Medical & Health Profession Education

Medical & Health Profession Education

  • Chris Roberts added an answer:
    3
    What do you think of involving patients/consumers/end users in health professionals 'peer review' ?
    I'm looking for any info or examples of where/how patients/clients/service users are involved in professional peer review and peer assessment systems, especially related to health professionals.
  • Rosi Goldsmith added an answer:
    7
    Can someone suggest a topic for M PHARM research in pharmaceutics?
    Please suggest an under-researched topic
    Rosi Goldsmith
    Following up on David's remark: What are the cofactors in mucuna that enhance bioavailability, either absorption through the gut or crossing the blood-brain barrier? If mucuna is high in L-dopa, what serves as the equivalent to carbidopa in comparison to sinemet? There must be something--mucuna has a long history of effectiveness in Ayurvedic medicine. And L-dopa by itself has limitations that mucuna does not have. When standardized extracts of mucuna are prepared, there are differences reported. Perhaps this co-factor or co-factors are responsible?

    And I would assume that Western pharmaceutical grants might be very interested.

    However, please forgive me. I am ignorant about M Pharm research.
  • Taiar Redha added an answer:
    22
    How important is to teach history of medicine to medical students or to any other health professional?
    History of medicine used to be present in medical school curriculum. That is becoming less common due to time restriction and the increased prevalence of more technical topics.
    Taiar Redha
    Interesting responses. Trough the past history of medicine we improve the future. All people in other healthcare fields need to know and to have knowledge’s from history of medicine.
    Best regards
  • Chris Roberts added an answer:
    9
    Difference in basic sciences curricula for medical and dental undergraduates. Is it justified?
    The first two years of undergraduate teaching in Nepal involves basic concepts related to health and disease. How ethical is it not to train them equally in the area of basic sciences? Is there a need to harmonize or not?
  • Amany M. Al-Thuniyan added an answer:
    20
    Can you recommend any textbooks to use for teaching public health 101 in undergraduate programs?
    Please limit your answers to books written in English language.
    Amany M. Al-Thuniyan
    Here is useful one:
  • Vanja Vucicevic Boras added an answer:
    11
    Is there any experience with formative evaluations in the clinical education of dental students?
    In the clinical training courses, dental students are supposed to treat their first patients under supervision of the clinical assistants (teachers). How do you give feedback on the students' performance? Do you observe every step the student undertakes during treatment, including communication and hygiene?
    Vanja Vucicevic Boras
    we have e-learning courses (oral medicine) and dr. Vlaho Brailo is conducting this research mybe you can email him (brailo@sfzg.hr).
  • Panayot Tanchev added an answer:
    16
    What are the ethics behind the second publication of a paper previously published in another language?
    What are the ethics behind the publication of a paper, previously published in another language and not appearing in the english literature by the same authors? Is this acceptable?
    Panayot Tanchev
    Yes, republication is very useful for dissemination of knowledge. However, permission from the journal where the paper is already published is mandatory. Otherwise, it is unfair.
  • Kieran Walsh added an answer:
    29
    Does a Medical / dental teacher need formal training in teaching?
    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?
    Kieran Walsh
    There are a range of medical education courses available online. Dundee is supposed to have a really good one.

