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Medical & Health Profession Education - Science topic

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Questions related to Medical & Health Profession Education
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Should a medical institution run 'Spirituality in Medical Practice' as PG Certificate Program ? What exactly should such a program focus on ? Should the subject be included in regular undergraduate medical curriculum? Should doctor/physician be made responsible for giving regular 'spiritual care' ?
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Yes Spirituality is very important in the process of healing for those who have faith in the powers of the omnipotent Allah.This plays more important role in the chronic conditions, ailments such as cancers or Alzheimres .Therefore a good healer must try his best to comfort his patients by all means within his reach including spirituality.
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I am in the middle of a research project for completion of my RN-BSN program. I would appreciate any leads on any knowledge or work being done on this subject.
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My wife is an Occupational Therapist currently working on an advanced degree. Her project is to teach both practitioners and fieldwork students a process commonly known as "Mindfulness" which when properly utilized, has been shown to reduce overall stress in health care practitioners as well as patients with chronic disease. Compassion fatigue, quotas, and completing mountains of paperwork are all stressors which not only reduce quality of life for health care workers, but indirectly affect their ability to provide quality care to their patients. Whatever program or activity that reduces the effect of these stressors would be a very positive move in improving the lives and attitudes for those who provide patient care.
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Using this model, what would be the outcome or evaluation to a fall prevention program in the community?
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You may want to check with Joint Commission- Several years ago- they had a "Project in a Box" for community falls prevention- and that would include outcome measures.
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Characteristics of the Nursing leadership influence growth and development of the nursing profession.
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Japanese nurses are disempowermented by Medical Act, which prohibits any medical procedures without doctor's involvement. In my opinion, doctors' direct/indirect supervision in the community setting is unrealistic. Nurses should have more responsibility. I think it is time to decide what kind of responsibility is required for community nurses. Then, we can apply some result from that discussion to hospital settings. Also, nursing department should realise the trend to catch up with the requirement for new generation.
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In medical/dental education, teachers do not possess (nor required) formal training in teaching as in other faculties. Is the time ripe to endorse this change? Will this added training increase the knowledge delivery and skill of teacher, thereby benefiting students?
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Experts and academics are often not good teachers but they frequently occupy teaching roles. This is partly because their interest lies elsewhere and partly because they have not been formally trained. This is so for most disciplines but is more relevant for medicine.
Medical education involves so many facets that call for different teaching skills, such as lectures, ward rounds, Grand Rounds, small group teaching, problem solving, transfer of technical skills, theory-practice integration, etc; that TTT is of utmost importance.
Economically, medical education is so expensive that we really need to refine the input first before we consider how to get the best output.
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I am planning to study the mosquitoes of Chennai city and need to know what will be the ideal month and ideal place for keeping the traps.
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Depends on the target mosquito type. If you dealing with all mosquito types, then it is prudent to liaise with the appropriate city department. Remember to rehearse the breeding sites then the dept. staff will direct you where to locate your sites 
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Patient safety is high on the agenda both nationally and internationally.
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Unfortunately, errors will occur. We can minimise this by training, the use of checklists and having a good supportive team structure. What is key is if we do make mistakes we are honest enough to admit to it and not to compound the error.
Incompetence is really a term used to assign blame, fortunately most errors are not due to surgeons who either lack the necessary ability or insight to prevent an error. But we all make mistakes, the key thing is how we react to these errors and aim to correct them or at least don't make things worse.
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There is a wealth of research and information in relation to waste medication in primary care but appears to be limited when related to secondary care (hospitals). I am interested in how health professionals view medication waste and the impact this has upon health services. Additionally I wish to look at the root causes of medication waste within secondary care.
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Very interesting question. Of the 2 types of medication waste, I deal more with liquid medication waste (unused IV medications). Cytotoxic meds go in an RCRA container, and there are other containers for non-cytotoxic IV meds. Some meds are more expensive than others (Fentanyl is likely more expensive than Dilaudid). I have seen similar situations to Urmila Patel's scenario of patients being admitted to the hospital with bags chock full of meds. If the meds are not formulary, pharmacy will have us administer from patient supply. If the meds are formulary, then the hospital will use hospital stock and send the patient supply home with family or hold it in pharmacy until discharge. I believe that much waste happens under the guise of "better safe than sorry". I don't see this as a bad policy per se, but I also believe that this policy requires closer scrutiny. Part of the reason that healthcare is so expensive is because there is so much waste. I look forward to seeing how this topic develops.
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Does anyone know of a publication that used this technique to assess knowledge, attitudes and skills?
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probably not matching this 100%, yet providing some comparative methodologyin the field: White K A (2009) Self-Confidence: a concept analysis Nursing Forum 44 (2) 103-114 , exploring the "Competitive Trait Anxiety Inventory" (Mellalieu et al 2006) . As well as the Lasater Clinical Judgemrnt Rubric (LCJR) in Blum C A, Borglund and Parcells D (2010) High-Fidelity nursing simulation: impact on students self-confidence and clinical competence. International Journal of Nursing Education Scholarship 7 (1) Article 18
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Exparel is a medication used in surgery. It is the liposomal version of bupivacaine. The company did 3 "pivotal" trials for its approval (www.fda.gov). 2 of these were against placebo and 1 was against bupivacaine. Exparel did better than placebo, but not better than bupivacaine. The exparel versus bupivacaine study was never published. The 2 placebo trials are heavily marketed.
Exparel is $300 versus $2 for bupivacaine.
I have put together an article with above details as well as other information that shows similar outcomes with exparel and bupivacaine and just submitted to pharmacy journal. However, seems like I should do more.
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Thanks, interesting about the DSM.
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The software would for example model the effects of changes in blood pressure, heart rate and rhythm, skin colour change, in response to various interventions such a drug administration, change in posture, blood loss etc...
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We have a great software solution that has been integrated into both software and hardware at https://pulse.kitware.com/
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Most of the time developing country researchers can't attend the conferences in developing countries because of high registration fee and travel fare.
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You can submit your applications for funding to DST, DBT, CSIR for funding.
Gudluck
:)
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Within health professional education literature, there is strong support for the notion that to be a good clinical educator, you must have clinical experience and be currently practicing. In other literature, I have found that if you are teaching clinical practice using simulation and current evidence, you are in fact in current practice. I had extensive experience in clinical practice but have not practiced for 10 years. However, I have kept abreast of current trends and practices through research, "train the trainers" programs such as accredited ALS courses etc. and have been teaching using a range of simulation modalities and fidelities for more than ten years. My question is: am I still the right person to teach clinical skills to present day practitioners?
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I appreciate your honesty and reflection in asking a question like this. I go through the same question in my head every few years of continuous teaching in a nursing college. I would think like Joseph, that your clinical experience before the last 10 years would be invaluable to your students in developing their skills & attitude. Currently, while teaching in simulation lab there must be a lot you bring in from your vast clinical experience. However, i personally have benefitted in maintaining my clinical skils from changing jobs between clinical experience and academic teaching or by doing short adaptation courses from other countries with a clinical component. Definitely current clinical experience is highly beneficial and adds tremendous value to student learning. However , after long years of being a nurse one develops experiential learning and this helps even if we don't practice regularly. However, I am a great supporter of one day a week clinical practice for nurse educators. The least one could do is "put your hands with your student in patient care literally" . Help your student with patient care competencies at the bedside. You are fine O'Connor. Thank you for stimulating many of us to think.
