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Virtual reality and the transformation of medical education. 虚拟现实与医学教育的转型
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.2019-0036
Jack Pottle
{"title":"Virtual reality and the transformation of medical education.","authors":"Jack Pottle","doi":"10.7861/fhj.2019-0036","DOIUrl":"10.7861/fhj.2019-0036","url":null,"abstract":"<p><p>Medical education is changing. Simulation is increasingly becoming a cornerstone of clinical training and, though effective, is resource intensive. With increasing pressures on budgets and standardisation, virtual reality (VR) is emerging as a new method of delivering simulation. VR offers benefits for learners and educators, delivering cost-effective, repeatable, standardised clinical training on demand. A large body of evidence supports VR simulation in all industries, including healthcare. Though VR is not a panacea, it is a powerful educational tool for defined learning objectives and implementation is growing worldwide. The future of VR lies in its ongoing integration into curricula and with technological developments that allow shared simulated clinical experiences. This will facilitate quality interprofessional education at scale, independent of geography, and transform how we deliver education to the clinicians of the future.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"181-185"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44769752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Not winning is good for you. 不赢对你有好处
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.2019-0038
Tim Young
{"title":"Not winning is good for you.","authors":"Tim Young","doi":"10.7861/fhj.2019-0038","DOIUrl":"10.7861/fhj.2019-0038","url":null,"abstract":"<p><p>While we will all have personal experience of losing, the increasing use of awards has raised concerns that the beneficial effects both of winning and of losing may be diluted. I will explore background concepts of both winning and losing, considering the potential advantages of awards when delivered via a competitive and just structure. Great advantages can come from losing, which are often more significant than those obtained merely through winning. I illustrate this point with my own background and that of the distance learning clinical neurology course that I help run at Queen Square. Finally, I use the example of our course as a way that some challenges currently facing medicine in the matter of neurology numbers can be tackled.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"162-163"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45910171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical leadership fellow schemes for junior doctors: a brief overview of available schemes and how to apply. 初级医生的临床领导伙伴计划：可用计划的简要概述以及如何应用
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.2019-0030
Helen Grote, Joanna Smith, Jayne Little, Michelle Horridge
{"title":"Clinical leadership fellow schemes for junior doctors: a brief overview of available schemes and how to apply.","authors":"Helen Grote, Joanna Smith, Jayne Little, Michelle Horridge","doi":"10.7861/fhj.2019-0030","DOIUrl":"10.7861/fhj.2019-0030","url":null,"abstract":"<p><p>Medical training in the UK provides limited exposure to formal training in leadership and management, and yet the role of a consultant or general practitioner requires such skills which deal with commissioning arrangements, service transformation, quality improvement, Care Quality Commission visits, complaints and supervision of junior colleagues. A number of clinical fellowships in leadership now exist to bridge this gap, and provide training in leadership and management, together with experiential learning in a complex organisation. Well-established leadership schemes suited to junior doctors include the National Medical Director's Clinical Fellow Scheme, the Royal College of Physicians' chief registrar scheme, the Darzi Fellowship scheme and local schemes run by Health Education England. Here we describe and compare our experience of these schemes, and outline what junior doctors should consider when applying for a clinical fellowship.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"172-176"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49651441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
There is no 'I' in team but there may be a PA. 团队中没有“我”，但可能有PA
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.2019-0039
Jeannie Watkins, Kate Straughton, Natalie King
{"title":"There is no 'I' in team but there may be a PA.","authors":"Jeannie Watkins, Kate Straughton, Natalie King","doi":"10.7861/fhj.2019-0039","DOIUrl":"10.7861/fhj.2019-0039","url":null,"abstract":"<p><p>Physician associates (PAs) are a relatively new medical professional group working as part of the multidisciplinary team to deliver patient care. This article aims to look at how PAs can work effectively in teams, highlighting the benefits and current working practices of PAs across the NHS and address the concerns and challenges raised.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"177-180"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46439240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum: Staring into the crystal ball. 勘误表：凝视水晶球
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.cor-6-3a
Tom Downes
{"title":"Corrigendum: Staring into the crystal ball.","authors":"Tom Downes","doi":"10.7861/fhj.cor-6-3a","DOIUrl":"10.7861/fhj.cor-6-3a","url":null,"abstract":"<p><p>[This corrects the article on p. 90 in vol. 6.].</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":" ","pages":"220"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47281696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development of a GMC aligned curriculum for internal medicine including a qualitative study of the acceptability of 'capabilities in practice' as a curriculum model. 开发与GMC一致的内科课程，包括对“实践能力”作为课程模式的可接受性进行定性研究
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.2018-0016
Shuaib Quraishi, Winnie Wade, David Black
