zoran
TI Profile of rheumatology patients willing to report adverse drug
   reactions: bias from selective reporting
SO PATIENT PREFERENCE AND ADHERENCE
VL 10
BP 115
EP 121
DI 10.2147/PPA.S96449
PD 2016
PY 2016
AB Background: Adverse drug reactions (ADRs) have a significant impact on
   human health and health care costs. The aims of our study were to
   determine the profile of rheumatology patients willing to report ADRs
   and to identify bias in such a reporting system.
   Methods: Semi-intensive ADRs reporting system was used in our study.
   Patients willing to participate (N=261) completed the questionnaire
   designed for the purpose of the study at the hospital admission. They
   were subsequently classified into two groups according to their ability
   to identify whether they had experienced ADRs during the previous month.
   Group 1 included 214 out of 261 patients who were able to identify ADRs,
   and group 2 consisted of 43 out of 261 patients who were not able to
   identify ADRs in their recent medical history.
   Results: Group 1 patients were more significantly aware of their
   diagnosis than the patients from group 2. Marginal significance was
   found between rheumatology patients with and without neurological
   comorbidities regarding their awareness of ADRs. The majority of
   patients reported ADRs of cytotoxic drugs. The most reported ADRs were
   moderate gastrointestinal discomforts.
   Conclusion: We may draw a profile of rheumatological patients willing to
   report ADRs: 1) The majority of them suffer from systemic inflammatory
   diseases and are slightly more prone to neurological comorbidities. 2)
   They are predominantly aware of their diagnosis but less able to
   identify the drugs that may cause their ADRs. 3) They tend to report
   mainly moderate gastrointestinal ADRs; that is, other cohorts of
   patients and other types of ADRs remain mainly undetected in such a
   reporting, which could represent a bias. Counseling and education of
   patients as well as developing a network for online communication might
   improve patients' reporting of potential ADRs.
OI Zdravkovic, Marija/0000-0003-4059-0263; Todorovic,
   Zoran/0000-0001-8869-9976
ZR 0
ZS 0
ZB 0
Z8 0
TC 0
ZA 0
Z9 0
U1 0
U2 0
SN 1177-889X
UT WOS:000369409900001
PM 26893547
ER

PT J
AU McLintock, C.
   Pabinger, I.
   Bauer, K. A.
   Laffan, M.
   Angchaisuksiri, P.
   Rezende, S. M.
   Middeldorp, S.
   Ross, M.
TI International Society on Thrombosis and Haemostasis core curriculum
   project: core competencies in clinical thrombosis and hemostasis
SO JOURNAL OF THROMBOSIS AND HAEMOSTASIS
VL 14
IS 1
BP 3
EP 27
DI 10.1111/jth.13162
PD JAN 2016
PY 2016
AB Background The International Society on Thrombosis and Haemostasis
   (ISTH) identified the need for an international core curriculum on
   thrombosis and hemostasis for its society members and the larger
   thrombosis and hemostasis community. Aims The current research sought
   consensus on the core competencies required by medical doctors who are
   ready to practise as independent clinical specialists in thrombosis and
   hemostasis with the aim of developing a core clinical curriculum for
   specialists in the field. Method A draft list of competencies was
   developed by the Working Group and formed the basis of an online survey.
   ISTH members and the larger thrombosis and hemostasis community were
   asked to rate the importance of each competency, on a Likert scale, for
   clinical specialists in thrombosis and hemostasis. Results There were a
   total of 644 responses to the online survey with broad geographical
   representation. There was general agreement on what level of competency
   would be required for clinical specialists in thrombosis and hemostasis
   at the specified level of training. Conclusions Using the survey to gain
   consensus on the level of competency required by clinical specialists in
   the field of thrombosis and hemostasis enabled the development of a core
   clinical curriculum that has been endorsed by the ISTH Council. The
   curriculum will offer a framework and international reference that will
   be used by the society, by national and regional organizations, and for
   further research.
RI Middeldorp, Saskia/ABI-8197-2020; Rezende, Suely/AAL-8006-2021; Laffan, Michael/
OI Middeldorp, Saskia/0000-0002-1006-6420; Rezende,
   Suely/0000-0002-3083-7093; Laffan, Michael/0000-0002-8268-3268
ZA 0
ZB 1
ZS 1
TC 12
ZR 0
Z8 0
Z9 12
U1 2
U2 5
SN 1538-7933
EI 1538-7836
UT WOS:000370661100002
PM 26439670
ER

PT J
AU Lenzen, Laura Marianne
   Weidringer, Johann Wilhelm
   Ollenschlager, Gunter
TI [Conflict of interest in continuing medical education - Studies on
   certified CME courses].
FT Interessenkonflikte in der arztlichen Fortbildung - Untersuchungen an
   zertifizierten Online-Fortbildungsangeboten.
SO Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
VL 110-111
BP 60
EP 8
DI 10.1016/j.zefq.2015.11.004
PD 2016
PY 2016
AB OBJECTIVES: Although the problem of conflict of interest in medical
   education is discussed intensively, few valid data have been published
   on how to deal with the form, content, funding, sponsorship, and the
   influence of economic interests in continuing medical education (CME).
   Against this background, we carried out an analysis of data which had
   been documented for the purpose of certification by a German Medical
   Association. A central aim of the study was to obtain evidence of
   possible influences of economic interests on continuing medical
   education. Furthermore, strategies for quality assurance of CME contents
   and their implementation were to be examined.
   METHODS: We analyzed all registration data for courses certified in the
   category D ("structured interactive CME via print media, online media
   and audiovisual media") by the Bavarian Chamber of Physicians in 2012.
   To measure the effects of conflict of interest, relationships between
   topics of training and variables relating to the alleged self-interest
   of the organizer/sponsor (for example, drug sales in a group of
   physicians) were statistically verified. These data were taken from the
   Bavarian Medical Statistics 2012 and the
   GKV-Arzneimittelschnellinformation.
   RESULTS: In 2012, a total of 734 CME course offerings have been
   submitted for 51 medical specialties by 30 course suppliers in the
   Bavarian Medical Association. To ensure the neutrality of interests of
   the CME courses the course suppliers signed a cooperation treaty
   ensuring their compliance with defined behavior towards the Bavarian
   Medical Association concerning sponsorship. The correlation between
   course topics and drug data suggests that course suppliers tend to
   submit topics that are economically attractive to them. There was a
   significant correlation between the number of CME courses in a specific
   field and the sales from drug prescriptions issued by physicians in the
   respective field.
   CONCLUSIONS: The results show that neutrality of interests regarding
   continuing medical education is difficult to achieve under the current
   framework for the organization, certification, and especially the
   funding of CME events in Germany. The cooperation agreement between the
   Bavarian Medical Association and training applicants is taken as an
   example of how legal certainty can be ensured. Based on the findings
   described below, suggestions and strategies to strengthen assessment
   expertise of course participants have been developed and elaborated.
RI Lenzen, Laura/AAA-3740-2021; Ollenschlaeger, Guenter/
OI Ollenschlaeger, Guenter/0000-0002-8929-808X
ZB 1
Z8 0
TC 2
ZA 0
ZS 0
ZR 0
Z9 2
U1 0
U2 0
EI 2212-0289
UT MEDLINE:26875037
PM 26875037
ER

PT J
AU Pflugeisen, Bethann Mangel
   Drummond, Dike
   Ebersole, Drew
   Mundell, Kate
   Chen, David
TI BRIEF VIDEO-MODULE ADMINISTERED MINDFULNESS PROGRAM FOR PHYSICIANS: A
   PILOT STUDY
SO EXPLORE-THE JOURNAL OF SCIENCE AND HEALING
VL 12
IS 1
BP 50
EP 54
DI 10.1016/j.explore.2015.10.005
PD JAN-FEB 2016
PY 2016
AB Objective: The purpose of this study was to evaluate the feasibility of
   implementing a video-module-based mindfulness pilot program intended to
   reduce stress, improve well-being, and develop mindfulness skills in
   physicians in a community hospital setting. Preliminary findings are
   presented.
   Materials and Methods: Using a single-sample, pre-post study design, we
   administered an eight-week mindfulness training offered as part of a
   wellness initiative for medical staff in a suburban community hospital.
   Participants enrolled on a first-come, first-served basis. Participants
   engaged in three 90-min in-person trainings, weekly online video-module
   trainings, and weekly teleconference coaching calls. Video module
   trainings were available at all times, to be accessed at the
   participants' convenience. Journals and a guided meditation audio
   library were also provided. Physician stress, wellbeing (emotional
   exhaustion, depersonalization of patients, and sense of personal
   accomplishment), and mindfulness skills (observing, describing, acting
   with awareness, and accepting without judgment) were evaluated at
   baseline, end-of-program, and eight weeks post-intervention using
   well-validated instruments.
   Results: A total of 23 physicians enrolled and 19 completed the program.
   Compared to baseline, statistically significant decreases in stress,
   personal accomplishment, and emotional exhaustion were observed at
   end-of-program and eight weeks post-intervention (all P < .05).
   Significant increases in all mindfulness skills were observed at
   end-of-program; these increases persisted for describing, acting with
   awareness, and accepting without judgment at eight weeks
   post-intervention (all P < .05).
   Conclusions: This study provides preliminary evidence that a flexible,
   video-module-based mindfulness program can decrease stress, increase
   well-being, and develop lasting mindfulness skills in physicians.
Z8 0
ZR 0
ZB 3
TC 33
ZA 0
ZS 0
Z9 33
U1 0
U2 34
SN 1550-8307
EI 1878-7541
UT WOS:000369682600010
PM 26725471
ER

PT J
AU Kern, Raimar
   Haase, Rocco
   Eisele, Judith Christina
   Thomas, Katja
   Ziemssen, Tjalf
TI Designing an Electronic Patient Management System for Multiple
   Sclerosis: Building a Next Generation Multiple Sclerosis Documentation
   System.
SO Interactive journal of medical research
VL 5
IS 1
BP e2
EP e2
DI 10.2196/ijmr.4549
PD 2016 Jan 08
PY 2016
AB BACKGROUND: Technologies like electronic health records or telemedicine
   devices support the rapid mediation of health information and clinical
   data independent of time and location between patients and their
   physicians as well as among health care professionals. Today, every part
   of the treatment process from diagnosis, treatment selection, and
   application to patient education and long-term care may be enhanced by a
   quality-assured implementation of health information technology (HIT)
   that also takes data security standards and concerns into account. In
   order to increase the level of effectively realized benefits of eHealth
   services, a user-driven needs assessment should ensure the inclusion of
   health care professional perspectives into the process of technology
   development as we did in the development process of the Multiple
   Sclerosis Documentation System 3D. After analyzing the use of
   information technology by patients suffering from multiple sclerosis, we
   focused on the needs of neurological health care professionals and their
   handling of health information technology.
   OBJECTIVE: Therefore, we researched the status quo of eHealth adoption
   in neurological practices and clinics as well as health care
   professional opinions about potential benefits and requirements of
   eHealth services in the field of multiple sclerosis.
   METHODS: We conducted a paper-and-pencil-based mail survey in 2013 by
   sending our questionnaire to 600 randomly chosen neurological practices
   in Germany. The questionnaire consisted of 24 items covering
   characteristics of participating neurological practices (4 items), the
   current use of network technology and the Internet in such neurological
   practices (5 items), physicians' attitudes toward the general and
   MS-related usefulness of eHealth systems (8 items) and toward the
   clinical documentation via electronic health records (4 items), and
   physicians' knowledge about the Multiple Sclerosis Documentation System
   (3 items).
   RESULTS: From 600 mailed surveys, 74 completed surveys were returned. As
   much as 9 of the 10 practices were already connected to the Internet
   (67/74), but only 49% preferred a permanent access. The most common type
   of HIT infrastructure was a complete practice network with several
   access points. Considering data sharing with research registers, 43%
   opted for an online interface, whereas 58% decided on an offline method
   of data transmission. eHealth services were perceived as generally
   useful for physicians and nurses in neurological practices with highest
   capabilities for improvements in clinical documentation, data
   acquisition, diagnosis of specific MS symptoms, physician-patient
   communication, and patient education. Practices specialized in MS in
   comparison with other neurological practices presented an increased
   interest in online documentation. Among the participating centers, 91%
   welcomed the opportunity of a specific clinical documentation for MS and
   87% showed great interest in an extended and more interconnected
   electronic documentation of MS patients. Clinical parameters (59/74)
   were most important in documentation, followed by symptomatic parameters
   like measures of fatigue or depression (53/74) and quality of life
   (47/74).
   CONCLUSIONS: Physicians and nurses may significantly benefit from an
   electronically assisted documentation and patient management. Many
   aspects of patient documentation and education will be enhanced by
   eHealth services if the most informative measures are integrated in an
   easy-to-use and easily connectable approach. MS-specific eHealth
   services were highly appreciated, but the current level of adoption is
   still behind the level of interest in an extended and more
   interconnected electronic documentation of MS patients.
RI Ziemssen, Tjalf/J-2017-2019; Haase, Rocco/
OI Ziemssen, Tjalf/0000-0001-8799-8202; Haase, Rocco/0000-0003-2465-4909
ZR 0
Z8 0
TC 25
ZS 0
ZB 4
ZA 0
Z9 25
U1 1
U2 16
SN 1929-073X
UT MEDLINE:26746977
PM 26746977
ER

PT J
AU Thommasen, Amy
   Clement, Fiona
   Kinniburgh, David W.
   Lau, Cheryl K.
   Guo, Maggie
   Viczko, Jeannine
   Guggisberg, Kelly
   Thomas, Roger E.
   Turin, Tanvir Chowdhury
   Wesenberg, James C.
   Abdullah, Amid
   Hnydyk, William S.
   Naugler, Christopher
TI Canadian family physician knowledge and attitudes toward laboratory
   utilization management
SO CLINICAL BIOCHEMISTRY
VL 49
IS 1-2
BP 4
EP 7
DI 10.1016/j.clinbiochem.2015.09.010
PD JAN 2016
PY 2016
AB Objectives: Mitigation of unnecessary and redundant laboratory testing
   is an important quality assurance priority for laboratories and
   represents an opportunity for cost savings in the health care system.
   Family physicians represent the largest utilizers of laboratory testing
   by a large margin. Engagement of family physicians is therefore key to
   any laboratory utilization management initiatives. Despite this, family
   physicians have been largely excluded from the planning and
   implementation of such initiatives. Our purposes were to (1) assess the
   importance of lab management issues to family physicians, and (2)
   attempt to define the types of initiatives most acceptable to family
   physicians.
   Design and methods: We invited all Alberta family practice residents and
   practicing physicians to participate in a self-administered online
   electronic survey. Survey questions addressed the perceived importance
   of lab misutilization, prevalence of various types of misutilization,
   acceptability of specific approaches to quality control, and
   responsibility of various parties to address this issue.
   Results: Of 162 respondents, 95% considered lab misutilization to be
   either important or very important. Many physicians placed the
   responsibility for addressing lab misutilization issues on multiple
   parties, including patients, but most commonly the ordering physician
   (97%). Acceptability for common strategies for quality improvement in
   lab misutilization showed a wide range (35%-98%).
   Conclusions: These responses could serve as a framework for laboratories
   to begin discussions on this important topic with primary care groups.
   (C) 2015 The Canadian Society of Clinical Chemists. Published by
   Elsevier Inc. All rights reserved.
RI Turin, Tanvir C/L-7617-2016
OI Turin, Tanvir C/0000-0002-7499-5050
ZA 0
ZS 0
ZB 4
TC 6
Z8 0
ZR 0
Z9 6
U1 0
U2 6
SN 0009-9120
EI 1873-2933
UT WOS:000368752700003
PM 26409929
ER

PT J
AU Robbins, Matthew S.
   Robertson, Carrie E.
   Ailani, Jessica
   Levin, Morris
   Friedman, Deborah I.
   Dodick, David W.
TI Procedural Headache Medicine in Neurology Residency Training: A Survey
   of US Program Directors
SO HEADACHE
VL 56
IS 1
BP 79
EP 85
DI 10.1111/head.12695
PD JAN 2016
PY 2016
AB ObjectiveTo survey neurology residency program directors (PDs) on
   trainee exposure, supervision, and credentialing in procedures widely
   utilized in headache medicine.
   BackgroundClinic-based procedures have assumed a prominent role in
   headache therapy. Headache fellows obtain procedural competence, but
   reliance on fellowship-trained neurologists cannot match the population
   eligible for treatments. The inclusion of educational modules and
   mechanisms for credentialing trainees pursuing procedural competence in
   residency curricula at individual programs is not known.
   MethodsA web-based survey of US neurology residency PDs was designed by
   the American Headache Society (AHS) procedural special interest section
   in collaboration with AHS and American Academy of Neurology's Headache
   and Facial Pain section leadership. The survey addressed exposure,
   training, and credentialing in: (1) onabotulinumtoxinA (onabotA)
   injections, (2) extracranial peripheral nerve blocks (PNBs), and (3)
   trigger point injections (TPIs).
   ResultsFifty-five PDs (42.6%) completed the survey. Compared to
   noncompleters, survey completers were more likely to feature headache
   fellowships at their institutions (38.2% vs 10.8%, P=0.0002). High
   exposure (onabotA=90.9%, PNBs=80.0%, TPIs=70.9%) usually featured
   hands-on patient instruction (66.2%) and lectures (55.7%). Supervised
   performance rates were high (onabotA=65.5%, PNBs=60.0%, TPIs=52.7%),
   usually in continuity clinic (60.0%) or headache elective (50.9%).
   Headache specialists (69.1%) or general neurology (32.7%) faculty most
   commonly trained residents. Formal credentialing was uncommon
   (16.4-18.2%), mostly by documenting supervised procedures (25.5%). Only
   27.3% of programs permitted trainees to perform procedures
   independently. Most PDs felt procedural exposure (80.0-90.9%) and
   competence (50.9-56.4%) by all trainees was important.
   ConclusionsResident exposure to procedures for headache is high, but
   credentialing mechanisms, while desired by most PDs, are not generally
   in place. Implementation of a credentialing process may ensure trainees
   enter practice with the ability to perform procedures safely and
   effectively.
ZS 0
ZB 8
Z8 0
ZR 0
ZA 0
TC 10
Z9 10
U1 0
U2 1
SN 0017-8748
EI 1526-4610
UT WOS:000368728400008
PM 26352267
ER

PT J
AU Gogarty, D. S.
   Shuman, A.
   O'Sullivan, E. M.
   Sheahan, P.
   Kinsella, J.
   Timon, C.
   O'Neill, J. P.
TI Conceiving a national head and neck cancer screening programme
SO JOURNAL OF LARYNGOLOGY AND OTOLOGY
VL 130
IS 1
BP 8
EP 14
DI 10.1017/S0022215115003084
PD JAN 2016
PY 2016
AB Background: This study was undertaken to determine the optimum approach
   to screening for head and neck cancer based on international
   experiences.
   Objective: To determine whether or not head and neck cancer is suitable
   for screening, and, if so, what the ideal approach should be.
   Methods: An electronic search of online databases up to and including
   May 2014 was conducted. Key search terms included head and neck',
   cancer', screening', larynx', oropharynx' and oral'.
   Results: Subset analysis of high-risk cohorts showed statistically
   significant improvements in early detection of head and neck cancer via
   screening.
   Conclusion: Current levels of public awareness regarding head and neck
   cancers are suboptimal, despite increased incidence and mortality.
   Scheduled and opportunistic screening, coupled with efforts to enhance
   education and health behaviour modification, are highly recommended for
   pre-defined, high-risk, targeted populations. This can enable early
   detection and therefore improve morbidity and mortality.
OI O'Sullivan, Eleanor/0000-0003-4982-9488
ZR 0
ZA 0
ZB 6
TC 22
ZS 1
Z8 0
Z9 23
U1 0
U2 5
SN 0022-2151
EI 1748-5460
UT WOS:000368783900003
PM 26585180
ER

PT J
AU Singler, Katrin
   Roth, Tobias
   Beck, Sacha
   Cunningham, Michael
   Gosch, Markus
TI Development and initial evaluation of a point-of-care educational app on
   medical topics in orthogeriatrics
SO ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
VL 136
IS 1
BP 65
EP 73
DI 10.1007/s00402-015-2366-8
PD JAN 2016
PY 2016
AB Research by AOTrauma's orthogeriatrics education taskforce identified
   ongoing educational needs for surgeons and trainees worldwide regarding
   the medical management of older adults with a fracture. To address
   practicing surgeons' preference for increased use of mobile learning, a
   point-of-care educational app was planned by a committee of experienced
   faculty. The goals were to deliver the app to surgeons, trainees, and
   other healthcare professionals, to measure usage, and to evaluate the
   impact on patient care.
   The committee of geriatricians and surgeons designed and developed four
   modules on osteoporosis, delirium, anticoagulation, and pain based on
   published evidence and the content was programmed into mobile app
   formats. A registration form was integrated and a 14-question online
   evaluation survey was administered to users.
   The AOTrauma Orthogeriatrics app was installed by 17,839 users worldwide
   between September 2014 and October 2015: Android smartphones (44 %),
   iPhones (32 %), iPads (15 %), Android tablets (9 %). 920 users
   registered and 100 completed the online evaluation: orthopedic/trauma
   surgeons (67 %), residents/fellows (20 %), and other professionals (13
   %). Ratings for all aspects were 4 or higher on a 1-5 Likert scale (5 =
   Excellent). 80 % of evaluation respondents found the answer to their
   question or educational need on their last visit, and 26 of 55
   respondents (47 %) reported making a change in an aspect of their
   management of patients as a result of their learning from the app.
   The orthogeriatrics app reached its intended audiences and was rated
   highly as a method of providing education to help improve patient care.
   Content input by experienced faculty and app improvements based on user
   feedback were key contributors to successful implementation.
ZB 0
ZS 1
ZA 0
ZR 0
TC 11
Z8 1
Z9 13
U1 0
U2 8
SN 0936-8051
EI 1434-3916
UT WOS:000367752400009
PM 26646844
ER

PT J
AU Jacobson, Nicholas C.
   Newman, Michelle G.
   Goldfried, Marvin R.
TI Clinical Feedback About Empirically Supported Treatments for
   Obsessive-Compulsive Disorder
SO BEHAVIOR THERAPY
VL 47
IS 1
BP 75
EP 90
DI 10.1016/j.beth.2015.09.003
PD JAN 2016
PY 2016
AB Previous evidence for the treatment of obsessive-compulsive disorder
   (OCD) has been derived principally from randomized controlled trials. As
   such, evidence about the treatment of OCD has unilaterally flowed from
   researchers to clinicians. Despite often having decades of experience
   treating OCD, clinicians' feedback on their clinical observations in
   using these treatments has not been solicited. The current study
   contacted clinicians for their clinical observations on empirically
   supported treatments for OCD to identify commonly used
   cognitive-behavioral techniques and their limitations in their
   practices. One hundred eighty-one psychotherapists completed an online
   survey. The average participant practiced psychotherapy for 15 years,
   worked in private practice, held a doctorate, and treated an average of
   25 clients with OCD in their lifetime. In regard to the most common
   techniques, behavioral strategies involving exposure to a feared outcome
   and prevention of a compulsive ritual were the most frequent group of
   interventions, followed by techniques that attempted to identify and
   challenge irrational thoughts. However, the majority of participants
   also reported incorporating mindfulness or acceptance-based methods.
   Based on therapists' reports, the most common barriers to the efficacy
   of cognitive-behavioral interventions included limited premorbid
   functioning, chaotic lifestyles, controlling and critical families, OCD
   symptom severity, OCD symptom chronicity, and comorbidities. This study
   provides insight into common practices and limitations in clinical
   practice to inform future clinically relevant treatment research.
RI Jacobson, Nicholas C./J-4543-2019; Newman, Michelle/I-4370-2013
OI Jacobson, Nicholas C./0000-0002-8832-4741; Newman,
   Michelle/0000-0003-0873-1409
TC 11
ZS 0
ZA 0
ZR 0
Z8 0
ZB 5
Z9 11
U1 1
U2 26
SN 0005-7894
EI 1878-1888
UT WOS:000368315200007
PM 26763499
ER

PT J
AU Carere, Deanna Alexis
   Kraft, Peter
   Kaphingst, Kimberly A.
   Roberts, J. Scott
   Green, Robert C.
CA PGen Study Grp
TI Consumers report lower confidence in their genetics knowledge following
   direct-to-consumer personal genomic testing
SO GENETICS IN MEDICINE
VL 18
IS 1
BP 65
EP 72
DI 10.1038/gim.2015.34
PD JAN 2016
PY 2016
AB Purpose: The aim of this study was to measure changes to genetics
   knowledge and self-efficacy following personal genomic testing (PGT).
   Methods: New customers of 23andMe and Pathway Genomics completed a
   series of online surveys. We measured genetics knowledge (nine
   true/false items) and genetics self-efficacy (five Likertscale items)
   before receipt of results and 6 months after results and used paired
   methods to evaluate change over time. Correlates of change (e.g.,
   decision regret) were identified using linear regression.
   Results: 998 PGT customers (59.9% female; 85.8% White; mean age 46.9 +/-
   15.5 years) were included in our analyses. Mean genetics knowledge score
   was 8.15 +/- 0.95 (out of 9) at baseline and 8.25 +/- 0.92 at 6 months
   (P = 0.0024). Mean self-efficacy score was 29.06 +/- 5.59 (out of 35) at
   baseline and 27.7 +/- 5.46 at 6 months (P < 0.0001); on each item,
   30-45% of participants reported lower self-efficacy following PGT.
   Change in self-efficacy was positively associated with health-care
   provider consultation (P = 0.0042), impact of PGT on perceived control
   over one's health (P < 0.0001), and perceived value of PGT (P < 0.0001)
   and was negatively associated with decision regret (P < 0.0001).
   Conclusion: Lowered genetics self-efficacy following PGT may reflect an
   appropriate reevaluation by consumers in response to receiving complex
   genetic information.
RI Kraft, Peter/GQH-8448-2022; Carere, Deanna Alexis/; Kraft, Peter/
OI Carere, Deanna Alexis/0000-0003-3965-686X; Kraft,
   Peter/0000-0002-4472-8103
Z8 0
TC 41
ZA 0
ZB 14
ZR 0
ZS 0
Z9 41
U1 2
U2 22
SN 1098-3600
EI 1530-0366
UT WOS:000368116400009
PM 25812042
ER

PT J
AU Choo, Esther K.
   Mazer-Amirshahi, Maryann
   Juurlink, David
   Kobner, Scott
   Scott, Kevin
   Lin, Michelle
TI The Prescription Opioid Epidemic: Social Media Responses to the
   Residents' Perspective Article
SO ANNALS OF EMERGENCY MEDICINE
VL 67
IS 1
BP 40
EP 48
DI 10.1016/j.annemergmed.2015.05.005
PD JAN 2016
PY 2016
AB In June 2014, Annals of Emergency Medicine collaborated with the
   Academic Life in Emergency Medicine (ALiEM) blog-based Web site to host
   an online discussion session featuring the Annals Residents' Perspective
   article "The Opioid Prescription Epidemic and the Role of Emergency
   Medicine" by Poon and Greenwood-Ericksen. This dialogue included a live
   videocast with the authors and other experts, a detailed discussion on
   the ALiEM Web site's comment section, and real-time conversations on
   Twitter. Engagement was tracked through various Web analytic tools, and
   themes were identified by content curation. The dialogue resulted in
   1,262 unique page views from 433 cities in 41 countries on the ALiEM Web
   site, 408,498 Twitter impressions, and 168 views of the video interview
   with the authors. Four major themes about prescription opioids
   identified included the following: physician knowledge, inconsistent
   medical education, balance between overprescribing and effective pain
   management, and approaches to solutions. Free social media technologies
   provide a unique opportunity to engage with a diverse community of
   emergency medicine and non-emergency medicine clinicians, nurses,
   learners, and even patients. Such technologies may allow more rapid
   hypothesis generation for future research and more accelerated knowledge
   translation.
RI Scott, Kevin/ABE-5066-2020; Choo, Esther/; Scott, Kevin/
OI Choo, Esther/0000-0001-8847-5745; Scott, Kevin/0000-0003-1862-2855
ZB 0
ZA 0
TC 5
Z8 0
ZR 0
ZS 0
Z9 5
U1 0
U2 10
SN 0196-0644
UT WOS:000368046300012
PM 26169929
ER