    http://www.dundee.ac.uk/postgraduate/courses/medical_education_mmed.htm
  • Mark White added an answer:
    4
    What are key influential factors and their relative contribution to the success or failure of quality improvement policy implementation?
    Your study is just the kind that I was looking for. Only yesterday we were discussing the matter of challenges presented to frontline health providers when different organizations or initiatives introduce quality improvement with different names. We did not discuss it from the perspective of conflict of interest, rather one of confusion, but now I am thinking that in the confusion conflict of interest can arise. Kenya is in process of developing a quality improvement policy supported by development partners with passionate interest in improving health service delivery and are convinced that one strategy for addressing confusion is harmonization or standardization. It is just as well to start thinking about conflict of interest as well. It would be useful to read some more work dealing with conflict of interest as well as misunderstandings. This will facilitate the design of appropriate continuing education, support and mentorship.
    • Source
      [Show abstract] [Hide abstract]
      ABSTRACT: Purpose - Competing activities and projects can interfere with implementing new knowledge and approaches. The purpose, therefore, was to investigate processes and impact related to implementing two concurrent quality initiatives in a Swedish hospital. These were a regionally initiated, system-wide organizational learning programme called the Dynamic and Viable Organization (DVO) and a national initiative on stopping healthcare-associated and hospital-acquired infections (SHAI). Both undertakings aspired to increase staff competence in systematic improvement approaches. Design/methodology/approach - Multiple methods were applied including surveys, observations, interviews, process diaries, documents and organizational measurements. Respondents were unit managers, change facilitators and improvement team members. Findings - Even though both initiatives shared the same improvement approach, there was no strong indication that they were strategically combined to benefit each other. The initiatives existed side-by side with some coordination and some conflict. Despite absent management strategies to utilize the national SHAI initiative, positive developments in QI culture and communication were reported. The current study illustrates the inherent difficulties coordinating change initiatives, even in favourable circumstances. Research limitations/implications - The main implication is that special attention needs to be paid to competing activities during change processes, especially when launching large organizational change. A general organizational strategy on how to incrementally combine and coordinate change and development efforts might help to create a continuing organizational and quality-improvement process, and also save time and effort. Originality/value - This article addresses the lesser studied but common situation of coinciding and competing projects in organizations.
      Full-text · Article · Mar 2014 · International Journal of Health Care Quality Assurance
    Mark White
    We identified via literature review, 7 common contextual factors key to implementation of the QI programme Productive Ward http://onlinelibrary.wiley.com/doi/10.1111/jonm.12069/abstract A larger review of Lean Healthcare including PW citations we identified 3 main components cited as common impacts... Leadership, empowerment & engagement http://www.emeraldinsight.com/journals.htm?articleid=17102117 The most indepth study of all is from Mary Dixon-Woods http://qualitysafety.bmj.com/content/early/2012/04/27/bmjqs-2011-000760
  • Heta gautambhai Vyas added an answer:
    2
    Is there any relationship between Human Chorionic Gonadotrophin releasing hormones and Angiogenesis?
    I found HCG has role in Angiogenesis but mainly in cancer. I want to know if this is true for a normal Angiogenesis relationship.
    Heta gautambhai Vyas
    Sir that's true, agree.
    But I want to know whether it's having some role to maternal angiogenesis during pregnancy.
  • Rodney E. Rohde added an answer:
    2
    Does anyone have a reliable qPCR lab for a molecular diagnostic MLS course?
    I teach a senior level Medical Laboratory Science Molecular Diagnostics course. I am looking for a reliable (results reproducible) kit that I might purchase to teach to senior level undergraduates.
    Rodney E. Rohde
    Thanks Ehsan!
  • Krishnan Umachandran added an answer:
    5
    How do you bridge the education-industry gap in nursing practice through graduate education?
    Constant change in health environment impact nursing practice and education and creates gap. Change demands Graduate education to adapt and innovate to bridge the gap to maintain the balance between education and industry and promote quality health care.
    Krishnan Umachandran

    Grants, scholarships, tuition vouchers, and loan reimbursements, designed to lower the cost of a nursing education, have also tended to depress starting wages. This is because nursing graduates who receive subsidized education through these programs are willing to, or in some cases are required to, work for lower starting wages than they would without the subsidies.As a result all nursing graduates are lower, including for those who did not receive a subsidy for their education through the government programs.

  • Marcus McDonald added an answer:
    6
    For those who are in healthcare education, how are you integrating iPads in human simulations?
    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
    Marcus McDonald
    Our approach has roughly been to develop e-learning tools that may be used via the iPad or a range of devices. It seems to come down to the BYOD arguments. Grainne Conole is just written a paper on using Ipads with med students. no link sorry
  • Tony Dowden added an answer:
    8
    Why does plagiarism exist in the so called elite medical and para medical professionals?
    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
    Tony Dowden
    I agree with a number of the sentiments already expressed. Morality, or lack of it, is not reserved for particular professions, so I would be surprised if 'teaching professional ethics from day one' makes much difference to the incidence of plagiarism. I'm sure we would love to think it would, but there is little solid evidence to indicate this works. Instead, the learning & teaching literature is supportive of purposively designing assessment to minimise plagiarism. An obvious approach is to refresh assessment items regularly. An approach I favour - and have had some success with - is using a 'boutique' principle where students are required to utilise specific resources and apply their knowledge to a specific context. This is an especially good defence against 'cut-and-paste' plagiarism. In addition, the literature indicates there is a fair amount of so-called unintentional plagiarism. As Wendy also indicates, it is therefore necessary to provide students with resources that explain what plagiarism is and how it should be avoided. Many institutions do this at a systemic level - by attaching information about plagiarism to assignments - but I think it is good to find time to discuss the issue with first-year students. Here, Mitchell's point about explaining things in 'your own words' is salient.
  • Wendy Kooken added an answer:
    7
    Evaluation of performing art exercises for health professional skills improvement?
    To improve nurse and field health professional relational skills we have run a specific educational intervention that used performing art and theatre (experiential laboratories).
    Has anyone been involved in such experiences before? We are testing different evaluation methodologies but we are still far from understanding what is happening during and after the intervention.
    A focus group, specifically observing greed and individual diary of the experience was conducted and analyzed. In one case, we have also used a controlled observation in a quasy-experimental setting since randomization was not possible.
    Any suggestions, indications or reference suggestions are well-accepted.
    Thanks a lot for the help
    Wendy Kooken
    It may be appropriate for you to consider using qualitative methodology as well. In a recent article my colleagues and I outline a strategy for measuring change in student nurse attitudes towards clients who are homeless. Such an idea might be helpful.