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There will be tremendous amount of retrospective data available in all the institution but why the preceptors choose cohort studies instead of Case control studies even though they know 3 years time they can't prove the objective of the study?
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It is very difficult to conduct cohort study during yr residency period..attrition problem is frequent due to loss of follow up and study is also expensive.so for PG student it is not affordable too..cross sectional study is best according to me for residency period
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I am looking at the issues with using a scenario based MCQ format in particular with ESL students
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I agree with Ratna and Liz . Sometimes the questions and suggested answers are plenty of abbreviations linked with one single topic .Different interpretations of non- standard abbreviations and over-use of technical abbreviations obscure the questions and answers. References are useful to help professors and students, but they must be well-known by all of them, before the MCQ exam. Clinical subjects are useful to develop technological and clinical MCQ format
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Unexplained sensations
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It all depends upon the type of procedures, age, weight and type of pain. Also very important is the area of this pain/Pulsation.
A common syndrome may be what is called, "Meralgia paresthetica", the pain caused when lateral femoral cutaneous nerve in one of your legs is being compressed.
Is that the answer?
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Whether the Medical Associations should focus on the welfare of the people
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These associations are to help people band together not just for learning, but to safeguard the profession by notifying members of legal concerns to address as a group. The vote of the informed group is more powerful. The group may also write a flood of letters and emails to congress to push for laws to their benefit.
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Our School district has an opportunity to establish a new model for School Nursing/Health Services. Historically we have had a RN Administrator; for the past 1.5 yrs we have had a non-nurse Administrator and we recently added a Lead Nurse position (.4 FTE). There is discussion around the need for a return to a Nurse Administrator for the department.
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I am sorry, I haven't come across any comparison between nurse administrators and non-nurse administrators specifically for for school nurses. 
New teaching methods in pediatric nursing for college student - does anyone have suggestions?
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Does anyone have suggestions, especially in the field of child growth and develoment?
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Making puzzles with pictures of children of different age group and key words related to their growth or development would help. Another idea is to take streaming video clips of different age group while they are interacting with others/playing. In order to make it more interesting we can have video clips of children both well and sick of the same age group and can have discussion with students. The last idea is to bring in children from infancy to teens (may be of your students or colleagues) during this session. Hard work, but they might remember the session for life time…..hope this helps….
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Colony morphology, biochemical tests for screening of sorangium cellulosum.
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Sorangium cellulosum grows (slowly) on the media described in: Jaoua, S., Neff, S. & Schupp, T. (1992). Transfer of mobilizable plasmids to Sorangium cellulosum and evidence for their integration into the chromosome. Plasmid 28, 157–165.
For identification you could use characteristic chromosomal sequences, analyzed by PCR. The complete genomic sequence is published. This is easier than using characteristics of developmental stages.
For morphological and other characteristic properties of this bacterium, you may look into "Bergey's Manual of Systematic Bacteriology". Look for Sorangium and for Polyangium, There is, however, no culture of the type strain available. The important expert/literature is Reichenbach (around 2002; the original description goes back the 1930s).
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Are there rescent studies about?
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You should also take a look at
Edwards, D., Burnard, P., Hannigan, B., Cooper, L., Adams, J., Juggessur, T., Fothergil, A., Coyle, D., 2006. Clinical supervision and burnout: the influence of clinical supervision for Clinical supervision: The way forward? A review of the literature 219community mental health nurses. Journal of Clinical Nursing 15, 1007–1015.
Which links greater perceived clinical supervision support with lower levels of burnout.
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Pharmaceutical companies invest a large part of budget in drug samples for a number of reasons, the most important is to draw the clinical information for a particular drug or formulation, but, it has developed a common impression that the samples exists simply to be a large source of advertisement and these are used with very little care and control in clinical practice. Ordinarily, about 90% of clinical practiceners allow personal use of samples, and about 60% of pharmaceutical representatives used to either consume-up samples for themselves or distribute them to non-physicians or sale it. The another fact that the physicians who are using the samples to their needy patients, barley collect any feedback and they do not have any policy for the use of samples, collecting the feedback from patients, and for counseling the patient who leave the doctor’s office with samples without going to the pharmacist.
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I know, unfortunately, is a normal practice. The question is if the professionals are keeping this inequality situation. When we ask in the professional meetings or congress, we ask or investigate for a better products - that is good - or ask and investigate for a better products AND for everybody.
I do agree, of course, do not look for the difference between riche and poor into de healthy context. This difference is ok at fashion boutique, at esthetic surgery, at first and second in the train or flight, at luxury cruises, front the option to survive without work, at private university, front the risk of starting a private company. There are situations that make the difference, but into the health context the difference is a loss to every people. The barrier´s health tries few people who survive to so many difficulties and their professional life often is unable to procure other people an optimal health and justice, which we know is the ethical that accompanies do no harm and do good; feature of health professionals. I understand that an antibiotic can save a life. I don´t understand because, several times, give it depends on charity.
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Dear Researcher,
I am very eager to know the answer for this research question.
What are the disease that can lead to increase the suicidal intend of the patient. Because, I had seen a good number of cases of the patients of HIV/AIDS patients commiting suicide due to lack of hope on the life expectecation, social discrimination, compramised life and Family isolations. But as the same, there may be many disease that which can turns the patient mind into suicidal corner.
Please share the answer for my question. I would be very happy if anyone interested to share some of the articles and data of the same mentioned above.
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I would argue that it depends more on the underlying mental health issues than the disease itself. Also, the fatality of the disease may play a role. I don't think there is one single answer for your question.
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Problem-based learning in clinical education seems to have tremendous potential but evidence supporting it is equivocal (e.g. Hartling, Spooner, Tjosvold, & Oswald, 2010). Is problem-based learning used in your institution's curricula? Whether yes or no, do you measure outcomes in coursework in ways other than tests of knowledge acquisition and student satisfaction? If so, how?
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We have bee using PBL now PSIL (problem solving integrated learning) a very useful tool for teaching undergraduate medical students. Several components are necessary for its success including training of facilitators ad committed faculty who are willing not only to conduct the sessions but also contribute to scenarios. If facilitators are not trained sometimes the true essence of the session is lost and it becomes a "teacher centered learning" which this is not. Similarly use of the same scenarios for several batches leads to stagnation and students then just rely on the "diagnosis /key learning points" as discussed with their seniors and the true problem solving and critical thinking skill is disintegrated.
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There are many ethical issues in health care. What sort of curriculum, if any, should we have in training students and healthcare professionals? Should we have the same course for nurses and doctors and other professionals?
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I am a coordinator and educator in the bioethics module in the 2nd largest and oldest medical college in Saudi Arabia over the last 10 years. I think it should be an essential component of all health professional curriculae. However, I beleive in tailoring it to the needs of each profession i.e. the basic principles and overview can be given to everybody but the advanced part should be customised.
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Literature reveals that an ideal dentist must possess professional competence, dedication to work, commitment with patients, time management, professional ethics and practice management skills. What else do you think that an ideal dentist must possess to perform an ideal role for budding dentists?