PT J
AU Helder, Meghana R. K.
   Rowse, Phillip G.
   Ruparel, Raaj K.
   Li, Zhuo
   Farley, David R.
   Joyce, Lyle D.
   Stulak, John M.
TI Basic Cardiac Surgery Skills on Sale for $22.50: An Aortic Anastomosis
   Simulation Curriculum
SO ANNALS OF THORACIC SURGERY
VL 101
IS 1
BP 316
EP 322
DI 10.1016/j.athoracsur.2015.08.005
PD JAN 2016
PY 2016
AB Background. Current resident and student duty-hour restrictions
   necessitate efficient training, which may be aided by simulation. Data
   on the utility of low-cost simulation in cardiothoracic surgery are
   scant. We evaluated the effect and value of a low-cost, low-fidelity
   aortic anastomosis simulation curriculum.
   Methods. Twenty participants (11 medical students, 9 residents)
   completed an aortic anastomosis on a porcine heart as a pretest.
   Participants were then provided access to a 14-minute online video
   created by a cardiac surgeon and given a low-cost task trainer for
   self-directed practice. Five weeks later, participants performed another
   aortic anastomosis on a porcine heart as a posttest. Pretest and
   posttest performances were filmed, deidentified, and graded blindly and
   independently by two cardiac surgeons using a standardized assessment
   tool (perfect score, 110; passing score, 58 or higher). Participants
   were surveyed anonymously after the posttest.
   Results. The mean (SD) aortic anastomosis performance score improved
   significantly from pretest (53.3 [25.3]) to posttest (83.6 [15.3]; p <
   0.001). Pass rates also improved significantly (35% versus 95%, p <
   0.001). Medical students' scores improved most (p = 0.01). All 20
   participants reported improved confidence in performing the task, and 18
   believed that the online video was essential to better performance. The
   cost of the curriculum totaled $22.50 per participant, with 6 hours of
   total staff time required for assessment.
   Conclusions. An aortic anastomosis training and simulation curriculum
   improves the skills of student and resident trainees with minimal
   expense and staff time commitment. Such a curriculum may be of great
   value to both cardiothoracic training programs and their trainees. (C)
   2016 by The Society of Thoracic Surgeons
CT 51st Annual Meeting of the Society-of-Thoracic-Surgeons
CY JAN 24-28, 2015
CL San Diego, CA
SP Soc Thorac Surg
TC 17
Z8 0
ZS 0
ZA 0
ZB 2
ZR 0
Z9 17
U1 0
U2 0
SN 0003-4975
EI 1552-6259
UT WOS:000368184300054
PM 26499816
ER

PT J
AU Cornwall, Jon
   Callahan, David
   Wee, Richman
TI Ethical Issues Surrounding the Use of Images From Donated Cadavers in
   the Anatomical Sciences
SO CLINICAL ANATOMY
VL 29
IS 1
SI SI
BP 30
EP 36
DI 10.1002/ca.22644
PD JAN 2016
PY 2016
AB Body donor programs rely on the generosity and trust of the public to
   facilitate the provision of cadaver resources for anatomical education
   and research. The uptake and adoption of emerging technologies,
   including those allowing the acquisition and distribution of images, are
   becoming more widespread, including within anatomical science education.
   Images of cadavers are useful for research and education, and their
   supply and distribution have commercial potential for textbooks and
   online education. It is unclear whether the utilization of images of
   donated cadavers are congruent with donor expectations, societal norms
   and boundaries of established public understanding. Presently, no global
   "best practices" or standards exist, nor is there a common model
   requiring specific image-related consent from body donors. As ongoing
   success of body donation programs relies upon the ethical and
   institutional governance of body utilization to maintain trust and a
   positive relationship with potential donors and the community,
   discussions considering the potential impact of image misuse are
   important. This paper discusses the subject of images of donated
   cadavers, commenting on images in non-specific use, education, research,
   and commercial applications. It explores the role and significance of
   such images in the context of anatomical science and society, and
   discusses how misuse - including unconsented use - of images has the
   potential to affect donor program success, suggesting that informed
   consent is currently necessary for all images arising from donated
   cadavers. Its purpose is to encourage discussion to guide responsible
   utilization of cadaver images, while protecting the interests of body
   donors and the public. (C) 2015 Wiley Periodicals, Inc.
OI Callahan, David/0000-0003-4183-6691; Cornwall, Jon/0000-0003-4607-3988
ZS 0
Z8 0
ZA 0
ZR 0
TC 19
ZB 5
Z9 20
U1 2
U2 10
SN 0897-3806
EI 1098-2353
UT WOS:000367926600007
PM 26474731
ER

PT J
AU Kistka, Heather M.
   Nayeri, Arash
   Wang, Li
   Dow, Jamie
   Chandrasekhar, Rameela
   Chambless, Lola B.
TI Publication misrepresentation among neurosurgery residency applicants:
   an increasing problem
SO JOURNAL OF NEUROSURGERY
VL 124
IS 1
BP 193
EP 198
DI 10.3171/2014.12.JNS141990
PD JAN 2016
PY 2016
AB OBJECTIVE Misrepresentation of scholarly achievements is a recognized
   phenomenon, well documented in numerous fields, yet the accuracy of
   reporting remains dependent on the honor principle. Therefore, honest
   self-reporting is of paramount importance to maintain scientific
   integrity in neurosurgery. The authors had observed a trend toward
   increasing numbers of publications among applicants for neurosurgery
   residency at Vanderbilt University and undertook this study to determine
   whether this change was a result of increased academic productivity,
   inflated reporting, or both. They also aimed to identify application
   variables associated with inaccurate citations.
   METHODS The authors retrospectively reviewed the residency applications
   submitted to their neurosurgery department in 2006 (n = 148) and 2012 (n
   = 194). The applications from 2006 were made via SF Match and those from
   2012 were made using the Electronic Residency Application Service.
   Publications reported as "accepted" or "in press" were verified via
   online search of Google Scholar, PubMed, journal'websites, and direct
   journal contact. Works were considered misrepresented if they did not
   exist, incorrectly listed the applicant as first author, or were
   incorrectly listed as peer reviewed or published in a printed journal
   rather than an online only or non peer-reviewed publication. Demographic
   data were collected, including applicant sex, medical school ranking and
   country, advanced degrees, Alpha Omega Alpha membership, and USMLE Step
   1 score. Zero-inflated negative binomial regression was used to identify
   predictors of misrepresentation.
   RESULTS Using univariate analysis, between 2006 and 2012 the percentage
   of applicants reporting published works increased significantly (47% vs
   97%, p <0.001). However, the percentage of applicants with
   misrepresentations (33% vs 45%) also increased. In 2012, applicants with
   a greater total of reported works (p < 0.001) and applicants from
   unranked US medical schools (those not ranked by US News & World Report)
   were more likely to have erroneous citations (p = 0.038).
   CONCLUSIONS The incidence of legitimate and misrepresented scholarly
   works reported by applicants to the authors' neurosurgery residency
   program increased during the past 6 years. Misrepresentation is more
   common in applicants from unranked US medical schools and those with a
   greater number of reported works on their application. This trend is
   concerning in a profession where trustworthiness is vital. To preserve
   integrity in the field, programs should consider verifying citations
   prior to submitting their rank lists.
OI Dow, Jamie/0000-0002-7914-6891
ZR 0
ZS 0
ZA 0
ZB 9
Z8 0
TC 26
Z9 26
U1 0
U2 2
SN 0022-3085
EI 1933-0693
UT WOS:000367028200036
PM 26207605
ER

PT J
AU Reith, Florence C. M.
   Brennan, Paul M.
   Maas, Andrew I. R.
   Teasdale, Graham M.
TI Lack of Standardization in the Use of the Glasgow Coma Scale: Results of
   International Surveys
SO JOURNAL OF NEUROTRAUMA
VL 33
IS 1
BP 89
EP 94
DI 10.1089/neu.2014.3843
PD JAN 1 2016
PY 2016
AB The Glasgow Coma Scale (GCS) was introduced 40 years ago and has
   received world-wide acceptance. The GCS rates eye, motor, and verbal
   responses to assess the level of consciousness. Concerns have been
   expressed with regard to reliability and consistency of assessments. We
   considered that lack of standardization in application techniques and
   reporting of the GCS may have contributed to these concerns, and aimed
   to assess current procedures in its use. Questionnaire-based assessments
   were conducted by an online survey and during neurosurgical training
   courses. Overall, 616 participants were recruited, representing 48
   countries and including physicians and nurses from different
   disciplines. Use of the GCS was reported by nearly all participants for
   assessment of patients with traumatic brain injury, but not for all
   patients with a reduced level of consciousness from other causes (78%).
   Major differences were found regarding the type of stimulus applied when
   patients do not obey commands: Nail bed pressure, supraorbital pressure,
   trapezius or pectoralis pinch, and sternal rub were all frequently used,
   whereas 25% of responders reported to never use a peripheral stimulus.
   Strategies for reporting the GCS varied greatly, and 35% of participants
   limited the reporting to a summary score. Moreover, different approaches
   were used when one of the components could not be assessed. Overall, the
   surveys have identified a general lack of standardization in assessment
   and reporting of the GCS. The results illustrate the need for continued
   education to improve reliability of assessments through guidance to a
   standard approach.
ZS 1
ZR 0
Z8 1
TC 34
ZB 9
ZA 0
Z9 35
U1 0
U2 9
SN 0897-7151
EI 1557-9042
UT WOS:000367057200011
PM 25951090
ER

PT J
AU Barry, Denis S.
   Marzouk, Fadi
   Chulak-Oglu, Kyrylo
   Bennett, Deirdre
   Tierney, Paul
   O'Keeffe, Gerard W.
TI Anatomy Education for the YouTube Generation
SO ANATOMICAL SCIENCES EDUCATION
VL 9
IS 1
BP 90
EP 96
DI 10.1002/ase.1550
PD JAN-FEB 2016
PY 2016
AB Anatomy remains a cornerstone of medical education despite challenges
   that have seen a significant reduction in contact hours over recent
   decades; however, the rise of the "YouTube Generation" or "Generation
   Connected" (Gen C), offers new possibilities for anatomy education. Gen
   C, which consists of 80% Millennials, actively interact with social
   media and integrate it into their education experience. Most are willing
   to merge their online presence with their degree programs by engaging
   with course materials and sharing their knowledge freely using these
   platforms. This integration of social media into undergraduate learning,
   and the attitudes and mindset of Gen C, who routinely creates and
   publishes blogs, podcasts, and videos online, has changed traditional
   learning approaches and the student/teacher relationship. To gauge this,
   second year undergraduate medical and radiation therapy students (n=73)
   were surveyed regarding their use of online social media in relation to
   anatomy learning. The vast majority of students had employed web-based
   platforms to source information with 78% using YouTube as their primary
   source of anatomy-related video clips. These findings suggest that the
   academic anatomy community may find value in the integration of social
   media into blended learning approaches in anatomy programs. This will
   ensure continued connection with the YouTube generation of students
   while also allowing for academic and ethical oversight regarding the use
   of online video clips whose provenance may not otherwise be known. (C)
   2015 American Association of Anatomists.
OI O'Keeffe, Gerard/0000-0001-5149-0933; Tierney, Paul/0000-0002-2647-2861
ZA 0
TC 149
ZR 0
ZS 7
ZB 15
Z8 0
Z9 152
U1 9
U2 167
SN 1935-9772
EI 1935-9780
UT WOS:000371546800010
PM 26061143
ER

PT J
AU Stack, Conor
   Oldenburg, Catie
   Mimiaga, Matthew
   Elsesser, Steven A.
   Krakower, Douglas
   Novak, David S.
   Egan, James E.
   Stall, Ronald
   Safren, Steve
   Mayer, Kenneth H.
TI Sexual Behavior Patterns and PrEP Dosing Preferences in a Large Sample
   of North American Men Who Have Sex With Men
SO JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
VL 71
IS 1
BP 94
EP 101
DI 10.1097/QAI.0000000000000816
PD JAN 1 2016
PY 2016
AB Introduction:Pre-exposure prophylaxis (PrEP), taken as a single daily
   coformulated pill containing tenofovir -emtricitabine, is a promising
   intervention to reduce the likelihood of HIV acquisition in at-risk
   individuals, including men who have sex with men. Little is known about
   the acceptability of less than daily, intermittent PrEP
   regimens.Methods:We conducted an online survey of North American men who
   have sex with men to characterize their sexual frequency and planning
   behaviors and correlate these with PrEP dosing preferences.Results:Of
   the 3217 respondents who completed the survey, 46% reported engaging in
   unplanned condomless anal intercourse (CAI) at least once in previous 3
   months and 8% reported engaging in CAI more than once per week. In
   multivariable analysis, reporting unplanned CAI was associated with
   lower educational level, identifying as homosexual/gay as compared with
   bisexual, being in a monogamous relationship, having a higher
   self-perceived risk of HIV acquisition, reporting higher income,
   engaging in CAI more than five times in the last 3 months, and not
   having visited a health care provider in the previous year. Frequent CAI
   (>1 time per week) was associated with being younger, identifying as
   homosexual/gay as compared with bisexual, being in a monogamous
   relationship, and having a higher self-perceived risk of HIV. Having
   only planned sex over the last 3 months was associated with a preference
   for event-based PrEP, whereas having frequent or unplanned CAI was
   associated with a preference for daily or time-driven PrEP regimens,
   respectively.Conclusion:Our findings suggest that preferences for
   different PrEP regimens are associated with the sexual frequency and
   planning behaviors of potential users.
OI Elsesser, Steven/0000-0001-5775-8785; Egan, James
   Erin/0000-0003-3888-7148
TC 10
ZR 0
Z8 0
ZA 0
ZS 0
ZB 5
Z9 10
U1 0
U2 12
SN 1525-4135
EI 1077-9450
UT WOS:000366715300013
PM 26371786
ER

PT J
AU Fu, Linda Y.
   Zook, Kathleen
   Spoehr-Labutta, Zachary
   Hu, Pamela
   Joseph, Jill G.
TI Search Engine Ranking, Quality, and Content of Web Pages That Are
   Critical Versus Noncritical of Human Papillomavirus Vaccine
SO JOURNAL OF ADOLESCENT HEALTH
VL 58
IS 1
BP 33
EP 39
DI 10.1016/j.jadohealth.2015.09.016
PD JAN 2016
PY 2016
AB Purpose: Online information can influence attitudes toward vaccination.
   The aim of the present study was to provide a systematic evaluation of
   the search engine ranking, quality, and content of Web pages that are
   critical versus noncritical of human papillomavirus (HPV) vaccination.
   Methods: We identified HPV vaccineerelated Web pages with the Google
   search engine by entering 20 terms. We then assessed each Web page for
   critical versus noncritical bias and for the following quality
   indicators: authorship disclosure, source disclosure, attribution of at
   least one reference, currency, exclusion of testimonial accounts, and
   readability level less than ninth grade. We also determined Web page
   comprehensiveness in terms of mention of 14 HPV vaccineerelevant topics.
   Results: Twenty searches yielded 116 unique Web pages. HPV
   vaccineecritical Web pages comprised roughly a third of the top, top 5-
   and top 10-ranking Web pages. The prevalence of HPV vaccine-critical Web
   pages was higher for queries that included term modifiers in addition to
   root terms. Compared with noncritical Web pages, Web pages critical of
   HPV vaccine overall had a lower quality score than those with a
   noncritical bias (p < .01) and covered fewer important HPV-related
   topics (p < .001). Critical Web pages required viewers to have higher
   reading skills, were less likely to include an author byline, and were
   more likely to include testimonial accounts. They also were more likely
   to raise unsubstantiated concerns about vaccination.
   Conclusions: Web pages critical of HPV vaccine may be frequently
   returned and highly ranked by search engine queries despite being of
   lower quality and less comprehensive than noncritical Web pages. (C)
   2016 Society for Adolescent Health and Medicine. All rights reserved.
OI Fu, Linda/0000-0002-5649-5167
ZS 1
TC 26
ZB 9
Z8 0
ZR 0
ZA 0
Z9 26
U1 0
U2 23
SN 1054-139X
EI 1879-1972
UT WOS:000367062200006
PM 26559742
ER

PT J
AU Tigges, Stefan
   Lewis, Petra J.
   McNulty, Nancy J.
   Mullins, Mark E.
TI Medical Student Performance After a Vertically Integrated Radiology
   Clerkship
SO JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
VL 13
IS 1
BP 67
EP 71
DI 10.1016/j.jacr.2015.07.019
PD JAN 2016
PY 2016
AB Purpose: Proper selection of imaging examinations and basic image
   interpretation skills are essential for all physicians, yet only
   approximately 25% of US medical schools require clerkships in radiology.
   Although there is limited time in most medical school curricula to allow
   the addition of a required radiology clerkship, the authors developed
   one that is vertically integrated over a two-year period. This clerkship
   includes one week of contact with radiologists distributed over the M2
   and M3 years, podcasts, online modules, required readings, and
   presentations. A standard national examination is administered at the
   end of the clerkship period. This clerkship was designed to address the
   educational needs of students while occupying minimal time in the
   curriculum. The purpose of this study was to determine if students
   completing this clerkship perform as well on a national radiology
   examination as students from other medical schools, regardless of their
   curricula.
   Methods: At the end of the M3 year, these students take a computer-based
   radiology examination developed by the Alliance of Medical Student
   Educators in Radiology and used by students at multiple medical schools
   nationally. The mean and median scores of these students were compared
   with those of students at these other institutions.
   Results: The mean and median scores of the students were 74% and 74%
   (standard deviation, 7.5%) compared with 74% and 50%, (standard
   deviation, 8.4%) at other institutions.
   Conclusions: Students completing this vertically integrated radiology
   clerkship had test scores comparable with those of students at other
   medical schools.
Z8 0
TC 7
ZS 0
ZB 0
ZA 0
ZR 0
Z9 7
U1 0
U2 2
SN 1546-1440
UT WOS:000367870600018
PM 26499164
ER

PT J
AU Riley, Lydia
   Litsch, Tyler
   Cook, Michelle L.
TI Preparing the next generation of health care providers: A description
   and comparison of nurse practitioner and medical student tuition in 2015
SO JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
VL 28
IS 1
BP 6
EP 10
DI 10.1002/2327-6924.12332
PD JAN 2016
PY 2016
AB Background and purposeThe purpose of this study was twofold: to describe
   the average cost of nurse practitioner (NP) tuition based on degree
   program, program type, and geography; and to compare the cost of NP
   tuition to medical school tuition.
   MethodsA listing of all NP degree granting universities was obtained
   from the American Association of Colleges of Nursing during the fall of
   2014, and tuition data were obtained from university websites. Medical
   school tuition data were obtained online during the fall of 2014 from
   the American Association of Medical Colleges. Average 1-year tuition
   rates were calculated for NP programs and medical schools and compared
   across private and public institutions.
   ConclusionsAverage 1-year resident tuition for public university NP
   programs ranges between $8671 and $11,077 based on type of program. The
   cost of 1-year NP program tuition at the master's and the doctoral level
   is much lower than the cost of 1-year medical school tuition at both
   private and public universities.
   Implications for practiceNPs can perform many of the same services as
   physicians in the primary care setting with comparable outcomes, yet the
   cost of educating NPs is much lower. NPs are a cost-effective solution
   to the healthcare workforce shortage.
RI Cook, Michelle/J-7222-2019
OI Cook, Michelle/0000-0001-7743-1368
Z8 0
ZB 0
ZA 0
TC 6
ZS 0
ZR 0
Z9 6
U1 0
U2 7
SN 2327-6886
EI 2327-6924
UT WOS:000367839800002
PM 26644141
ER

PT J
AU Miller, Edgar R., III
   Cooper, Lisa A.
   Carson, Kathryn A.
   Wang, Nae-Yuh
   Appel, Lawrence J.
   Gayles, Debra
   Charleston, Jeanne
   White, Karen
   You, Na
   Weng, Yingjie
   Martin-Daniels, Michelle
   Bates-Hopkins, Barbara
   Robb, Inez
   Franz, Whitney K.
   Brown, Emily L.
   Halbert, Jennifer P.
   Albert, Michael C.
   Dalcin, Arlene T.
   Yeh, Hsin-Chieh
TI A Dietary Intervention in Urban African Americans Results of the "Five
   Plus Nuts and Beans" Randomized Trial
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 50
IS 1
BP 87
EP 95
DI 10.1016/j.amepre.2015.06.010
PD JAN 2016
PY 2016
AB Introduction: Unhealthy diets, often low in potassium, likely contribute
   to racial disparities in blood pressure. We tested the effectiveness of
   providing weekly dietary advice, assistance with selection of higher
   potassium grocery items, and a $30 per week food allowance on blood
   pressure and other outcomes in African American adults with
   hypertension.
   Design: We conducted an 8-week RCT with two parallel arms between May
   2012 and November 2013.
   Setting/participants: We randomized 123 African Americans with
   controlled hypertension from an urban primary care clinic in Baltimore,
   Maryland, and implemented the trial in partnership with a community
   supermarket and the Baltimore CityHealth Department. Mean (SD) age was
   58.6 (9.5) years; 71% were female; blood pressure was 131.3 (14.7)/77.2
   (10.5) mmHg; BMI was 34.5 (8.2); and 28% had diabetes.
   Intervention: Participants randomized to the active intervention group
   (Dietary Approaches to Stop Hypertension [DASH]-Plus) received
   coach-directed dietary advice and assistance with weekly online ordering
   and purchasing of high-potassium foods ($ 30/week) delivered by a
   community supermarket to a neighborhood library. Participants in the
   control group received a printed DASH diet brochure along with a debit
   account of equivalent value to that of the DASH-Plus group.
   Main outcome measures: The primary outcome was blood pressure change.
   Analyses were conducted in January to October 2014.
   Results: Compared with the control group, the DASH-Plus group increased
   self-reported consumption of fruits and vegetables (mean = 1.4, 95% CI =
   0.7, 2.1 servings/day); estimated intake of potassium (mean = 0.4, 95%
   CI = 0.1, 0.7 grams/day); and urine potassium excretion (mean = 19%, 95%
   CI = 1%, 38%). There was no significant effect on blood pressure.
   Conclusions: A program providing dietary advice, assistance with grocery
   ordering, and $ 30/week of high-potassium foods in African American
   patients with controlled hypertension in a community-based clinic did
   not reduce BP. However, the intervention increased consumption of
   fruits, vegetables, and urinary excretion of potassium. (C) 2016
   American Journal of Preventive Medicine.
RI Appel, Larry/GLT-2608-2022; Wang, Nae-Yuh/
OI Wang, Nae-Yuh/0000-0001-6513-9730
ZS 0
ZB 12
ZR 0
ZA 0
Z8 0
TC 33
Z9 33
U1 0
U2 21
SN 0749-3797
EI 1873-2607
UT WOS:000366845300016
PM 26321012
ER

PT J
AU Rider, Briana B.
   Lier, Silje C.
   Johnson, Tisha K.
   Hu, Dale J.
TI Interactive Web-Based Learning Translating Health Policy Into Improved
   Diabetes Care
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 50
IS 1
BP 122
EP 128
DI 10.1016/j.amepre.2015.07.038
PD JAN 2016
PY 2016
AB In August 2014, the U.S. DHHS's Office of Disease Prevention and Health
   Promotion released the National Action Plan for Adverse Drug Event
   Prevention, highlighting prevention of diabetes agent-related
   hypoglycemia as a key area for improvement. In support of the Action
   Plan, the Office of Disease Prevention and Health Promotion then
   developed a web-based interactive module, or eLearning lesson, based on
   formative research and stakeholder feedback to educate healthcare
   professionals on strategies to prevent adverse drug events from diabetes
   agents. The training incorporates health literacy principles by
   demonstrating, through video scenarios, how to apply shared decision
   making when setting individualized glycemic targets, and how to use the
   teach-back method to confirm patients' understanding. Prior to release
   in September 2014, the training went through intensive usability testing
   and was pilot tested using a 36-item evaluation. Six months after its
   release (September 2014 to March 2015), the training landing page on
   health.gov had 24,334 unique page views. More than 90% of the 234
   participants who earned continuing education credit agreed that they
   will be able to apply the knowledge gained from the lesson to their
   practice. Online trainings that model key prevention strategies are well
   received by health professional users and may play an important role in
   translating policy into improved outcomes. Published by Elsevier Inc. on
   behalf of American Journal of Preventive Medicine
ZA 0
ZS 0
Z8 0
TC 12
ZB 0
ZR 0
Z9 12
U1 0
U2 19
SN 0749-3797
EI 1873-2607
UT WOS:000366845300022
PM 26602941
ER

PT J
AU Chan, Mark Y.
   Du, Xin
   Eccleston, David
   Ma, Changsheng
   Mohanan, Padinhare P.
   Ogita, Manabu
   Shyu, Kou-Gi
   Yan, Bryan P.
   Jeong, Young-Hoon
TI Acute coronary syndrome in the Asia-Pacific region
SO INTERNATIONAL JOURNAL OF CARDIOLOGY
VL 202
BP 861
EP 869
DI 10.1016/j.ijcard.2015.04.073
PD JAN 1 2016
PY 2016
AB More than 4.2 billion inhabitants populate the Asia-Pacific region.
   Acute coronary syndrome (ACS) is now a major cause of death and
   disability in this region with in-hospital mortality typically exceeding
   5%. Yet, the region still lacks consensus on the best approach to
   overcoming its specific challenges in reducing mortality from ACS. The
   Asia-Pacific Real world evIdenCe on Outcome and Treatment of ACS
   (APRICOT) project reviewed current published and unpublished registry
   data, unmet needs in ACS management and possible approaches towards
   improving ACS-related mortality in the region. There was striking
   heterogeneity in the use of invasive procedures, pharmacologic practice
   (hospitalization/post-discharge), and in short-and long-term clinical
   outcomes across healthcare systems; this heterogeneity was perceived to
   be far greater than in Western Europe or the United States. 'Benchmark'
   short-term clinical outcomes are preferred over long-term outcomes due
   to difficulties in follow-up, recording and maintenance of medication
   adherence in a geographically large and culturally diverse region. Key
   'barriers' towards improving outcomes include patient education (pain
   awareness, consequences of missing medication and secondary prevention),
   geographical landscape (urban vs. metropolitan), limited long-term
   adherence to guideline-based management and widespread adoption of
   cost-based rather than value-based healthcare systems. Initiatives to
   overcome these barriers should include implementation of pre-hospital
   management strategies, toolkits to aid in-hospital treatment, greater
   community outreach with online patient/physician education and
   telemedicine, sustainable economic models to improve accessibility to
   effective pharmacotherapies and the acquisition of high-quality
   'real-world' regional data to tailor secondary prevention initiatives
   that meet the unique needs of countries in this region. (C) 2015 The
   Authors. Published by Elsevier Ireland Ltd.
RI Yan, Bryan P/P-5928-2015; Chan, Yan Yee Mark/ABE-1929-2021; Jeong, Young-Hoon/AAO-4401-2020; Jeong, Young-Hoon/F-3476-2015
OI Chan, Yan Yee Mark/0000-0003-0389-7450; Jeong,
   Young-Hoon/0000-0003-0403-3726
ZR 0
Z8 2
ZA 0
ZS 0
ZB 24
TC 66
Z9 66
U1 1
U2 14
SN 0167-5273
EI 1874-1754
UT WOS:000366161500206
PM 26476044
ER

PT J
AU Madani, Amin
   Watanabe, Yusuke
   Vassiliou, Melina
   Feldman, Liane S.
   Duh, Qum-Yang
   Singer, Michael C.
   Ruan, Daniel T.
   Tabah, Roger
   Mitmaker, Elliot
TI Defining competencies for safe thyroidectomy: An international Delphi
   consensus
SO SURGERY
VL 159
IS 1
BP 86
EP 94
DI 10.1016/j.surg.2015.07.039
PD JAN 2016
PY 2016
AB Background. Current methods for teaching and assessing competencies that
   characterize expert intraoperative performance are inconsistent,
   subjective, and lack standardization. This mixed-methods study was
   designed to define and establish expert consensus on the most important
   competencies required to perform a thyroidectomy safely.
   Methods. Cognitive task analyses for thyroidectomy were performed with
   semistructured interviews of experts in thyroid surgery. Verbal data
   were transcribed verbatim, coded, and categorized according to themes
   that were synthesized into a list of items. Once qualitative data
   reached saturation, 26 experts were invited to complete 2-round online
   Delphi surveys to rank each item on a Likert scale of importance (1-7).
   Consensus was predefined as a Cronbach's alpha >= 0.80.
   Results. Sixty items were synthesized from 5 interviews and categorized
   into 8 sections: preparation (n = 8), incision/exposure (n = 11),
   general considerations (n = 4), middle thyroid vein (n = 1), superior
   pole (n = 5), inferior pole (n = 5), posterolateral dissection (n = 19),
   and closure (n = 7). Eighteen (69%) experts from 3 countries
   participated in the Delphi survey. Consensus was achieved after 2 voting
   rounds (Cronbach's alpha = 0.95). Greatest weighted sections included
   "Superior Pole Dissection" and "Posterolateral Dissection."
   Conclusion. Consensus was achieved on defining the most important
   competencies for safe thy roidectomy. This blueprint serves as the basis
   for instructional design and objective assessment tools to evaluate
   performance.
OI Singer, Michael/0000-0002-8673-2637
TC 8
ZB 3
Z8 1
ZS 0
ZA 0
ZR 0
Z9 9
U1 0
U2 3
SN 0039-6060
UT WOS:000367029200022
PM 26435445
ER

PT J
AU Dobscha, Steven K.
   Denneson, Lauren M.
   Jacobson, Laura E.
   Williams, Holly B.
   Cromer, Risa
   Woods, Susan
TI VA mental health clinician experiences and attitudes toward OpenNotes
SO GENERAL HOSPITAL PSYCHIATRY
VL 38
IS 1
BP 89
EP 93
DI 10.1016/j.genhosppsych.2015.08.001
PD JAN-FEB 2016
PY 2016
AB Objective: To describe Department of Veterans Affairs (VA) mental health
   clinician attitudes toward and experiences with OpenNotes (also known as
   Blue Button), which provides patients direct access to clinical notes
   online.
   Method: A 35-item online survey was administered to 263 mental health
   clinicians and nurses from one VA Medical Center.
   Results: Seventy-nine percent of eligible subjects participated. Most
   respondents agreed or somewhat agreed that OpenNotes is a good idea in
   general, but only half agreed that making mental health notes available
   online is a good idea. Most believed that patients will better remember
   plans of care and be better prepared for visits. Most also felt that
   patients will worry more and request changes in notes. Many clinicians
   reported being less detailed and changing the tone of their notes.
   Conclusion: As a group, mental health clinicians are positive about
   OpenNotes in general but ambivalent about the use of OpenNotes in mental
   health care. The results call for research on outcomes of OpenNotes use
   in mental health and to develop education and support to help clinicians
   adapt to OpenNotes. Published by Elsevier Inc.
RI Woods, Susan/AIB-6705-2022
TC 55
ZR 0
ZS 0
ZA 0
Z8 0
ZB 5
Z9 55
U1 0
U2 2
SN 0163-8343
EI 1873-7714
UT WOS:000367358000017
PM 26380876
ER

