Posts Tagged ‘through’
A Winning Strategy: Don’t Play Through Pain
Sometimes athletes can be their own worst enemy especially when they continue to play following an injury to a foot or ankle. Surgeons presenting at the Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS) are discussing athletic injuries and the importance of proper diagnosis, prompt treatment, and full healing and rehabilitation…
Developing counseling skills through pre-recorded videos and role play: a pre- and post-intervention study in a Pakistani medical school
Background:Interactive methods like role play, recorded video scenarios and objective structured clinical exam (OSCE) are being regularly used to teach and assess communication skills of medical students in the western world. In developing countries however, they are still in the preliminary phases of execution in most institutes. Our study was conducted in a naive under resourced setup to assess the impact of such teaching methodologies on the counseling skills of medical students.MethodFifty four, fourth year MBBS students were identified to be evaluated for communication skills by trained facilitators in a pre-intervention OSCE. The same group of students was given a demonstration of ideal skill level by means of videos and role playing sessions in addition to real life interaction with patients during hospital and community rotations. A post-intervention evaluation was carried out six months later through OSCE and direct observation through structured checklist (DOS) in hospital and community settings. The combined and individual performance levels of these students were analyzed.Results:There was a statistically significant difference in the communication skills of students when assessed in the post-intervention OSCE (p = 0.000). Individual post-intervention percentages of study participants displayed improvement as well (n=45, p = 0.02). No difference was observed between the scores of male and female students when assessed for two specific competencies of antenatal care and breast feeding counseling (p = 0.11). The mean DOS (%) score of 12 randomly selected students was much lower as compared to the post-intervention (%) score but the difference between them was statistically non significant, a result that may have been affected by the small sample size as well as other factors that may come into play in real clinical settings and were not explored in this study (59.41 +/-7.8 against 82.43 +/-22.08, p = 0.88).Conclusions:Videos and role play in combination with community and clinical exposure are effective modes of teaching counseling skills to medical students. They can be successfully utilized even in a limited resource setup, as demonstrated by our trial.
Drive-Through Emergency Service Effective Response To Pandemic, Stanford Study Shows
Your car can be an effective examination room – one that prevents the spread of infectious diseases from patient to patient, and from patient to caregiver. That’s the conclusion of a study that physicians at Stanford Hospital & Clinics conducted last fall to test a model drive-through emergency department…
Health Companies’ Momentum May Cut Right Through Reform Savings
Health companies have done better than the rest of corporate America during the past decade, MarketWatch/Seattle Times reports. While profits at the S&P 500 companies declined slightly over 10 years, “[d]ata compiled by MarketWatch show that the 52 health-care companies in the index are about to close out the decade with average profits that nearly tripled.
Graduates from a traditional medical curriculum evaluate the effectiveness of their medical curriculum through interviews.
Background:
In 1996 The University of Liverpool reformed its medical course from a traditional lecture-based course to an integrated PBL curriculum. A project has been underway since 2000 to evaluate this change. Part of this project has involved gathering retrospective views on the relevance of both types of undergraduate education according to graduates. This paper focuses on the views of traditional Liverpool graduates approximately 6 years after graduation.
Methods:
From February 2006 to June 2006 interviews took place with 46 graduates from the last 2 cohorts to graduate from the traditional Liverpool curriculum.
Results:
The graduates were generally happy with their undergraduate education although they did feel there were some flaws in their curriculum. They felt they had picked up good history and examination skills and were content with their exposure to different specialties on clinical attachments. They were also pleased with their basic science teaching as preparation for postgraduate exams, however many complained about the overload and irrelevance of many lectures in the early years of their course, particular in biochemistry. There were many different views about how they integrated this science teaching into understanding disease processes and many didn’t feel it was made relevant to them at the time they learned it. Retrospectively, they felt that they hadn’t been clinically well prepared for the role of working as junior doctor, particularly the practical aspects of the job nor had enough exposure to research skills. Although there was little communication skills training in their course they didn’t feel they would have benefited from this training as they managed to pick up had the required skills on clinical attachments.
Conclusion:
These interviews offer a historical snapshot of the views of graduates from a traditional course before many courses were reformed. There was some conflict in the interviews about the doctors enjoying their undergraduate education but then saying that they didn’t feel they received good preparation for working as a junior doctor. Although the graduates were happy with their undergraduate education these interviews do highlight some of the reasons why the traditional curriculum was reformed at Liverpool.
New Study Finds Problems Accessing Medications Through Medicare Part Dassociated With Increased Emergency Room Visits
Patients with mental illness who had problems accessing medications through a Medicare Part D plan were more likely to visit a psychiatric emergency department according to study in the September issue of Psychiatric Services, a journal of the American Psychiatric Association. The study looked at medication access problems and use of intensive services (i.e.
Inflammatory Disease Treatments To Improve Through Use Of Lipidomics
According to the National Center for Chronic Disease Prevention and Health Promotion, 46 million Americans have arthritis. Many of these people take over-the-counter anti-inflammatory medications that block production of certain molecules, known as bioactive lipids, to reduce pain and swelling. Yet, the role of these lipids is not yet understood completely, and medications may have adverse side effects. Recently, researchers completed the first comprehensive analysis of bioactive lipids in an inflammatory response.
Rep. Edwards: No Health Care Reform Through Congress w/o Public Option
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What will the progressive Representative Donna Edwards insist upon in health care reform? Watch more at www.theyoungturks.com.
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From:TheYoungTurks
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| Time:10:12 | More inNews & Politics |
Swine Flu Expected To Continue Through The Summer, US
Health officials said on Thursday that it looks like the novel H1N1 swine flu virus will continue to spread in the US through the summer months, and then resurge in the autumn. This is different to the previous expectation that the swine flu virus would follow a seasonal flu pattern: abate in the northern hemisphere as it approached the summer, spend a few months in southern hemisphere countries that are now approaching winter, and then return to the northern hemisphere in the fall.
The Doctor Will See You At The Next Window; Drive-Through Pandemic Exercise Was First In Nation
A couple of months ago, Stanford Hospital had a preview of what a real pandemic might look like: hundreds of people, fearing they might be sick with the H1N1 virus, showed up at the emergency department looking for help. Hospital officials scrambled fast, converting some space over night into an infection-controlled triage area.
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