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Modern dentistry is patient centred and relies heavily on good communication skills between all parties. If we consider the role model as the mentor , I support the previous comment of mutual respect
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Example AD/HD versus Bipolar Disorder
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I'm thinking that by "emotional disorders" you mean mood disorders. First, children are rapidly developing organisms that have not fully acquired the language skills requisite to expressing mood states and/or distress. Instead of saying "mom, I'm depressed," a child is likely to act out behaviorally. Furthermore, many diagnoses share core symptomatology. Reflect for a moment on childhood depression. The child may not endorse a sad mood, however, they may behave and interact with much irritability. This might look like tantruming and/or not playing well with others. Difficulty concentrating is another symptom of depression. These occurrences often arise from stress during childhood. Now step back and look at the child: a chronically irritable child, acting out in school and at home, who does not seem able to concentrate on anything. The child is intellectually unable to reflect on recent stress, in addition to not having the language skills required for expressing himself. Because the child is just that, a child, asking him or her to describe his mood, stress, and/or explain "acting out" behavior is often met with "I don't know." After gathering more info, and interacting with the child, he/she might seem to meet diagnostic criteria for ADHD, MDD, BD, even ODD! Children have very few tools in their "coping skills tool box." Though underlying psychiatric diagnoses may be different, symptom expressions and coping mechanisms (such as acting out, social withdraw, irritability, difficulty concentrating) may look the same, and asking a child for clarification is usually not feasible. Such is why diagnosis in children requires highly trained clinicians exercising much caution.
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A confident grasp over Surgical Anatomy is essential for a trainee surgeon to be proficient in Operative Surgery. However, many 'Structured' training programs do not have a specific system for assessment or evaluation of knowledge of Surgical Anatomy. Mostly it is assumed that the residents will pick this up as they pass through their training.
Should Surgical Anatomy be a separately assessed component of training?
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Surgery as an art and science is based on the intricacies of navigating human anatomy. Surgical anatomy, ideally, should distil one's skills to near perfection - upgrading the structured topographical approach learned through cadaver dissection in medical school to standards that appreciate aesthetics, efficiency and safety for the patient. Thus, surgical anatomy should be the bedrock of surgical residency training and only after demonstrating competency beyond reproach should a surgical resident be considered truly a master.
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More and more the number of people requiring university education is growing but without commensurate growth in number of institutions and expansion of facilities. As a result it seems that mass production of graduates is taking over scholarship.
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Perhaps MOOCs are a solution to this?
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Patient and family communication is fundamental to nursing practice, but are there specific interventions or training, evaluated in telling family members the patient is dying, or likely to die very soon?
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Dear Myfanwy,
in my opinion it could be useful to "train" nurses in order to care about "bad-news communicating"; everyday we see doctors that maybe are not so empathyc or have not enough time to explain, answer etc. with family members of a patient.
Although this kind of work has always been linked with the figure of the doctor, I really think that a nurse can do this job and can do it better, because the point is that a nurse has the competence to speak clearly and professionally but has also a "strict relation" with the patient, so a nurse can be more empathyc with families.
In my University, both medicine and nursering courses have lessons about this, although I think it's more something you "have inside" and you understand when you practice in hospital.
Best regards
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There is a great controversy in the impact factor system. Thomson Reuters impact factor has Worldwide acceptance while SCImago impact factor is also considered by some Universities. If both have equal importance in research community, Why they are not considered equally by All Universities.
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The first thing is not to confuse the 2 metrics as Impact factors. Thomson Reuters have the Impact Factor (IF), measured by citations within it's JCR database. SCImago is an alternative measure based on a different citation universe provided by Scopus. SCImago uses a weighted citation score meaning that citations from a prestigious journal are scored more highly than those from a title that has a smaller citation network. The IF on the other hand uses absolute counts (a citation = a citation).
Universities may put different stock in each of these metrics but the 2 are largely incomparible. they measure 2 distinctly different things.
We run the danger of entering into a marketing game where institutions pick the metrics in which their research scores most highly.
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I need them to design an innovative control panel.
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Saverio,
There are some MIL-STD (US military standards) that relate to the design of some control interfaces. I think there are also ISO standards, but I haven't looked at them. There are online searchable databases that can provide this type of information, but you may have to pay to access the document.
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Diet is arguably the single most important preventive measure for healthy aging because it affects the functioning of every organ in the body and is a factor both in the development of disease and in recovery.
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One way to improve nutritional content in the curriculum is to get it in the national requirements for medical training keeping the requirement simple so the medical schools do not feel overwhelmed and providing easy accessible material that can be used without too much effort. If nutrition is seen as a vertical strand through the curriculum along with pathology, infection. physiology and biochemistry it is more likely to be integrated throughout the curriculum rather than a stand alone issue which is learnt and forgotten.
We need clinicians to remember to consider nutrition when seeing/treating a patient rather than being a full nutritional expert. However they should know basics such as basic nutritional needs and guidelines, calculating and interpreting BMI, when to give nutritional support and be aware of the importance of using nutritional screening tools to see if referal to a dietitian is required.
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Lack of leadership is a current topic and has been recently in the media after severe failings in NHS Trusts. Leadership is an important non-technical skill and it should be part of a surgical training programme. High risk organisations such as aviation developed rating scales that have been revised an applied to surgery such as NOTSS, NOTECHS and OTAS. To use those scales surgical trainers require training in previously mentioned scales.
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Clinical surgical leadership is mentored by role models, who still examine and speak to patients, it cannot be taught in a lecture hall, or assessed by a computer, as little as you can teach "true love", loyalty, compassion etc. It comes with confidence in a full assessment of signs and symptoms, careful use of special investigations to confirm the clinical diagnosis, wrapped in a love for the discipline of Surgery in its entirety. Mentors are becoming a lost breed, special investigations have become the norm and the modern surgeon cannot from a good history and a head to toe examination make a diagnosis. They lack the confidence, because it is not practiced anymore The clinicians have become sub specialists that have forgotten what the rest of the body looks like, the multi disciplinary team has taken over, the physician/radiologist/oncologist etc. will examine the rest of the patient, the surgeon has become a technician, the MDT will tell the surgeon what to do, and after the operation the intensivist/physician/gastroenterologist etc. will do the follow up. The undergraduate student/house officer/junior registrar takes the history and examine the patient, request a host of special investigations, present it to the surgeon, and then to the MDT, the surgeon might do the operation without speaking to or examine the patient. SO, clinical leadership is a lost art. Juniors just do not see it anymore. I suppose I am a lone voice in the wilderness.
How can technology help in selection into the health professions and speciality training?
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Research and development Selection into healthcare professional education is expaning worldwide. It is a multi-disciplinary area bringing together a range of disciplines and the affordances of technology
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Specialty training - see medial simulation centers.
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In Turkey, the medical degree/diploma of the physician candidate, when approved by the Ministry of Health, also acts as a licence to practice medicine. There is no separate licensing process for physicians (and for other healthcare professionals). The approval process of the degree does not rely on any well-established criteria (it is simply and seal and sign process) and there is no real system that evaluates the competency of healthcare professionals. Needless to say that, there is no such thing as re-licencing...
I find this situation to be very problematic for a number of reasons that I will not go into detail here, but I would be thankful if you could offer some insight regarding the way licencing procedures are handled in your country. You do not need to offer detailed information; you can simply recommend relevant publications and other sources (such as websites) to point me in the right direction.
