Medical education, web and internet最新文献_第3页

Students’ knowledge of COPD: projects ASCO-1 and ASCO-2 results comparison 学生COPD知识:ASCO-1与ASCO- 2项目结果比较

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1485

R. Bontsevich, T. Filinichenko, A. Gavrilova, K. Shchurovskaya, G. Batisheva, N. Goncharova, G. Ketova, V. Barysheva, O. Myronenko, O. Kompaniets, E. Miliutina, A. Mikhno, Zhanna Zhdanova

{"title":"Students’ knowledge of COPD: projects ASCO-1 and ASCO-2 results comparison","authors":"R. Bontsevich, T. Filinichenko, A. Gavrilova, K. Shchurovskaya, G. Batisheva, N. Goncharova, G. Ketova, V. Barysheva, O. Myronenko, O. Kompaniets, E. Miliutina, A. Mikhno, Zhanna Zhdanova","doi":"10.1183/13993003.congress-2019.pa1485","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1485","url":null,"abstract":"The Aim: of study is to assess the dynamics of medical undergraduates’ knowledge of COPD basics. Materials and Methods: Following up our multicenter research ASCO-1 (‘14-‘16), conducted in 5 Russian cities, which 213 medical students of higher grades were tested in, we started ASCO-2 project in 2017. Currently, we obtained the results from 221 undergraduates tested in 5 Russian and Ukrainian centers. The knowledge of COPD basics such as definition, pathogenesis, diagnostics and treatment was evaluated by using 19-single-choice-questions survey. Results: The average level of correct answers in both groups (ASCO-1 and ASCO-2) was not significantly decreased (54.5%-47.6% respectively, p>0.05), and varied from 20.2%-23.3% to 74.6%-81.1% in different questions. The most difficult question was still related to the statement about influenza vaccination role in the control of COPD exacerbations (20.2%-23.3%, p>0.05). There was a significant improvement in knowledge on such aspects as COPD risk factors (52.6%-81.1%, p 0.05), spirometry as a diagnosis confirmation method (62.0%-76.7%, p 0,05). Conclusion: It was revealed that despite the availability of plenty training and scientific literature in the area of COPD, the level of knowledge remains unsatisfactory. Thus, COPD subject should be studied more thoroughly in higher schools.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"1 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":"133626019","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

Improving our patients’ understanding of their asthma 提高患者对哮喘的认识

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1486

E. Heiden, M. Rason, J. Marshall, J. Gates, D. Lodge, R. Harvey, Matthew T Jones, T. Brown, A. Chauhan, S. Babu, H. Rupani

{"title":"Improving our patients’ understanding of their asthma","authors":"E. Heiden, M. Rason, J. Marshall, J. Gates, D. Lodge, R. Harvey, Matthew T Jones, T. Brown, A. Chauhan, S. Babu, H. Rupani","doi":"10.1183/13993003.congress-2019.pa1486","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1486","url":null,"abstract":"Introduction: The Portsmouth Asthma Service serves a population of over 675,000 people. We regularly identify patients who do not understand their asthma; as a result they lack confidence to seek advice or ask questions about their condition, resulting in a reliance on healthcare providers to manage symptoms and subsequent poor asthma control. Poorly controlled disease can lead to frequent exacerbations, impairing the patient’s quality of life and increasing their risk of premature death. Method: We undertook an appreciative exercise to identify the main gaps in our patient’s understanding of their asthma. We held focus groups with clinic patients to explore their understanding of asthma and to identify potential educational interventions to improve their confidence to manage their symptoms. Results: The majority of patients were unable to define asthma as a condition and responses included “terrifying and life-threatening” and “frustrating and depressing”. Patients felt that there was a lack of educational resources available in the clinic, they did not know where to seek advice and suggested that written information to share with family would be beneficial. They identified that a poor understanding of their condition prevented them from being able to make decisions about their asthma management. In collaboration with patients, we designed asthma information leaflets and a poster to display in the waiting room. Conclusion: Feedback was overwhelmingly positive. As a result of their improved understanding, patients felt empowered to ask questions about their diagnosis and management and felt confident to self-manage symptoms. We will ensure that asthma education remains a prominent and sustainable aspect of the care we provide our patients.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"1 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":"114323445","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