PT J
AU Patwardhan, Vilas R.
   Feuerstein, Joseph D.
   Sengupta, Neil
   Lewandowski, Jeffrey J.
   Tsao, Roy
   Kothari, Darshan
   Anastopoulos, Harry T.
   Doyle, Richard B.
   Leffler, Daniel A.
   Sheth, Sunil G.
TI Fellowship Colonoscopy Training and Preparedness for Independent
   Gastroenterology Practice
SO JOURNAL OF CLINICAL GASTROENTEROLOGY
VL 50
IS 1
BP 45
EP 51
DI 10.1097/MCG.0000000000000376
PD JAN 2016
PY 2016
AB Goals: To objectively assess when gastroenterology (GI) fellows achieve
   technical competency to perform colonoscopy independently.
   Background: New guidelines to assess the procedural competency of GI
   fellows in training have been developed. Although comprehensive, they do
   not account for the quality metrics to which independently practicing
   gastroenterologists are held.
   Study: We performed a prospective study examining consecutive
   colonoscopies performed by GI fellows from November 2013 through March
   2014 at an academic medical center. Using a brief postprocedure
   questionnaire and the online medical record, we measured rates of
   independent fellow cecal intubation rate (CIR), insertion time to the
   cecum (cecal IT), and independent polypectomy rate. Our secondary
   outcomes were adenoma detection rate and polyp detection rate.
   Results: A total of 898 colonoscopies performed by 10 GI fellows were
   analyzed. In the multivariate analysis, CIR [odds ratio (OR) = 1.29, P =
   0.012], cecal IT (beta-coefficient = 0.19, P = 0.006), and rates of
   unassisted independent snare polypectomy (OR = 1.36, P < 0.001) all
   improved significantly with increased number of procedures performed (OR
   and beta-coefficient per 100 colonoscopies performed). After performing
   500 colonoscopies, fellows achieved a mean CIR > 90%, cecal IT between 7
   and 10 minutes, and independent polypectomy rate of 90% with further
   improvement in cecal IT to <7 minutes, and independent snare polypectomy
   of >95% after 700 cases.
   Conclusions: Current procedural recommendations for fellowship training
   may underestimate the technical skill necessary for independent GI
   practice upon completion of fellowship. Technical proficiency in snare
   polypectomy may lag behind proficiency in cecal intubation.
RI Feuerstein, Joseph David/AAF-5183-2020
ZB 1
ZS 0
Z8 0
ZA 0
ZR 0
TC 16
Z9 16
U1 0
U2 6
SN 0192-0790
EI 1539-2031
UT WOS:000366941000009
PM 26125461
ER

PT J
AU Stratman, Erik J.
   Elston, Dirk M.
   Miller, Stanley J.
TI Skin biopsy Identifying and overcoming errors in the skin biopsy pathway
SO JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VL 74
IS 1
BP 19
EP 25
DI 10.1016/j.jaad.2015.06.034
PD JAN 2016
PY 2016
AB The skin biopsy pathway involves numerous communication requirements,
   technical events, human handoffs, and cognitive decisions. Every step in
   the process has an error rate >0. To deliver the highest quality care,
   dermatologists obtaining skin biopsy specimens should implement systems
   in their office to minimize errors. This includes the prevention of
   wrong-site surgery, which in most instances involves accurate
   communication of the correct biopsy location to the performing surgeon.
   Part II of this continuing medical education article presents techniques
   for assessing and planning improvement to the skin biopsy pathway in
   your office, and provides a simple online quality improvement activity
   that allows Board-certified dermatologists the opportunity to
   potentially improve aspects of the skin biopsy process in their own
   practices, and in the process obtain Maintenance of Certification
   credit.
TC 4
ZB 1
ZS 0
ZA 0
Z8 0
ZR 1
Z9 5
U1 0
U2 4
SN 0190-9622
UT WOS:000367066000011
PM 26702795
ER

PT J
AU McGoey, Robin
   Naritoku, Wesley Y
   Furlong, Mary A
TI Identifying the Challenges of "Small" Pathology Residency Programs and
   Creating Collaborative Solutions.
SO Academic pathology
VL 3
BP 2374289516643541
EP 2374289516643541
DI 10.1177/2374289516643541
PD 2016 Jan-Dec
PY 2016
AB The majority of pathology residency training programs in the United
   States are considered to be small training programs. Small training
   programs, regardless of specialty, encounter unique challenges that have
   been documented in the literature. With the implementation of the Next
   Accreditation System (NAS), and other Accreditation Council for Graduate
   Medical Education (ACGME) Common Program Requirements, adequate
   personnel and other resources are necessary. An online survey was
   conducted on the pathology program directors' section listserv to help
   identify characteristics and challenges of small pathology residency
   training programs. A discussion group on small pathology residency
   programs was held at the 2015 Association of Pathology Chairs/Program
   Directors annual meeting, where the results of the survey were discussed
   and small breakout groups followed the discussion of the survey. The
   results of the online survey and discussion groups are discussed in this
   paper.
ZA 0
ZS 0
ZB 0
TC 2
ZR 0
Z8 0
Z9 2
U1 0
U2 0
SN 2374-2895
UT MEDLINE:28725764
PM 28725764
ER

PT J
AU Smith, Andrew P.
TI A UK survey of driving behaviour, fatigue, risk taking and road traffic
   accidents
SO BMJ OPEN
VL 6
IS 8
AR e011461
DI 10.1136/bmjopen-2016-011461
PD 2016
PY 2016
AB Objective: The aim of the present research was to examine associations
   between poor driving behaviour (DB), driving when fatigued (DF), risk
   taking (RT) and road traffic accidents (RTAs).
   Design: The study involved a cross-sectional online survey of clients of
   an insurance company. The survey measured DB (speeding, distraction,
   lapses of attention and aggression), RT and frequency of driving when
   fatigued (DF, driving late at night, prolonged driving, driving after a
   demanding working day and driving with a cold). Demographic, lifestyle,
   job characteristics and psychosocial factors were also measured and used
   as covariates.
   Setting: Cardiff, UK.
   Sample: 3000 clients of an insurance company agreed to participate in
   the study, and 2856 completed the survey (68% woman, 32% man; mean age:
   34 years, range 18-74 years).
   Main outcome measures: The outcomes were RTAs (requiring medical
   attention; not requiring medical attention), where the person was the
   driver.
   Results: Factor analyses showed that DB, RT and fatigue loaded on
   independent factors. Logistic regressions showed that poor DB,
   frequently DF and taking risks predicted medical and non-medical RTAs.
   These effects were additive and those who reported poor DB, driving when
   fatigue and taking risks were twice as likely to have an RTA. These
   effects remained significant when demographic, lifestyle, medical,
   driving, work and psychosocial factors were covaried.
   Conclusions: Poor DB, DF and RT predict RTAs. There are now short
   measuring instruments that can assess these, and driver education
   programmes must increase awareness of these risk factors.
ZS 1
TC 27
ZA 0
ZR 0
Z8 1
ZB 9
Z9 29
U1 0
U2 19
SN 2044-6055
UT WOS:000382336700140
PM 27540100
ER

PT B
AU Beaujean, Desiree J.
   Sprong, Hein
BE Braks, MAH
   VanWieren, SE
   Takken, W
   Sprong, H
TI Evidence-based health promotion programmes and tools to prevent tick
   bites and Lyme borreliosis
SO ECOLOGY AND PREVENTION OF LYME BORRELIOSIS: ECOLOGY AND CONTROL OF
   VECTOR-BORNE DISEASES, VOL 4
BP 319
EP 326
DI 10.3920/978-90-8686-838-4_22
PD 2016
PY 2016
AB Despite improvements in prevention, diagnosis and treatment, Lyme
   borreliosis (LB) is still the most common tick-borne infection in Europe
   and North America. As long as there are no effective measures to control
   tick populations in nature and there is no vaccine, we have to primarily
   rely on information provision and communication to prevent tick bites
   and LB. Tick and LB prevention programmes are aimed at increasing the
   public's knowledge of ticks, tick bites and LB, influencing people's
   perception, and stressing the positive effect of preventive measures.
   Remarkably, the number of studies aiming at the improvement of education
   and communication interventions to prevent tick bites and LB is very
   limited. Recently, four newly developed interventions, a movie, a
   leaflet, an online educational video game and a mobile app were
   developed, implemented and evaluated on social-cognitive variables
   associated with the intention to take measures to prevent ticks and LB
   and the preventive behaviour of the general public and schoolchildren in
   the Netherlands. The effects of these tools were comparable: people
   appreciated the tools, they learn short-term from it and some of the
   tools motivate them to check their skin on ticks more frequently. Since
   none of the tools was able to reach a long-term effect, it is important
   to keep going the attention for education continuously.
ZB 1
ZR 0
ZA 0
Z8 0
TC 2
ZS 0
Z9 2
U1 0
U2 2
BN 978-90-8686-838-4; 978-90-8686-293-1
UT WOS:000487827100022
D2 10.3920/978-90-8686-838-4
ER

PT J
AU Gabarron, Elia
   Wynn, Rolf
TI Use of social media for sexual health promotion: a scoping review
SO GLOBAL HEALTH ACTION
VL 9
DI 10.3402/gha.v9.32193
PD 2016
PY 2016
AB Background: In order to prevent sexually transmitted infections (STIs),
   the World Health Organization recommends educating people on sexual
   health. With more than 2 billion active users worldwide, online social
   media potentially represent powerful channels for health promotion,
   including sexual health.
   Objective: To review the scientific literature on the use of online
   social media for sexual health promotion.
   Design: A search was conducted of scientific and medical databases, and
   grey literature was also included. The selected publications were
   classified according to their study designs, sexual health promotion
   main subject, target audience age, and social media use.
   Results: Fifty-one publications were included; 4 publications presenting
   randomized intervention studies, 39 non-randomized intervention studies,
   and 8 observational studies. In 29 publications (56.9%), the main
   subject of the sexual health promotion was 'general' or to increase STI
   testing. Thirty publications (58.8%) specifically focused on youth or
   young people (aged 11-29 years). Fourteen publications that used social
   media either as unique channels for sexual health promotion
   interventions or as a tool supporting the sexual health promotion
   reported an effect on behavior (27%), and two of those studies found a
   reduction in the number of positive chlamydia and gonorrhea cases linked
   to social media intervention. Forty-four publications (86.3%) involved
   Facebook in some way.
   Conclusions: Although billions of people worldwide actively use social
   media, we identified only 51 publications on the use of social media for
   promoting sexual health. About a quarter of the publications have
   identified promising results, and the evidence for positive effects of
   social media interventions for promoting sexual health is increasing.
   There is a need for more studies that explicitly discuss their
   theoretical framework, and that have strong research designs, in order
   to further increase the evidence base of the field.
RI Wynn, Rolf/ABE-8410-2020
OI Wynn, Rolf/0000-0002-2254-3343
ZA 0
ZR 0
Z8 0
ZS 3
TC 66
ZB 6
Z9 67
U1 4
U2 17
EI 1654-9880
UT WOS:000386522700001
ER

PT J
AU Geletko, Karen W
   Myers, Karen
   Brownstein, Naomi
   Jameson, Breanna
   Lopez, Daniel
   Sharpe, Alaine
   Bellamy, Gail R
TI Medical Residents' and Practicing Physicians' e-Cigarette Knowledge and
   Patient Screening Activities: Do They Differ?
SO Health services research and managerial epidemiology
VL 3
BP 2333392816678493
EP 2333392816678493
DI 10.1177/2333392816678493
PD 2016 Jan-Dec
PY 2016
AB PURPOSE: The purpose of this study was to compare medical residents and
   practicing physicians in primary care specialties regarding their
   knowledge and beliefs about electronic cigarettes (e-cigarettes). We
   wanted to ascertain whether years removed from medical school had an
   effect on screening practices, recommendations given to patients, and
   the types of informational sources utilized.
   METHODS: A statewide sample of Florida primary care medical residents (n
   = 61) and practicing physicians (n = 53) completed either an online or
   paper survey, measuring patient screening and physician recommendations,
   beliefs, and knowledge related to e-cigarettes. chi2 tests of
   association and linear and logistic regression models were used to
   assess the differences within- and between-participant groups.
   RESULTS: Practicing physicians were more likely than medical residents
   to believe e-cigarettes lower cancer risk in patients who use them as an
   alternative to cigarettes (P = .0003). Medical residents were more
   likely to receive information about e-cigarettes from colleagues (P =
   .0001). No statistically significant differences were observed related
   to e-cigarette knowledge or patient recommendations.
   CONCLUSIONS: Practicing primary care physicians are accepting both the
   benefits and costs associated with e-cigarettes, while medical residents
   in primary care are more reticent. Targeted education concerning the
   potential health risks and benefits associated with the use of
   e-cigarettes needs to be included in the current medical education
   curriculum and medical provider training to improve provider confidence
   in discussing issues surrounding the use of this product.
OI Brownstein, Naomi/0000-0002-9991-427X
ZA 0
ZB 1
Z8 0
ZR 0
TC 5
ZS 0
Z9 5
U1 0
U2 1
SN 2333-3928
UT MEDLINE:28462285
PM 28462285
ER

PT J
AU Ryall, Tayne
   Judd, Belinda K
   Gordon, Christopher J
TI Simulation-based assessments in health professional education: a
   systematic review.
SO Journal of multidisciplinary healthcare
VL 9
BP 69
EP 82
DI 10.2147/JMDH.S92695
PD 2016
PY 2016
AB INTRODUCTION: The use of simulation in health professional education has
   increased rapidly over the past 2 decades. While simulation has
   predominantly been used to train health professionals and students for a
   variety of clinically related situations, there is an increasing trend
   to use simulation as an assessment tool, especially for the development
   of technical-based skills required during clinical practice. However,
   there is a lack of evidence about the effectiveness of using simulation
   for the assessment of competency. Therefore, the aim of this systematic
   review was to examine simulation as an assessment tool of technical
   skills across health professional education.
   METHODS: A systematic review of Cumulative Index to Nursing and Allied
   Health Literature (CINAHL), Education Resources Information Center
   (ERIC), Medical Literature Analysis and Retrieval System Online
   (Medline), and Web of Science databases was used to identify research
   studies published in English between 2000 and 2015 reporting on measures
   of validity, reliability, or feasibility of simulation as an assessment
   tool. The McMasters Critical Review for quantitative studies was used to
   determine methodological value on all full-text reviewed articles.
   Simulation techniques using human patient simulators, standardized
   patients, task trainers, and virtual reality were included.
   RESULTS: A total of 1,064 articles were identified using search
   criteria, and 67 full-text articles were screened for eligibility.
   Twenty-one articles were included in the final review. The findings
   indicated that simulation was more robust when used as an assessment in
   combination with other assessment tools and when more than one
   simulation scenario was used. Limitations of the research papers
   included small participant numbers, poor methodological quality, and
   predominance of studies from medicine, which preclude any definite
   conclusions.
   CONCLUSION: Simulation has now been embedded across a range of health
   professional education and it appears that simulation-based assessments
   can be used effectively. However, the effectiveness as a stand-alone
   assessment tool requires further research.
Z8 2
ZR 0
ZS 1
ZA 0
ZB 4
TC 98
Z9 100
U1 0
U2 14
SN 1178-2390
UT MEDLINE:26955280
PM 26955280
ER

PT J
AU Glasser, Saralee
   Levinson, Daphna
   Bina, Rena
   Munitz, Hanan
   Horev, Ze'ev
   Kaplan, Giora
TI Primary Care Physicians' Attitudes Toward Postpartum Depression: Is It
   Part of Their Job?
SO Journal of primary care & community health
VL 7
IS 1
BP 24
EP 9
DI 10.1177/2150131915611827
PD 2016-Jan
PY 2016
AB OBJECTIVES: This study surveyed Israeli primary care physicians'
   attitudes and practice regarding postpartum depression (PPD).
   METHODS: Participants included 224 pediatricians and family
   practitioners responding to an online survey (65% response rate).
   RESULTS: Almost all respondents (98.0%) considered it important that
   they be able to recognize the signs of PPD. Most (89.8%) noted that if
   they suspected PPD, they would become somewhat involved: clarifying,
   keeping attentive, consulting with colleagues, and/or referring the
   woman to another professional. Six respondents--only family
   practitioners--stated that they would treat the case themselves (P =
   .01). Family practitioners were significantly more willing to screen for
   PPD than were pediatricians (91.2% vs 64.6%; P < .0001). There were no
   differences between physicians by region or between males and females
   when comparing all respondents, as well as when comparing within medical
   specialty (P < .05).
   CONCLUSIONS: There is a clear difference between considering the
   importance of recognizing signs of PPD and acting on it. Family
   practitioners had more favorable attitudes than did pediatricians,
   however screening in pediatric facilities is considered by many to be
   optimal. Hopefully future directions for medical education and health
   policy for family practitioners and pediatricians, as well as
   obstetrician/gynecologists, will meet the challenge of early
   identification and treatment of PPD for the benefit of women, infants
   and families.
TC 17
ZB 0
ZS 0
Z8 0
ZR 0
ZA 0
Z9 17
U1 1
U2 5
EI 2150-1327
UT MEDLINE:26574564
PM 26574564
ER

PT J
AU [Anonymous]
TI 63rd Annual Scientific Meeting Abstracts, Sheraton Vancouver Wall
   Centre, Centre Sheraton Vancouver Wall, Vancouver, British Columbia,
   Canada, May 20-23, 2015 Abstracts
SO JOURNAL OF REHABILITATION MEDICINE
VL 48
IS 1
BP 90
EP 111
PD JAN 2016
PY 2016
Z8 0
ZA 0
ZB 0
ZR 0
ZS 0
TC 0
Z9 0
U1 0
U2 1
SN 1650-1977
EI 1651-2081
UT WOS:000370307600014
ER

PT J
AU Zaidi, Zareen
   Verstegen, Danielle
   Vyas, Rashmi
   Hamed, Omayma
   Dornan, Tim
   Morahan, Page
TI Cultural hegemony? Educators' perspectives on facilitating
   cross-cultural dialogue
SO MEDICAL EDUCATION ONLINE
VL 21
AR 33145
DI 10.3402/meo.v21.33145
PD 2016
PY 2016
AB Background: We live in an age when education is being internationalized.
   This can confront students with 'cultural hegemony' that can result from
   the unequal distribution of power and privilege in global society. The
   name that is given to awareness of social inequality is 'critical
   consciousness'. Cross-cultural dialogue provides an opportunity for
   learners to develop critical consciousness to counter cultural hegemony.
   The purpose of this research was to understand how learners engage with
   cross-cultural dialogue, so we can help them do so more effectively in
   the future.
   Method: The setting for this research was an online discussion in an
   international health professions educator fellowship program. We
   introduced scenarios with cultural references to study the reaction of
   participants to cultural conversation cues. We used an inductive
   thematic analysis to explore power and hegemony issues.
   Results: Participants reflected that personally they were more likely to
   take part in cross-cultural discussions if they recognized the context
   discussed or had prior exposure to educational settings with cultural
   diversity. They identified barriers as lack of skills in facilitating
   cross-cultural discussions and fear of offending others. They suggested
   deliberately introducing cultural issues throughout the curriculum.
   Conclusion: Our results indicate that developing critical consciousness
   and cross-cultural competency will require instructional design to
   identify longitudinal opportunities to bring up cross-cultural issues,
   and training facilitators to foster cross-cultural discussions by asking
   clarifying questions and navigating crucial/sensitive conversations.
RI Zaidi, Zareen/AAC-5004-2019; Verstegen, Danielle/
OI Zaidi, Zareen/0000-0003-4328-5766; Verstegen,
   Danielle/0000-0001-6811-175X
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
TC 6
Z9 6
U1 5
U2 10
SN 1087-2981
UT WOS:000390384600001
ER

PT B
AU Brown, Richard E.
BE Pfaff, DW
   Volkow, ND
TI Seven Steps to Setting Up a Neuroscience Program in a Developing Country
SO NEUROSCIENCE IN THE 21ST CENTURY: FROM BASIC TO CLINICAL, 2ND EDITION
BP 4087
EP 4114
DI 10.1007/978-1-4939-3474-4_127
PD 2016
PY 2016
AB Neuroscience is a multidisciplinary field and the development of a
   neuroscience program involves a number of diverse components. This paper
   outlines seven components that must be developed in order to establish a
   successful neuroscience program. These include the development of
   undergraduate and graduate neuroscience programs; multidisciplinary
   neuroscience research facilities; animal welfare and ethics programs;
   national and international neuroscience society involvement; student
   neuroscience societies; and community involvement. It may take many
   years to develop a successful neuroscience program, but most
   universities have the building blocks to start a program, even if it is
   small. With support of the International Brain Research Organization
   (IBRO), the Society of Neuroscientists of Africa (SONA), the Society for
   Neuroscience (SfN), and the many web-based resources that are available,
   many universities in developing countries may be able to develop
   neuroscience programs. This paper outlines some of the resources that
   are available to start each of the seven steps in developing a
   neuroscience program.
ZA 0
Z8 0
ZR 0
ZS 0
ZB 1
TC 1
Z9 1
U1 0
U2 0
BN 978-1-4939-3474-4; 978-1-4939-3473-7
UT WOS:000533148804005
D2 10.1007/978-1-4939-3474-4
ER

PT J
AU Mastenbroek, N. J. J. M.
   van Beukelen, P.
   Demerouti, E.
   Scherpbier, A. J. J. A.
   Jaarsma, A. D. C.
TI Effects of a 1 year development programme for recently graduated
   veterinary professionals on personal and job resources: a combined
   quantitative and qualitative approach
SO BMC VETERINARY RESEARCH
VL 11
AR 311
DI 10.1186/s12917-015-0627-y
PD DEC 30 2015
PY 2015
AB Background: The early years in professional practice are for many
   veterinary and medical professionals a period of great challenges and
   consequently increased stress levels. Personal resources appear to have
   a positive impact on the course of this transition period. Personal
   resources are defined as developable systems of positive beliefs about
   one's self and the world that are generally linked to resilience. They
   are negatively related to burnout and positively and reciprocally to job
   resources, work engagement and job performance. With the aim of
   enhancing personal resources of recently graduated veterinarians, a 1
   year multi-modular resources development programme was designed. This
   study was conducted to analyse:
   1. if and how the development programme affected participants' personal
   resources, and
   2. if and how personal resources affected participants' work
   characteristics and work engagement.
   Results Quantitative study: Twenty-five participants and ten
   non-participants completed an online survey covering personal resources,
   job resources and work engagement at the start and finish of the
   programme. Results showed a significant increase of personal resources
   in participants for self-reported ratings of proactive behaviour (Effect
   Size = -0.4), self-efficacy (Effect Size = -0.6) and reflective
   behaviour (Effect Size = -0.6). Results of the control group were not
   significant, although some moderate effect sizes were found.
   Qualitative study: Additionally 16 semi-structured interviews with
   participants of the programme were taken 6 months after finishing the
   programme. Analysis of the interviews revealed that participants also
   developed other important personal resources namely self-acceptance,
   self-esteem, awareness of own influence and responsibility. The
   reflection process, which took place in the course of the programme,
   seemed to be a necessary step for the development of the other personal
   resources. According to participants of the resources development
   programme, the increase in personal resources also gave rise to an
   increase in job resources.
   Conclusion: The multi-modular resources development programme seems to
   support development of participants' personal resources. Because
   personal resources are beneficial in improving well-being irrespective
   of where an individual starts working, it is important to give them
   explicit attention in educational settings.
RI Mastenbroek, Nicole/AAA-2716-2020; Demerouti, E/AAD-1334-2019; Jaarsma, Debbie/; Mastenbroek, Nicole/
OI Demerouti, E/0000-0002-4615-6532; Jaarsma, Debbie/0000-0003-1668-2002;
   Mastenbroek, Nicole/0000-0002-6279-2897
ZB 6
TC 28
Z8 0
ZR 0
ZS 0
ZA 0
Z9 28
U1 2
U2 32
SN 1746-6148
UT WOS:000367532000003
PM 26717891
ER

PT J
AU Murray, Elizabeth
   Dack, Charlotte
   Barnard, Maria
   Farmer, Andrew
   Li, Jinshuo
   Michie, Susan
   Pal, Kingshuk
   Parrott, Steve
   Ross, Jamie
   Sweeting, Michael
   Wood, Bindie
   Yardley, Lucy
TI HeLP-Diabetes: randomised controlled trial protocol
SO BMC HEALTH SERVICES RESEARCH
VL 15
AR 578
DI 10.1186/s12913-015-1246-9
PD DEC 29 2015
PY 2015
AB Background: Type 2 Diabetes Mellitus (T2DM) is common, affecting nearly
   400 million people worldwide. Achieving good health for people with T2DM
   requires active self-management; however, uptake of self-management
   education is poor, and there is an urgent need to find better, more
   acceptable, cost-effective methods of providing self-management support.
   Web-based self-management support has many potential benefits for
   patients and health services. The aim of this trial is to determine the
   effectiveness and cost-effectiveness of a web-based self-management
   support programme for people with T2DM.
   Methods: This will be a multi-centre individually randomised controlled
   trial in primary care, recruiting adults with T2DM who are registered
   with participating general practices in England. Participants will be
   randomised to receive either an evidence-based, theoretically informed,
   web-based self-management programme for people with T2DM which addresses
   medical, emotional, and role management, called Healthy Living for
   People with type 2 Diabetes (HeLP-Diabetes) or a simple information
   website. The joint primary outcomes are glycated haemoglobin (HbA1c) and
   diabetes-related distress, measured by the Problem Areas In Diabetes
   (PAID) questionnaire. Secondary outcomes include cardiovascular risk
   factors, depression and anxiety, and self-efficacy for self-management
   of diabetes. Health economic data include health service use, costs due
   to the intervention, and EQ-5D for calculation of Quality Adjusted Life
   Years (QALYS). Data will be collected at baseline, 3 months and 12
   months, with the primary endpoint at 12 months. Practice nurses, blinded
   to patient allocation, collect clinical data; patients complete online
   questionnaires for patient reported measures. A sample size of 350
   recruited participants allows for attrition of up to 15 % and will
   provide 90 % power of detecting at a 5 % significance level a true
   average difference in the PAID score of 4.0 and 0.25 % change in HbA1c
   (both small effect sizes). The analysis will follow a pre-specified
   analysis plan, based on comparing the groups as randomised
   (intention-to-treat).
   Discussion: The findings of this trial are likely to be of interest to
   policy makers, clinicians, and commissioners, all of whom are actively
   seeking additional forms of self-management support for people with
   T2DM.
RI Li, Jinshuo/C-6827-2019; Sweeting, Michael John/U-3917-2019; Ross, Jamie Anne Dolan/; Yardley, Lucy/; Parrott, Steven James/; Murray, Elizabeth/; Dack, Charlotte/
OI Li, Jinshuo/0000-0003-1496-7450; Sweeting, Michael
   John/0000-0003-0980-8965; Ross, Jamie Anne Dolan/0000-0001-8720-5911;
   Yardley, Lucy/0000-0002-3853-883X; Parrott, Steven
   James/0000-0002-0165-1150; Murray, Elizabeth/0000-0002-8932-3695; Dack,
   Charlotte/0000-0002-5124-094X
ZA 0
Z8 0
ZB 0
TC 7
ZS 0
ZR 0
Z9 7
U1 2
U2 25
SN 1472-6963
UT WOS:000367222500001
PM 26715038
ER

PT J
AU O'Meara, Peter
   Maguire, Brian
   Jennings, Paul
   Simpson, Paul
TI Building an Australasian paramedicine research agenda: a narrative
   review
SO HEALTH RESEARCH POLICY AND SYSTEMS
VL 13
AR 79
DI 10.1186/s12961-015-0065-0
PD DEC 15 2015
PY 2015
AB The need for paramedicine research has been recognised internationally
   through efforts to develop out-of-hospital research agendas in several
   developed countries. Australasia has a substantial paramedicine research
   capacity compared to the discipline internationally and is well
   positioned as a potential leader in the drive towards evidence-based
   policy and practice in paramedicine. Our objective was to draw on
   international experiences to identify and recommend the best
   methodological approach that should be employed to develop an
   Australasian paramedicine research agenda. A search and critical
   appraisal process was employed to produce an overview of the literature
   related to the development of paramedicine research agendas throughout
   the world. Based on these international experiences, and our own
   analysis of the Australasian context, we recommend that a mixed methods
   approach be used to develop an inclusive Australasian Paramedicine
   Research Agenda. This approach will capture the views and interests of a
   wide range of expert stakeholders through multiple data collection
   strategies, including interviews, roundtable discussions and an online
   Delphi consensus survey. Paramedic researchers and industry leaders have
   the opportunity to use this multidisciplinary process of inquiry to
   develop a paramedicine research agenda that will provide a framework for
   the development of a culture of open evaluation, innovation and
   improvement. This research agenda would assess the progress of
   paramedicine research in Australia and New Zealand, map the research
   capacity of the paramedicine discipline, paramedic services,
   universities and professional organisations, identify current strengths
   and opportunities, make recommendations to capitalize on opportunities,
   and identify research priorities. Success will depend on ensuring the
   participation of a representative sample of expert stakeholders,
   fostering an open and collaborative roundtable discussion, and adhering
   to a predefined approach to measure consensus on each topic.
RI Simpson, Paul/N-7447-2019; Maguire, Brian J./W-1178-2019; O'Meara, Peter/
OI Simpson, Paul/0000-0003-3875-0061; Maguire, Brian
   J./0000-0002-0796-9805; O'Meara, Peter/0000-0001-8657-5646
TC 7
ZS 0
ZR 0
Z8 0
ZB 0
ZA 0
Z9 7
U1 0
U2 4
SN 1478-4505
UT WOS:000367035800001
PM 26666877
ER