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In Chile, MD studies have a 7 year duration. In the last two (what we call internship), students rotate in different hospital and ambulatory care facilities, in 4-6 specialities (internal medicine, surgery, OBGYN, Pediatrics and either Psychiatry and/or family medicine). Each rotation has its own exam (oral/written and practical). After completion of this 7 year process, each student that has approved his/her exams receives the certifying diploma from the university; this allows him to work as a general practitioner. Recently, each graduate needs to approve a multiple choice exam in order to be able to work in the public system; the qualification of this national medical exam is also considered by the universities in their selection process for postgraduate studies (residency).
Should Universities embrace socially accountablity and direct education, research and service activities to enhance community health and well being?
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See Global Consensus for Social Accountability of Medical Schools.
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The article is attached below.
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1.How do post-migration adaptation processes ,integration processes and Settlement services through provision of English language/education , housing,employment,acculturation services and ethnic networks influence mental health/illness of recently settled, young CALD refugees and asylum seekers living in Melbourne,Victoria?
2.What are the pathways of these risk/protective factors of mental health ?
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To answer 1, I can say it is very very important this process, if the "process...etc." is good or well planned or the institutions help a lot depression is going to reduce. Remember that depression decrease immunologic system so, if you have depressed refugees or asylum people you are going to have them sick or without occupation.
Depression can contribute to get drugs, alcohol or stay involve on violence. Depressed people needs to feel big emotion or "be part of something or someone" so is going to look for relationships with "easy fall in love or sex", adrenaline is necessary to feel well so they are going to look for risky activities, just to get fun. These ideas become to me... and also resilience factor.
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Please suggest an under-researched topic
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Have you thought about medication adherence and the pharmacists role?
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I would love to hear about any conferences, workshops, newsletters etc. in order to connect with this community of researchers.
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Thank you!
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the dental council of india has been insisting that all post-graduate teachers must have "40 Points"..for publications.....
and what is this "40 Points?"
its a total of points you get when your articles are published in a journal.
and what is the criteria on which this point system is based?
international journals are allocatted 10-15 points, as also any speciality journal.
university journals have 10 points, so also national dental association journals, and other state dental associations, and others get 5 points.
its muddling and extremely complicated.
so what happens to those who give lectures in conferences, conduct wokshops, hands-on etc.?
there is no credit given for this..
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Indeed, the number of publications are a good measure of teacher's academic experience and helps keeping updated with recent trends in a field. However, overemphasizing the number of publications as eligibility criteria for academic jobs and promotions has led to chaos as every university and even some useless colleges have started publishing their own journals that are good for nothing. Even various manufacturers of dental products have started their journals that obviously add nothing to the field of knowledge, instead promoting plagiarism. Unfortunately, this trend has started a blind race of just publishing anything, anywhere. Quality of research has been sidelined and even good academicians have started submitting their low quality research to these "good for nothing" journals to stay in the competition for academic jobs and promotions. I wish academician's qualifications was judged on the basis of quality of their research. Of course, this blind race for number of publications should be discouraged by academic bodies.
Can cultural competency training at the predoctoral level promote equal access to dental care by underserved disparate populations across the globe?
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Cultural competency training has become a hot topic in the US dental education circuit. In your opinion, do you think that promoting cultural competency training universally can inculcate a spirit of philanthropy and altruism in our future dental graduates that will help bridge the health care gap and assist underprivileged groups everywhere overcome the challenges and barriers to accessing comprehensive dental care? I have been actively involved in pioneering a unique cross-national pre-doctoral exchange between a US and Bulgarian dental school, referred to as the "Global Health Initiative." The US-Bulgarian model provides for multidisciplinary partnerships with foreign schools in key geographical regions as a strategy to improve global healthcare. Objectives are achieved through education, direct patient care, and humanitarian service to underserved populations in community clinics in each other's country. The program is grounded on the belief that cultural competence training ensures that graduates have interpersonal/communication skills to manage diverse patient populations and function successfully in a multicultural work environment. Graduating dentists who are community-oriented members of a culturally competent healthcare workforce can improve patient-provider communication and access to care among disparate groups both domestically and abroad.
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Dear friend, Dr. Chris Ivanoff, I would like to congratulate you for the question raised and for your courage in being in the country that is a world leader in research, you have the humility to assume that (our) problem is universal problem. And yes, you wisely pointed out: the patient (now in Brazil due to the government program (SUS unique health system, the government no longer considers subjects treated in public health as patients. Customers actually are, because the service involves a pact (contract) between the parties. Dear Friend, I saw your profile and publications in RG (and this platform really is a milestone in the history of higher education and research, allowing us approaching and I can know (even electronically) people highly sensible and intelligent as you). I noticed we have a lot in common in our research (pain control, use of fluorides, etc..) which puts us as interdisciplinary agents. Upon my graduation in dentistry I did residency in endodontics, with more than 3,400 hours of clinical activities and I love the contact with patients, that allow me be able to meet their needs and cravings. For 14 years I worked in private practice as a general practitioner, and in those 14 years also I was as a teacher in FORP, working part-time (24 hours per week .) The night, the same 14 years I worked as a dentist in the city hall of a town near Ribeirão Preto, Cravinhos, whith 27,000 inhabitants at that time, and I attended most of 5,000.00 inhabitants. It was a magical time, I do not felt tired, and I learned a lot with the poors who did not even have access to fluoridated water. I tought hard to get fluoridation and I lost this battle, but I deployed an incremental program of controlling dental caries with caries removal and pulp protection with calcium hydroxide cement and with provisional restoration with glass ionomer cement. The shcolar CPO at 12 years was 9 and after 6 years we have reduced to 2.8 with these measures and weekly fluoride rinsing with 0.1% NaF, supervised tooth brushing in schools. If you ask me what my published research that gave me more pleasure without a doubt was the care of this population with my colleagues, even with very low wages, in the control of dental caries. Citing Pasteur: a little science let us away from God; lot of science brings us closer to God. A big hug and let's raise that flag, with teaching and research ethical yes, Innovation yes, but in order to improve the quality of life of our similar.
What are the most important challenges facing medical education nowadays?
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I have recently conducted a study to explore the readiness of medical students to join research and to determine research needs as perceived by medical students. our study has identified certain barriers to conduct research such as the lack of supervisors, laboratories, funds, ...etc. results indicated high interest of medical students to join research. in this study 12 medical students have joined the research activities and were involved in the whole process. from this simple experience, I have become convinced that research activities should be included to give another dimension for medical education. due to the importance of this topic, I would like you to share your experience, perception about the challenges facing medical education. thanks in advance.
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In the US the toughest challenge for medical students is not medicine, but learning how to navigate a terribly convoluted reimbursement process and a system of "expected practices" (vs "best practices"). Not to discourage anyone, but I've worked in the education system and continuation component for many years, and medical doctors now have to almost declare their independence of an overwrought system that too often prevents good medicine from happening in favor of conventional practices that are more based on money than medicine. But the bottom line is that a physician has more tools in the toolbox of treatment than ever in the history of man, and can do more good if he or she will use the best tools and only the best tools always for every patient. That would include advising in true nutrition, hydration, avoidance of the many things that are harmful to the body and mind, and helping patients take control of their health under their guidance.
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Is considered a health food necessary for any human being to enjoy good health, so how about if associated with education.