    Worlds apart in the same town? A qualitative comparison of pre- and post-clinical themes assessing student nurse perceptions of homeless, mentally ill clients.

    Wendy C Kooken, Julie K Baylor, Kelly R Schwend
    Illinois Wesleyan University, 1312 Park Street, STV 214, Bloomington, IL 61701, United States. Electronic address: .
    Nurse education today (Impact Factor: 0.91). 07/2013; DOI:10.1016/j.nedt.2013.06.005
    Source: PubMed
    Edit
    ABSTRACT Student nurses' negative attitudes towards men who are homeless and mentally ill disrupt development of therapeutic relationships. Without therapeutic relationships these men may feel stigmatized. Assessing student attitudes allows for insights to improve students' abilities to develop therapeutic relationships. The purpose of this research was to assess student nurses' pre- and post-perceptions towards homeless mentally ill clients during a mental health clinical through analysis of pictorial data. Data was analyzed through a qualitative, phenomenological method. On the first and last days of clinical experience, students were asked to draw a picture in response to the question: "How far apart are you from these men?" We analyzed pre- and post-drawings separately and changes were compared. Four pre-attitude themes and two post-attitude themes were identified. Pre-attitude themes demonstrated student drawings as geographically distanced from the clients and living in two different worlds. Post-drawings reflected themes where clients and students were under the same roof and often physically touching. We suggest using this easily reproducible, inexpensive method to gain insights into student attitudes. The difference in the drawings objectively demonstrates the effectiveness of clinical experiences in changing student nurse attitudes towards men who are homeless and mentally ill.
  • Cheryl J. Eschenfelder added an answer:
    14
    How to engage non-participating students on a virtual learning platform?
    It is relatively easier to observe and get cues from students who are not participating in a face-to-face class compared to an online course. It may be because the student is shy, needs motivation or has a different learning style; and it is a real skill for the online instructor to engage the student accordingly. How can one learn this difficult yet very important attribute for online teaching?
  • Francine Hekelman added an answer:
    8
    Is it acceptable for medical practitioners to refuse to participate in procedures they feel are harmful, wrong, or unethical?
    Amidst the plurality of values, ethical collision arises when the values of individual health professionals are dissonant with the expressed requests of patients, the common practice amongst colleagues, or the directives from regulatory and political authorities. When health providers disagree with their patients, colleagues, or regulatory professional bodies about the suitability of specific types of care, there are conflicting views on whether such health providers should be forced to violate their conscience, or punished if they refuse to do so.
    Francine Hekelman

    Stephen, I think you might look at what State Boards of Nursing indicate in relation to legal issues and as for ethical issues you might examine the field of bioethics in nursing and medicine

  • Dr. Syed Javaid Khurshid added an answer:
    13
    Do you think that there is a relationship between healthy food and the level of students' learning?
    Is considered a health food necessary for any human being to enjoy good health, so how about if associated with education.
    Dr. Syed Javaid Khurshid
    absolutely yes. A lot of work is already published on it.
  • Nitish Ranjan added an answer:
    15
    How can a good question be described?
    I usually find students complaining from questions. This is normal, but the problem of this question based on the logic of building the question itself. Sometimes, language is a barrier, sometimes, the question is not well targeting the required answer. The questions sometimes are written quickly. So, how do you share experience in this regard? And do you think question's bank is a good idea?
    Nitish Ranjan
    Any question which helps in better understanding of subject matter and concept is a good question for me.

