Medical education, web and internet最新文献_第2页

COPD.Pal: Using a person-based approach to develop a self-management app for people with COPD 慢性阻塞性肺病。Pal:使用以人为本的方法开发COPD患者的自我管理应用程序

Medical education, web and internet Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.oa2739

L. Knox, R. Gemine, S. Rees, S. Bowen, Phil Groom, David Taylor, Ian Bond, K. Lewis

引用次数: 0

Respiratory upskilling training sessions for redeployed clinical staff in the COVID-19 pandemic 为COVID-19大流行期间重新部署的临床工作人员提供呼吸技能培训课程

Medical education, web and internet Pub Date : 2021-09-05 DOI: 10.1183/13993003.congress-2021.oa2744

N. Smallcombe, A. Sweeney, Filitsa Allwright, Rachel Crisp, H. Mills, R. Gill, W. Ricketts

引用次数: 0

The assessment of physicians’ knowledge of community-acquired pneumonia basics: KNOCAP study 医生对社区获得性肺炎基本知识的评估:KNOCAP研究

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1483

R. Bontsevich, A. Gavrilova, G. Prozorova, O. Myronenko, T. M. Shagieva, O. Kompaniets, V. Barysheva, G. Ketova, E. Luchinina, E. Miliutina, T. Filinichenko, O. Osipova

{"title":"The assessment of physicians’ knowledge of community-acquired pneumonia basics: KNOCAP study","authors":"R. Bontsevich, A. Gavrilova, G. Prozorova, O. Myronenko, T. M. Shagieva, O. Kompaniets, V. Barysheva, G. Ketova, E. Luchinina, E. Miliutina, T. Filinichenko, O. Osipova","doi":"10.1183/13993003.congress-2019.pa1483","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1483","url":null,"abstract":"Objective: To assess physicians’ level of knowledge in clinical picture, diagnosis and treatment of community-acquired pneumonia (CAP) and its comparison with national clinical standards. Material and Methods: Multicenter research (KNOCAP study) was conducted in Russian and Ukrainian cities Belgorod, Saratov, Dnipro, Voronezh, Chelyabinsk, Tambov, Lipetsk and Kuban’ Region during 2017-2018. We assessed 255 physicians in the knowledge of CAP basics by asking them to complete a questionnaire (14 questions). Results: The average level of correct answers totaled 49.6%, and varied from 39.9% to 58.2% in different centers. The most difficult questions were related to an optimal time for control (repeated) X-ray examination on top of positive dynamics of CAP treatment (20.5% of correct answers), CAP main diagnostic character (38.2%), optimal initial CAP therapy in patients without risk factors (24.9%) and patients with risk factors (17.5%); only 34.9% of the physicians surveyed correctly reported typical mistakes in the treatment of a non-severe CAP. The maximum numbers of correct answers were given on the following questions: postpone reasons for CAP antibiotic therapy (85.8%), the efficiency of pneumococcal and influenza vaccination (82.9%), CAP main pathogens (63.8%) and “inaccurate/ amphibolic” diagnosis of CAP in the absence of X-ray examination (62.6%). Conclusions: The results gained in the survey revealed the insufficient level of physicians’ knowledge in management of patients with CAP. On the one hand, a number of issues need to be considered more carefully, on the other hand, educational activities have to be conducted among physicians of medical and preventive treatment facilities.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124819013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Improving the standard of practical pleural procedures teaching for junior doctors: A quality improvement project 提高初级医师胸膜实务教学水平:一项质量改进工程

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1472

Junyi Zhang, Adam Loveridge, S. Mahendran

{"title":"Improving the standard of practical pleural procedures teaching for junior doctors: A quality improvement project","authors":"Junyi Zhang, Adam Loveridge, S. Mahendran","doi":"10.1183/13993003.congress-2019.pa1472","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1472","url":null,"abstract":"Introduction: Junior doctors in the UK are required to gain pleural procedural competencies during their 2-3 year core training program, but their exposure to these are highly variable and they struggle to meet their curriculum requirements. Objectives: By scheduling attendance at pleural clinics for our trainees, we aimed to formalise and improve the overall quality of pleural procedural teaching and increase their confidence at performing and caring for patients undergoing these procedures. Action: All 11 core trainees at Kingston Hospital were invited to attend consultant delivered pleural clinics between February and August 2018. Questionnaires were completed pre and post intervention to measure the trainees’ experience and their confidence level regarding various aspects of pleural procedural management. Outcome: Pre intervention, 0 of the 11 trainees had received regular bedside teaching of pleural procedures and only 2 trainees felt their training requirements had been met adequately by their exposure so far. Post intervention, all trainees felt their training requirements for pleural procedures had been met. Their self reported confidence levels across all aspects of medical pleural procedures had increased; including pleural procedure indications, equipment use, procedural skills and management of complications. Conclusion: Through this simple intervention we have successfully improved the confidence of our trainees in performing and caring for patients undergoing practical pleural procedures. This intervention was effective, cost-neutral and can be easily adapted to other practical procedures and services in which a daycase or outpatient service is already established.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122740335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical registrar experience of chest drains - a stab in the dark? 注册医生胸部引流的经验-在黑暗中捅刀子?