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Food and academic performance are related. A child cannot learn if he/she is hungry. This observation uses Maslow's hierarchy of needs as its basis. The bottom of the triangle represents physiologic needs-food, water, shelter. Only when these are met can anyone move on to safety issues...and then food again is involved. The student needs to feel secure in his/her resources. If he/she goes to bed hungry, then the student is unable to progress to the safety rung of the pyramid. The student cannot feel secure in when their next meal will occur and of all the social ills in the world, hunger should not be one of them.
Let's supposed that hunger is not the issue; simply what the student is consuming also matters. Processed foods lead to spikes and crashes in blood sugar levels. So, if student A had a bowl of Fruit Loops and student B had scrambled eggs and wheat toast, student B is going to do better just by not experiencing the rises and dips in blood sugar.
It is a fact that poorly nourished children have decreased levels of activity, social interaction, curiosity and cognitive function (Sparkboxtoys.com, 2012).
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I am conducting a dissertation entitled "Deployment Program for Nursing Graduates Preparing for Global Workplace".
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One great model for training needs assessment is Wedman's performance pyramid needsassessment.missouri.edu The model considers both the abilities and skills of the learners and the institutional environment necessary to support change. The link above provides information and tools for performing the assessment. Good luck on your study!
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What is the importance of journal clubs for junior doctors and medical students? Is it really bridging the gap between medical education and clinical practice?
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I am a medical student and started a journal club with some colleagues: I find it very helpful to look for the evidence of a therapy or diagnostic process we see in our clinical rotations and ask ourselves why we are doing what we are doing and if we maybe should do something differently.
Also, EBM needs practice - critical appraisal is not easy and if we don't use it on a regular base we forget everything university teaches us about best practice in research, methodology and so on..
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This fall we are planning to integrate iPads in cases developed for use in human simulations, both standardized patients and mannequins. We have the following programs:
Osteopathic Medicine
Physical Therapy
Post-Professional DPT
Podiatric Medicine
Physician Assistant
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We are currently researching capability and cost effectiveness of tablets in surgical training - mainly, to teach laproscopic surgery.
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Most refugees and asylum seekers report to be generally physically and mentally healthy compared to local Australians (health advantage). However, after living in Australia for several years some of these refugees and asylum seekers self-report less healthy physical and mental health outcomes whereas others self-report continued better mental and physical health outcomes.
1.What social determinants of health factors would be influencing these differences in health outcomes of these CALD clients?
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Hi, I was wondering if you found any answers to the question you posed? I'm working on a paper addressing the use of healthcare by refugees and the cultural impact on their health beliefs. I realized from my research that there is a wide discrepancy in health stats as you mentioned and I would love to know your insight. 
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People from the Netherlands : Is it still recognized as a distinct specialization ?
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Mexico has the specialty of Gerontology who are responsible for Nursing homes but there are many institutions that do not have these specialists
It fecuente find general practitioners or internists as responsible
Also in the area of nursing
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What are the risk factors?
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There might be many risk factors. Wood dust can deposit within the alveoli, can damage the parenchyma and cause that particular area to be non-functional. Another factor is the nanofibers. They can easily stick with the monolayers, can cause local inflammation and hyperresponsiveness. They can create alveolar epithelial cell DNA fragmentation by producing tremendous peroxidation.
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Several years ago I began consulting on legal issues in the sphere of personal injury: medical malpractice, toxicology exporsures, and reporting on biased expert medical testimony within tort cases.
I have seen the same preventable mistakes in clinical evaluation and reasoning repeated again and again The mistakes I see a embedded in the legal system. Almost all medical malpractice injuries have occurred in hasty history and physicals.
I think using injury complaints as a resource for improving medical curriculum has a unique contribution unavailable in typical curricular contents. I have an MD/PhD MPH in research design; however I'm at a loss to access a larger pool of "medical errors" to begin cross-sectional analyses. Any suggestions or collaborations? Lance Hewitt; Salt Lake City.
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Lance I am doing pharmacological torts. sucide and homicide on antidperessants adn gentic studies, see my website, SSRI papers www.lucire.com.au. welcome collaborationa dn communication, Yola Lucire
How do we know that some one can be a good medical teacher?
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Dear all... Right now our faculty is trying to recruit new member/teacher for our growing medical faculty. We try to gain that via yearly recruitment but we often failed on finding the "the right" person for they usually just stay for a year or two contract. I have suggested my Uni to try to recruit our own students who had graduated, but few of my colleague says that we need to to develop a criteria or something so we'll know that we will not "waste" our effort on someone who will not stay... Can anyone advise me on how do we know that someone will be a good medical teacher? So I'll know which student/s to recommend to my Dean.. How do you rank intelligence and Grades as the criteria being a medical teacher? Thank you so much for replying p.s. I just wish this group will have more lively discussion because I like this group a lot :) Ty
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Prof Johali describes a very well strutured approach, that i think must be taken in full consideration. Nevertheless my personal opinion (wich depends upon my personal experiences and academic environment) tend to be more favorable to Prof. Chavda. As one says "For honest man no law is needed. For the rogue is useless since he will always find a way to evade it." Don´t misunderstand me. Of course laws and explicit codes are important, but i thik that personal ways of living are ancillary. Specifically on this topic, you should look for ways to discover the MEANINGS candidates atribute to knowledge, learning, teaching, human beings, education, ethics and other important concepts. And more; to know if these meanings are consistent with candidate's behaviour. This i know is a difficult task. So it would be interesting BEFORE full aceptance to submit the candidates to some sort of probation on service. As a matter of fact, i think that Prof. Johali´s approach could be a robust framework to integrate with this advice (of course, depending upon your actual conditions).
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Body fat composition
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Generally, female have more body fats as compared to men. this goes same as they age. fat deposition occurs esp in upper part of body.
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What are your experiences with assisting health professionals from other countries integrate into the health system in your country? What are the barriers? What are your successes?
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Thank you for your response.
As a Recognition of Prior Learning Practitioner, I have worked on establishing, maintaining, and improving methods to assist in the integration process with different health jurisdictions in Canada.
In a research study I conducted in 2008, I found that there are some fairly significant barriers that were identified by both the professionals themselves as well as those who are performing assessment and evaluation against set standards (in this case midwifery profession regulatory authority standards). Those barriers include: language (both dominant language of region and profession specific), level of authority to perform tasks (i.e. autonomous or non-autonomous provider of care), and relationship building with, in this case, Canadian health professionals. Study abstract can be found at http://www.collectionscanada.gc.ca/obj/thesescanada/vol2/002/MR50423.PDF
I would be interested in locating any literature on sustainable success stories of this integration process.
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Any interested researcher/ faculty in a joint research?
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Concept mapping and team based learning are of interest in this field
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Can anybody help me in finding any topic for research?
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Hallo Arooj, that is a difficult request. You have to look at what interest you or frustrate you and decide whether you want to know more or want to change something. Go to the library and browse through a few dissertations and look at their recommendations for further studies. Talk to your lecturers and talk to the Physiotherapists AND Professional Nurses in the wards - they might have a few nice suggestions as well. But in the end, it must be something that you feel passionate about, otherwise the dissertation journey is uphill all the way :-)
Best of luck
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When and how to use it
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Application: This statistic has two applications that can appear very different, but are really just two variations of the same statistical question. In one application the same qualitative (binary) variable is measured at two or more different times from the same sample (or from two or more samples that have been matched on one or more important variables). In the other application, two or more comparable qualitative variables are measured from the same sample (usually at the same time). In both applications, the Cochran’s Q Test is used to compare the distributions of the two qualitative variables
The Spirit of Learning
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How do you keep the spirit of learning to stay aflame? Its just hard sometimes to keep on wishing to learn...