Level of expertise in TB diagnosis among general practitioners 全科医生在结核病诊断方面的专业水平

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1480

M. Jakimova, V. Punga, O. Komissarova

{"title":"Level of expertise in TB diagnosis among general practitioners","authors":"M. Jakimova, V. Punga, O. Komissarova","doi":"10.1183/13993003.congress-2019.pa1480","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1480","url":null,"abstract":"Background: Errors in TB diagnosis made by the general practitioners (GPs) lead to the development of severe, chronic, dangerous epidemiological forms of the disease among the population of the Russian Federation. Material and Methods: The training center performed a single-step online testing of 312 GPs to assess their knowledge of diagnostic criteria for TB detection. The test contained 27 questions regarding patient complaints, history, clinical manifestations and tests required for a referral to a specialized TB facility Results: A high level of knowledge (85% or more correct answers) was reported only in 31.6% of physicians who correctly evaluated patient conditions resulting in a low probability of developing severe forms of tuberculosis. Poor level of knowledge - less than 30% of correct answers - was observed in 42.3% of GPs who had some gaps in knowledge about tuberculosis and its diagnostics and did not use the evaluation algorithms for patients with presumed pulmonary TB in their practice. Poor training of GPs in TB diagnosis has an impact on the epidemiological situation in the country. This group of physicians was invited to take a thematic course in the framework of a special 20-hour training program (webinar). The training outcomes will be evaluated and reported in 6 months. Conclusions: There is a need for systematic training in modern approaches to TB diagnosis as part of the curriculum of the Medical universities and advanced training courses in phthisiology.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"9 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":"114596717","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

Assessing an Educational Intervention to Improve Recognition of Frailty in Hospitalized Patients with COPD 评估教育干预以提高COPD住院患者对虚弱的认识

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1476

N. Diab, Aaron Leblanc, C. Backman, J. Leahy, S. Joanisse, S. Huang, Tammy Pulfer, A. Forster, S. Mulpuru

{"title":"Assessing an Educational Intervention to Improve Recognition of Frailty in Hospitalized Patients with COPD","authors":"N. Diab, Aaron Leblanc, C. Backman, J. Leahy, S. Joanisse, S. Huang, Tammy Pulfer, A. Forster, S. Mulpuru","doi":"10.1183/13993003.congress-2019.pa1476","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1476","url":null,"abstract":"Title: Assessing an Educational Intervention to Improve Recognition of Frailty in Hospitalized Patients with COPD Background: Frailty is common among COPD patients and is associated with poor health outcomes. There is a lack of data regarding the reliability of frailty assessments by frontline hospital staff. Objectives: 1. Design an educational intervention to improve the recognition of frailty among acute-care nurses. 2. Evaluate the inter-rater reliability of frailty assessments among nurses compared to a gold standard (GS). Methods: We conducted a mixed-methods study with 27 Registered Nurses (RNs) on a respiratory hospital ward. RNs evaluated 10 clinical vignettes and assigned a frailty score to each using the validated Clinical Frailty Scale (1=well to 8=terminally ill). A 1-hour frailty educational intervention was delivered to RNs. 1-week later the RNs assigned ratings to the same 10 vignettes. Fleiss Kappa were used to determine agreement between RN and GS ratings for each case. Results: For all scored cases, kappa measurements increased post-education compared to pre-education or remained stable in the case of frailty rating 3. No RN was able to identify vignettes with a GS frailty rating of 8 (Table 1). Conclusion: A 1-hour frailty educational intervention improved RNs ability to provide reliable frailty ratings among patients with COPD. Frailty rating of 8 was difficult to recognize among RNs.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"38 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":"121032973","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

Audience response systems may help build confidence and competence in diagnosing and managing asthma 受众反应系统可能有助于建立诊断和管理哮喘的信心和能力

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5346

W. Ricketts, P. Pfeffer, R. Ashworth, A. Hakim

{"title":"Audience response systems may help build confidence and competence in diagnosing and managing asthma","authors":"W. Ricketts, P. Pfeffer, R. Ashworth, A. Hakim","doi":"10.1183/13993003.congress-2019.oa5346","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.oa5346","url":null,"abstract":"Background: Correct interpretation of lung function tests is essential for diagnosis and management of common respiratory diseases. Medical students enrolled at Barts and the London, QMUL, receive a series of teaching sessions describing management of respiratory diseases prior to attendance on respiratory wards. However, a proportion of students struggle to apply managment algorithms to aid clinical decision making in real-life patients. Previous studies suggest that audience response systems (ARS) may aid decision making. We hypothesized that the use of an ARS may improve confidence and competency amongst medical students when undertaking clinical decisions or interpreting lung function tests. Methods: Chest physicians and medical science lecturers collectively designed a new teaching session using an ARS, Mentimeter, which required students to manage a patient that was referred to the respiratory clinic. In a step-wise manner, students were presented with the patient’s medical and physical history, followed by lung function results. At each stage of the presentation, students were questioned to assess their clinical decision making/interpretation of lung function results. Students’ view of the interactive teaching session using ARS were surveyed using a 5-point Likert scale. Results: Following the ARS teaching session, 70 and 97% of students strongly agreed/agreed that they felt more confident in analysing spirometry data and developed a better understanding of clinical-decision making in asthma management, respectively. Discussion: Utilising an ARS can help build medical students’ confidence and clinical decision making, and insights for future clinical study.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"15 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":"133717132","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

Evaluating e-consultation implementation in Sleep Apnoea-Hypopnoea Syndrome (SAHS) 评估睡眠呼吸暂停-低通气综合征(SAHS)的电子咨询实施情况

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5344

Marcos Zuil Martin, L. Pérez, N. Sánchez, P. Clavería, A. Castanera, M. A. Santolaria, J. Lázaro, M. Rosell, A. Boldova, J. Carretero