PT J
AU Faupel-Badger, Jessica M.
   Nelson, David E.
   Izmirlian, Grant
   Ross, Katherine H.
   Raue, Kimberley
   Tsakraklides, Sophia
   Miyaoka, Atsushi
   Spiegelman, Maura
TI Independent Association of Postdoctoral Training with Subsequent Careers
   in Cancer Prevention
SO PLOS ONE
VL 10
IS 12
AR e0144880
DI 10.1371/journal.pone.0144880
PD DEC 14 2015
PY 2015
AB The purpose of this study was to examine the career paths of alumni from
   the National Cancer Institute (NCI) Cancer Prevention Fellowship Program
   (CPFP), a structured in-house postdoctoral training program of 3-4 years
   duration, and specifically what proportion of the alumni were currently
   performing cancer prevention-related activities. The analyses here
   included 119 CPFP alumni and 85 unsuccessful CPFP applicants, all of
   whom completed postdoctoral training between 1987-2011 and are currently
   employed. Postdoctoral training experiences and current career outcomes
   data were collected via online surveys. Differences between groups were
   assessed using chi-square and Fisher's exact test p-values and
   subsequent regression analyses adjusted for differences between the
   groups. Compared to 15.3% of unsuccessful CPFP applicants, 52.1% of CPFP
   alumni (odds ratio [OR] = 4.99, 95% confidence interval [95% CI):
   1.91-13.0) were currently spending the majority of their time working in
   cancer prevention. Among those doing any cancer prevention-focused work,
   54.3% of CPFP alumni spent the majority of their time performing cancer
   prevention research activities when compared to 25.5% of unsuccessful
   applicants (OR = 4.26, 95% CI: 1.38-13.2). In addition to the
   independent effect of the NCI CPFP, scientific discipline, and
   employment sector were also associated with currently working in cancer
   prevention and involvement in cancer prevention research-related
   activities. These results from a structured postdoctoral training
   program are relevant not only to the cancer prevention community but
   also to those interested in evaluating alignment of postdoctoral
   training programs with available and desired career paths more broadly.
OI Faupel-Badger, Jessica/0000-0001-9729-3660
ZA 0
ZB 2
Z8 0
ZS 0
ZR 0
TC 4
Z9 4
U1 0
U2 5
SN 1932-6203
UT WOS:000366715900131
PM 26659381
ER

PT J
AU van der Linden, Sander L.
   Clarke, Chris E.
   Maibach, Edward W.
TI Highlighting consensus among medical scientists increases public support
   for vaccines: evidence from a randomized experiment
SO BMC PUBLIC HEALTH
VL 15
AR 1207
DI 10.1186/s12889-015-2541-4
PD DEC 3 2015
PY 2015
AB Background: A substantial minority of American adults continue to hold
   influential misperceptions about childhood vaccine safety. Growing
   public concern and refusal to vaccinate poses a serious public health
   risk. Evaluations of recent pro-vaccine health communication
   interventions have revealed mixed results (at best). This study
   investigated whether highlighting consensus among medical scientists
   about childhood vaccine safety can lower public concern, reduce key
   misperceptions about the discredited autism-vaccine link and promote
   overall support for vaccines.
   Methods: American adults (N = 206) were invited participate in an online
   survey experiment. Participants were randomly assigned to either a
   control group or to one of three treatment interventions. The treatment
   messages were based on expert-consensus estimates and either normatively
   described or prescribed the extant medical consensus: "90 % of medical
   scientists agree that vaccines are safe and that all parents should be
   required to vaccinate their children".
   Results: Compared to the control group, the consensus-messages
   significantly reduced vaccine concern (M = 3.51 vs. M = 2.93, p < 0.01)
   and belief in the vaccine-autism-link (M = 3.07 vs M = 2.15, p < 0.01)
   while increasing perceived consensus about vaccine safety (M = 83.93 vs
   M = 89.80, p < 0.01) and public support for vaccines (M = 5.66 vs M =
   6.22, p < 0.01). Mediation analysis further revealed that the public's
   understanding of the level of scientific agreement acts as an important
   "gateway" belief by promoting public attitudes and policy support for
   vaccines directly as well as indirectly by reducing endorsement of the
   discredited autism-vaccine link.
   Conclusion: These findings suggest that emphasizing the medical
   consensus about (childhood) vaccine safety is likely to be an effective
   pro-vaccine message that could help prevent current immunization rates
   from declining. We recommend that clinicians and public health officials
   highlight and communicate the high degree of medical consensus on
   (childhood) vaccine safety when possible.
RI van der Linden, Sander/ABE-6441-2020; Maibach, Edward/A-7102-2009
OI van der Linden, Sander/0000-0002-0269-1744; Maibach,
   Edward/0000-0003-3409-9187
ZS 0
TC 77
Z8 0
ZA 0
ZB 19
ZR 0
Z9 78
U1 2
U2 50
SN 1471-2458
UT WOS:000365852500001
PM 26635296
ER

PT J
AU Adler, Geri
   Lawrence, Briana M.
   Ounpraseuth, Songthip T.
   Asghar-Ali, Ali Abbas
TI A Survey on Dementia Training Needs Among Staff at Community-Based
   Outpatient Clinics
SO EDUCATIONAL GERONTOLOGY
VL 41
IS 12
BP 903
EP 915
DI 10.1080/03601277.2015.1071549
PD DEC 2 2015
PY 2015
AB Dementia is a major public health concern. Educating health-care
   providers about dementia warning signs, diagnosis, and management is
   paramount to fostering clinical competence and improving patient
   outcomes. The objective of this project was to describe and identify
   educational and training needs of staff at community-based outpatient
   clinics related to treating and managing veterans with dementia. Health
   professionals took an online survey consisting of questions related to
   general knowledge and skills in working with veterans with dementia and
   their families, staff training, and attitudes toward people with
   dementia. Most participants considered knowledge of dementia important;
   however, few reported having received training in dementia care within
   the past year. Furthermore, over half of participants considered
   themselves beginners in terms of knowledge and skills in dementia care.
   Regarding training needs, topics that could improve the overall care of
   veterans with dementia and their caregivers were most often cited.
   Participants reported being most satisfied with in-person training.
   Physicians rated their dementia knowledge and skill as greater than
   nurses'/other medical professionals' and support staff's. Compared with
   support staff, nurses/other medical professionals held more positive
   attitudes toward persons with dementia. Survey results suggest that
   staff are interested in improving knowledge of, and skills for, working
   with persons with dementia, and that job classification is associated
   with differences in attitudes.
ZB 1
ZS 0
Z8 0
TC 17
ZA 0
ZR 0
Z9 17
U1 0
U2 94
SN 0360-1277
EI 1521-0472
UT WOS:000361693900005
ER

PT J
AU Sapir, Tamar
   Rusie, Erica
   Greene, Laurence
   Yazdany, Jinoos
   Robbins, Mark L
   Ruderman, Eric M
   Carter, Jeffrey D
   Patel, Barry
   Moreo, Kathleen
TI Influence of Continuing Medical Education on Rheumatologists'
   Performance on National Quality Measures for Rheumatoid Arthritis.
SO Rheumatology and therapy
VL 2
IS 2
BP 141
EP 151
PD 2015-Dec
PY 2015
AB INTRODUCTION: In recent years researchers have reported deficits in the
   quality of care provided to patients with rheumatoid arthritis (RA),
   including low rates of performance on quality measures. We sought to
   determine the influence of a quality improvement (QI) continuing
   education program on rheumatologists' performance on national quality
   measures for RA, along with other measures aligned with National Quality
   Strategy priorities. Performance was assessed through baseline and
   post-education chart audits.
   METHODS: Twenty community-based rheumatologists across the United States
   were recruited to participate in the QI education program and chart
   audits. Charts were retrospectively audited before (n=160 charts) and
   after (n=160 charts) the rheumatologists participated in a series of
   accredited QI-focused educational activities that included private audit
   feedback, small-group webinars, and online- and mobile-accessible print
   and video activities. The charts were audited for patient demographics
   and the rheumatologists' documented performance on the 6 quality
   measures for RA included in the Physician Quality Reporting System
   (PQRS). In addition, charts were abstracted for documentation of patient
   counseling about medication benefits/risks and adherence, lifestyle
   modifications, and quality of life; assessment of RA medication side
   effects; and assessment of RA medication adherence.
   RESULTS: Mean rates of documented performance on 4 of the 6 PQRS
   measures for RA were significantly higher in the post-education versus
   baseline charts (absolute increases ranged from 9 to 24% of patient
   charts). In addition, after the intervention, significantly higher mean
   rates were observed for patient counseling about medications and quality
   of life, and for assessments of medication side effects and adherence
   (absolute increases ranged from 9 to 40% of patient charts).
   CONCLUSION: This pragmatic study provides preliminary evidence for the
   positive influence of QI-focused education in helping rheumatologists
   improve performance on national quality measures for RA.
OI Ruderman, Eric/0000-0002-1791-8729; Sapir, Tamar/0000-0003-1135-427X
Z8 0
ZA 0
ZS 0
TC 4
ZB 3
ZR 0
Z9 4
U1 0
U2 1
SN 2198-6576
UT MEDLINE:27747535
PM 27747535
ER

PT J
AU O'Connor, Paul
   Lydon, Sinead
   Offiah, Gozie
   Ahern, Sean
   Moloney, Brian
   Byrne, Dara
TI Impact of working 48 h per week on opportunities for training and
   patient contact: the experience of Irish interns
SO INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
VL 27
IS 6
BP 492
EP 498
DI 10.1093/intqhc/mzv076
PD DEC 1 2015
PY 2015
AB Objective: The European Working Time Regulations (EWTR) have been
   criticized for its purported negative impact on the training of junior
   doctors. The aim of this study was to examine the amount of time interns
   spent engaging in various work activities.
   Design: An online time-use diary was used to collect data from interns.
   Setting: Two teaching hospitals in the Republic of Ireland.
   Participants: A total of 45 interns logged at least one 24-h period. The
   logs were obtained from 67 shifts from a surgical rotation and 83 shifts
   from a medical rotation.
   Main Outcome Measures: The amount of time interns spent engaging in
   direct patient care, indirect patient care, educational activities and
   personal activities.
   Results: On day shift, medical interns spent a significantly smaller
   proportion of the shift on direct care (159/613 min, 25.9% versus
   214/636 min, 33.6%) and a greater proportion on education (195/613 min,
   31.8% versus 139/636 min, 21.9%) than surgical interns. On extended
   days, medical interns spent a significantly larger proportion of the
   shift on education than surgical interns (243/814 min, 29.9% versus
   126/804, 15.7% min). On night shift, medical interns spent a
   significantly greater proportion of the shift on direct care (590/720
   min, 81.9% versus 346/727 min, 47.6%) and education (33/720 min, 4.6%
   versus 6/727 min, 0.8%) than surgical interns.
   Conclusions: The interns in the study reported spending more time on
   direct patient care and educational activities, and less time on
   indirect patient care activities than interns in other countries.
RI Moloney, Brian/; Lydon, Sinead/; OConnor, Paul/H-1221-2011
OI Moloney, Brian/0000-0003-3179-6657; Lydon, Sinead/0000-0001-5700-4350;
   OConnor, Paul/0000-0001-9036-098X
ZB 0
Z8 0
ZA 0
TC 4
ZR 0
ZS 0
Z9 4
U1 0
U2 4
SN 1353-4505
EI 1464-3677
UT WOS:000368250400010
PM 26424699
ER

PT J
AU Krauss, E. M.
   Bezuhly, M.
   Williams, J. G.
TI Selecting the best and brightest: A comparison of residency match
   processes in the United States and Canada
SO PLASTIC SURGERY
VL 23
IS 4
BP 225
EP 230
DI 10.1177/229255031502300410
PD WIN 2015
PY 2015
AB BACKGROUND: Selecting candidates for plastic surgery residency training
   remains a challenge. In the United States, academic measures (United
   States Medical Licensing Exam Step I scores, medical school class rank
   and publications) are used as primary criteria for candidate selection
   for residency. In contrast, Canadian medical education de-emphasizes
   academic measures by using a pass-fail grading system. As a result,
   choosing residents from many qualified applicants may pose a challenge
   for Canadian programs without objective measures of academic success.
   METHODS: A 25-question online survey was distributed to program
   directors of Canadian plastic surgery residency-training programs.
   Program directors commented on number of yearly residents and
   applicants; application sections (ranked in importance using a Likert
   scale); interview invitation and rank-order list determination; and
   their satisfaction with the selection process.
   RESULTS: Ten Canadian plastic surgery program directors responded (90.9%
   response rate). The most important application components determining
   invitation to interview were letters of reference from a plastic surgeon
   (mean importance of 5.0 on the Likert scale), clinical electives in
   plastic surgery (mean 4.6) and electives with their program (mean 4.5).
   Applicants invited for interview were assessed on the quality of their
   responses to questions, maturity and personality. The majority of
   program directors agreed that a clinical elective with their program was
   important for consideration on their rank-order list. Program directors
   were neutral on their satisfaction with the selection process.
   CONCLUSION: Canadian plastic surgery residency programs emphasize
   clinical electives with their program and letters of reference from
   colleagues when selecting applicants for interviews. In contrast to
   their American counterparts, Canadian program directors rely on clinical
   interactions with prospective residents in the absence of objective
   academic measures.
OI Bezuhly, Michael/0000-0002-7356-5147
ZS 0
ZR 0
TC 16
ZA 0
ZB 1
Z8 0
Z9 16
U1 0
U2 5
SN 2292-5503
EI 2292-5511
UT WOS:000366174200003
PM 26665135
ER

PT J
AU Marsteller, Robert B.
   Bodzin, Alec M.
TI The Effectiveness of an Online Curriculum on High School Students'
   Understanding of Biological Evolution
SO JOURNAL OF SCIENCE EDUCATION AND TECHNOLOGY
VL 24
IS 6
BP 803
EP 817
DI 10.1007/s10956-015-9565-5
PD DEC 2015
PY 2015
AB An online curriculum about biological evolution was designed to promote
   increased student content knowledge and evidentiary reasoning. A
   feasibility study was conducted with 77 rural high school biology
   students who learned with the online biological evolution unit. Data
   sources included the Biological Evolution Assessment Measure (BEAM), an
   analysis of discussion forum posts, and a post-implementation
   perceptions and attitudes questionnaire. BEAM posttest scores were
   significantly higher than the pretest scores. However, the findings
   revealed that the students required additional support to develop
   evidentiary reasoning. Many students perceived that the Web-based
   curriculum would have been enhanced by increased immediate interaction
   and feedback. Students required greater scaffolding to support complex,
   process-oriented tasks. Implications for designing Web-based science
   instruction with curriculum materials to support students' acquisition
   of content knowledge and science process skills in a Web-based setting
   are discussed.
OI Marsteller, Robert/0000-0003-4093-1582
ZR 0
Z8 0
ZS 0
ZA 0
TC 2
ZB 0
Z9 2
U1 0
U2 22
SN 1059-0145
EI 1573-1839
UT WOS:000365215400007
ER

PT J
AU Thalluri, J.
   Penman, J.
TI Social media for learning and teaching undergraduate sciences: Good
   practice guidelines from intervention
SO Electronic Journal of e-Learning
VL 13
IS 6
BP 455
EP 65
PD Dec. 2015
PY 2015
AB In 2013, Facebook was used in learning and teaching clinical problem
   solving in a Pathology and a Clinical Sciences course delivered at a
   South Australian university. It involved firstand second-year Medical
   Radiation students and second-year Nursing students, Of the 152 students
   enrolled in the Pathology course, there were 148 students who
   participated in the Facebook group. Of the 148 students, 61 (41%)
   completed the invited post-intervention questionnaire. At the same time,
   all 17 nursing students enrolled in a science course at the regional
   campus of the same university participated in the Facebook initiative,
   however, only 10 (59%) completed the post-intervention questionnaire. A
   good practice and checklist were developed from the post-intervention
   evaluations, which consisted of 25 Likert-and open-type questions. Both
   student cohorts found the use of Facebook beneficial for them in terms
   of providing an innovative way of learning; fostering greater
   interaction amongst co-students and staff; and effectively engaging them
   with the content of courses. The importance of clear communication of
   goals and objectives to students was identified from student comments.
   Six good practice principles were identified relating to: goals and
   objectives, expectations, communication, engagement with the course
   content, active participation, and learning environment.
RI Thalluri, Jyothi/F-3693-2013; Penman, Joy/
OI Thalluri, Jyothi/0000-0001-7977-5674; Penman, Joy/0000-0002-9133-3817
ZA 0
Z8 0
ZR 0
ZS 0
TC 19
ZB 3
Z9 19
U1 0
U2 12
SN 1479-4403
UT INSPEC:16025989
ER

PT J
AU Zaghab, R.W.
   Maldonado, C.
   Whitehead, D.
   Bartlet, F.
   Rodriguez de Bittner, M.
TI Online continuing education for health professionals: Does sticky design
   promote practice-relevance?
SO Electronic Journal of e-Learning
VL 13
IS 6
BP 466
EP 74
PD Dec. 2015
PY 2015
AB Online continuing education (CE) holds promise as an effective method
   for rapid dissemination of emerging evidence-based practices in health
   care. Yet, the field of CE continues to develop and delivery is
   predominately face-to-face programs. Practice-oriented online
   educational methods and e-learning platforms are not fully utilized.
   Educational theorists suggest an experiential approach to CE consistent
   with adult learning theory. A compelling question remains: Can online
   asynchronous CE programming prepare health care providers in delivering
   higher-level practice competencies?. To address this question, the
   authors have identified seven composite ldquostickyrdquo factors that
   have been critical to the engagement of learners and the creation and
   delivery of practice-oriented online educational programs (Zaghab et al,
   2015). The sticky factors are based in knowledge management (Nonaka,
   1994; Szulanski, 2002) and adult education or andragogy (Knowles, 1970;
   1984). In this paper, sticky factors are mapped to Moore and colleagues'
   (2009) higher level learning outcomes in health care CE. Data are
   presented on learner reported practice-related outcomes in a selection
   of online CE courses on the CIPS Knowledge EnterpriseTM portal with the
   University of Maryland School of Pharmacy's Center for Innovative
   Pharmacy Solutions (CIPS). A dynamic, adaptive e-learning environment
   built by technology partner, Connect for Education, Inc., provides the
   innovative platform and the Acclaim! interactive learning technology.
   This technology-instructional partnership is dedicated to an iterative
   continuous improvement process called the Learner Stewardship Cycle
   (Zaghab et al, 2015). The cycle improves stickiness and learner
   engagement in order to achieve higherlevel learning outcomes in CE.
   Findings suggest that of the 769 learners successfully completing an
   online course with two or more sticky design segments, the majority
   report reaching level 4, 5 and 6 learning competencies. Learners from
   the professions of pharmacy, nursing, medicine, and other health
   decision makers also found the courses relevant, easy to use and
   evidence-based.
ZR 0
ZA 0
TC 4
Z8 0
ZS 0
ZB 0
Z9 4
U1 0
U2 26
SN 1479-4403
UT INSPEC:16025991
ER

PT J
AU Schumacher, Kurt R.
   Lee, Joyce M.
   Pasquali, Sara K.
TI Social media in paediatric heart disease: professional use and
   opportunities to improve cardiac care
SO CARDIOLOGY IN THE YOUNG
VL 25
IS 8
SI SI
BP 1584
EP 1589
DI 10.1017/S1047951115002292
PD DEC 2015
PY 2015
AB Social media is any type of communication utilising electronic
   technology that follows two guiding principles: free publishing or
   sharing of content and ideas and group collaboration and
   inter-connectedness. Over the last 10 years, social media technology has
   made tremendous inroads into all facets of communication. Modalities
   such as Facebook, YouTube, and Twitter are no longer viewed as new
   communication technologies. Owing to their tremendous usage, they are
   now common ways to conduct a dialogue with individuals and groups.
   Greater than 91% of teenagers and 89% of young adults routinely use
   social media. Further, 24% of teenagers reported being online "almost
   constantly". These forms of communication are readily used by
   individuals cared for in the field of paediatric cardiology; thus, they
   should carry significant interest for cardiology care providers;
   however, social media's influence on medicine extends beyond use by
   patients. It directly affects all medical providers, both users and
   non-users. Further, social media has the ability to improve care for
   patients with paediatric heart disease. This article details social
   media's current influence on paediatric cardiology, including
   considerations for professional use of social media and potential
   opportunities to improve cardiac care.
CT 15th Annual International Symposium on Congenital Heart Disease
CY FEB 06-09, 2015
CL Childrens Hosp  Philadelphia, St Petersburg, FL
HO Childrens Hosp  Philadelphia
SP Amer Assoc Thorac Surg
ZA 0
ZR 0
ZB 0
ZS 0
TC 6
Z8 0
Z9 6
U1 2
U2 8
SN 1047-9511
EI 1467-1107
UT WOS:000367196500021
PM 26675608
ER

PT J
AU Zaidi, Mohammad Y.
   Haddad, Lisa
   Lathrop, Eva
TI Global Health Opportunities in Obstetrics and Gynecology Training:
   Examining Engagement through an Ethical Lens
SO AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
VL 93
IS 6
BP 1194
EP 1200
DI 10.4269/ajtmh.15-0241
PD DEC 2015
PY 2015
AB This study aims to describe global health training (GHT) programs
   through the ethical lens suggested by the Working Group on Ethics
   Guidelines for Global Health Training (WEIGHT). A total of 35 GHT
   programs were identified, and general information was obtained online.
   Semi-structured telephone interviews of key members of 19 programs were
   then conducted and transcribed. The interview guide was constructed
   using WEIGHT recommendations. Transcript data were grouped according to
   domains: reciprocity, trainee selection and preparedness, needs
   assessments, and ethical questions. Many programs expressed difficulty
   in building reciprocal relationships due to imbalanced power structures.
   Eleven programs reported no formal application process for selecting
   trainees. Twelve (63%) programs reported only a single day of
   preparation. Nine (47%) programs did not conduct a formalized needs
   assessment of partner sites. Ethical considerations varied from concerns
   for safety to inadequate training for residents. This study reveals the
   limited preparedness curricula and lack of formalized needs assessments
   among several programs. Although many programs make an effort to build
   reciprocal exchanges with host partners, experiences for foreign
   trainees within the United States are limited, and U.S. residents are
   often tasked with duties above their training level abroad. This study
   demonstrates the need to restructure how GHT programs are formed and
   operated.
RI Haddad, Lisa/; Carneiro D'Albuquerque, Luiz Augusto/A-8812-2013
OI Haddad, Lisa/0000-0002-7631-6760; Carneiro D'Albuquerque, Luiz
   Augusto/0000-0001-7607-7168
ZA 0
Z8 0
ZB 1
TC 5
ZS 0
ZR 0
Z9 5
U1 0
U2 1
SN 0002-9637
EI 1476-1645
UT WOS:000366540800014
PM 26324736
ER

PT J
AU Thompson, Michael A.
   Majhail, Navneet S.
   Wood, William A.
   Perales, Miguel-Angel
   Chaboissier, Melanie
TI Social Media and the Practicing Hematologist: Twitter 101 for the Busy
   Healthcare Provider
SO CURRENT HEMATOLOGIC MALIGNANCY REPORTS
VL 10
IS 4
BP 405
EP 412
DI 10.1007/s11899-015-0286-x
PD DEC 2015
PY 2015
AB Social media is a relatively new form of media that includes social
   networks for communication dissemination and interaction. Patients,
   physicians, and other users are active on social media including the
   microblogging platform Twitter. Many online resources are available to
   facilitate joining and adding to online conversations. Social media can
   be used for professional uses, therefore, we include anecdotes of
   physicians starting on and implementing social media successfully
   despite the limits of time in busy practices. Various applications
   demonstrating the utility of social media are explored. These include
   case discussions, patient groups, research collaborations, medical
   education, and crowdsourcing/crowdfunding. Social media is integrating
   into the professional workflow for some individuals and
   hematology/oncology societies. The potential for improving hematology
   care and research is just starting to be explored.
TC 31
ZB 7
Z8 0
ZS 0
ZR 0
ZA 0
Z9 31
U1 3
U2 31
SN 1558-8211
EI 1558-822X
UT WOS:000366354900009
PM 26449718
ER

PT J
AU Smelt, Jeremy
   Soppa, Gopal
   Nowell, Justin L.
   Barnard, Sion
   Jahangiri, Marjan
TI A Survey of Cardiothoracic Surgical Training in the United Kingdom:
   Realities of a 6-Year Integrated Training Program
SO ANNALS OF THORACIC SURGERY
VL 100
IS 6
BP 2314
EP 2319
DI 10.1016/j.athoracsur.2015.06.033
PD DEC 2015
PY 2015
AB Background. In recent years, cardiothoracic (CT) surgical training has
   faced several challenges, including a reduction in working hours and
   trainees favoring shorter training programs. We carried out a national
   survey in the United Kingdom (UK) to assess the CT 6-year training
   program.
   Methods. All CT trainees in the UK (n = 121) were sent an online survey.
   This was combined with a debate at the Society for CT Surgery of Great
   Britain and Ireland.
   Results. Ninety-one (75.2%) of all trainees responded. Despite 56
   (68.1%) being rostered for more than a 48-hour week, 31 (34.1%) of all
   trainees work an extra 10 hours. The majority (56, 61.5%) thought that
   on-calls and night duty are useful. Just over half of the trainees (47,
   51.6%) spend at least 2 full days in the operating room, but 79 (86.8%)
   thought that this is too little and would spend voluntary time
   operating. Simulation of operations is thought to be useful; however,
   few thought that this should take more precedence in their training
   program. The majority of trainees thought that the current assessment of
   surgical training is suboptimal and does not examine surgical skill.
   Similarly, the majority thought that a defined number of operations is
   required before qualification.
   Conclusions. Trainees remain committed to their profession and are
   willing to dedicate more time perfecting their art. They believe that
   despite wanting extra operating experience, they will be ready for
   independent practice at the completion of their training. It rests with
   training bodies to find alternative assessments for surgical ability and
   to define experience at the exit point of training. (C) 2015 by The
   Society of Thoracic Surgeons
RI Smelt, Jeremy/AAV-4623-2020
OI Smelt, Jeremy/0000-0001-7188-274X
ZR 0
Z8 0
ZS 0
ZA 0
TC 6
ZB 0
Z9 6
U1 0
U2 3
SN 0003-4975
EI 1552-6259
UT WOS:000365824700056
PM 26363650
ER

PT J
AU Wang, Zhong
   Yu, Qian
TI Privacy trust crisis of personal data in China in the era of Big Data:
   The survey and countermeasures
SO COMPUTER LAW & SECURITY REVIEW
VL 31
IS 6
BP 782
EP 792
DI 10.1016/j.clsr.2015.08.006
PD DEC 2015
PY 2015
AB Privacy trust directly affects the personal willingness to share data
   and thus influences the quality and size of the data, thus affecting the
   development of big data technology and industry. As China is probably
   the largest personal data pool and vastest application market of big
   data, the situation of Chinese privacy trust plays a significant role.
   Based on the 17 most common data collection scenarios, the following
   aspects have been observed through 508 questionnaires and interviews of
   20 samples. To start with, there is a severe privacy trust crisis in
   China, both in the field of enterprise services such as online shopping
   and social networks, etc. and in some public services like medical care
   and education, etc. Besides, there are also doubts about data collected
   by the government since individuals refuse to offer personal information
   or give false information as much as possible. Some people even buy two
   phone numbers, one is in use, while the other is not carried around or
   used by them, which is only bought to be offered to data collectors.
   Secondly, in terms of gender, females have lower trust in enterprises
   and social associations than males, especially in the fields of social
   networks and personal consumption. However, there is no obvious
   difference in fields of government and public services. Females possess
   stronger awareness but less skilled in precautions than males. Thirdly,
   people between the ages of 18 and 50 are more suspicious of data
   collected by enterprises, while age exerts little obvious influence on
   the credibility of data collected by the government, social associations
   and public services. Older people are less aware of precautions than
   people at other ages. In addition, from the perspective of education
   background, people with higher degrees possess stronger awareness of
   precautions and thus lower degree of trust. Therefore, it is suggested
   that more education on privacy consciousness should be given, and
   relative laws as well as regulations need improving. Besides, innovation
   in privacy protection technologies should be encouraged. What is more,
   we need to reinforce the management of the interne industry and strictly
   regulate personal data collection of the government. (C) 2015 Zhong Wang
   & Qian Yu. Published by Elsevier Ltd. All rights reserved.
RI Wang, Zhong/AAH-6498-2020; wang, zhong/E-4933-2010
OI wang, zhong/0000-0003-0801-6173
ZA 0
ZS 1
Z8 0
ZB 0
TC 24
ZR 0
Z9 24
U1 5
U2 102
SN 0267-3649
UT WOS:000366232200007
ER