{"title":"Development of a GMC aligned curriculum for internal medicine including a qualitative study of the acceptability of 'capabilities in practice' as a curriculum model.","authors":"Shuaib Quraishi, Winnie Wade, David Black","doi":"10.7861/fhj.2018-0016","DOIUrl":"10.7861/fhj.2018-0016","url":null,"abstract":"<p><p>The Shape of Training review and the General Medical Council (GMC) requirements in demonstrating generic professional capabilities were major drivers for the Joint Royal Colleges of Physicians Training Board (JRCPTB) to develop the new internal medicine curriculum. In particular, the GMC required progression to a more outcomes-based curriculum. The present curricula for physician training are based on demonstrating a large number of individual competencies that are assessed by a variety of different methods. It was felt that current system was overwhelming and had become a 'tick box' exercise. The new curriculum is based on a much smaller number of outcomes, called capabilities in practice, which reflect the key professional work activities of a fully trained physician. The aim is to re-emphasise the role of professional judgement in 'trusting' the work a trainee does and thus make assessment more realistic and meaningful for both trainees and trainers. The proof of concept study explored the feasibility of using this outcomes-based model of assessment in a UK NHS setting. The learning from the study has enabled us to make significant changes to the internal medicine curriculum. The GMC has recently approved the curriculum and the JRCPTB is implementing the programme from August 2019.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43305327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrigendum: Change, change, change. 更正:改变，改变，再改变
Future hospital journal Pub Date : 2019-10-01 DOI: 10.7861/fhj.cor-6-3
Kevin Fox
{"title":"Corrigendum: Change, change, change.","authors":"Kevin Fox","doi":"10.7861/fhj.cor-6-3","DOIUrl":"10.7861/fhj.cor-6-3","url":null,"abstract":"<p><p>[This corrects the article on p. 85 in vol. 6.].</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"6 1","pages":"220"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6798012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47143629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consultant job planning for a 7-day service. 7天服务的顾问工作计划。
Future hospital journal Pub Date : 2017-02-01 DOI: 10.7861/futurehosp.4-1-33
Matthew Lewis
{"title":"Consultant job planning for a 7-day service.","authors":"Matthew Lewis","doi":"10.7861/futurehosp.4-1-33","DOIUrl":"10.7861/futurehosp.4-1-33","url":null,"abstract":"<p><p>At a time of competing demands on the National HealthService (NHS), systematic consultant job planning is necessary to ensure that limited resources are being used productively, especially with the prospect of expanded 7-day services. Based on a presentation to the Royal College of Physicians Annual Conference in March 2016, a broad overview of job planning is presented, together with more specific examples relating to acute medicine and gastroenterology/general medicine.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"4 1","pages":"33-36"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484158/pdf/futurehosp-4-1-33.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Tomorrow's leaders - the role of leadership in medical -education and training. 明天的领导者--领导力在医学教育和培训中的作用。
Future hospital journal Pub Date : 2017-02-01 DOI: 10.7861/futurehosp.4-1-49
Jacky Hayden
{"title":"Tomorrow's leaders - the role of leadership in medical -education and training.","authors":"Jacky Hayden","doi":"10.7861/futurehosp.4-1-49","DOIUrl":"10.7861/futurehosp.4-1-49","url":null,"abstract":"<p><p>Delivering safe, high-quality patient care is dependent on high-quality clinical leadership. The General Medical Council has outlined the capabilities expected to be achieved through the medical curricula leading to full registration and Certificate of Completion of Training but our training programmes are not yet consistent on how the capabilities are best acquired. Trainees can begin by understanding their own strengths and reflecting on how they interact in the team; trainers can use existing opportunities to enable greater and more specific learning on how to lead across all the opportunities available during routine clinical activity. Some trainees may wish to expand on their leadership portfolio through national and local fellowships; however, all doctors need to understand how to lead in different situations to ensure the safest possible patient care.</p>","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"4 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484155/pdf/futurehosp-4-1-49.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37246561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Valuing the workforce who value their patients. 重视重视病人的员工。
Future hospital journal Pub Date : 2017-02-01 DOI: 10.7861/futurehosp.4-1-3
Ed Nicol
{"title":"Valuing the workforce who value their patients.","authors":"Ed Nicol","doi":"10.7861/futurehosp.4-1-3","DOIUrl":"https://doi.org/10.7861/futurehosp.4-1-3","url":null,"abstract":"I have found writing this editorial a real challenge; I have found myself besieged by a range of conflicting emotions and reactions when reading both the articles in this edition of the FHJ and the wider press, as well as during and after conversations with colleagues about the state of the NHS today. When the Editorial Board commissioned this edition, focusing on trainees and junior consultants, we had no idea of the changes that would be affecting the healthcare landscape today, nor the pessimistic narrative that appears to beset the cadre we highlight. By dint of the subject matter, this is a more hospital-based and physician-orientated edition than many; however, the articles within it are pertinent to the wider healthcare service, both hospital and non-hospital based.\u0000\u0000Reading the mainstream media, one would be forgiven for thinking we are in the midst of a total financial meltdown of the NHS and that the wider medical workforce is disenfranchised, demotivated and entirely self-serving. Based on my observations of the last few months, …","PeriodicalId":92635,"journal":{"name":"Future hospital journal","volume":"4 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7861/futurehosp.4-1-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37250689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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