{"title":"Evaluating e-consultation implementation in Sleep Apnoea-Hypopnoea Syndrome (SAHS)","authors":"Marcos Zuil Martin, L. Pérez, N. Sánchez, P. Clavería, A. Castanera, M. A. Santolaria, J. Lázaro, M. Rosell, A. Boldova, J. Carretero","doi":"10.1183/13993003.congress-2019.oa5344","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.oa5344","url":null,"abstract":"Background: Access to specialist advice remains a barrier for many Primary Care Providers (PCP). We’ve developed an electronic consultation system based on a secure web-based tool as an alternative to traditional consultation. We decided to focus this e-consulting on SAHS as it was deemed to be representative of a high prevalence syndrome. Aims: to study the implementation of an e-consultation service between PCP and a Respiratory Unit as a first consultation about SAHS. Methods: Prospective and pilot study of a secure, web-based e-consultation, from the Regional Health Care Service in Aragon (Spain), developed between our Respiratory Unit and PCP, included in the Hospital health area (250,000 patients per area). Web-messaging via the Internet were sent from PCP and replied by a pneumologist designated for that purpose. The e-consult cycle time was completed within 72 hours. This study took place from March 1, 2018 to December 28, 2018. Results: Total pulmonary consultations: 1357 SAHS related consultations: 433 (31,9%). Answers provided by the specialists (about SAHS):\u0000 –235 cases (54,2%) underwent directly to home poligraphy (as STOP BANG questionnaire filled out by PCP >4) –17 cases were submitted for treatment, since they reported poligraphic studies carried out previously –7 cases were refused as SAHS –In 60 cases more information was required –114 cases were included as questions about other items Conclusions: The implementation of e-consultation service, increase access to specialty clinics, improve the quality of consultation, reduce the wait times for patients and can lead to overall cost savings for the health care system in a high prevalence syndrome such as SAHS","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"30 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":"133763823","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

Role of Social Media in exploring parental expectations regarding usage and providing education on nebulized medication in children 社交媒体在探索家长对儿童雾化药物使用的期望和提供教育方面的作用

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5342

M. Craiu, I. Stan, V. Comanici

引用次数: 1

Late Breaking Abstract - An ethnographic study on respiratory physicians’ communicative repertoire 摘要:呼吸内科医生沟通技巧的人种学研究

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.oa5340

Carolin Sehlbach, P. Teunissen, F. Smeenk, E. Driessen, M. Govaerts, Gernot G. U. Rohde

引用次数: 0

We are not an island - initiating a respiratory trainee research network 我们不是一个孤岛——启动一个呼吸实习生研究网络

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1471

A. Dipper, H. Morrison, Rachel Jones, P. Mitchelmore, H. Welch, Ryan Miller, R. Bhatnagar, J. Corcoran, Michael A. Gibbons, J. Fallon

{"title":"We are not an island - initiating a respiratory trainee research network","authors":"A. Dipper, H. Morrison, Rachel Jones, P. Mitchelmore, H. Welch, Ryan Miller, R. Bhatnagar, J. Corcoran, Michael A. Gibbons, J. Fallon","doi":"10.1183/13993003.congress-2019.pa1471","DOIUrl":"https://doi.org/10.1183/13993003.congress-2019.pa1471","url":null,"abstract":"Introduction: Trainee Research Networks (TRNs) are established in other specialities, producing high quality, greater impact work by collaborating across multiple sites [1]. South West England has a population of over 5 million [2], with 39 respiratory trainee doctors across 12 hospitals. Aim: To establish a trainee led respiratory research network across SW England, with representation in all regional hospitals. Method: A constitution was drafted based on existing successful TRNs. This was presented at a regional trainee meeting with senior representation from the SW Anaesthetics TRN. Trainees were invited to read the constitution and enrol. Committee positions were advertised to all members. Results: 21 respiratory trainees signed up to PRISM (Pulmonary Research Inter Site Matrix) representing 10/12 hospitals in the South West. The network is led by a committee of five trainees. Four Consultant Directors, with links to two university research centres, provide senior guidance. Acknowledging different levels of input from contributors and data ownership rights were the most contentious issues. A project evaluating outcomes from High Flow Nasal Oxygen therapy has launched the network. Conclusion: Trainees are enthusiastic to develop research networks. We initiated our first project within four weeks and recruited patients from ten sites. This model for collaborative research is widely applicable to other regions and specialties. Future challenges include the adoption of a suitable multisite, secure IT system and maintaining momentum for collaborative work. References: [1] RAFT:uniting trainees to undertake national projects RCoA Bulletin May 2014: 52-54 [2] Office for National Statistics ; 2011 Census aggregate data. UK Data Service","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"17 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":"134324565","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

The center for distance learning and monitoring in education of tb specialists and medical students 远程学习和监测结核病专家和医学生教育中心

Medical education, web and internet Pub Date : 2019-09-28 DOI: 10.1183/13993003.congress-2019.pa1470

Sanajr Sultanov, N. Parpieva, K. Mukhamedov

引用次数: 0