PT J
AU Prabandari, Yayi Suryo
   Nichter, Mark
   Nichter, Mimi
   Padmawathi, Retna Siwi
   Muramoto, Myra
TI Laying the groundwork for Tobacco Cessation Education in Medical
   Colleges in Indonesia.
SO Education for health (Abingdon, England)
VL 28
IS 3
BP 169
EP 75
DI 10.4103/1357-6283.178602
PD 2015 Sep-Dec
PY 2015
AB BACKGROUND: This paper describes a pioneering effort to introduce
   smoking cessation into Indonesia's medical school curriculum, and the
   first ever attempt to fully integrate tobacco control in all four years
   of medical school anywhere in Southeast Asia. The development,
   pretesting, and piloting of an innovative modular tobacco curriculum are
   discussed as well as the challenges that face implementation.
   METHODS: In-depth interviews were conducted with medical school
   administrators and faculty in four medical colleges to determine
   interest in and willingness to fully integrate tobacco cessation into
   the college curriculum. A tobacco focused curriculum review, student
   focus groups, and a survey of medical students (n = 579) assessed
   current exposure to information about tobacco and interest in learning
   cessation skills. A modular tobacco curriculum was developed and was
   pretested, modified, piloted, and evaluated. Qualitative research was
   conducted to identify potential challenges to future curriculum
   implementation.
   RESULTS: Fifteen modules were successfully developed focusing on the
   relationship between tobacco and specific organ systems, diseases
   related to smoking, the impact of tobacco on medication effectiveness,
   and information on how to explain to patients about effects of tobacco
   on their health condition. Lecturers and students positively evaluated
   the curriculum as increasing their competency to support cessation
   during illness as a teachable moment. Systemic challenges to
   implementing the curriculum were identified including shifts in
   pedagogy, decentralized curriculum decision-making, and frequent
   lecturer turnover.
   DISCUSSION: A fully integrated tobacco curriculum for medical schools
   was piloted and is now freely available online. An important lesson
   learned in Indonesia was that a tobacco curriculum must be flexible
   enough to be adjusted when shifts in medical education take place. The
   curriculum is a resource for medical colleges and expert committees in
   Southeast Asia deliberating how best to address lifestyle factors
   undermining population health.
RI Prabandari, Yayi/L-1887-2019; Muramoto, Myra/
OI Muramoto, Myra/0000-0001-8307-0642
ZR 0
Z8 0
TC 2
ZA 0
ZB 0
ZS 0
Z9 2
U1 0
U2 2
EI 1469-5804
UT MEDLINE:26996640
PM 26996640
ER

PT J
AU Alshiekhly, Ulla
   Arrar, Rebal
   Barngkgei, Imad
   Dashash, Mayssoon
TI Facebook as a learning environment for teaching medical emergencies in
   dental practice.
SO Education for health (Abingdon, England)
VL 28
IS 3
BP 176
EP 80
DI 10.4103/1357-6283.178609
PD 2015 Sep-Dec
PY 2015
AB BACKGROUND: Social media can be part of the formal education of health
   professsionals and in their lifelong learning activities. The
   effectiveness of Facebook, an online social medium, application for
   educational purposes was evaluated in this study. It was used to serve
   as a teaching medium of a course in medical emergencies in dental
   practice (MEDP).
   METHODS: Syrian dental students were invited to join a Facebook group
   "Medical emergencies in dental practice" during the second semester of
   the academic year 2013-2014. The group privacy settings were changed
   from an open group to a closed group after the registration period.
   Administrators of the group published 61 posts during the course period,
   which extended for one month. Students' progress in learning was
   evaluated using self-assessment questionnaires administered to the
   students before and after the course. These questionnaires also queried
   their opinions regarding the use of Facebook as an educational modality.
   Qualitative statistics, Wilcoxon signed ranks and Mann-Whitney U-tests
   were used to analyze the data.
   RESULTS: Out of 388 students registered in this course, 184 completed
   it. Two-third of students agreed that Facebook was useful in education.
   Their impressions of this course were 17.4% as excellent, 52.2% as very
   good. P values of the self-assessment questions of Wilcoxon signed ranks
   test were <0.001, indicating self-assessed improvement in MEDP skills.
   DISCUSSION: Facebook as a social medium provides a unique learning
   environment. It allows students to discuss topics more openly in a
   flexible setting with less rigid time and place constraints. In the
   light of this study it was found that Facebook may be useful in teaching
   medical emergencies in dental practice in its theoretical aspect.
RI Dashash, Mayssoon/AFQ-7952-2022
OI Dashash, Mayssoon/0000-0002-9877-3217
TC 12
ZA 0
ZR 0
ZS 1
ZB 1
Z8 0
Z9 13
U1 2
U2 7
EI 1469-5804
UT MEDLINE:26996641
PM 26996641
ER

PT J
AU Tomaz, Jose Batista Cisne
   Mamede, Silvia
   Filho, Joao Macedo Coelho
   Roriz Filho, Jarbas de S
   van der Molen, Henk T
TI Effectiveness of an online Problem-Based learning curriculum for
   training family medical doctors in Brazil.
SO Education for health (Abingdon, England)
VL 28
IS 3
BP 187
EP 93
DI 10.4103/1357-6283.178605
PD 2015 Sep-Dec
PY 2015
AB BACKGROUND: Problem-based learning (PBL) and distance education (DE)
   have been combined as educational approaches in higher education. This
   combination has been called distributed PBL. In health professions
   education it has been called online PBL (OPBL). However, more research
   on the effectiveness of OPBL is needed. The present study aims at
   evaluating the effectiveness of an OPBL curriculum for training family
   medical doctors in Brazil.
   METHODS: We used a pretest-posttest control group design in this study.
   Thirty family physician participants were non-randomly assigned to the
   experimental group and the same number to the control group. Three
   instruments for collecting data were used: A multiple choice question
   knowledge test, an Objective Structural Clinical Examination (OSCE) for
   assessing the ability to apply the Mini Mental State Exam (MMSE) and a
   test based on clinical cases for assessing the ability to make an
   adequate differential diagnosis of dementia. Multivariate Analysis of
   Variance (MANOVA) and univariate tests were conducted to see if the
   difference between the two groups was significant. The effect size was
   measured by Cohen's d.
   RESULTS: A total of 50 participants completed the study. The results
   show significant effects of the course on participants' knowledge and
   diagnostic skills.
   DISCUSSION: The results may indicate that innovative pedagogical
   approaches such as PBL can be effective in an online environment in a
   low-resources context, with the advantages of DE approach.
RI Schmidt, Henk G/A-3410-2012; Mamede, Silvia/T-4053-2019
ZR 0
Z8 0
ZS 1
TC 7
ZB 1
ZA 0
Z9 8
U1 0
U2 4
EI 1469-5804
UT MEDLINE:26996643
PM 26996643
ER

PT J
AU Baji Petra
   Brodszky Valentin
   Rencz Fanni
   Boncz Imre
   Gulacsi Laszlo
   Pentek Marta
TI Health state of the Hungarian population between 2000-2010
SO ORVOSI HETILAP
VL 156
IS 50
BP 2035
EP 2044
DI 10.1556/650.2015.30288
PD DEC 2015
PY 2015
AB Introduction: So far, the latest survey which used the EQ-5D
   questionnaire to measure the health status of the Hungarian population
   was carried out in 2000. Aim: To explore the health state of the
   Hungarian population by socio-demographic characteristics, and to
   compare it with the results from 2000. Method: As part of an
   international research project, a cross-sectional, online survey was
   carried out among the general population in 2010 using the EQ-5D-3L
   questionnaire. Results: In total, 2281 respondents (female: 62.3%)
   completed the questionnaire with an average age of 40.8 years. The EQ-5D
   score ranged from 0.902 (in age-group 18-24) to 0.795 (65+). The authors
   found significant association between the EQ-5D score and all the
   socio-demographic variables (gender, age, education, income) included in
   the regression model (F-(4,F-1967) = 35.12, p = 0.000). The results did
   not differ significantly from the health survey in 2000, except for the
   youngest population group (age 18-24), where significantly lower scores
   were found in the sample. Conclusions: While life expectance increased
   by 3 years between 2000 and 2010, the health status of the Hungarian
   population did not change significantly, and might even decreased among
   young adults in fact. Inequalities in health status by income and
   education remain significant. In international comparison, the health
   status of the Hungarian population remains among the worst ones.
RI Boncz, Imre/A-8940-2013; Baji, Petra/
OI Boncz, Imre/0000-0003-3699-6236; Baji, Petra/0000-0003-2899-8557
ZS 0
Z8 0
ZR 0
ZA 0
TC 19
ZB 8
Z9 19
U1 0
U2 9
SN 0030-6002
EI 1788-6120
UT WOS:000369856100003
PM 26639645
ER

PT J
AU Gigliotti, J.
   Makhoul, N.
TI Demographics, training satisfaction, and career plans of Canadian oral
   and maxillofacial surgery residents
SO INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
VL 44
IS 12
BP 1574
EP 1580
DI 10.1016/j.ijom.2015.08.994
PD DEC 2015
PY 2015
AB The purpose of this study was to evaluate the demographics, training
   satisfaction, and career plans of Canadian oral and maxillofacial
   surgery (OMS) residents. A cross-sectional study was conducted using an
   anonymous online survey that was distributed via e-mail to all current
   Canadian OMS residents. The completion rate of this survey was 88.9%.
   Eighty percent of residents were satisfied with their surgical education
   overall. Residents were most satisfied with their training in the areas
   of facial trauma and orthognathic surgery. Satisfaction was lowest in
   the areas of facial cosmetic surgery, maxillofacial reconstructive
   surgery, cleft and craniofacial surgery, and dental implantology. A
   majority of residents, 78.1%, indicated that they would prefer to be
   trained in an MD-integrated OMS certificate program. Seventy-two percent
   of residents indicated that they would like to complete a fellowship
   following graduation. The most desirable career path was a combination
   of private practice and academic practice, with 75.0% of residents
   selecting this option. Overall, Canadian OMS residents were pleased with
   their training in the traditional scope of OMS, apart from dental
   implantology. Among the current generation of trainees, there appears to
   be a proclivity for a broader scope of practice, dual-degree training,
   and post-graduate fellowship training.
ZS 0
TC 5
Z8 0
ZR 0
ZA 0
ZB 1
Z9 5
U1 0
U2 6
SN 0901-5027
EI 1399-0020
UT WOS:000366618100021
PM 26894244
ER

PT J
AU Crebbin, Wendy
   Campbell, Graeme
   Hillis, David A.
   Watters, David A.
TI Prevalence of bullying, discrimination and sexual harassment in surgery
   in Australasia
SO ANZ JOURNAL OF SURGERY
VL 85
IS 12
BP 905
EP 909
DI 10.1111/ans.13363
PD DEC 2015
PY 2015
AB Background: The topic of discrimination, bullying and sexual harassment
   in surgery was raised in the Australian media earlier in 2015. This led
   the Royal Australasian College of Surgeons (RACS) to commission an
   Expert Advisory Group to investigate and advise the College on their
   prevalence in surgery in Australia and New Zealand. This paper reports
   the findings with respect to prevalence of these inappropriate
   behaviours.
   Methods: The data in this paper were drawn from the published results of
   two quantitative surveys. One was an online survey sent to all RACS
   members. The other was an invited survey of hospitals, medical
   institutions and other related professional organizations including
   surgical societies.
   Results: The prevalence survey achieved a 47.8% response rate,
   representing 3516 individuals. Almost half of the respondents 1516
   (49.2%) indicated that they had experienced one or more of the
   behaviours. This proportion was consistent across every specialty. Male
   surgical consultants were identified as the most likely perpetrators.
   More than 70% of the hospitals reported that they had instances in their
   organization of discrimination, bullying or sexual harassment by a
   surgeon within the last 5 years. Surgical directors or surgical
   consultants were by far the most frequently reported perpetrators (in
   50% of hospitals).
   Conclusions: Discrimination, bullying and sexual harassment are common
   in surgical practice and training in Australia and New Zealand. RACS
   needs to urgently address these behaviours in surgery. This will involve
   a change in culture, more education for fellows and trainees, and better
   processes around complaints including support for those who have
   suffered.
RI Watters, David Allan/AAI-1022-2020
OI Watters, David Allan/0000-0002-5742-8417
Z8 0
ZS 1
TC 80
ZA 0
ZB 6
ZR 0
Z9 78
U1 2
U2 7
SN 1445-1433
EI 1445-2197
UT WOS:000367922900005
PM 26510837
ER

PT J
AU Kozak, Benjamin
   Webb, Emily M.
   Khan, Baber K.
   Orozco, Nicholas M.
   Straus, Christopher M.
   Naeger, David M.
TI Medical Student Usage of the American College of Radiology
   Appropriateness Criteria
SO ACADEMIC RADIOLOGY
VL 22
IS 12
BP 1606
EP 1611
DI 10.1016/j.acra.2015.08.011
PD DEC 2015
PY 2015
AB Rationale and Objectives: Educating medical students on appropriate
   imaging utilization has been increasingly recognized as important for
   patient care. The American College of Radiology Appropriateness Criteria
   (ACR-AC) is designed to support evidence-based imaging examination
   selection. We sought to assess whether medical students order imaging
   studies independently, what resources they use for guidance, and whether
   they use the ACR-AC in clinical practice. A secondary aim was to
   determine whether increasing familiarity with the ACR-AC could impact
   student usage.
   Materials and Methods: We surveyed third year medical students at a
   single institution on their imaging practices, familiarity with the
   ACR-AC, and preferences among available resources to guide proper
   examination selection. The survey was performed in person before a
   lecture. We also designed a brief intervention to improve familiarity
   with the ACR-AC and then reassessed students to determine any effect on
   utilization.
   Results: The response rate for the initial survey was 103 of 109 (94%)
   and the response rate for the second survey was 99 of 109 (91%). Our
   initial survey found students initiated imaging orders independently (74
   of 100, 74.8%) and consulted resources to assist in examination
   selection (50 of 74, 67.6%). Students expressed a preference for
   non-ACR-AC resources, notably UptoDate via its online mobile
   application. Few students (8 of 71, 11.3%) were familiar with the
   ACR-AC. After an intervention to increase familiarity with the ACR-AC,
   student awareness of the ACR-AC increased to 61 of 74 (82.4%). However,
   usage among those familiar with the resource remained low, 13 of 61
   (21.3%) versus 3 of 8 (37.5%).
   Conclusions: Use of the ACR-AC was low among third year medical
   students. After increasing students' familiarity with the ACR-AC, their
   usage in a clinical setting did not increase. The largest barrier to use
   may be the lack of a quick, easy to use online mobile application-based
   interface.
OI Naeger, David/0000-0002-1884-280X
TC 20
ZA 0
ZR 0
ZB 1
ZS 0
Z8 0
Z9 20
U1 0
U2 2
SN 1076-6332
EI 1878-4046
UT WOS:000364612600021
PM 26854303
ER

PT J
AU Almutairi, Khalid M.
TI Quality of Diabetes Management in Saudi Arabia: A Review of Existing
   Barriers
SO ARCHIVES OF IRANIAN MEDICINE
VL 18
IS 12
BP 816
EP 821
PD DEC 2015
PY 2015
AB Background: Diabetes mellitus is a complex disorder that requires
   continuous management and medical care. The purpose of this review is to
   identify and summarize the barriers that affect diabetes management in
   Saudi Arabia.
   Methods: Studies that have examined the quality of diabetes management
   in Saudi Arabia were identified through online and manual literature
   searches. Two researchers independently searched and assessed for
   inclusion/exclusion criteria. All studies were screened by a specialist
   for the significance of the review. Studies that were included were
   evaluated for relevance, methodological rigor, and credibility by giving
   a quality score based on Russell and Gregory's criteria.
   Results: This review presents an overview of the quality of diabetes
   management and issues and barriers concerning the improvement of
   diabetes care in Saudi Arabia. The online literature search yielded 11
   studies which met the inclusion criteria. Factors affecting the quality
   of diabetes care can be categorized into patient factors (such as
   adherence, compliance, attitudes, beliefs, knowledge, financial
   resources and co-morbidities) and healthcare providers factors
   (including beliefs, attitudes and knowledge, patient provider
   interaction and communication).
   Conclusion: The identified barriers, both from patients and healthcare
   providers, will help healthcare authorities to improve diabetes
   management in Saudi Arabia. Improvement of health awareness about
   disease and disease management should be tailored through continuous
   patient education. Continuous training and seminars will also expand
   providers' knowledge that will ensure quality and effective diabetes
   management.
RI Almutairi, Khalid M/D-5765-2015
ZS 0
TC 8
ZB 2
Z8 1
ZA 0
ZR 0
Z9 9
U1 0
U2 4
SN 1029-2977
EI 1735-3947
UT WOS:000366585700003
PM 26621013
ER

PT J
AU Kogan, Lori R.
   Hellyer, Peter W.
   Stewart, Sherry M.
   Hendrickson, Dean A.
   Dowers, Kristy L.
   Schoenfeld-Tacher, Regina
TI Researching Applicants Online in the Veterinary Program Admissions
   Process: Perceptions, Practices, and Implications for Curricular Change
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 42
IS 4
BP 286
EP 296
DI 10.3138/jvme.0315-032R1
PD WIN 2015
PY 2015
AB As the use of social media websites continues to grow among adults 18-34
   years old, it is necessary to examine the consequences of online
   disclosure to the veterinary admissions processes and to consider the
   effects on the professional integrity of veterinary schools and on the
   e-professionalism of DVM graduates. Prior research has shown that
   employers, across all fields, routinely use information from social
   media sites to make hiring decisions. In veterinary medicine, a little
   over one-third of private practitioners reported using online
   information in the selection of new associates. However, professional
   academic programs appear to use online information less frequently in
   the selection processes. The current study examines the behaviors and
   attitudes of veterinary medical admissions committees toward the use of
   applicants' online information and profiles in their recruitment and
   selection process. An online survey was distributed to Associate Deans
   for Academic Affairs at all AAVMC-affiliated schools of veterinary
   medicine. A total of 21 schools completed the survey. The results showed
   that most veterinary schools do not currently use online research in
   their admissions process; however, most admissions committee members
   feel that using online social networking information to investigate
   applicants is an acceptable use of technology. Previous research has
   suggested that the majority of veterinary student applicants view this
   as an invasion of their privacy. Given this discordance, future
   educational efforts should focus on helping veterinary students
   determine what type of information is appropriate for posting online and
   how to use privacy settings to control their sharing behaviors.
OI Schoenfeld, Regina/0000-0003-1884-0270
ZR 0
ZA 0
Z8 0
TC 0
ZS 0
ZB 0
Z9 0
U1 0
U2 14
SN 0748-321X
EI 1943-7218
UT WOS:000365757100005
PM 26291414
ER

PT J
AU Landau, Ruth E.
   Beck, Alan
   Glickman, Larry T.
   Litster, Annette
   Widmar, Nicole J. Olynk
   Moore, George E.
TI Survey of US Veterinary Students on Communicating with Limited English
   Proficient Spanish-Speaking Pet Owners
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 42
IS 4
BP 324
EP 331
DI 10.3138/jvme.0215-025R
PD WIN 2015
PY 2015
AB Veterinary schools and colleges generally include communication skills
   training in their professional curriculum, but few programs address
   challenges resulting from language gaps between pet owners and
   practitioners. Due to shifting US demographics, small animal veterinary
   practices must accommodate an increasing number of limited English
   proficient (LEP) Spanish-speaking pet owners (SSPOs). A national survey
   was conducted to assess the interest and preparedness of US veterinary
   students to communicate with LEP SSPOs when they graduate. This online
   survey, with more than 2,000 first-, second-, and third-year US
   veterinary students, revealed that over 50% of students had worked at a
   practice or shelter that had LEP Spanish-speaking clients. Yet fewer
   than 20% of these students described themselves as prepared to give
   medical information to an LEP SSPO. Over three-fourths of respondents
   agreed that communication with LEP SSPOs was important for veterinarians
   in general, and two-thirds agreed that communication with LEP SSPOs was
   important for themselves personally. Ninety percent of students who
   described themselves as conversant in Spanish agreed that they would be
   able to communicate socially with SSPOs, while only 55% said they would
   be able to communicate medically with such clients. Overall, two-thirds
   of students expressed interest in taking Spanish for Veterinary
   Professionals elective course while in school, with the strongest
   interest expressed by those with advanced proficiency in spoken Spanish.
   Bridging language gaps has the potential to improve communication with
   LEP SSPOs in the veterinary clinical setting and to improve patient
   care, client satisfaction, and the economic health of the veterinary
   profession.
ZR 0
TC 4
ZA 0
Z8 0
ZB 0
ZS 0
Z9 4
U1 0
U2 5
SN 0748-321X
EI 1943-7218
UT WOS:000365757100009
PM 26291506
ER

PT J
AU Kedrowicz, April A.
TI Clients and Veterinarians as Partners in Problem Solving during Cancer
   Management: Implications for Veterinary Education
SO JOURNAL OF VETERINARY MEDICAL EDUCATION
VL 42
IS 4
BP 373
EP 381
DI 10.3138/jvme.0315-048R
PD WIN 2015
PY 2015
AB This research explores client satisfaction with veterinarian
   interactions and support during cancer management. Ninety-four members
   of the online Pet Cancer Support group completed the electronic
   communication and support questionnaire. Results show that 77% of
   respondents (n=72) are satisfied with their veterinarian; 71% (n=67) are
   satisfied with the information their veterinarian provides about
   treatment options; and 70% percent (n=66) are satisfied with the support
   they receive from their veterinarian. Strong, positive correlations
   exist between level of satisfaction and information about treatment
   options (r(s)=.795, n=91, p<.001) and between level of satisfaction and
   support received from the veterinarian (r(s)=.759, n=90, p<.001).
   Problem-focused informational support and tangible support dominated
   clients' descriptions of support and affected their support
   satisfaction. Emotion-focused support was not as important, and in some
   cases was not expected of the veterinarian. Results suggested that
   clients' overall satisfaction with their veterinarian is related to
   their satisfaction with information about treatment options and
   satisfaction with the support the veterinarian provides. By providing
   problem-focused support, veterinarians can empower clients and enhance
   their sense of control, thus positively affecting satisfaction and the
   likelihood of a long-lasting relationship. Taken together, these
   findings have implications for our understanding of veterinarian-client
   communication related to relationship-centered care and client
   empowerment, as well as implications for veterinary medical education
   and communication curricula.
OI Kedrowicz, April/0000-0002-6464-2294
ZA 0
ZS 0
TC 11
Z8 0
ZR 0
ZB 2
Z9 11
U1 0
U2 16
SN 0748-321X
EI 1943-7218
UT WOS:000365757100015
PM 26421515
ER

PT J
AU Morrison, Annie O.
   Gardner, Jerad M.
TI Microscopic Image Photography Techniques of the Past, Present, and
   Future
SO ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE
VL 139
IS 12
BP 1558
EP 1564
DI 10.5858/arpa.2014-0315-RA
PD DEC 2015
PY 2015
AB Context.-The field of pathology is driven by microscopic images.
   Educational activities for trainees and practicing pathologists alike
   are conducted through exposure to images of a variety of pathologic
   entities in textbooks, publications, online tutorials, national and
   international conferences, and interdepartmental conferences. During the
   past century and a half, photographic technology has progressed from
   primitive and bulky, glass-lantern projector slides to static and/or
   whole slide digital-image formats that can now be transferred around the
   world in a matter of moments via the Internet.
   Objective.-To provide a historic and technologic overview of the
   evolution of microscopic-image photographic tools and techniques.
   Data Sources.-Primary historic methods of microscopic image capture were
   delineated through interviews conducted with senior staff members in the
   Emory University Department of Pathology. Searches for the historic
   image-capturing methods were conducted using the Google search engine.
   Google Scholar and PubMed databases were used to research methods of
   digital photography, whole slide scanning, and smart phone cameras for
   microscopic image capture in a pathology practice setting.
   Conclusions.-Although film-based cameras dominated for much of the time,
   the rise of digital cameras outside of pathology generated a shift
   toward digital-image capturing methods, including mounted digital
   cameras and whole slide digital-slide scanning. Digital image capture
   techniques have ushered in new applications for slide sharing and
   second-opinion consultations of unusual or difficult cases in pathology.
   With their recent surge in popularity, we suspect that smart phone
   cameras are poised to become a widespread, cost-effective method for
   pathology image acquisition.
TC 29
ZA 0
ZS 0
Z8 0
ZB 15
ZR 0
Z9 29
U1 0
U2 10
SN 0003-9985
EI 1543-2165
UT WOS:000368422300016
PM 25989285
ER

PT J
AU McGinn, Aileen P.
   Lee, Linda S.
   Baez, Adriana
   Zwanziger, Jack
   Anderson, Karl E.
   Seely, Ellen W.
   Schoenbaum, Ellie
TI Mentoring in Clinical-Translational Research: A Study of Participants in
   Master's Degree Programs
SO CTS-CLINICAL AND TRANSLATIONAL SCIENCE
VL 8
IS 6
BP 746
EP 753
DI 10.1111/cts.12343
PD DEC 2015
PY 2015
AB Research projects in translational science are increasingly complex and
   require interdisciplinary collaborations. In the context of training
   translational researchers, this suggests that multiple mentors may be
   needed in different content areas. This study explored mentoring
   structure as it relates to perceived mentoring effectiveness and other
   characteristics of master's-level trainees in clinical-translational
   research training programs. A cross-sectional online survey of recent
   graduates of clinical research master's program was conducted. Of 73
   surveys distributed, 56.2% (n = 41) complete responses were analyzed.
   Trainees were overwhelmingly positive about participation in their
   master's programs and the impact it had on their professional
   development. Overall the majority (75%) of trainees perceived they had
   effective mentoring in terms of developing skills needed for conducting
   clinical-translational research. Fewer trainees perceived effective
   mentoring in career development and work-life balance. In all 15 areas
   of mentoring effectiveness assessed, higher rates of perceived mentor
   effectiveness was seen among trainees with 2 mentors compared to those
   with solo mentoring (SM). In addition, trainees with 2 mentors perceived
   having effective mentoring in more mentoring aspects (median: 14.0; IQR:
   12.0-15.0) than trainees with SM (median: 10.5; IQR: 8.0-14.5). Results
   from this survey suggest having 2 mentors may be beneficial in
   fulfilling trainee expectations for mentoring in clinical-translational
   training.
RI Schoenbaum, Ellie/; Anderson, Karl/; Lee, Linda/I-5166-2016
OI Schoenbaum, Ellie/0000-0002-0878-284X; Anderson,
   Karl/0000-0002-6499-8573; Lee, Linda/0000-0003-4471-7284
ZB 0
ZS 0
TC 2
Z8 0
ZA 0
ZR 0
Z9 2
U1 1
U2 11
SN 1752-8054
EI 1752-8062
UT WOS:000367676600025
PM 26534872
ER

PT J
AU Rocha-Pereira, Nuno
   Lafferty, Natalie
   Nathwani, Dilip
TI Educating healthcare professionals in antimicrobial stewardship: can
   online-learning solutions help?
SO JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY
VL 70
IS 12
BP 3175
EP 3177
DI 10.1093/jac/dkv336
PD DEC 2015
PY 2015
AB Education is widely recognized as one of the cornerstones of successful
   antimicrobial stewardship programmes. There is evidence of important
   knowledge flaws around antimicrobial prescribing among both medical
   students and clinicians. Educational interventions improve antimicrobial
   prescribing, but traditional tools may be insufficient to deliver
   training to meet the complex demands of global healthcare professionals
   working across a diverse range of healthcare and resource settings. The
   educational solutions increasingly need to be timely, efficient,
   pragmatic, high quality, aligned to the needs of the professional in a
   specific context, sustainable and cost-effective. Online learning has
   been playing a growing role in education about antimicrobial stewardship
   and the recent phenomenon of massive open online courses (MOOCs) offers
   novel and additional opportunities to deliver relevant information to a
   wide range of people. Additional research on MOOCs as an educational
   approach is needed in order to define their effectiveness,
   sustainability and the best ways to achieve the intended results.
   Although the precise value of new online strategies such as MOOCs is ill
   defined, they certainly will have an important place in increasing
   awareness and improving antimicrobial prescribing.
OI Lafferty, Natalie/0000-0002-1534-1866
Z8 0
ZS 0
TC 32
ZA 0
ZR 0
ZB 19
Z9 32
U1 0
U2 14
SN 0305-7453
EI 1460-2091
UT WOS:000368246800001
PM 26429566
ER