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Learner is the Spirit of Learning, in other word; when your learning "education or training process" is "learner centred learning" this means you have the spirit of learning. When it is teacher centred, it means there is no Spirit in your learning
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Hi - Example at upcoming Cardiovascular, DIabetes, Obesity ONLINE conference, Sept 22-24 http://www.targetmeeting.com -- one of papers presented is going to be Micronutrient adequacy to resolve overeating and food additions. another -- Prevalence of Micronutrient Deficiency in Popular Diet Plans.
Do you think patients would listen to advice, or is it the same things they've heard for last 30 years? take your vitamins or vitamins dont matter. Is it still philosophy of health care professional versus / or agreeing with) researchers perspective?
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http://targetmeeting.com posted the Agenda and list of speakers
75 speakers, three days of symposiums
TM's 1st Cardiovascular, Diabetes, Obesity Onlne Conference
Sept 22-24, 2011 -- participate via internet live or watch videos of conferences after for 7days
Is it worthy to study "History and Philosophy of Medical and Health Professions Education (MHPE)
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I am a health professional, I am interest in history, philosophy and ethics. My notions that "There is no present without past, no future without present, no quality without philosophy and ethics. Therefore, I am thinking to conduct academic research title "History and Philosophy of MHPE". It may start as PhD Proposal at national level cover Arabic and Islamic Ancient Arabic and Islamic history 6 - 19 century, then the past and present history. Please support me with your worthy comments and advices.
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Of course it is worthy. I am teaching nursing history in nursing students and i know for sure that as you mentioned there is no present and future without past.
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Dear all. We are pleased to inform you that in Volume 5 Issue 3 (July - September 2011) of Health Science Journal our research study about anxiety and depression in teenagers and young adults with asthma has been published. All of you are welcome to read the published article in <http://www.hsj.gr/volume5/issue3/539.pdf >
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Dear DR Ioanna, first congratulation but where is Larissa, in which country? and sir there are a lot of comments on this article, i will send the comments if you let me.
best regards
Professor Tarek Tawfik Amin: MD Epidemiology and Public Health
The Relationship Between Philosophy and Quality of MHPE
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Is there relationship between philosophy and health professions education? Please support this thread with your dear comments and suggestions .
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As I am a member in this group and in Philosophy, It is my pleasure to invite all the two groups' members to share. This question was, is and will be the question of the future MHPE.
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We have establish a new simulation lab, collaborations and scenario development tools at a School of Nursing in South Africa. I would like to embark on a PhD study but would like to make it focused as possible.
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if you are in the place of south Africa then mostly vaccination is the best study for you because you contact Bill Malinda Gates Foundation they given the topic which you like most then you take them.
by
k.jagadeesh
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date of publication? cost for an article ? does the author has to pay? maximum paper pages? Due date for paper full txt / For abstract????
Thanks
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Hi - i am a professor at a medical school in Canada - the University of Western Ontario and working with a group here interested in introducing health informatics training into the medical school curriculum. Any stories or experiences with doing this in your institution would be most welcome.
Thanks, Candace Gibson
Associate Professor, Pathology
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First of all i would like to know if you have decided on a duration for the course and skills the students should master at its end (being able to understand the data in the article, being able to calculate correlations, statistical significance etc, working with databases or maybe something else).
From my point of view, in the current day medical field, being able to understand the biostatistics behind an article is mandatory for a future doctor. As for the others, they are more or less optional, depending on his/her interests.
Also being able to work with Word, Powerpoint (and Excel to a point) is also a mush have.
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You can be a part of this journal by supporting us as an Reviewer/International Advisor/Editorial Board Member. Email your interest to eimjeditor@saifulbahri.com along with your CV.
For the journal detail you may visit us at http://saifulbahri.com/eimj/
We are pleased to invite you to join us at the Education in Medicine Journal Facebook <http://www.facebook.com/?sk=2361831622#!/group.php?gid=160355627323181>
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Thank you Dr Anil
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As a counsellor I find that some GPs are happy to refer patients to a counsellors, others go and train as counsellors - is this complementary or a conflict?
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Thanks Lola, if the councellors are specialist that fine, if not it is cobflict, GPs are not nierher counselor nor health eductors and promoters
Hello, in addition to HEP, it is my pleasure to join MHPE group
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Hello, in addition to HEP, it is my pleasure to join MHPE group, which I have long experiences Also I am plan to conduct PhD in this field soon.
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I am too interested in Medical education and teaching .I would welcome if u have any programm running or on line teaching
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In your opinion what is most essential or say what means,methods and modes can be used to integrate Spirituality In health Care Programmes? We are in a process to develope Curricullum for a PG Programme for Health Care Professionals. Your valuable feed/opinion is awaited.
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Intregating sprituality in healthcare is a formidable problem solving enterprise, that must take into account medical, moral, theologically organizational and financial consideration.
the integration of spirituality into health care will go beyond structural adaptation into personal transformation. Also, there will be a need for different individual and organizational responses. Envisioning those responses may be the next step in integrating spirituality in health care.
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In your opinion what is most essential or say what means,methods and modes can be used to integrate Spirituality In health Care Programmes? We are in a process to develope Curricullum for a PG Programme for Health Care Professionals. Your valuable feed/opinion is awaited.
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To integrate spirituality in Clinics, to date not an option but an epistemological necessity, it is necessary to learn Person Centered Medicine and Person Centered Clinical Method
To this aim we are doing international courses
Come and see !
Prof.Giuseppe R.Brera
Director Milan School of Medicine
and the Person Centered Medcine International Academy
Consultant of the WHO group for Person and People Person Centered Care
Read my downloaded article:" Person Centered Medicine: Theory,Teaching and Research" ( Group : Person Centered Medicine)
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I'm doing a comparative study on geriatrics healthy habits inside and outside a institutionalized facility. Any information on the said topic will be highly appreciated.
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Ramos, how would you control for the socio-economic varaibles (eduational, income, etc.,) when comapring these habits across the two groups (institutionaliezed vs. none).
best of luck
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Does anyone has publication on Teaching Medical students .
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@Dr Arun
I feel happy that we share same concern about making medical teaching interesting. Medical teacher is an international journal for medical / health professional education. You can find good articles there. Following is the link: http://www.medicalteacher.org/MEDTEACH_wip/pages/home.htm
Hope you are also aware about and involved with the MEU and Teachers Training Programs now being made mandatory by MCI.
Regards,
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Hi, fellows.
I´m from Brazil. Recently, I´ve begun a post graduation for orthodontics expert degree.
Besides convencional orthodontics, I´ve been researching about obstructive sleep apnea/hypopnea (OSAH).
I´m very interested in changing information about these themes.
If you too, please, contact me.
Best regards,
Paulo
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Hi paulo
I'm glad your message. I'm sorry. In the field of research you do not have my information. Because this is not my field of work. I hope the things I can help you do next.
Yours sincerely.
Reza Afzali
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I'm in HR and need to capture the education happening on units and with subject matter experts. Any tips for developing a structure that allows autonomy, but a team process to support each other in this scope?