    Regards,
    Nitish
  • Laurie Bourdeaux added an answer:
    3
    What is the best resources to study for USMLE exams?
    Kaplan books, text books, first asid?
    Laurie Bourdeaux
    Blackwell's Boards and Wards series is also popular with our students.
  • Maria Rosa Fenoll-Brunet added an answer:
    8
    Could anyone suggest readings on student engagement in higher education, or does anyone know a research done on this topic?
    I am researching the class room engagement of student nurses in the class room vs the clinical setting.
    Maria Rosa Fenoll-Brunet
    In higher education there is growing interest in student engagement.
    A programme has been initiated to recognise international excellence in medical schools. One of the aims is to recognize institucional iniciatives promoting Student engagement in the currículum and in the Medical School. You can find more information at:
    www.aspire-to-excellence.org
  • Hemanta K. Baruah added an answer:
    2
    Is university education moving from promoting scholarship to mass production?
    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.
    Hemanta K. Baruah
    Universities now a days focus more not on researches but on awarding degrees.
  • Uday Nair added an answer:
    4
    What are the latest research interest in special education,gifted education and creativity?
    Any interested researcher/ faculty in a joint research?
    Uday Nair
    Making use of 'Ubiquitous technologies' to adapt to varying needs of learners to cater innovation through creativity.
  • Helen Muscat added an answer:
    4
    Is coaching an effective model to enhance professional development for today's health workforce?
    I am reviewing a number of professional development models and would like to know if others have engaged coaching as a professional development model. If so, has it worked, were there any challenges/resistance and what was the take up by staff?
    Helen Muscat
    Like most things, it relies on a good facilitator . So if that is to be you, take some coaching yourself and this will aid you.
  • Imran Siddiqui added an answer:
    36
    How is clinical leadership taught and assessed in your surgical training programme?
    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.
    Imran Siddiqui
    Leadership in general must be included in the earlier phase of the undergrad medical curriculum that might be the part of Learning or Study Skills. Once the graduates are skilled with the leadership qualities, then in postgraduate programs it could have enhanced specialty-wise domain. Further, the workplace based assessment could be very beneficial in assessing clinical leadership in surgical training program
  • Florencia Maldia added an answer:
    18
    What can be done about unethical marketing?
    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.
    Florencia Maldia
    I do not know the marketing laws and standards in context. I’m sharing my thoughts based on my understanding of data provided. I did not find error in terms of therapeutic effect and side effects in Exparel versus bupivacaine. In my understanding of your data the two medications yield similar therapeutic effect and the only difference is the price value in the market Exparel cost $300 and bupivacaine cost $2. Personally I did not find ethical issue or dilemma since there is no harmful effect in human. It’s drug pricing issue. The agency/state regulation on trade and industry needs to address the price cost.

    Your transparency and knowledge contribution are fully appreciated but there is a need to consider related and relevant laws in context because it involves not only the ethical component but also legal component

    I strongly agree with Martin Lenhardt . It is good to consider his suggestion.

    I had similar thinking like yours. Daflon 500 mg venotropic drug for venous insufficiency and venous tone up. Two drug companies market Daflon 500mg with 50% price cost difference. Generic product costs less than branded product. The thinking of some consumer is low drug quality at low cost and high drug quality at high cost. This thinking drives consumers to go for branded drugs. It is the responsibility of the state to regulate and monitor food and drug to protect the consumer's health. Drug products are required for assay test before it is out in the market to protect the consumer’s health.
  • Maryann Ku added an answer:
    29
    Why do most studies in public health, epidemiology, leadership and others target nurses?
    I have noted through reviewing literature that nurses are mostly targeted in these fields. This can be explained through various considerations among which are number of nurses in a health setting is larger compared with other professions, nurses are in the first line between the patient and physicians, etc. what about other professions including physicians, medical technologists, pharmacists. Are the roles of such employees underestimated?
  • Sandrine hegg-deloye added an answer:
    31
    Is there a "use by date" for teaching clinical skills when not practicing those skills anymore other than in simulation?
    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?
    Sandrine hegg-deloye

     Do you know authors who "define" guidelines to maintaining clinical skills for professors and course teaching.

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