PT J
AU Staunton, Peter F.
   Baker, Joseph F.
   Green, James
   Devitt, Aiden
TI Online Curves: A Quality Analysis of Scoliosis Videos on YouTube
SO SPINE
VL 40
IS 23
BP 1857
EP 1861
DI 10.1097/BRS.0000000000001137
PD DEC 2015
PY 2015
AB Study Design.A cross-sectional study.Objective.The aim of this study was
   to evaluate the quality of online scoliosis information available on the
   video sharing site YouTube.Summary of Background Data.The Internet is an
   increasingly utilized resource for accessing information about a variety
   of heath conditions. YouTube is a video sharing platform used to both
   seek and distribute information.Methods.A search for scoliosis was
   carried out using YouTube's search engine and data were collected on the
   first 50 videos returned. A JAMA score to determine currency,
   authorship, source and disclosure, and scoliosis-specific score that
   measures the amount of information on the diagnosis and treatment
   options (as devised by Mathur et al in 2005; scored 0-32) was recorded
   for each video to measure quality objectively. In addition, the number
   of views, number of comments, and feedback positivity was documented for
   each. Data analysis was conducted using R 3.1.4/R Studio 0.98 with
   control for the age of each video in analysis models.Results.The average
   number of views per video was 71,152 with an average length of 7 minutes
   32seconds. Thirty-six percent of the videos fell under the authorship
   category of personal experience. The average JAMA score was 1.32/4 and
   average scoliosis specific score was 5.38/32. There was a positive
   correlation between JAMA score and number of views (P=0.003). However,
   in contrast, there was a negative correlation between scoliosis-specific
   score and number of views (P=0.01).Conclusions.Online health information
   has historically been poor and our study shows that in an environment
   like YouTube that lacks a peer review process, the quality of scoliosis
   information is low. Further work is needed to determine whether
   accessing information on YouTube can play a role in patient care other
   than simple education pertaining to the disease and its management.Level
   of Evidence: 3
RI Baker, Joseph F/H-2868-2019; Green, James A/A-8615-2008
OI Baker, Joseph F/0000-0002-8518-8780; Green, James A/0000-0002-7309-0751
Z8 0
ZR 0
ZB 4
TC 50
ZS 1
ZA 0
Z9 50
U1 3
U2 14
SN 0362-2436
EI 1528-1159
UT WOS:000368499900009
PM 26571065
ER

PT J
AU Vassallo, Juan C.
   Gouguenheim, Barbara
   Ghiglione, Analia
   Bravo, Nelida
   Prudencio, Carla I.
   Villois, Florencia
   Abadie, Yamila
   Zubieta, Ana
   Golini, Carol
   Villar, Victoria
   Rodriguez, Susana P.
TI Lumbar puncture training using simulation-based educational strategies.
   Experience in a clinical pediatric residency
SO ARCHIVOS ARGENTINOS DE PEDIATRIA
VL 113
IS 6
BP 544
EP 548
DI 10.5546/aap.2015.eng.544
PD DEC 2015
PY 2015
AB Pediatricians should acquire multiple skills during their professional
   training, including procedural skills. Skill acquisition requires
   knowledge on theoretical bases, direct observation and, lastly,
   supervised repetitive practice. Training using simulators allows to
   learn procedures in a controlled setting, ensuring patients' safety,
   integrating this as a learning stage prior to the actual contact with
   patients. Here we report on the teaching experience of a simulated
   lumbar puncture procedure.
   Training was provided to 112 first year pediatric residents who entered
   Hospital Prof. Dr. Juan P. Garrahan in the 2013-2014 period. Educational
   contents included communication with parents regarding the procedure,
   material preparation, compliance with biosafety standards, sepsis and
   general patient care, puncture and subsequent cerebrospinal fluid
   collection, and specimen collection.
   Strategies included, in a sequential order, the introduction of
   theoretical aspects using the bibliography and audiovisual resources
   available at the hospital's online campus and subsequent practice of
   lumbar puncture in a 3-month-old infant phantom on a lateral recumbent
   position that allowed to make a puncture and collect cerebrospinal
   fluid. At each training session, the level of confidence was measured
   before and after the procedure, and a checklist was developed to verify
   an adequate compliance with each step of the procedure.
   The simulated lumbar puncture training model has been introduced as an
   educational strategy of our Pediatric Residency Program.
ZR 0
TC 1
ZA 0
ZB 0
ZS 0
Z8 0
Z9 1
U1 1
U2 9
SN 0325-0075
EI 1668-3501
UT WOS:000368363700034
PM 26593801
ER

PT J
AU Turner, Sandra
   Seel, Matthew
   Berry, Martin
TI Radiation Oncology Training Program Curriculum developments in Australia
   and New Zealand: Design, implementation and evaluation - What next?
SO JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY
VL 59
IS 6
BP 728
EP 735
DI 10.1111/1754-9485.12337
PD DEC 2015
PY 2015
AB Introduction: The Australian and New Zealand Radiation Oncology Training
   Program has undergone major changes to align with pedagogical principles
   and best-evidence practice. The curriculum was designed around the
   Canadian Medical Education Directives for Specialists framework and
   involved structural programme changes and new in-training assessment.
   This paper summarises the work of programme design and implementation
   and presents key findings from an evaluation of the revised programme.
   Methods: An independent team conducted the evaluation during the last
   year of the first 5-year curriculum cycle. Opinions were sought from
   trainees, supervisors and directors of training (DoTs) through online
   surveys, focused interviews and group consultations. One hundred
   nineteen participated in surveys; 211 participated in consultations. All
   training networks were represented.
   Results: The new curriculum was viewed favourably by most participants
   with over 90% responding that it 'provided direction in attaining
   competencies'. Most (87/107; 81%) said it 'promotes regular, productive
   interaction between trainees and supervisors'. Adequacy of feedback to
   trainees was rated as only 'average' by trainees/trainers in one-third
   of cases. Consultations revealed this was more common where trainers
   were less familiar with curriculum tools. Half of DoTs/supervisors felt
   better supported. Nearly two-third of all responders (58/92; 63%) stated
   that clinical service requirements could be met during training; 17/92
   (18.5%) felt otherwise. When asked about 'work-readiness', 59/90 (66%)
   respondents, including trainees, felt this was improved.
   Conclusion: Findings suggest that the 'new' curriculum has achieved many
   of its aims, and implementation has largely been successful. Outcomes
   focus future work on better supporting trainers in using curriculum
   tools and providing useful feedback to trainees.
ZS 0
ZA 0
ZR 0
ZB 0
TC 6
Z8 0
Z9 6
U1 0
U2 1
SN 1754-9477
EI 1754-9485
UT WOS:000368514100012
PM 26122116
ER

PT J
AU Campbell, Jared M.
   Umapathysivam, Kandiah
   Xue, Yifan
   Lockwood, Craig
TI Evidence-Based Practice Point-of-Care Resources: A Quantitative
   Evaluation of Quality, Rigor, and Content
SO WORLDVIEWS ON EVIDENCE-BASED NURSING
VL 12
IS 6
BP 313
EP 327
DI 10.1111/wvn.12114
PD DEC 2015
PY 2015
AB Objective: Clinicians and other healthcare professionals need access to
   summaries of evidencebased information in order to provide effective
   care to their patients at the point-of-care. Evidence-based practice
   (EBP) point-of-care resources have been developed and are available
   online to meet this need. This study aimed to develop a comprehensive
   list of available EBP point-of- care resources and evaluate their
   processes and policies for the development of content, in order to
   provide a critical analysis based upon rigor, transparency and measures
   of editorial quality to inform healthcare providers and promote quality
   improvement amongst publishers of EBP resources.
   Design: A comprehensive and systematic search (Pubmed, CINAHL, and
   Cochrane Central) was undertaken to identify available EBP point-of-care
   resources, defined as "web-based medical compendia specifically designed
   to deliver predigested, rapidly accessible, comprehensive, periodically
   updated, and evidence-based information (and possibly also guidance) to
   clinicians."
   Main Outcome Measures: A pair of investigators independently extracted
   information on general characteristics, content presentation, editorial
   quality, evidence-based methodology, and breadth and volume.
   Results: Twenty-seven summary resources were identified, of which 22 met
   the predefined inclusion criteria for EBP point-of-care resources, and
   20 could be accessed for description and assessment. Overall, the upper
   quartile of EBP point-of-care providers was assessed to be UpToDate,
   Nursing Reference Centre, Mosby's Nursing Consult, BMJ Best Practice,
   and JBI COnNECT+.
   Linking Evidence to Action: The choice of which EBP point-of-care
   resources are suitable for an organization is a decision that depends
   heavily on the unique requirements of that organization and the
   resources it has available. However, the results presented in this study
   should enable healthcare providers to make that assessment in a clear,
   evidence-based manner, and provide a comprehensive list of the available
   options.
OI Lockwood, Craig/0000-0003-3722-676X; Umapathysivam,
   Kandiah/0000-0001-7208-650X
ZA 0
TC 19
Z8 0
ZS 2
ZB 2
ZR 0
Z9 22
U1 1
U2 14
SN 1545-102X
EI 1741-6787
UT WOS:000368531200002
PM 26629973
ER

PT J
AU Dharmawardana, N.
   Ruthenbeck, G.
   Woods, C.
   Elmiyeh, B.
   Diment, L.
   Ooi, E. H.
   Reynolds, K.
   Carney, A. S.
TI Validation of virtual-reality-based simulations for endoscopic sinus
   surgery
SO CLINICAL OTOLARYNGOLOGY
VL 40
IS 6
BP 569
EP 579
DI 10.1111/coa.12414
PD DEC 2015
PY 2015
AB Background: Virtual reality (VR) simulators provide an alternative to
   real patients for practicing surgical skills but require validation to
   ensure accuracy. Here, we validate the use of a virtual reality sinus
   surgery simulator with haptic feedback for training in
   Otorhinolaryngology -Head & Neck Surgery (OHNS).
   Methods: Participants were recruited from final-year medical students,
   interns, resident medical officers (RMOs), OHNS registrars and
   consultants. All participants completed an online questionnaire after
   performing four separate simulation tasks. These were then used to
   assess face, content and construct validity. ANOVA with post hoc
   correlation was used for statistical analysis.
   Results: The following groups were compared: (i) medical
   students/interns, (ii) RMOs, (iii) registrars and (iv) consultants. Face
   validity results had a statistically significant (P < 0.05) difference
   between the consultant group and others, while there was no significant
   difference between medical student/intern and RMOs. Variability within
   groups was not significant. Content validity results based on consultant
   scoring and comments indicated that the simulations need further
   development in several areas to be effective for registrar-level
   teaching. However, students, interns and RMOs indicated that the
   simulations provide a useful tool for learning OHNS-related anatomy and
   as an introduction to ENT-specific procedures.
   Conclusions: The VR simulations have been validated for teaching sinus
   anatomy and nasendoscopy to medical students, interns and RMOs. However,
   they require further development before they can be regarded as a valid
   tool for more advanced surgical training.
RI Ooi, Eng H/H-7012-2019; Dharmawardana, Nuwan/O-7906-2019; Woods, Charmaine/ABC-8374-2020; Carney, A/W-8202-2019; Reynolds, Karen/; Woods, Charmaine/
OI Ooi, Eng H/0000-0002-7201-815X; Dharmawardana,
   Nuwan/0000-0002-4535-9282; Carney, A/0000-0001-7507-7983; Reynolds,
   Karen/0000-0002-8273-1610; Woods, Charmaine/0000-0001-7898-9689
ZA 0
TC 24
ZB 1
ZS 1
ZR 0
Z8 1
Z9 26
U1 0
U2 14
SN 1749-4478
EI 1749-4486
UT WOS:000367995900007
PM 25809675
ER

PT J
AU Baker, Anna M.
   Riekert, Kristin A.
   Sawicki, Gregory S.
   Eakin, Michelle N.
TI CF RISE: Implementing a Clinic-Based Transition Program
SO PEDIATRIC ALLERGY IMMUNOLOGY AND PULMONOLOGY
VL 28
IS 4
BP 250
EP 254
DI 10.1089/ped.2015.0594
PD DEC 1 2015
PY 2015
AB During the period of healthcare transition, adolescents should increase
   responsibility for managing their health. Transition services are
   associated with improved outcomes; however, many youth with chronic
   conditions such as cystic fibrosis (CF) are not receiving
   guideline-based transition services. Individual CF centers have
   transition programs, yet no specific program is widely disseminated. A
   transition program CF: Responsibility, Independence, Self-care,
   Education CF RISE was recently developed and implemented at 10 CF
   centers. We conducted a process evaluation of CF RISE implementation
   based on the Consolidated Framework of Implementation Research (CFIR).
   CF healthcare providers (23/25 [95%]) from the 10 sites completed an
   online survey about their experiences 6 months after initiating the
   program. Open-ended survey questions were coded into central themes
   addressing domains of implementation. Providers reported that CF RISE
   facilitated communication with the family, particularly the knowledge
   and skills assessments. All providers rated the program as valuable with
   60% finding the program very or extremely valuable. Time was the biggest
   implementation barrier (96%) followed by planning for the visit (61%).
   Ninety-five percent felt the program could become a sustainable part of
   the clinic, and 91% felt that it was somewhat or completely likely that
   they would be using the program 1 year from now. Providers also
   appreciated the flexibility of the program. CF healthcare providers
   positively evaluated CF RISE during its initial implementation period.
   The feedback provides insight into the sustainability and challenges
   that must be considered as wider implementation plans are developed. It
   is critical to evaluate the effectiveness of programs such as CF RISE on
   the outcomes during the transition period.
OI Baker, Anna/0000-0003-1771-6366
Z8 0
ZB 1
ZR 0
ZA 0
ZS 0
TC 12
Z9 12
U1 0
U2 11
SN 2151-321X
EI 2151-3228
UT WOS:000366705600009
PM 35922999
ER

PT J
AU Kang, James
   Djafari Marbini, Hosnieh
   Patel, Prabir
   Fawcett, Nicola
   Leaver, Laurence
TI Survey of medical students' use of social media.
SO The clinical teacher
VL 12
IS 6
BP 373
EP 7
DI 10.1111/tct.12320
PD 2015-Dec
PY 2015
AB BACKGROUND: Medical students are not sufficiently knowledgeable about
   the dangers of online social media, and education about how to use it
   responsibly may be beneficial.
   METHODS: We conducted an online questionnaire to assess whether or not
   medical students in years 2-6 of study at the University of Oxford would
   intuitively know what doctors should and should not do on social media.
   We also assessed whether the study intervention of sending out guidance
   about appropriate use of social media published by the UK General
   Medical Council (GMC) would improve students' knowledge of how to use
   social media correctly.
   RESULTS: We found that, although social media use was widespread among
   medical students, the majority were unaware of GMC guidance on this
   issue. Administration of GMC guidance significantly improved the
   proportion of GMC-correct responses in four of 16 questionnaire items.
   Medical students are not sufficiently knowledgeable about the dangers of
   online social media
   DISCUSSION: It is possible that educating medical students about the
   dangers of online social media, and how to use it appropriately, could
   be worthwhile.
OI Kang, James/0000-0001-9635-7343
ZA 0
TC 7
Z8 0
ZS 0
ZR 0
ZB 0
Z9 7
U1 0
U2 0
EI 1743-498X
UT MEDLINE:26073553
PM 26073553
ER

PT J
AU Ghatak, A.
   Paul, P.
   Hawcutt, D. B.
   White, H. D.
   Furlong, N. J.
   Saunders, S.
   Morrison, G.
   Langridge, P.
   Weston, P. J.
TI UK service level audit of insulin pump therapy in paediatrics
SO DIABETIC MEDICINE
VL 32
IS 12
BP 1652
EP 1657
DI 10.1111/dme.12782
PD DEC 2015
PY 2015
AB Aim To conduct an audit of insulin pump therapy in the UK after the
   issue of guidelines for the use of continuous subcutaneous insulin
   infusion by NICE in 2008 (Technology Appraisal 151).
   Methods All centres in the UK, providing pump services to children and
   young people were invited to participate in an online audit. Audit
   metrics were aligned to NICE Technology Appraisal 151 and an electronic
   data collection tool was used.
   Results Of the 176 UK centres identified as providing pump services, 166
   (94.3%) participated in the study. A total of 5094 children and young
   people were identified as using continuous subcutaneous insulin infusion
   (19% of all paediatric patients with Type 1 diabetes), with a median
   (range) of 16.9 (0.67-69.4)% per centre. Units had a median of 0.58
   consultant sessions, 0.43 full-time equivalent diabetic specialist
   nurses, and 0.1 full-time equivalent dieticians delivering the pump
   service. The majority of this time was not formally funded. Families
   could access 24-h clinical and technical support (83% units), although
   the delivery varied between consultant, diabetic specialist nurse and
   company representatives. Only 53% of units ran, or accessed, structured
   education programmes for continuous subcutaneous insulin infusion use.
   Most units (86%) allowed continuous subcutaneous insulin infusion use
   for paediatric inpatients, but only 56% had written guidelines for this
   scenario. Nine percent of units had encountered funding refusal for a
   patient fulfilling NICE (Technology Appraisal 151) criteria.
   Conclusion The number of children and young people on continuous
   subcutaneous insulin infusion therapy is consistent with numbers
   estimated by NICE. There is a worrying lack of funded healthcare
   professional time. The audit also identified gaps in the provision of
   structured education and absence of written inpatient guidelines.
RI Langridge, Peter/G-5864-2010; Hawcutt, Dan/
OI Langridge, Peter/0000-0001-9494-400X; Hawcutt, Dan/0000-0002-8120-6507
ZB 0
TC 1
ZR 0
ZA 0
ZS 0
Z8 0
Z9 1
U1 0
U2 2
SN 0742-3071
EI 1464-5491
UT WOS:000367687500018
PM 25884635
ER

PT J
AU Meillier, Andrew
   Patel, Shyam
   Al-Osaimi, Abdullah M. S.
TI Readability of Healthcare Literature for Hepatitis B and C
SO DIGESTIVE DISEASES AND SCIENCES
VL 60
IS 12
BP 3558
EP 3562
DI 10.1007/s10620-015-3808-4
PD DEC 2015
PY 2015
AB Background Patients increasingly use the Internet for educational
   material concerning health and diseases. This information can be
   utilized to teach the population of hepatitis B and C if properly
   written at the necessary grade level of the intended patient population.
   AimWe explored the readability of online resources concerning hepatitis
   B and C.
   Methods Google searches were performed for "Hepatitis B" and "Hepatitis
   C." The Internet resources that were intended for patient education were
   used with specific exclusions. Articles were taken from 19 and 23
   different websites focusing on the symptoms, diagnosis, and treatment of
   hepatitis B and C, respectively. The articles were analyzed using
   Readability Studio Professional Edition (Oleander Solutions, Vandalia,
   OH) using 10 different readability scales. The results were compared and
   averaged to identify the anticipated academic grade level required to
   understand the information.
   ResultsThe average readability scores of the 10 scales had ranges of
   9.7-16.4 for hepatitis B and 9.2-16.4 for hepatitis C. The average
   academic reading grade level for hepatitis B was 12.6 +/- A 2.1 and for
   hepatitis C was 12.7 +/- A 2.1. There was no significant discrepancy
   between the hepatitis B and C Internet resource averaged grade levels.
   ConclusionThe resources accessed by patients are higher than the
   previously determined necessary grade level for patients to properly
   understand the intended information. The American Medical Association
   recommends material should be simplified to grade levels below the sixth
   grade level to benefit the ideal proportion of the patient population.
ZB 1
TC 8
ZS 0
ZA 0
ZR 0
Z8 0
Z9 8
U1 0
U2 4
SN 0163-2116
EI 1573-2568
UT WOS:000364563600012
PM 26204974
ER

PT J
AU Ishman, Stacey L.
   Stewart, C. Matthew
   Senser, Ethan
   Stewart, Rosalyn W.
   Stanley, James
   Stierer, Kevin D.
   Benke, James R.
   Kern, David E.
TI Qualitative Synthesis and Systematic Review of Otolaryngology in
   Undergraduate Medical Education
SO LARYNGOSCOPE
VL 125
IS 12
BP 2695
EP 2708
DI 10.1002/lary.25350
PD DEC 2015
PY 2015
AB Objective: Although 25% of primary care complaints are otolaryngology
   related, otolaryngology instruction is not required in most medical
   schools. Our aim was to systematically review existing literature on the
   inclusion of otolaryngology in undergraduate medical education.
   Data Sources: PubMed, Embase, Cumulative Index to Nursing and Allied
   Health Literature, and Education Resources Information Center.
   Study Design/Review Methods: Our search encompassed all indexed years
   through December 29, 2014. Inclusion criteria were English language,
   original human data, and a focus on medical student education. Data
   regarding study design, teacher, educational topic, educational methods,
   and setting were extracted from each article. Two investigators
   independently reviewed all articles.
   Results: Our initial search yielded 436 articles; 87 underwent full-text
   evaluation and 47 remained in the final review. The majority of studies
   were conducted in the United States (40%), United Kingdom (23%), and
   Canada (17%) and represented a single institutional experience. Studies
   were classified as needs assessments (36%), curriculum descriptions
   (15%), educational methods (36%), and skills assessments (32%); 81% were
   levels of evidence 3 or 4. Most reports indicated that otolaryngology
   rotations are not compulsory.
   Conclusions: Studies indicated the need for increased exposure to
   otolaryngology. Educational methods such as team-based learning,
   simulation, online learning, and clinical skills assessments may offer
   ways to increase exposure without overburdening clinical faculty and
   require further study. Data suggest that a universal otolaryngology
   medical student curriculum would be valuable and aid in resource sharing
   across institutions. We recommend that an assessment be performed to
   determine topics and skills that should comprise this curriculum.
RI Karim, Osman/Z-3507-2019; Stewart, C. Matthew/V-9823-2019
ZS 1
ZB 3
ZA 0
ZR 0
TC 15
Z8 0
Z9 15
U1 0
U2 18
SN 0023-852X
EI 1531-4995
UT WOS:000367187700025
PM 25945425
ER

PT J
AU Dawson, M. S.
TI State-of-the-art education in emergency ultrasound
SO NOTFALL & RETTUNGSMEDIZIN
VL 18
BP S45
EP S49
DI 10.1007/s10049-015-0067-z
SU 2
PD DEC 2015
PY 2015
AB Background. There are many ways to learn emergency ultrasound, and now
   advances in technology allow emergency ultrasound to be learned more
   efficiently. The traditional method of learning emergency ultrasound was
   through direct mentorship, published hardcopy textbooks, and short
   educational courses. This is a completely valid approach, but it is one
   that does not work for many, and it can possibly be improved.
   Educational methods and resources. Technology has allowed those without
   access to some of the above to learn, and even those who do have access
   will benefit from newer methods, which include electronic education such
   as podcasts, blogs, apps, and other Free Open Access Medical Education
   (#FOAMED). Generally, these resources are regularly updated in real time
   without the publication delays inherent in older media, and they are
   peer reviewed by thousands of individuals who can comment and discuss in
   real time. They can be combined with simulation and online mentoring for
   a much richer blended educational experience that is offered by
   technology.
   Conclusion. There is a fair amount of evidence showing how this
   combination of methods and newer technology can be leveraged to improve
   the educational experience. The right combination of methods will depend
   on the learner. The good news is that there are many options and there
   has never been a better time to learn emergency ultrasound regardless of
   the geographic location, access, or specific situation of the learner.
ZR 0
ZB 0
ZA 0
ZS 0
Z8 0
TC 0
Z9 0
U1 0
U2 3
SN 1434-6222
EI 1436-0578
UT WOS:000367552600004
ER

PT J
AU Kesselheim, Aaron S.
   Sinha, Michael S.
   Joffe, Steven
TI Physicians and Insider Trading
SO JAMA INTERNAL MEDICINE
VL 175
IS 12
BP 1955
EP 1959
DI 10.1001/jamainternmed.2015.5610
PD DEC 2015
PY 2015
AB Although insider trading is illegal, recent high-profile cases have
   involved physicians and scientists who are part of corporate governance
   or who have access to information about clinical trials of
   investigational products. Insider trading occurs when a person in
   possession of information that might affect the share price of a
   company's stock uses that information to buy or sell securities-or
   supplies that information to others who buy or sell-when the person is
   expected to keep such information confidential. The input that
   physicians and scientists provide to business leaders can serve
   legitimate social functions, but insider trading threatens to undermine
   any positive outcomes of these relationships. We review insider-trading
   rules and consider approaches to securities fraud in the health care
   field. Given the magnitude of the potential financial rewards, the ease
   of concealing illegal conduct, and the absence of identifiable victims,
   the temptation for physicians and scientists to engage in insider
   trading will always be present. Minimizing the occurrence of insider
   trading will require robust education, strictly enforced contractual
   provisions, and selective prohibitions against high-risk conduct, such
   as participation in expert consulting networks and online physician
   forums, by those individuals with access to valuable inside information.
RI Joffe, Steven/H-3941-2019; Kesselheim, Aaron/R-6793-2017
OI Joffe, Steven/0000-0002-0667-7384; Kesselheim, Aaron/0000-0002-8867-2666
Z8 0
ZR 0
TC 2
ZS 0
ZA 0
ZB 0
Z9 2
U1 1
U2 4
SN 2168-6106
EI 2168-6114
UT WOS:000366332000017
PM 26457747
ER

PT J
AU Larrieux, Gregory
   Wachi, Blake I.
   Miura, John T.
   Turaga, Kiran K.
   Christians, Kathleen K.
   Gamblin, T. Clark
   Peltier, Wendy L.
   Weissman, David E.
   Nattinger, Ann B.
   Johnston, Fabian M.
TI Palliative Care Training in Surgical Oncology and Hepatobiliary
   Fellowships: A National Survey of Program Directors
SO ANNALS OF SURGICAL ONCOLOGY
VL 22
BP S1181
EP S1186
DI 10.1245/s10434-015-4805-8
SU 3
PD DEC 2015
PY 2015
AB Background. Despite previous literature affirming the importance of
   palliative care training in surgery, there is scarce literature about
   the readiness of Surgical Oncology and hepatopancreaticobiliary (HPB)
   fellows to provide such care. We performed the first nationally
   representative study of surgical fellowship program directors'
   assessment of palliative care education. The aim was to capture
   attitudes about the perception of palliative care and disparity between
   technical/clinical education and palliative care training.
   Methods. A survey originally used to assess surgical oncology and HPB
   surgery fellows' training in palliative care, was modified and sent to
   Program Directors of respective fellowships. The final survey consisted
   of 22 items and was completed online.
   Results. Surveys were completed by 28 fellowship programs (70 % response
   rate). Only 60 % offered any formal teaching in pain management,
   delivering bad news or discussion about prognosis. Fifty-eight percent
   offered formal training in basic communication skills and 43 % training
   in conducting family conferences. Resources were available, with 100 %
   of the programs having a palliative care consultation service, 42 %
   having a faculty member with recognized clinical interest/expertise in
   palliative care, and 35 % having a faculty member board-certified in
   Hospice and Palliative Medicine.
   Conclusions. Our data shows HPB and surgical oncology fellowship
   programs are providing insufficient education and assessment in
   palliative care. This is not due to a shortage of faculty, palliative
   care resources, or teaching opportunities. Greater focus one valuation
   and development of strategies for teaching palliative care in surgical
   fellowships are needed.
OI Johnston, Fabian/0000-0002-2794-7179; Nattinger,
   Ann/0000-0002-8189-3300; Turaga, Kiran/0000-0001-8541-586X
ZB 4
ZA 0
ZR 0
ZS 0
Z8 0
TC 23
Z9 23
U1 0
U2 5
SN 1068-9265
EI 1534-4681
UT WOS:000367288100120
PM 26282906
ER

PT J
AU Almunawar, M. N.
   Anshari, M.
   Younis, Mustafa Z.
TI Incorporating customer empowerment in mobile health
SO HEALTH POLICY AND TECHNOLOGY
VL 4
IS 4
BP 312
EP 319
DI 10.1016/j.hlpt.2015.08.008
PD DEC 2015
PY 2015
AB The adoption of mobile services in many business sectors offers various
   business opportunities. But at the same time poses a great challenge for
   service providers and business organizations to grab the opportunities.
   Accessing mobile services through mobile devices equipped with powerful
   operating systems and a myriad of applications (Apps) such as smart
   phones or tablet computers are very handy and convenient. As most people
   are dependent on their smart phones for various reasons, mobile services
   accessible through smart phones are demanded. The healthcare industry
   should grab this opportunity by offering mobile health (mHealth).
   mHealth should be designed to offer customers a greater role in the
   decision making processes related to their health. Thus, customers
   (patients) will not only enjoy healthcare services online such as making
   appointments, viewing health records and having consultations through
   their smart phones or other mobile devices, but they can also
   participate and contribute to the discussion in information and
   knowledge sharing forums. In other words, consumers will be empowered'
   through mHealth. The aim of this paper is to present a model of mHealth
   that incorporates customer empowerment in three dimensions: personal
   dimension (mPersonal), social dimension (mSocial), and medical dimension
   (mMedical). In addition to literature review, a survey has been
   conducted to grab user perception as well as requirements for the model.
   The model can be used as a roadmap for healthcare organizations in
   embracing mHealth with customer empowerment embedded their services. (C)
   2015 Fellowship of Postgraduate Medicine. Published by Elsevier Ltd. All
   rights reserved.
RI Bridge, Universiti/N-9253-2015; Anshari, Muhammad/F-8232-2012; Anshari, Muhammad/N-5268-2017; Anshari, Muhammad/; Almunawar, Mohammad Nabil/
OI Bridge, Universiti/0000-0002-8160-6682; Anshari,
   Muhammad/0000-0002-8160-6682; Anshari, Muhammad/0000-0002-8160-6682;
   Anshari, Muhammad/0000-0003-0167-9134; Almunawar, Mohammad
   Nabil/0000-0001-5296-2576
ZS 0
TC 13
ZA 0
ZB 0
ZR 0
Z8 0
Z9 13
U1 1
U2 41
SN 2211-8837
UT WOS:000366771900004
ER