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I am currently completing the final stages of a literature review regarding Inter-Professional Education (IPE), and more specifically the challenges faced by internationally educated health professionals when they attempt to apply for registration to practice in Canada. I would be happy to share the results if you are interested. Contact me at info@reframedlearning.com
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Some people stop taking the medication due to its side effect especially adolescents who are mostly conscious on their physical appearance. One of their concerns is getting "bloated" (increase in body size) whenever they take it. So chances are they never finish the entire course of their treatment.
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Extended action of medicine does cause some side effects. Precautions have to be followed at the time of treatment. Even the response of individual may differ based on their immunity and other underlying factors. Monitoring and inspecting the response of body towards drug have to be analysed properly and appropriate treatment have to be initiated based on the advice of physician. Exercise, titrating the dosage, intake of water, altering diets have been generally advised by the physicians
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In many universities, teachers are also expected to be involved in research as a result of which teaching suffers. I have tried looking for evidence but would also like to know what others feel about this widely debated issue.
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It depends on the person. If a researcher is a good teacher then he/she can contribute the society in a high level.
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Safe drinking water is essential for healthy life.
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There are multiple ways to raise awareness in a community. What kind of community is it? How large? do you have any funds ?
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Does a full-time academic (non-clinician) as a co-supervisor make the most sense?
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Dear Jonathan
I assume you have gone through the same experience being a student of medicin and you know exactly what is right and what isn´t. Be consistent to your practical learning and copy the best things that had functioned to you and avoid the others.
This is the main idea when teaching , the doable mechanisms are perfectly described for the other unselfish responding people.
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I am pursuing a degree in computer science and I have aspirations to attend medical school.
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I believe a physician with IT basic skills and understanding of knowledge based systems will be a better physician not only for the patients but to contribute to medical knowledge and education.
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It is widely accepted that sociology should form a constituent part of nursing's knowledge base. Unfortunately, the relationship of the disciplines has not been as productive in practice as it might have been.
Source: palgrave.com
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I don't think so. Because all good medical and dental colleges have included social science subjects relating to Ethics, behaviour, practice management in their curriculum. These subjects groom the budding professionals and equip them with communication, ethical and practice management skills to deal with the colleagues as well as patients.. In fact social sciences are crucial part of medical discipline especially in nursing. A good nurse must be sound in art of dealing the patients. Yes, in developing countries there is a lot of work yet to be done.
How is medicine taught at European Universities?
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I would like to learn something about the structure of medicine studies at European Universities. How are the students organized (in seminar classes)? How is the teacher-student relation? How does the personnel structure look like (Are there special lecturer positions)? Thank you in advance.
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I'm a physician working in a group office in a rural area, working 60% of my time in my office and the rest dedicated to postgraduate education of family physicians in a remote region. I take part in pregraduate teaching for about ten hours and coordinate update of our guideline book COMPAS for the local university. Most pregraduate teachers are working in the universitary walk in polyclinic where they do both research and clinical work. I hope these information will be useful.
Do you agree or disagree that the time has come to invest in helping students learn the art and science of teaching?
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Mostly we are training them as doctors/dentist/pharmacist etc. To inspire the new breed of health professions educationist so that in future they may consider this option to join the Academics.
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Just like to share something .... I conducted a selective on bite marks for medical and dental students. During the selective I observed that medical students were having difficulty in identification of tooth morphology. I helped prepare dental students to teach the medical students. The dental students did a wonderful job even conducted quizzes. The feedback was very positive from both medical and dental students. The dental students also mentioned in their feedback that during the process their own knowledge and understanding of tooth morphology has improved significantly and they really enjoyed it. I think we should create more opportunities for peer teaching,
Impact of Twitter in medical education?
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I'm interested in the impact of twitter as a teaching tool for medical students, residents or fellows. Do you have any material worth checking out? Or any personal experience in this field?
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There are 4 or 5 white papers I have come across on the the topic of social media and medical education but I have yet to seen any objective studies. But to help, I would draw your attention to three resources: 1) check out our 'meaningful use' data set where we explored physician adoption of social media for lifelong learning: http://www.slideshare.net/cmeadvocate/innovative-framework-for-physician-engagement-via-social-media-061912 2) Here is some recent work my Chris Paton and colleagues: "Experience in the Use of Social Media in Medical and Health Education" - http://repository.usfca.edu/cgi/viewcontent.cgi?article=1005&context=nursing_fac 3) Mayo Clinic Center for Social Media just this morning announce a call for abstract for data that has been collected on the impact of social media in healthcare quality improvement. one would hope that there will be some data about medical education there too: http://socialmedia.mayoclinic.org/2012/07/10/social-media-scientific-session-call-for-abstracts/ You might also want to keep an eye on my blog - when these data cross my desk I do my best to address them strength and weaknesses and all. www.socialQI.com
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Co-monitoring requires expensive professional liability insurance against errors & omissions and is not available. How does one get hands-on experience?
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This is a quiet interesting topic. I am considering distance monitoring to train studentsnurse in rural settings. The plan is to have students share the cost of insurance. The major challenge is in the organization of these monitoring sessions
Is it possible to earn PhD degrees online in any discipline of medical science?
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I have been searching for suitable sources/ universities where online PhD programmes are offered in any discipline of medical science so that one can maintain a professional & personal life while continuing a PhD research activities.
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Yes, you can, and despite the naysayers, the disruptive innovation in higher education is a move to online degrees. I would NEVER advise to give clinical education degrees online, as patient care requires too much hands on activity, and close supervision, but academic degrees are different. I earned my research doctorate, a DHSc (Doctor of Health Sciences) which has an applied research focus online. My PA education however, was in a classroom.
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If you have any information about the CTS both journals, articles, papers, or whatever
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Hi Dina,
Here is the answer to your question:
What causes Carpal Tunnel Syndrome?
In the work environment Carpal Tunnel Syndrome results from rapid, repetitive use of the hand and fingers for many hours at a time, on a daily basis. The problem is made worse when working with a bent wrist or having to use force. Working with vibrating tools in a cold environment is another risk factor. Other risk factors include using the
palm of the hand as a hammer or continuous pinch gripping.
Other conditions, not related to work, can also cause Carpal Tunnel Syndrome. For example, diabetes and pregnancy cause fluid to build up and collect inside the carpal tunnel. This increases the pressure on the nerve and may also lead to injury.
I hope this information is helpful for you.
Regards,
Dr. Ghada Omar
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I am trying to find out what examples there are out there of research-based learning (in which the student learns through engagement with research) and research-oriented learning (in which the student learns how to apply research methods). I am particularly interested in practitioner education at post-graduate level. Anyone got examples they could share with me?
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The Solution is to involve students in a problem based curriculum in interesting problems. The outcome will be more academic interested students as experienced at McMaster University in the 1980s.
(Ferrier, B.M., and Woodward, C.A.A. (1987) Comparison of the Career Choices of McMaster Medical Graduates and Contemporary Canadian Medical Graduates: A Secondary Analysis of Physician Manpower Data Collected by the Canadian Medical Association. Can. Med. Assoc. J. 136:39-44 )
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This would be useful information for a manuscript currently being written.
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Dear Derrick,
I think probably the publisher of the statistics with respect to healthcare database provided from the site you may directly contact at Michael Barnes at department of Health, Unify2 data collection KH03a or email address Unify2@dh.gsi.gov.uk
Hope this is also useful for your information,
Best regards,
Anan
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The needs were not meeting with health care services - accessibility, awareness is lacking
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Yes some times
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This is the central question of my PhD studies here in Brazil, and I would like to see how other countries see this professional interaction!