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5347

F. Conway

引用次数: 0

Improving education through a national blended learning program for caregivers and informal caregivers of home mechanical ventilation patients in the Netherlands. National Education Program for Home Mechanical Ventilation in the Netherlands 通过荷兰家庭机械通气患者护理人员和非正式护理人员的国家混合学习计划改善教育。荷兰家庭机械通气国家教育计划

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5345

S. Steijns, M. Gol, N. Kalkman, C. J. Roosekrans, M. Thió, A. Veldhorst, I. Sinnema

引用次数: 0

Team Based Learning is a helpful strategy for teaching respiratory guidelines to Trainee Medical Doctors 以团队为基础的学习是向实习医生教授呼吸指南的有效策略

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1488

D. Draicchio, A. Choudhury, J. Alcolado

{"title":"Team Based Learning is a helpful strategy for teaching respiratory guidelines to Trainee Medical Doctors","authors":"D. Draicchio, A. Choudhury, J. Alcolado","doi":"10.1183/13993003.congress-2019.pa1488","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1488","url":null,"abstract":"Background: Compliance with clinical practice guidelines is sub-optimal. Guidelines are often taught in a didactic method that does not favour a greater depth of understanding. Team Based Learning (TBL) is a five step educational strategy which aims to promote greater retention of knowledge. Methods: Two Respiratory guidelines of key clinical importance were chosen as the teaching subject matter - The BTS guidelines for Oxygen use in adults 2017 and the BTS/SIGN Asthma guidelines 2016. Teaching was delivered via two one-hour sessions to Foundation Year two Doctors. Preparatory reading materials were sent out in advance. Trainees were split into small working groups and asked to complete two attempts of a 20 MCQ test (individually and then in groups). Answers were given through a facilitator led slide presentation with open participant discussion. Deeper learning was facilitated through a detailed case summary with critique of four potential management plans. Results: Feedback was collated from an immediate post-session questionnaire and then afterwards using a Likert rating scale. 100% of participants felt that the objectives of the session were identified and met and that delivery was effective. Doctors were asked to identify any advantages to using the TBL methodology - 42% stated increased session engagement in their free text answers. The same question was asked for disadvantages – the most common theme (35.7% of answers) was increased time of the session. Conclusions: TBL was felt by trainees to be a positive way to learn and embed new knowledge. Further research is needed to see if TBL methods increase the likelihood of guideline adherence in clinical practice.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130497719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Late Breaking Abstract - Training thoracic ultrasound skills: a multicentre, blinded, randomized controlled trial of simulation-based training versus training on healthy figurants 摘要-训练胸部超声技能:一项多中心、盲法、随机对照试验，基于模拟的训练与健康人的训练

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5341

P. Pietersen, Rasmus Jørgensen, O. Graumann, L. Konge, S. Skaarup, H. H. L. Schultz, C. Laursen

引用次数: 0

Artificial Intelligence applied to asthma biomedical research: a systematic review 人工智能在哮喘生物医学研究中的应用:系统综述

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1482

A. Malva, F. Arpinelli, G. Recchia, C. Micheletto, Robert Alexander

{"title":"Artificial Intelligence applied to asthma biomedical research: a systematic review","authors":"A. Malva, F. Arpinelli, G. Recchia, C. Micheletto, Robert Alexander","doi":"10.1183/13993003.congress-2019.pa1482","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1482","url":null,"abstract":"Introduction: A major application of Artificial Intelligence (AI) is to uncover relevant information from big data. This technology could play major roles in medicine, such as identification of new targets, discovery of new molecules, diagnostics, therapy selection, risk prediction and stratifying disease. Aims and Objective: To provide a review of existing algorithms for the application of AI in research and medical management of asthma. Methods: We performed a systematic review of English scientific articles, using the PubMed database, until Dec. 2018. Search terms included AI, machine learning, deep learning in single combination with asthma term. We included papers focused on human asthma, based on machine learning algorithms. Results: We selected 136 papers on 253 found after excluding duplicated and papers which did not meet inclusion criteria. 52 (40%) regarded the application of AI in asthma pathway analysis, phenotype and biomarker identification, 77 (56%) involved AI in asthma diagnosis, early prediction of exacerbations and predicting control, 7 (5%) are related to AI as support to the management and personalization of the treatment. Conclusions: Standard validation method of these technologies has not been established and data used in each work originate from different sources. Hence it is impossible to perform a direct outcome comparison of selected articles for each application. Evidences of AI confirmed proof of concept, but in order to transfer AI to clinical practice a systematic evaluation of properties, effects, and impacts of health technology is needed.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134512005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Pulmonary hypertension – an unmet need in undergraduate medical education 肺动脉高压——本科医学教育未满足的需求

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1489

N. Hill, N. Bascon, N. Barnes, B. Madden

{"title":"Pulmonary hypertension – an unmet need in undergraduate medical education","authors":"N. Hill, N. Bascon, N. Barnes, B. Madden","doi":"10.1183/13993003.congress-2019.pa1489","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1489","url":null,"abstract":"Introduction: Pulmonary hypertension (PH) is a fascinating subject which interdigitates with many specialities as the classification of the condition into five groups testifies. Knowledge of the condition is, in our experience, poor among medical students. As doctors, this subject is relevant regardless of future career direction. To address this gap, we have arranged a formal training programme for medical students each term at St George’s University of London. Aim: To improve knowledge in PH among our medical students Methods: For over 10 years medical students have been performing specialist subject modules (SSM) in PH over a term. This involves weekly meetings with Professor Brendan Madden, opportunities to attend Right Heart Catheterisation lists, Computed Tomography scanning, lung function testing, cardiac MRI, PH outpatient clinics, multidisciplinary team meetings and ward rounds. At the end of the study period, each student prepares a 4,000 word PH related project and gives a 5 minute presentation; and provides feedback on the course. The grade attained contributes towards their end of year grade. Results: For the past 10 years, 200 second year medical students (10 students each term, for two terms a year), participated in this course. All rated their experience very useful and reported that the lessons learnt helped them with their future medical cases. Patient feedback was also positive. 70% attained an honours grade. None failed. 7 students presented their work at international scientific meetings. Conclusion: We believe that PH is poorly taught at medical school and projects such as ours helps to address this.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121196744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0