PT J
AU Mortelmans, Luc J M
   Bouman, Stef J M
   Gaakeer, Menno I
   Dieltiens, Greet
   Anseeuw, Kurt
   Sabbe, Marc B
TI Dutch senior medical students and disaster medicine: a national survey.
SO International journal of emergency medicine
VL 8
IS 1
BP 77
EP 77
DI 10.1186/s12245-015-0077-0
PD 2015-Dec
PY 2015
AB BACKGROUND: Medical students have been deployed in victim care of
   several disasters throughout history. They are corner stones in
   first-line care in recent pandemic planning. Furthermore, every
   physician and senior medical student is expected to assist in case of
   disaster situations, but are they educated to do so? Being one of
   Europe's densest populated countries with multiple nuclear
   installations, a large petrochemical industry and also at risk for
   terrorist attacks, The Netherlands bear some risks for incidents. We
   evaluated the knowledge on Disaster Medicine in the Dutch medical
   curriculum. Our hypothesis is that Dutch senior medical students are not
   prepared at all.
   METHODS: Senior Dutch medical students were invited through their
   faculty to complete an online survey on Disaster Medicine, training and
   knowledge. This reported knowledge was tested by a mixed set of 10
   theoretical and practical questions.
   RESULTS: With a mean age of 25.5years and 60% females, 999 participants
   completed the survey. Of the participants, 51% considered that Disaster
   Medicine should absolutely be taught in the regular medical curriculum
   and only 2% felt it as useless; 13% stated to have some knowledge on
   disaster medicine. Self-estimated capability to deal with various
   disaster situations varied from 1.47/10 in nuclear incidents to 3.92/10
   in influenza pandemics. Self-estimated knowledge on these incidents is
   in the same line (1.71/10 for nuclear incidents and 4.27/10 in
   pandemics). Despite this limited knowledge and confidence, there is a
   high willingness to respond (ranging from 4.31/10 in Ebola outbreak over
   5.21/10 in nuclear incidents to 7.54/10 in pandemics). The
   case/theoretical mix gave a mean score of 3.71/10 and raised some food
   for thought. Although a positive attitude, 48% will place contaminated
   walking wounded in a waiting room and 53% would use iodine tablets as
   first step in nuclear decontamination. Of the participants, 52% even
   believes that these tablets protect against external radiation, 41%
   thinks that these tablets limit radiation effects more than shielding
   and 57% believes that decontamination of chemical victims consists of a
   specific antidote spray in military cabins.
   CONCLUSIONS: Despite a high willingness to respond, our students are not
   educated for disaster situations.
RI Anseeuw, Kurt/AAY-4114-2020; mortelmans, luc/AAP-2636-2020; Anseeuw, Kurt/; Bouman, Stef/
OI Anseeuw, Kurt/0000-0002-1996-258X; Bouman, Stef/0000-0001-7924-6799
ZR 0
TC 29
Z8 0
ZS 3
ZB 3
ZA 0
Z9 30
U1 0
U2 13
SN 1865-1372
UT MEDLINE:26335099
PM 26335099
ER

PT J
AU Patel, Rajesh
   Chang, Tammy
   Greysen, S. Ryan
   Chopra, Vineet
TI Social Media Use in Chronic Disease: A Systematic Review and Novel
   Taxonomy
SO AMERICAN JOURNAL OF MEDICINE
VL 128
IS 12
BP 1335
EP 1350
DI 10.1016/j.amjmed.2015.06.015
PD DEC 2015
PY 2015
AB PURPOSE: The purpose of this study is to evaluate clinical outcomes from
   applications of contemporary social media in chronic disease; to develop
   a conceptual taxonomy to categorize, summarize, and then analyze the
   current evidence base; and to suggest a framework for future studies on
   this topic.
   METHODS: We performed a systematic review of MEDLINE via PubMed (January
   2000 to January 2015) of studies reporting clinical outcomes on leading
   contemporary social media (ie, Facebook, Twitter, Wikipedia, YouTube)
   use in 10 chronic diseases. Two reviewers independently performed data
   extraction and quality assessment; characterization of study outcomes as
   positive, negative, neutral, or undefined impact; and inductive,
   thematic analysis to develop our taxonomy.
   RESULTS: Of 378 citations identified, 42 studies examining the use of
   Facebook (n = 16), blogs (n = 13), Twitter (n = 8), wikis (n = 5), and
   YouTube (n = 4) on outcomes in cancer (n = 14), depression (n = 13),
   obesity (n = 9), diabetes (n = 4), heart disease (n = 3), stroke (n =
   2), and chronic lower respiratory tract infection (n = 1) were included.
   Studies were classified as support (n = 16), patient education (n = 10),
   disease modification (n = 6), disease management (n = 5), and diagnosis
   (n = 5) within our taxonomy. The overall impact of social media on
   chronic disease was variable, with 48% of studies indicating benefit,
   45% neutral or undefined, and 7% suggesting harm. Among studies that
   showed benefit, 85% used either Facebook or blogs, and 40% were based
   within the domain of support.
   CONCLUSIONS: Using social media to provide social, emotional, or
   experiential support in chronic disease, especially with Facebook and
   blogs, appears most likely to improve patient care. (C) 2015 Elsevier
   Inc. All rights reserved.
OI Chang, Tammy/0000-0002-3580-9438; Chopra, Vineet/0000-0001-8670-9376
ZA 0
ZB 11
ZR 1
Z8 0
TC 124
ZS 1
Z9 126
U1 3
U2 80
SN 0002-9343
EI 1555-7162
UT WOS:000365264700032
PM 26159633
ER

PT J
AU Johnson-Turbes, Ashani
   Schlueter, Dara
   Moore, Angela R.
   Buchanan, Natasha D.
   Fairley, Temeika L.
TI Evaluation of a Web-Based Program for African American Young Breast
   Cancer Survivors
SO AMERICAN JOURNAL OF PREVENTIVE MEDICINE
VL 49
IS 6
BP S543
EP S549
DI 10.1016/j.amepre.2015.09.003
SU 5
PD DEC 2015
PY 2015
AB Introduction: Among women aged <45 years, African Americans have the
   highest breast cancer incidence rates of any ethnic/racial group and
   disproportionately higher rates of mortality. Young breast cancer
   survivors (YBCSs) may require psychosocial and reproductive health
   support when navigating diagnosis, treatment, and follow-up care. To
   address these needs, the Young Sisters Initiative: A Guide to a Better
   You! Program (YSI) was developed, implemented, and evaluated. The
   purpose of this study was to assess implementation and fidelity;
   identify barriers and facilitators to implementation; and explore
   audience access, use, and perceived value of the YSI.
   Methods: A mixed-method, process evaluation of the YSI using interviews,
   an online screener, and post-use survey was conducted with data
   collected and analyzed from February through August 2013. Thematic
   analysis of qualitative data was conducted without qualitative data
   analysis software. Survey data were analyzed using PASW Statistics,
   version 18.
   Results: YSI core elements were implemented as intended. A total of
   1,442 people visited the YSI website; 93% of breast cancer survivors who
   visited the site (and consented to be in the study) were African
   American; 75% of post-use survey YBCS respondents were very or somewhat
   satisfied with the YSI; and 70% of YBCS respondents said the YSI content
   was somewhat or very useful.
   Conclusions: Findings suggest the value of using the Internet, including
   social media, to provide African-American YBCSs who are newly diagnosed,
   in treatment, and post-treatment with reproductive and psychosocial
   information and support. Further implementation and evaluation of
   programs addressing the needs of YBCSs are needed. (C) 2015 American
   Journal of Preventive Medicine. All rights reserved..
TC 14
ZA 0
ZB 2
ZR 0
ZS 0
Z8 0
Z9 14
U1 0
U2 10
SN 0749-3797
EI 1873-2607
UT WOS:000365061600011
PM 26590650
ER

PT J
AU Boland, P. M.
   Ruth, K.
   Matro, J. M.
   Rainey, K. L.
   Fang, C. Y.
   Wong, Y. N.
   Daly, M. B.
   Hall, M. J.
TI Genetic counselors' (GC) knowledge, awareness, understanding of clinical
   next-generation sequencing (NGS) genomic testing
SO CLINICAL GENETICS
VL 88
IS 6
BP 565
EP 572
DI 10.1111/cge.12555
PD DEC 2015
PY 2015
AB Genomic tests are increasingly complex, less expensive, and more widely
   available with the advent of next-generation sequencing (NGS). We
   assessed knowledge and perceptions among genetic counselors pertaining
   to NGS genomic testing via an online survey. Associations between
   selected characteristics and perceptions were examined. Recent education
   on NGS testing was common, but practical experience limited. Perceived
   understanding of clinical NGS was modest, specifically concerning tumor
   testing. Greater perceived understanding of clinical NGS testing
   correlated with more time spent in cancer-related counseling, exposure
   to NGS testing, and NGS-focused education. Substantial disagreement
   about the role of counseling for tumor-based testing was seen. Finally,
   a majority of counselors agreed with the need for more education about
   clinical NGS testing, supporting this approach to optimizing
   implementation.
RI Fang, Carolyn Y./A-2324-2008
OI Fang, Carolyn Y./0000-0002-0575-3867
ZA 0
ZS 0
ZR 0
ZB 1
Z8 0
TC 7
Z9 7
U1 2
U2 9
SN 0009-9163
EI 1399-0004
UT WOS:000364637900011
PM 25523111
ER

PT J
AU Putnam, Luke R.
   Levy, Shauna M.
   Kellagher, Caroline M.
   Etchegaray, Jason M.
   Thomas, Eric J.
   Kao, Lillian S.
   Lally, Kevin P.
   Tsao, KuoJen
TI Surgical resident education in patient safety: where can we improve?
SO JOURNAL OF SURGICAL RESEARCH
VL 199
IS 2
BP 308
EP 313
DI 10.1016/j.jss.2015.06.024
PD DEC 2015
PY 2015
AB Background: Effective communication and patient safety practices are
   paramount in health care. Surgical residents play an integral role in
   the perioperative team, yet their perceptions of patient safety remain
   unclear. We hypothesized that surgical residents perceive the
   perioperative environment as more unsafe than their faculty and
   operating room staff despite completing a required safety curriculum.
   Materials and methods: Surgeons, anesthesiologists, and perioperative
   nurses in a large academic children's hospital participated in
   multifaceted, physician-led workshops aimed at enhancing communication
   and safety culture over a 3-y period. All general surgery residents from
   the same academic center completed a hospital-based online safety
   curriculumonly. All groups subsequently completed the psychometrically
   validated safety attitudes questionnaire to evaluate three domains:
   safety culture, teamwork, and speaking up. Results reflect the percent
   of respondents who slightly or strongly agreed. Chi-square analysis was
   performed.
   Results: Sixty-three of 84 perioperative personnel (75%) and 48 of 52
   surgical residents (92%) completed the safety attitudes questionnaire. A
   higher percentage of perioperative personnel perceived a safer
   environment than the surgical residents in all three domains, which was
   significantly higher for safety culture (68% versus 46%, P = 0.03). When
   stratified into two groups, junior residents (postgraduate years 1-2)
   and senior residents (postgraduate years 3-5) had lower scores for all
   three domains, but the differences were not statistically significant.
   Conclusions: Surgical residents' perceptions of perioperative safety
   remain suboptimal. With an enhanced safety curriculum, perioperative
   staff demonstrated higher perceptions of safety compared with residents
   who participated in an online-only curriculum. Optimal surgical
   education on patient safety remains unknown but should require a
   dedicated, systematic approach. (C) 2015 Elsevier Inc. All rights
   reserved.
RI Kao, Lillian/GOV-7076-2022; Putnam, Luke/; Etchegaray, Jason/
OI Putnam, Luke/0000-0001-7455-0919; Etchegaray, Jason/0000-0002-3427-796X
ZA 0
TC 9
ZR 0
ZS 0
Z8 0
ZB 0
Z9 9
U1 0
U2 16
SN 0022-4804
EI 1095-8673
UT WOS:000364433600005
PM 26165614
ER

PT J
AU Hill, Emily K.
   Blake, Rachel A.
   Emerson, Jenna B.
   Svider, Peter
   Eloy, Jean Anderson
   Raker, Christina
   Robison, Katina
   Stuckey, Ashley
TI Gender Differences in Scholarly Productivity Within Academic Gynecologic
   Oncology Departments
SO OBSTETRICS AND GYNECOLOGY
VL 126
IS 6
BP 1279
EP 1284
DI 10.1097/AOG.0000000000001133
PD DEC 2015
PY 2015
AB OBJECTIVE:To estimate whether there is a gender difference in scholarly
   productivity among academic gynecologic oncologists.METHODS:In this
   cross-sectional study, the academic rank and gender of gynecologic
   oncology faculty in the United States were determined from online
   residency and fellowship directories and departmental web sites. Each
   individual's h-index and years of publication were determined from
   Scopus (a citation database of peer-reviewed literature). The h-index is
   a quantification of an author's scholarly productivity that combines the
   number of publications with the number of times the publications have
   been cited. We generated descriptive statistics and compared rank,
   gender, and productivity scores.RESULTS:Five hundred seven academic
   faculty within 137 U.S. teaching programs were identified. Of these, 215
   (42%) were female and 292 (58%) were male. Men had significantly higher
   median h-indices than women, 16 compared with 8, respectively (P<.001).
   Women were more likely to be of junior academic rank with 63% of
   assistant professors being female compared with 20% of full professors.
   When stratifying h-indices by gender and academic rank, men had
   significantly higher h-indices at the assistant professor level (7
   compared with 5, P<.001); however, this difference disappeared at the
   higher ranks. Stratifying by the years of active publication, there was
   no significant difference between genders.CONCLUSION:Female gynecologic
   oncologists at the assistant professor level had lower scholarly
   productivity than men; however, at higher academic ranks, they equaled
   their male counterparts. Women were more junior in rank, had published
   for fewer years, and were underrepresented in leadership positions.
OI Hill, Emily/0000-0002-7612-0266; Raker, Christina/0000-0002-8715-3207
Z8 0
ZS 0
ZA 0
TC 48
ZR 0
ZB 14
Z9 48
U1 0
U2 12
SN 0029-7844
UT WOS:000365302600010
PM 26551177
ER

PT J
AU de Bruin, Eduard J.
   Bogels, Susan M.
   Oort, Frans J.
   Meijer, Anne Marie
TI Efficacy of Cognitive Behavioral Therapy for Insomnia in Adolescents: A
   Randomized Controlled Trial with Internet Therapy, Group Therapy and A
   Waiting List Condition
SO SLEEP
VL 38
IS 12
BP 1913
EP 1926
DI 10.5665/sleep.5240
PD DEC 1 2015
PY 2015
AB Study Objectives: To investigate the efficacy of cognitive behavioral
   therapy for insomnia (CBTI) in adolescents.
   Design: A randomized controlled trial of CBTI in group therapy (GT),
   guided internet therapy (IT), and a waiting list (WL), with assessments
   at baseline, directly after treatment (post-test), and at 2 months
   follow-up.
   Setting: Diagnostic interviews were held at the laboratory of the
   Research Institute of Child Development and Education at the University
   of Amsterdam. Treatment for GT occurred at the mental health care center
   UvAMinds in Amsterdam, the Netherlands.
   Participants: One hundred sixteen adolescents (mean age = 15.6 y, SD =
   1.6 y, 25% males) meeting DSM-IV criteria for insomnia, were randomized
   to IT, GT, or WL.
   Interventions: CBTI of 6 weekly sessions, consisted of psychoeducation,
   sleep hygiene, restriction of time in bed, stimulus control, cognitive
   therapy, and relaxation techniques. GT was conducted in groups of 6 to 8
   adolescents, guided by 2 trained sleep therapists. IT was applied
   through an online guided self-help website with programmed instructions
   and written feedback from a trained sleep therapist.
   Measurements and Results: Sleep was measured with actigraphy and sleep
   logs for 7 consecutive days. Symptoms of insomnia and chronic sleep
   reduction were measured with questionnaires. Results showed that
   adolescents in both IT and GT, compared to WL, improved significantly on
   sleep efficiency, sleep onset latency, wake after sleep onset, and total
   sleep time at post-test, and improvements were maintained at follow-up.
   Most of these improvements were found in both objective and subjective
   measures. Furthermore, insomnia complaints and symptoms of chronic sleep
   reduction also decreased significantly in both treatment conditions
   compared to WL. Effect sizes for improvements ranged from medium to
   large. A greater proportion of participants from the treatment
   conditions showed high end-state functioning and clinically significant
   improvement after treatment and at follow-up compared to WL.
   Conclusions: This study is the first randomized controlled trial that
   provides evidence that cognitive behavioral therapy for insomnia is
   effective for the treatment of adolescents with insomnia, with medium to
   large effect sizes. There were small differences between internet and
   group therapy, but both treatments reached comparable endpoints.
OI Oort, Frans/0000-0003-1823-7105
ZS 1
Z8 0
ZB 23
ZA 0
TC 103
ZR 0
Z9 102
U1 1
U2 33
SN 0161-8105
EI 1550-9109
UT WOS:000365616300015
PM 26158889
ER

PT J
AU Torous, John
   Franzan, Jamie
   O'Connor, Ryan
   Mathew, Ian
   Keshavan, Matcheri
   Kitts, Robert
   Boland, Robert
TI Psychiatry Residents' Use of Educational Websites: A Pilot Survey Study
SO ACADEMIC PSYCHIATRY
VL 39
IS 6
BP 630
EP 633
DI 10.1007/s40596-015-0335-8
PD DEC 2015
PY 2015
AB Objective Psychiatry residents have numerous online educational
   resources readily available to them although currently there are no data
   regarding residents' use and perception of such websites.
   Methods A survey was offered to 62 residents from all four years of
   training as well as recent graduates of a single psychiatry residency
   training program.
   Results Residents reported utilizing online resources on average 68 % of
   the time, in comparison to 32 % on average for printed materials.
   Residents reported UpToDate, PubMed, and Wikipedia as the most visited
   websites and ranked each highly but for different purposes. Thirty-five
   percent of residents felt that insufficient faculty guidance was a
   barrier to use of these educational websites.
   Conclusions Pilot data indicate psychiatry residents use online
   resources daily for their education in various settings. Resident
   perceptions of individual website's trustworthiness, ease of use, and
   sources of clinical decision-making and personal learning suggest
   potential opportunities for educators to better understand the current
   use of these resources in residency training. Reported barriers
   including lack of faculty guidance suggest opportunities for academic
   psychiatry. Further study is necessary at multiple sites before such
   results may be generalized.
ZB 1
ZA 0
ZS 0
ZR 0
TC 11
Z8 0
Z9 11
U1 0
U2 3
SN 1042-9670
EI 1545-7230
UT WOS:000365868600005
PM 26077007
ER

PT J
AU Ramirez, Beatriz U.
TI Correlation of self-assessment with attendance in an evidence-based
   medicine course
SO ADVANCES IN PHYSIOLOGY EDUCATION
VL 39
IS 4
BP 378
EP 382
DI 10.1152/advan.00072.2015
PD DEC 1 2015
PY 2015
AB In previous studies, correlations between attendance and grades in
   lectures have given variable results and, when statistically
   significant, the correlation has been weak. In some studies, a sex
   effect has been reported. Lectures are a teacher-centered learning
   activity. Therefore, it appeared interesting to evaluate if a stronger
   correlation between attendance and grades would occur in a face-to-face
   "evidence-based medicine" course with few lectures and more time
   dedicated to active learning methods. Small-group work and peer learning
   were used to foster deep learning and to engage students in their own
   learning process. Most of the time, students worked in small groups
   solving contextualized problems and critically analyzing the quality of
   published medical literature. Peer learning was also developed in
   collaborative evaluations, and constant feedback was provided.
   Therefore, it was hypothesized that high attenders would develop a
   higher self-perception of learning and obtain higher marks than low
   attenders. Student self-perceptions of their capacity to apply
   evidence-based medicine were measured by the application of an online
   self-assessment survey, and objective learning was measured as the
   grades obtained in a final accumulative individual test. It was found
   that male students obtained higher grades and were more confident in
   their achievements than their female peers, despite male and female
   student attendance being similar. In addition, attendance was correlated
   with the perceived capacity to apply evidence-based medicine only in
   male students and was not correlated with academic outcome.
Z8 0
TC 8
ZA 0
ZB 0
ZS 2
ZR 0
Z9 10
U1 1
U2 17
SN 1043-4046
EI 1522-1229
UT WOS:000366138100020
PM 26628663
ER

PT J
AU Miller, Cynthia Jayne
   Metz, Michael James
TI Can Clinical Scenario Videos Improve Dental Students' Perceptions of the
   Basic Sciences and Ability to Apply Content Knowledge?
SO JOURNAL OF DENTAL EDUCATION
VL 79
IS 12
BP 1452
EP 1460
PD DEC 2015
PY 2015
AB Dental students often have difficulty understanding the importance of
   basic science classes, such as physiology, for their future careers. To
   help alleviate this problem, the aim of this study was to create and
   evaluate a series of video modules using simulated patients and
   custom-designed animations that showcase medical emergencies in the
   dental practice. First-year students in a dental physiology course
   formatively assessed their knowledge using embedded questions in each of
   the three videos; 108 to 114 of the total 120 first-year students
   answered the questions, for a 90-95% response rate. These responses
   indicated that while the students could initially recognize the cause of
   the medical emergency, they had difficulty in applying their knowledge
   of physiology to the scenario. In two of the three videos, students
   drastically improved their ability to answer high-level clinical
   questions at the conclusion of the video. Additionally, when compared to
   the previous year of the course, there was a significant improvement in
   unit exam scores on clinically related questions (6.2% increase).
   Surveys were administered to the first-year students who participated in
   the video modules and fourth-year students who had completed the course
   prior to implementation of any clinical material. The response rate for
   the first-year students was 96% (115/120) and for the fourth-year
   students was 57% (68/120). The first-year students indicated a more
   positive perception of the physiology course and its importance for
   success on board examinations and their dental career than the
   fourth-year students. The students perceived that the most positive
   aspects of the modules were the clear applications of physiology to
   real-life dental situations, the interactive nature of the videos, and
   the improved student comprehension of course concepts. These results
   suggest that online modules may be used successfully to improve
   students' perceptions of the basic sciences and enhance their ability to
   apply basic science content to clinically important scenarios.
ZS 0
Z8 0
ZB 1
ZA 0
ZR 0
TC 18
Z9 18
U1 0
U2 5
SN 0022-0337
EI 1930-7837
UT WOS:000366235000010
PM 26632300
ER

PT J
AU Cameron, Carrie
   Lee, Hwa Young
   Anderson, Cheryl
   Byars-Winston, Angela
   Baldwin, Constance D.
   Chang, Shine
TI The Role of Scientific Communication Skills in Trainees' Intention to
   Pursue Biomedical Research Careers: A Social Cognitive Analysis
SO CBE-LIFE SCIENCES EDUCATION
VL 14
IS 4
AR ar46
DI 10.1187/cbe.14-09-0152
PD DEC 1 2015
PY 2015
AB Scientific communication (SciComm) skills are indispensable for success
   in biomedical research, but many trainees may not have fully considered
   the necessity of regular writing and speaking for research career
   progression. Our purpose was to investigate the relationship between
   SciComm skill acquisition and research trainees' intentions to remain in
   research careers. We used social cognitive career theory (SCCT) to test
   a model of the relationship of SciComm skills to SciComm-related
   cognitive variables in explaining career intentions. A sample of 510
   graduate students and postdoctoral fellows at major academic health
   science centers in the Texas Medical Center, Houston, Texas, were
   surveyed online. Results suggested that interest in performing SciComm
   tasks, SciComm outcome expectations (SCOEs), and SciComm productivity
   predicted intention to remain in a research career, while SciComm
   self-efficacy did not directly predict career intention. SCOEs also
   predicted interest in performing SciComm tasks. As in other SCCT
   studies, SciComm self-efficacy predicted SCOEs. We conclude that social
   cognitive factors of SciComm skill acquisition and SciComm productivity
   significantly predict biomedical trainees' intentions to pursue research
   careers whether within or outside academia. While further studies are
   needed, these findings may lead to evidence-based interventions to help
   trainees remain in their chosen career paths.
OI Lee, Hwa Young/0000-0003-1445-9157; BYARS-WINSTON,
   ANGELA/0000-0002-2616-1748; Chang, Shine/0000-0003-3804-9697
Z8 0
ZS 0
TC 15
ZA 0
ZR 0
ZB 2
Z9 15
U1 1
U2 23
SN 1931-7913
UT WOS:000365892700001
PM 26628562
ER

PT J
AU Kirk, Angela Hui Ping
   Ng, Brenda Sok Peng
   Lee, Ang Noi
   Ang, Bixia
   Lee, Jan Hau
TI Perceptions of Pediatric Critical Care Nurses on the Initiation of a
   Nursing-Led Feeding Protocol
SO JOURNAL OF NURSING RESEARCH
VL 23
IS 4
BP 308
EP 312
DI 10.1097/JNR.0000000000000085
PD DEC 2015
PY 2015
AB Background: Critically ill children frequently receive inadequate
   nutritional support. Feeding protocols have been shown to facilitate
   optimal nutritional care.
   Purpose: We aim to determine the perceptions of critical care nurses
   with regard to the implementation of a feeding protocol as well as to
   their preferred teaching methods before introducing this protocol in our
   pediatric intensive care unit (PICU). We hypothesize that nursing
   experience and educational level are factors that predict readiness to
   adopt this protocol.
   Methods: All PICU nurses were invited to participate in an online survey
   to investigate their perceptions on protocol implementation and on
   preferred teaching methods. Statistical analysis was performed using
   simple logistic regression and the Fisher exact test. Statistical
   significance was taken as p < .05.
   Results: Seventy-four nurses completed the survey. Fifty-four (73%) had
   nursing degrees. Mean duration of PICU experience was 6.2 years (5th,
   95th percentile: 1, 15). Three quarters of participants (74%, n = 55)
   felt that they did not have sufficient knowledge regarding feeding
   protocols, and 86% (n = 64) expressed that they were keen to implement a
   feeding protocol. There was no association between readiness to adopt
   the feeding protocol with years of ICU experience (OR = 0.99, 95% CI
   [0.84, 1.18]) and educational level (OR = 1.43, 95% CI [0.31, 6.68]).
   The preferred teaching methods were bedside teaching (61%), didactic
   lectures (51%), and the distribution of protocol manuals (50%). PICU
   nurses felt that the advantages of a feeding protocol included
   standardization of practice, optimization of patient's nutritional
   intake, earlier initiation of feeding, increased patient safety, and the
   extension of nursing roles. Perceived disadvantages included
   inapplicability of the feeding protocol to all patients, lack of
   flexibility in feeding management, increased confusion, and doctors
   placing little value on the feeding protocol.
   Conclusions: This study found that nursing experience and level of
   education do not significantly affect the readiness of nurses to adopt a
   feeding protocol. Medical and nursing teams should not shy away from
   introducing a new protocol although their nurses have little experience
   or prior knowledge of that protocol. Future studies to investigate the
   impact of tailoring of educational needs before introduction of a new
   protocol are necessary to study the overall effectiveness of this
   teaching before introducing a new protocol in the ICU.
OI Lee, Jan Hau/0000-0002-8430-4217
TC 2
ZA 0
ZR 0
Z8 0
ZB 0
ZS 0
Z9 2
U1 0
U2 7
SN 1682-3141
UT WOS:000365691200008
PM 26562462
ER

PT J
AU Shah, Akash K.
   Yi, Paul H.
   Stein, Andrew
TI Readability of Orthopaedic Oncology-related Patient Education Materials
   Available on the Internet
SO JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
VL 23
IS 12
BP 783
EP 788
DI 10.5435/JAAOS-D-15-00324
PD DEC 2015
PY 2015
AB Introduction: A person's health literacy is one of the most important
   indicators of a patient's health status. According to national
   recommendations, patient education materials should be written at no
   higher than the sixth- to eighth-grade reading level. The purpose of our
   study was to assess the readability of online patient education
   materials related to orthopaedic oncology on the websites of the
   American Academy of Orthopaedic Surgeons (AAOS), American Cancer Society
   (ACS), Bone and Cancer Foundation (BCF), and National Cancer Institute
   (NCI).
   Methods: We searched the online patient education libraries of the AAOS,
   ACS, BCF, and NCI for all articles related to orthopaedic oncology. The
   Flesch-Kincaid (FK) readability score was calculated for each article
   and compared between sources.
   Results: A total of 227 articles were identified with an overall mean FK
   grade level of 9.8. Stratified by source, the mean FK grade levels were
   10.1, 9.6, 11.1, and 9.5 for the AAOS, ACS, BCF, and NCI, respectively
   (P < 0.003). Only 31 articles (14%) and 1 article (0.4%) were at or
   below the recommended eighth- and sixth-grade levels, respectively.
   Discussion: Online patient education materials related to orthopaedic
   oncology appear to be written at a level above the comprehension ability
   of the average patient.
ZR 0
ZS 0
ZB 3
ZA 0
TC 19
Z8 0
Z9 19
U1 0
U2 6
SN 1067-151X
EI 1940-5480
UT WOS:000365602900011
PM 26519430
ER