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See, we need to change the paradigm regarding the medical team. The team should never be what it always seems to be...a heirarchical ladder...this is not ideal, and will not yield the best results. A medical team should be thought of as a CIRCLE with the patient in the middle. While a physician may be the best person to be in charge much of the time, it is not all of the time. There are times that I am better suited as a PA, especially with a separate education in Sports Medicine....and the physicians will often consult me on management options. If I have a complicated wound, I think that perhaps the wound care nurse should likely be in charge...the physician and team should take directions for that person. Same with pharmacy. Although I have a research doctorate, I practice as a PA in emergency medicine. My primary research is behavioral, looking at team constructs, interprofessional dynamics, and workforce supplies/trends. Physicians are well educated, but this education sometimes obscures their vision of what OTHER members of the team might contribute, and how other members might be better equipped and more knowledgeable about a particular case or situation than themselves.....(BTW, this is a HUGE paradigm and cultural shift which is going to take decades to achieve)...
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Are there any specific laws that dictate the format of a medical prescription? Is using abbrevation such as bd, t.i.d, o.d, a legal requirement?
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The central government has recently approved to amend Indian Medical Council Regulations, 2002, providing therein that every physician should prescribe drugs with generic names in legible and capital latters and he/she shall ensure that there is a rational prescription and use of drugs. MCI regulation 1.4.2 governs Prescription writing. You can go through the MCI regulations, 2002 along with the amendments. Also All doctors in India are required to abide by the laws that regulate the practice of medicine and also follow the provisions of State Acts like Drugs and Cosmetics Act, 1940; Pharmacy Act, 1948; Narcotic Drugs and Psychotropic substances Act, 1985; Drugs and Magic Remedies (Objectionable Advertisement) Act, 1954. So you can also go through them to clarify your doubts. I am still wondering as to why the same was not taught to you in medical college as the same is a part of medical study curriculum. Wish you all the best.
Do We Have - Do We Need Diploma and Associate Degrees for All Medical and Health Professions ?
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In some countries, there are many certificate, diploma, associate degree in Junior; Technical; Community and part of university integrated to bachelor ... Meanwhile, in some countries they decide to cancel all of these programs and colleges ....Just fit with 'Bachelor Degree" as minimum for all health professions jobs including nursing ..... So; With; which you are ?; Do have ? ; Do you support ? …. You are Welcome
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In countries, such as the US, where education has become extremely expensive the cost prohibits some from seeking a baccalaureate degree in nursing directly. The difference in practice between the levels of preparation for a registered nurse is quite negligible. All must sit for and pass the same licensing examination, then work at the same job level. A baccalaureate-prepared nurse may receive a promotion to a management position ahead of others, but at the bedside all are required to perform patient care with the same level of skill and competency. The system described of an industrial year sounds very much like what I envision. Nurses who lack clinical experience who are promoted or hired for management positions may be valuable on paper, but we had a saying years ago that the higher you climbed the ladder the farther you got from the bedside. These nurses run the risk of being disconnected from the actual job and work done by the staff, and as a result may have little understanding of the implications of the management decisions. Nursing is not a paper profession. What is read or written needs to be viewed in the context of practical application.
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I want to make an instruction within my team (Registered Nurses) to get more safety and security what handling of totally implanted Central venous cat...
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Dear Genifer, Dear Jayasree
I am happy to get comments and important links from your part.
My written work is about to be completed, but the "teaching" in the team as well as evaluation and re-evaluation of our hospitals guideline is going on, so these links will be helpful to me.
best wishes
Silvia
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As I read over the articles and general makeup of this website's literature, I am finding an inordinate number of typos througout. Although I enjoy the articles and sharing of information, I do have one concern.
Over the years, I have found that one of the quickest ways to lose all credibility as a writer and/or publisher is to send out the final product with even one typo within the body of literature. I would ask that greater time and effort be spent in looking into this issue.
P.S. I sure hope you don't find any typos in this critique. :)
Thank you,
Larry Johannessen, Ph.D., LCSW, MSW, MDiv
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I agree that one of the ways in which a professional highlights his or her own competence is through attention to detail, such as spelling and grammar.  My hypothesis would be that the myth of multi-tasking contributes to the downfall of detail.  When we go back-and-forth between tasks, concentration is diminished and more than precise speech is lost.  I have also found that assistance such as 'spell-check' can contribute to the wrong word appearing in a variety of output, from thesis publication to texting.
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For example, medication errors in surgery alone should be done or DUE along with medication errors can be done? please suggest alone or a combination is better?
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Greattopic - medication wrrors. But can you b more specific on this plese?
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Nursing ed.
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If you take a look at http://www.tcns.org/Foundress.html you will see that this is something that is already not only questioned but assumed.
Are there PhD Health Sciences Education in US and Canadian Universities ?
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Is there an exact title concerning 'philosophies and sciences of teaching, learning and curriculum development of all allied health professions, in the United States and Canadian Universities or other countries.
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Thanks, I know, it is HPE under School of Education and DME, they did not accept me...if there eaxt title please in othersplease help
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ie. development of medical code or points in VARMA as points in acupuncture?
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As to Sathya Raja, the answer is: it is possible once and if you "clean " the semiology of the Varma writings in such a way that you will have only symptomatology ; then you can establish a computational system of possible correlation with Acupuncture, even in terms of system design of practicing it.
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Insecurity,track tenure where the promotion increment even the very survival for a professional drives people to steal creativity from others.The best way I feel is to prevent or control this we can and should teach professional ethics to students right from day one of their training and tenure track could be modified with low intense appraisals
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There has always been and always will be cheating. I have investigated this topic a fair amount in regards to nursing students. In the literature, a variety of investigations have been made. One interesting part of cheating that was examined was the difference in generations. Depending on their generation, students view what constitutes cheating differently. So, what a teacher or someone from a different generation sees clearly as cheating, students from younger generations may not see the same. Evidence indicates that the best defense against cheating is to tell your students that you expect them not to cheat- and then list the things that you would include as forms of cheating and define them or give examples. The other thing I do to try and make sure that students do not feel as pressured to cheat is I make sure that although rigorous, that my tests are also fair and fairly represent the content I expect my students to know. In other words, I am not unfairly testing them on topics that they are surprised by.
Wound Studies?
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Has anyone here studied on contracture and sensitivity analysis of untreated wounds? Can you lend a hand on some studies conducted?
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it is really a difficult task...and quite slow to heal... I would try a collagenase cream ( Collagenase Santyl® (collagenase) Ointment is a sterile enzymatic debriding ointment which contains 250 collagenase units per gram of white petrolatum USP. The enzyme collagenase is derived from the fermentation by Clostridium histolyticum. It possesses the unique ability to digest collagen in necrotic tissue. ). this ointment can be a bit painfull depending on the patient perception of pain, in some of them happen to be impossible to use this. And an antibiothic cream mupirocin 2%, because of colonization of the surface of the ulcer by gram negatives or anaerobic bacteria. Do not let the patient rub in the ulcer or try to clean he can mantain some 20 minutes of compresses with tepic burrow solution, several times a day.. after that, you can " fill " the inside part of the ullcer with collaggenase ointment or mupirocin cream, or both alternated regards, cesar