PT J
AU AL-Rawajfah, Omar M.
   Tubaishat, Ahmad
TI Nursing students' knowledge and practices of standard precautions: A
   Jordanian web-based survey
SO NURSE EDUCATION TODAY
VL 35
IS 12
BP 1175
EP 1180
DI 10.1016/j.nedt.2015.05.011
PD DEC 2015
PY 2015
AB Background: The main purpose of this web-based survey was to evaluate
   Jordanian nursing students' knowledge and practice of standard
   precautions.
   Methods: A cross-sectional, descriptive design was used. Six public and
   four private Jordanian universities were invited to participate in the
   study. Approximately, seventeen hundred nursing students in the
   participating universities were invited via the students' portal on the
   university electronic system. For schools without an electronic system,
   students received invitations sent to their personal-commercial email.
   Results: The final sample size was 594 students; 65.3% were female with
   mean age of 21.2 years (SD = 2.6). The majority of the sample was 3rd
   year students (42.8%) who had no previous experience working as nurses
   (66.8%). The mean total knowledge score was 13.8 (SD = 3.3) out of 18.
   On average, 79.9% of the knowledge questions were answered correctly.
   The mean total practice score was 67.4 (SD = 9.9) out of 80. There was
   no significant statistical relationship between students' total
   knowledge and total practice scores (r = 0.09, p = 0.032).
   Conclusion: Jordanian nursing educators are challenged to introduce
   different teaching modalities to effectively translate theoretical
   infection control knowledge into safe practices. Published by Elsevier
   Ltd.
RI Tubaishat, Ahmad/G-6019-2017
OI Tubaishat, Ahmad/0000-0001-6016-1154
ZA 0
ZB 5
TC 20
ZS 0
Z8 0
ZR 0
Z9 20
U1 0
U2 15
SN 0260-6917
EI 1532-2793
UT WOS:000365372700008
PM 26043655
ER

PT J
AU Duffy, Richard M.
   Guerandel, Allys
   Casey, Patricia
   Malone, Kevin
   Kelly, Brendan D.
TI Experiences of Using Prezi in Psychiatry Teaching
SO ACADEMIC PSYCHIATRY
VL 39
IS 6
BP 615
EP 619
DI 10.1007/s40596-014-0204-x
PD DEC 2015
PY 2015
AB Objective Prezi is a presentation software allowing lecturers to develop
   ideas and produce mind maps as they might do on an old-style blackboard.
   This study examines students' experience of lectures presented using
   Prezi to identify the strengths and weaknesses of this new teaching
   medium.
   Methods Prezi was used to present mental health lectures to final-year
   medical and physiotherapy students. These lectures were also available
   online. This cross-sectional study used a questionnaire to assess
   students' experience of the software.
   Results Of students approached, 75.5 % (74/98) took part in the study. A
   majority, 98.6%(73/74), found Prezi to be a more engaging experience
   than other styles of lecture delivery. The overview or "mind map"
   provided by Prezi was found to be helpful by 89.2%(66/74). Problems
   arose when students used Prezi in their personal study, with 31.1 %
   (23/74) reporting some difficulties, mostly of a technical nature.
   Conclusion This study highlights the potential of Prezi for providing
   students with an engaging and stimulating educational experience. For
   Prezi to be effective, however, the lecturer has to understand and be
   familiar with the software and its appropriate use.
OI Guerandel, Allys/0000-0002-9659-4055; Malone, Kevin
   M/0000-0001-5665-4706; Kelly, Brendan/0000-0002-6113-1384
Z8 0
ZS 0
TC 9
ZB 1
ZR 0
ZA 0
Z9 9
U1 1
U2 17
SN 1042-9670
EI 1545-7230
UT WOS:000365868600003
PM 25142249
ER

PT J
AU Dicianno, Brad E.
   Karmarkar, Amol
   Houtrow, Amy
   Crytzer, Theresa M.
   Cushanick, Katelyn M.
   McCoy, Andrew
   Wilson, Pamela
   Chinarian, James
   Neufeld, Jacob
   Smith, Kathryn
   Collins, Diane M.
TI Factors Associated with Mobility Outcomes in a National Spina Bifida
   Patient Registry
SO AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION
VL 94
IS 12
BP 1015
EP 1025
DI 10.1097/PHM.0000000000000404
PD DEC 2015
PY 2015
AB Objective To provide descriptive data on ambulatory ability and muscle
   strength in a large cohort of individuals with spina bifida enrolled in
   a National Spina Bifida Patient Registry and to investigate factors
   associated with ambulatory status.
   Design Cross-sectional analysis of data from a multisite patient
   registry.
   Results Descriptive analysis of mobility variables for 2604 individuals
   with spina bifida aged 5 and older are presented from 19 sites in the
   United States. Analysis of a subset of National Spina Bifida Patient
   Registry data from 380 individuals from 3 sites accompanied by data from
   a specialized spina bifida electronic medical record revealed that those
   with no history of a shunt, lower motor level, and no history of hip or
   knee contracture release surgery were more likely to be ambulatory at
   the community level than at the household or wheelchair level.
   Conclusion This study is the first to examine factors associated with
   ambulatory status in a large sample of individuals with myelomeningocele
   and nonmyelomeningocele subtypes of spina bifida. Results of this study
   delineate the breadth of strength and functional abilities within the
   different age groups and subtypes of spina bifida. The results may
   inform physicians of the characteristics of those with varying
   ambulatory abilities.
   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 scope of mobility limitations in individuals
   with spina bifida; (2) Appreciate the impact of certain factors on
   themobility status of individuals with spina bifida; and (3) Use
   knowledge of factors affecting mobility in individuals with spina bifida
   to direct treatment.
   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.
RI Dicanno, Brad/AAC-5918-2019; Cushanick, Katelyn/T-1809-2019; /; McCoy, Andrew/; Collins, Diane/
OI Dicanno, Brad/0000-0003-0738-0192; /0000-0002-5470-6354; McCoy,
   Andrew/0000-0003-3114-6283; Collins, Diane/0000-0003-0646-0457
TC 39
Z8 0
ZS 0
ZB 12
ZR 0
ZA 0
Z9 39
U1 0
U2 11
SN 0894-9115
EI 1537-7385
UT WOS:000365180800001
PM 26488146
ER

PT J
AU Pusponegoro, Hardiono D.
   Soebadi, Amanda
   Surya, Raymond
TI Web-Based Versus Conventional Training for Medical Students on Infant
   Gross Motor Screening
SO TELEMEDICINE AND E-HEALTH
VL 21
IS 12
BP 992
EP 997
DI 10.1089/tmj.2015.0024
PD DEC 1 2015
PY 2015
AB Background:Early detection of developmental abnormalities is important
   for early intervention. A simple screening method is needed for use by
   general practitioners, as is an effective and efficient training method.
   This study aims to evaluate the effectiveness, acceptability, and
   usability of Web-based training for medical students on a simple gross
   motor screening method in infants.Materials and Methods:Fifth-year
   medical students at University of Indonesia in Jakarta were randomized
   into two groups. A Web-based training group received online video
   modules, discussions, and assessments (at www.schoology.com). A
   conventional training group received a 1-day live training using the
   same module. Both groups completed identical pre- and posttests and the
   User Satisfaction Questionnaire (USQ). The Web-based group also
   completed the System Usability Scale (SUS). The module was based on a
   gross motor screening method used in the World Health Organization
   Multicentre Growth Reference Study.Results:There were 39 and 32 subjects
   in the Web-based and conventional groups, respectively. Mean pretest
   versus posttest scores (correct answers out of 20) were 9.05 versus
   16.95 (p=0.0001) in the Web-based group and 9.31 versus 16.88 (p=0.0001)
   in the conventional group. Mean difference between pre- and posttest
   scores did not differ significantly between the Web-based and
   conventional groups (mean [standard deviation], 7.56 [3.252] versus 7.90
   [5.170]; p=0.741]. Both training methods were acceptable based on USQ
   scores. Based on SUS scores, the Web-based training had good
   usability.Conclusions:Web-based training is an effective, efficient, and
   acceptable training method for medical students on simple infant gross
   motor screening and is as effective as conventional training.
OI Surya, Raymond/0000-0001-5119-0674
ZA 0
Z8 0
ZS 0
TC 10
ZR 0
ZB 0
Z9 10
U1 0
U2 7
SN 1530-5627
EI 1556-3669
UT WOS:000365676300005
PM 26186208
ER

PT J
AU Olson, Erin A.
   McAuley, Edward
TI Impact of a brief intervention on self-regulation, self-efficacy and
   physical activity in older adults with type 2 diabetes
SO JOURNAL OF BEHAVIORAL MEDICINE
VL 38
IS 6
BP 886
EP 898
DI 10.1007/s10865-015-9660-3
PD DEC 2015
PY 2015
AB Despite evidence of the benefits of physical activity, most individuals
   with type 2 diabetes do not meet physical activity recommendations. The
   purpose of this study was to test the efficacy of a brief intervention
   targeting self-efficacy and self-regulation to increase physical
   activity in older adults with type 2 diabetes. Older adults (M-age =
   61.8 +/- A 6.4) with type 2 diabetes or metabolic syndrome were
   randomized into a titrated physical activity intervention (n = 58) or an
   online health education course (n = 58). The intervention included
   walking exercise and theory-based group workshops. Self-efficacy,
   self-regulation and physical activity were assessed at baseline,
   post-intervention, and a follow-up. Results indicated a group by time
   effect for self-regulation [F(2,88) = 14.021, p < .001, eta (2) = .24]
   and self-efficacy [F(12,77) = 2.322, p < .05, eta (2) = .266] with
   increases in the intervention group. The intervention resulted in
   short-term increases in physical activity (d = .76, p < .01), which were
   partially maintained at the 6-month follow-up (d = .35, p < .01). The
   intervention increased short-term physical activity but was not
   successful at maintaining increases in physical activity. Similar
   intervention effects were observed in self-efficacy and self-regulation.
   Future research warrants adjusting intervention strategies to increase
   long-term change.
ZR 1
ZA 0
ZS 1
TC 48
ZB 8
Z8 0
Z9 50
U1 2
U2 60
SN 0160-7715
EI 1573-3521
UT WOS:000363972900005
PM 26162648
ER

PT J
AU Yang, Hyun Kyung
   Ko, Yousun
   Lee, Min Hee
   Woo, Hyunsik
   Ahn, Soyeon
   Kim, Bohyoung
   Pickhardt, Perry J.
   Kim, Mi Sung
   Park, Sung Bin
   Lee, Kyoung Ho
TI Initial Performance of Radiologists and Radiology Residents in
   Interpreting Low-Dose (2-mSv) Appendiceal CT
SO AMERICAN JOURNAL OF ROENTGENOLOGY
VL 205
IS 6
BP W594
EP W611
DI 10.2214/AJR.15.14513
PD DEC 2015
PY 2015
AB OBJECTIVE. The objective of our study was to prospectively evaluate the
   initial diagnostic performance and learning curve of a community of
   radiologists and residents in interpreting 2-mSv appendiceal CT.
   SUBJECTS AND METHODS. We included 46 attending radiologists and 153
   radiology residents from 22 hospitals who completed an online training
   course of 30 2-mSv CT cases. Appendicitis was confirmed in 14 cases.
   Most of the readers had limited (<= 10 cases, n = 32) or no (n = 118)
   prior experience with low-dose appendiceal CT. The order of cases was
   randomized for each reader. A multireader multicase ROC analysis was
   performed. Generalized estimating equations were used to model the
   learning curves in diagnostic performance.
   RESULTS. Diagnostic performance gradually improved with years of
   training. The average AUC was 0.94 (95% CI, 0.90-0.98), 0.92
   (0.88-0.96), 0.90 (0.85-0.96), and 0.86 (0.80-0.92) for the attending
   radiologists, senior residents, 2nd-year residents, and 1st-year
   residents, respectively. We did not observe any notable intrareader
   learning curves over the training course of the 30 cases except a
   decrease in reading time. Diagnostic accuracy and sensitivity were
   significantly affected by the reader training level and prior overall
   experience with appendiceal CT but not by the prior specific experience
   with low-dose appendiceal CT.
   CONCLUSION. The learning curve is likely prolonged and forms gradually
   over years by overall radiology training and clinical experience in
   general rather than by experience with low-dose appendiceal CT
   specifically.
RI Kim, Mi Sung/AAD-6927-2019; Yang, Hyun Kyung/; Lee, Kyoung Ho/; Ko, Yousun/
OI Yang, Hyun Kyung/0000-0003-3576-9146; Lee, Kyoung
   Ho/0000-0001-6045-765X; Ko, Yousun/0000-0002-2181-9555
ZR 0
Z8 0
ZB 1
ZA 0
ZS 0
TC 12
Z9 12
U1 0
U2 9
SN 0361-803X
EI 1546-3141
UT WOS:000365320400005
PM 26587949
ER

PT J
AU Lawrence, Natalia S.
   O'Sullivan, Jamie
   Parslow, David
   Javaid, Mahmood
   Adams, Rachel C.
   Chambers, Christopher D.
   Kos, Katarina
   Verbruggen, Frederick
TI Training response inhibition to food is associated with weight loss and
   reduced energy intake
SO APPETITE
VL 95
BP 17
EP 28
DI 10.1016/j.appet.2015.06.009
PD DEC 1 2015
PY 2015
AB The majority of adults in the UK and US are overweight or obese due to
   multiple factors including excess energy intake. Training people to
   inhibit simple motor responses (key presses) to high-energy density food
   pictures reduces intake in laboratory studies. We examined whether
   online response inhibition training reduced real-world food consumption
   and weight in a community sample of adults who were predominantly
   overweight or obese (N = 83). Participants were allocated in a
   randomised, double-blind design to receive four 10-min sessions of
   either active or control go/no-go training in which either high-energy
   density snack foods (active) or non-food stimuli (control) were
   associated with no-go signals. Participants' weight, energy intake
   (calculated from 24-h food diaries), daily snacking frequency and
   subjective food evaluations were measured for one week pre- and
   post-intervention. Participants also provided self-reported weight and
   monthly snacking frequency at pre-intervention screening, and one month
   and six months after completing the study. Participants in the active
   relative to control condition showed significant weight loss, reductions
   in daily energy intake and a reduction in rated liking of high-energy
   density (no-go) foods from the pre-to post-intervention week. There were
   no changes in self-reported daily snacking frequency. At longer-term
   follow-up, the active group showed significant reductions in
   self-reported weight at six months, whilst both groups reported
   significantly less snacking at one- and six-months. Excellent rates of
   adherence (97%) and positive feedback about the training suggest that
   this intervention is acceptable and has the potential to improve public
   health by reducing energy intake and overweight. (C) 2015 The Authors.
   Published by Elsevier Ltd. This is an open access article under the CC
   BY license (http://creativecommons.org/licenses/by/4.0/).
RI Kos, Katarina/G-6772-2014; Chambers, Chris/; Lawrence, Natalia/; Adams, Rachel/; Kos, Katarina/; Verbruggen, Frederick/R-6357-2017
OI Chambers, Chris/0000-0001-6058-4114; Lawrence,
   Natalia/0000-0003-1969-6637; Adams, Rachel/0000-0002-8053-0671; Kos,
   Katarina/0000-0003-3761-2249; Verbruggen, Frederick/0000-0002-7958-0719
ZR 0
ZB 69
ZS 0
ZA 0
TC 142
Z8 2
Z9 144
U1 2
U2 63
SN 0195-6663
EI 1095-8304
UT WOS:000362917400003
PM 26122756
ER

PT J
AU Christon, Lillian M.
   Myers, Barbara J.
TI Family-centered care practices in a multidisciplinary sample of
   pediatric professionals providing autism spectrum disorder services in
   the United States
SO RESEARCH IN AUTISM SPECTRUM DISORDERS
VL 20
BP 47
EP 57
DI 10.1016/j.rasd.2015.08.004
PD DEC 2015
PY 2015
AB Family-centered care (FCC) has not been studied extensively in the field
   of autism spectrum disorders (ASD), but has been highlighted as a
   critical component of practice with youth with ASD. The aim of this
   study was to examine predictors (e.g., the theory of planned behavior,
   [TPB]) of providing family-centered care (FCC) services to youth with
   ASD in pediatric professionals from a range of disciplines. A
   multidisciplinary (e.g., medicine, psychology, education, etc.) sample
   of professionals (N = 709) who endorsed providing services to youth with
   ASD in the United States was recruited from online provider listings,
   listservs, etc. Hierarchical multiple regressions examined the
   relationship of demographic and TPB predictors to professionals'
   self-reported FCC practices. Professionals reported a high degree of
   using FCC in their practice with youth with ASD. Attitudes and perceived
   behavioral control predicted self-reported FCC practices, while
   subjective norms did not. Experienced practitioners reported using FCC
   practices in spite of not having necessarily received FCC training.
   Discipline differences were evident in rates of reported FCC. The Theory
   of Planned Behavior is helpful in understanding FCC practices and
   attention should be given to training professionals in FCC as they work
   with youth with ASD. Implications and future directions are discussed.
   (C) 2015 Elsevier Ltd. All rights reserved.
ZR 0
ZA 0
TC 9
ZS 0
Z8 0
ZB 0
Z9 9
U1 1
U2 26
SN 1750-9467
EI 1878-0237
UT WOS:000362930000006
ER

PT J
AU Buriak, S. E.
   Potter, J.
   Bleckley, M. Kathryn
TI Using a Predictive Model of Clinician Intention to Improve Continuing
   Health Professional Education on Cancer Survivorship
SO JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS
VL 35
IS 1
BP 57
EP 64
DI 10.1002/chp.21266
PD WIN 2015
PY 2015
AB IntroductionCancer survivorship is a chronic disease that places
   patients in limbo between oncologists and primary care clinicians.
   Strategies have been proposed to ease the shift in coordination of care,
   including broad-based educational outreach to primary care providers.
   MethodsGuided by the theory of planned behavior (TPB), predictors of
   intention to provide survivorship care, including credentials,
   experience, perception of barriers, and personal survivorship status,
   were evaluated using logistic regression with a cohort of physicians,
   nurse practitioners, and registered nurses participating in an
   unprecedented online continuing medical education/continuing education
   survivorship care course.
   ResultsResults showed that physicians were significantly less likely to
   express intent to provide survivorship care (odds ratio [OR] = .237, p =
   .0001) compared to the other groups. Overall, clinicians with 6-10 years
   of experience were 3 times more likely to express intent to provide
   survivorship care (OR = 2.86, p = .045) than those with less or more
   experience. When clinicians perceived the presence of a barrier, they
   were nearly twice as likely to have diminished intent (OR = 1.89, p =
   .035). Most participants (66%; n = 1185) selected two barriers: lack of
   survivorship care plans and treatment summaries (45.4%; n = 821) and
   lack of education (20.1%; n = 364).
   DiscussionBarriers to the delivery of survivorship care can influence
   clinicians' intention to provide survivorship care, which varied by
   years of experience in this study. Interdisciplinary educational
   strategies featuring midcareer provider champions who have successfully
   incorporated survivorship care and can offer specific solutions to these
   barriers are recommended for future interventions.
OI /0000-0002-6569-4774
ZR 0
ZS 0
TC 7
ZB 1
Z8 0
ZA 0
Z9 7
U1 0
U2 271
SN 0894-1912
EI 1554-558X
UT WOS:000351627700008
PM 25799973
ER

PT J
AU Keegan, Rewena J
   Saw, Robyn
   De Loyde, Katie J
   Young, Christopher J
TI Attitudes and risk of withdrawal in general surgical registrars.
SO The New Zealand medical journal
VL 128
IS 1425
BP 61
EP 8
PD 2015 Nov 20
PY 2015
AB AIMS: To determine the risk of withdrawal from training of Australian
   and New Zealand general surgical registrars, and to investigate factors
   associated with increased risk.
   METHODS: An invitation to participate in an online survey was
   distributed to all Australian and New Zealand general surgical
   registrars by the Royal Australasian College of Surgeons.
   RESULTS: 142 of 550 (26%) participants completed the survey. Overall,
   54% (n=77) of respondents had considered leaving surgical training.
   Female trainees were significantly more likely to consider leaving
   training compared to males (65% vs 47%, p=0.036, OR 2.1). Respondents
   who studied in Australia or New Zealand, compared to overseas, were also
   significantly more likely to consider leaving surgical training (59% vs
   35%, p=0.023, OR 2.7). The most common reason for potential withdrawal
   was poor lifestyle and quality of life during surgical training.
   Trainees at risk of withdrawal felt less supported, less satisfied with
   teaching and less confident in their operative skills.
   CONCLUSION: Female and locally-trained general surgical registrars are
   at a higher risk of withdrawal during their training programme for a
   number of reasons. At risk trainees are also less satisfied with their
   programme.
ZS 0
ZR 0
ZA 0
Z8 0
TC 5
ZB 0
Z9 5
U1 0
U2 0
EI 1175-8716
UT MEDLINE:26905988
PM 26905988
ER

PT J
AU Laliberte, Maude
   Hudon, Anne
   Mazer, Barbara
   Hunt, Matthew R.
   Feldman, Debbie Ehrmann
   Williams-Jones, Bryn
TI An in-depth analysis of ethics teaching in Canadian physiotherapy and
   occupational therapy programs
SO DISABILITY AND REHABILITATION
VL 37
IS 24
BP 2305
EP 2311
DI 10.3109/09638288.2015.1015687
PD NOV 20 2015
PY 2015
AB Purpose: The purpose of this study was to examine current approaches and
   challenges to teaching ethics in entry-level Canadian physiotherapy (PT)
   and occupational therapy (OT) programs. Methods: Educators responsible
   for teaching ethics in the 28 Canadian PT and OT programs (n=55)
   completed an online survey. Results: The quantity of ethics teaching is
   highly variable, ranging from 5 to 65h. Diverse obstacles to ethics
   teaching were reported, relating to the organization and structure of
   academic programs, student issues and the topic of ethics itself.
   Specific challenges included time constraints, large class sizes, a lack
   of pedagogical tools adapted to teaching this complex subject, a
   perceived lack of student interest for the subject and a preference for
   topics related to clinical skills. Of note, 65% of ethics educators who
   participated in the survey did not have any specialized training in
   ethics. Conclusion: Significant cross-program variation in the number of
   hours dedicated to ethics and the diversity of pedagogical methods used
   suggests that there is little consensus about how best to teach ethics.
   Further research on ethics pedagogy in PT and OT programs (i.e. teaching
   and evaluation approaches and effectiveness of current ethics teaching)
   would support the implementation of more evidence-based ethics
   education.Implications for RehabilitationEthics educators in Canadian PT
   and OT programs are experimenting with diverse educational approaches to
   teach ethical reasoning and decision-making to students, including
   lectures, problem-based learning, directed readings, videos, conceptual
   maps and clinical elective debriefing, but no particular method has been
   shown to be more effective for developing ethical
   decision-making/reasoning. Thus, research on the effectiveness of
   current methods is needed to support ethics educators and programs to
   implement evidence-based ethics education training.In our survey, 65% of
   ethics educators did not have any specialized training in ethics.
   Ensuring that educators are well equipped to support the development of
   necessary theoretical and applied competencies can be promoted by
   initiatives including the creation of tailored ethics teaching and
   evaluation tools, and by establishing communities of practice among
   ethics educators.This survey identified heterogeneity in ethics teaching
   content, format and duration, and location within the curriculum. In
   order to be able to assess more precisely the place accorded to ethics
   teaching in PT and OT programs, careful mapping of ethics content inside
   and across rehabilitation programs is needed - both in Canada and
   internationally. These initiatives would help advance understanding of
   ethics teaching practices in rehabilitation.
RI Hudon, Anne/X-8817-2019; Williams-Jones, Bryn/E-2108-2013
OI Williams-Jones, Bryn/0000-0001-6771-3919
TC 12
ZA 0
Z8 0
ZB 1
ZR 0
ZS 0
Z9 12
U1 0
U2 21
SN 0963-8288
EI 1464-5165
UT WOS:000369746700010
PM 25704144
ER

PT J
AU Nakanjako, Damalie
   Namagala, Elizabeth
   Semeere, Aggrey
   Kigozi, Joanitor
   Sempa, Joseph
   Ddamulira, John Bosco
   Katamba, Achilles
   Biraro, Sam
   Naikoba, Sarah
   Mashalla, Yohana
   Farquhar, Carey
   Sewankambo, Nelson
CA Afya Bora Consortium
TI Global health leadership training in resource-limited settings: a
   collaborative approach by academic institutions and local health care
   programs in Uganda
SO HUMAN RESOURCES FOR HEALTH
VL 13
AR 87
DI 10.1186/s12960-015-0087-2
PD NOV 18 2015
PY 2015
AB Introduction: Due to a limited health workforce, many health care
   providers in Africa must take on health leadership roles with minimal
   formal training in leadership. Hence, the need to equip health care
   providers with practical skills required to lead high-impact health care
   programs. In Uganda, the Afya Bora Global Health Leadership Fellowship
   is implemented through the Makerere University College of Health
   Sciences (MakCHS) and her partner institutions. Lessons learned from the
   program, presented in this paper, may guide development of in-service
   training opportunities to enhance leadership skills of health workers in
   resource-limited settings.
   Methods: The Afya Bora Consortium, a consortium of four African and four
   U.S. academic institutions, offers 1-year global health
   leadership-training opportunities for nurses and doctors. Applications
   are received and vetted internationally by members of the consortium
   institutions in Botswana, Kenya, Tanzania, Uganda, and the USA. Fellows
   have 3 months of didactic modules and 9 months of mentored field
   attachment with 80% time dedicated to fellowship activities. Fellows'
   projects and experiences, documented during weekly mentor-fellow
   meetings and monthly mentoring team meetings, were compiled and analyzed
   manually using pre-determined themes to assess the effect of the program
   on fellows' daily leadership opportunities.
   Results: Between January 2011 and January 2015, 15 Ugandan fellows (nine
   doctors and six nurses) participated in the program. Each fellow
   received 8 weeks of didactic modules held at one of the African partner
   institutions and three online modules to enhance fellows' foundation in
   leadership, communication, monitoring and evaluation, health
   informatics, research methodology, grant writing, implementation
   science, and responsible conduct of research. In addition, fellows
   embarked on innovative projects that covered a wide spectrum of global
   health challenges including critical analysis of policy formulation and
   review processes, bottlenecks in implementation of national HIV early
   infant diagnosis and prevention of mother-to-child HIV-transmission
   programs, and use of routine laboratory data about antibiotic resistance
   to guide updates of essential drug lists.
   Conclusion: In-service leadership training was feasible, with ensured
   protected time for fellows to generate evidence-based solutions to
   challenges within their work environment. With structured mentorship,
   collaborative activities at academic institutions and local health care
   programs equipped health care providers with leadership skills.
RI Mashalla, Yohana/GLS-0794-2022; Bukulu Sempa, Joseph/; Sewankambo, Nelson/; Nakanjako, Damalie/; Semeere, Aggrey/
OI Bukulu Sempa, Joseph/0000-0003-1062-0417; Sewankambo,
   Nelson/0000-0001-9362-053X; Nakanjako, Damalie/0000-0002-0935-2112;
   Semeere, Aggrey/0000-0003-1826-2239
Z8 0
ZB 0
ZA 0
ZS 0
ZR 0
TC 24
Z9 24
U1 1
U2 42
SN 1478-4491
UT WOS:000365161600001
PM 26581196
ER

PT J
AU Aggarwal, Sonya
   Kusano, Aaron S.
   Carter, Justin Nathaniel
   Gable, Laura
   Thomas, Charles R., Jr.
   Chang, Daniel T.
TI Stress and Burnout Among Residency Program Directors in United States
   Radiation Oncology Programs
SO INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS
VL 93
IS 4
BP 746
EP 753
DI 10.1016/j.ijrobp.2015.08.019
PD NOV 15 2015
PY 2015
AB Purpose: To evaluate stressors among radiation oncology residency
   program directors (PDs) and determine the prevalence and indicators of
   burnout.
   Methods and Materials: An anonymous, online, cross-sectional survey was
   offered to PDs of US radiation oncology programs in the fall of 2014.
   Survey content examined individual and program demographics, perceptions
   surrounding the role of PD, and commonly encountered stressors. Burnout
   was assessed using the validated Maslach Burnout Inventory-Human
   Services Survey.
   Results: In total, 47 of 88 PDs (53%) responded to the survey. Although
   78% of respondents reported feeling "satisfied" or "highly satisfied"
   with their current role, 85% planned to remain as PD for <5 years. The
   most commonly cited stressors were satisfying Accreditation Council for
   Graduate Medical Education/Residency Review Committee requirements
   (47%), administrative duties (30%) and resident morale (28%).
   Three-quarters of respondents were satisfied that they became PDs.
   Overall, 11% of respondents met criteria for low burnout, 83% for
   moderate burnout, and 6% for high burnout. Not having served as a PD at
   a prior institution correlated with high depersonalization (OR 6.75, P =
   .04) and overall burnout (odds ratio [OR], 15.6; P =. 04). Having more
   years on faculty prior to becoming PD correlated with less emotional
   exhaustion (OR, 0.44, P = .05) and depersonalization (OR, 0.20, P =
   .04). Finally, having dedicated time for PD duties correlated with less
   emotional exhaustion (OR, 0.27, P = . 04).
   Conclusions: Moderate levels of burnout are common in U.S. radiation
   oncology PDs with regulatory stressors being common. Despite this, many
   PDs are fulfilled with their role. Longitudinal studies assessing
   dynamic external factors and their influence on PD burnout would be
   beneficial. (C) 2015 Elsevier Inc. All rights reserved.
OI Chang, Daniel/0000-0003-2760-1554
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