MedWorm: Internships

Social Work and Medical Student Collaboration in Psychosocial Assessments (Weill Cornell Community Clinic)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 07 Feb 2012 05:00:00 +0100

-The Weill Cornell Community Clinic (WCCC) opened its doors on April 2006, and Social Work was an integral part of the clinic since its inception. Each year, a Medical Student Board Member serves as a liaison to the New York Presbyterian Hospital's Social Work Department. -Initially, Social Work Interns, supervised by a licensed Social Worker volunteered to staff the clinic weekly to conduct psychosocial assessments approximately 4 months out of the year. -Since 2010, licensed Social Workers volunteer at the clinic year-round, and Social Work Interns volunteer in their second semester from January-April. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

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Triage Consulting Group: 2012 Career Opportunities

Support for International Change : HIV AIDS — Fri, 20 Jan 2012 16:26:41 +0100

Triage Consulting Group, a San Francisco based financial consulting firm, seeks bright, motivated individuals with a hunger to learn and a willingness to contribute to fill summer internships as well as a full time Associate position! Career potential at Triage is unlimited as we place strong emphasis on promotion from within. Numerous Associates (including notable SIC Alumni) have enjoyed this rewarding career path. So can you. Click the picture for more information! For Juniors entering Senior year: Apply for the 2012 Summer Internship Position For Graduating Seniors: Apply for the full-time Associate position Find out if your school is having an on campus Triage info session by clicking here Follow this link for more information on Triage career opportunities (Source: Support for I...

[Low-income patients: Perception and determinants among medical students.]

Presse Medicale — Thu, 19 Jan 2012 05:00:00 +0100

DISCUSSION: To improve these perceptions, the main proposals are increased contacts with underprivileged populations and the close supervision of the students by their course tutors. PMID: 22264932 [PubMed - as supplied by publisher] (Source: Presse Medicale)

The Adequacy of Dictated Operative Reports

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:48 +0100

Introduction: the surgeon's clinical note has been previously shown to poorly reflect both physician-centered and patient-centered outcomes. We hypothesized that dictated operative reports do not adequately demonstrate surgeons' work-load, preoperative involvement, clinical decision-making or core competencies. Methods: We retrospectively reviewed operative reports in the month of January for the years 2007-2011. Operative reports were dictated by general surgery residents (R1-R5), rotating interns and surgical staff (general, vascular and cardiothoracic). All intern and resident reports were approved by staff surgeons. We qualitatively assessed each for fifteen items that encompassed physician-centered outcomes (preoperative physical exam, preoperative objective data, surgical indications...

Attending Surgeons and Residents Underestimate Their Influence on Medical Students Entering Surgery

Journal of Surgical Research — Sat, 14 Jan 2012 22:29:03 +0100

Introduction: Positive surgical role models have been demonstrated to influence medical students to pursue a career in surgery. However, the perception by the role model of their effectiveness has yet to be examined. in this study, we sought to evaluate the influence of surgical role models on medical student career choice and how these role models perceive themselves. Methods: A voluntary and anonymous survey was distributed to the following: (1) third year medical students at the end of their surgery clerkship, (2) applicants for a residency in general surgery, (3) general surgery residents and (4) attending surgery staff at a tertiary care university hospital during the 2010-2011 academic year. Statistical analysis was preformed using the chi-squared and Cochran–Mantel–Haenszel test...

Medication error - Inadvertent high dose intradermal cloxacillin induced skin necrosis

Indian Journal of Pharmacology — Sat, 14 Jan 2012 05:00:00 +0100

In this report, three patients were given 50 times higher dose of cloxacillin than recommended for skin testing, resulting in pain and necrosis at the site of injection. The error occurred due to wrong dilution of the drug as done by a nursing intern. Some reasons for this could be overtime working, under trained staff, unsupervised nursing interns, complicated and unclear protocols, interpersonal communication gap between health care professionals and also poor availability of ideal resources. Pharmacovigilance centers must alert health care professionals about the significance of reporting medication errors through bulletins and journals. (Source: Indian Journal of Pharmacology)

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Tanzania: 'Sacked' Interns to Resume Duties

AllAfrica News: Health and Medicine — Thu, 12 Jan 2012 05:20:49 +0100

Citizen (Dar es Salaam)-About 100 out of the 229 interns who were recalled by the ministry of Health and Social Welfare after engaging in a strike have been told to return to work at the Muhimbili National Hospital (MNH). (Source: AllAfrica News: Health and Medicine)

Tanzania: Medical Body Faults Recall of Interns

AllAfrica News: Health and Medicine — Mon, 09 Jan 2012 12:11:17 +0100

Citizen (Dar es Salaam)-The Medical Association of Tanzania (MAT) yesterday condemned the decision by the government to recall interns who were involved in a strike last week. (Source: AllAfrica News: Health and Medicine)

Web-based versus traditional lecture: are they equally effective as a flexible bronchoscopy teaching method?

Interactive CardioVascular and Thoracic Surgery — Mon, 09 Jan 2012 05:00:00 +0100

This study compares the traditional live lecture to a web-based approach in the teaching of bronchoscopy and evaluates the positive and negative aspects of both methods. We developed a web-based bronchoscopy curriculum, which integrates texts, images and animations. It was applied to first-year interns, who were later administered a multiple-choice test. Another group of eight first-year interns received the traditional teaching method and the same test. The two groups were compared using the Student's t-test. The mean scores (±SD) of students who used the website were 14.63 ± 1.41 (range 13–17). The test scores of the other group had the same range, with a mean score of 14.75 ± 1. The Student's t-test showed no difference between the test res...

South Africa: MEC Welcomes Healthcare Interns

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 13:08:41 +0100

BuaNews (Tshwane)-KwaZulu-Natal MEC for Health Dr Sibongiseni Dhlomo has appealed to community healthcare interns, who are to be deployed in the province, to give their patients the respect and dignity they deserve. (Source: AllAfrica News: Health and Medicine)

Tanzania: Deal With Intern Grievances

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 05:05:59 +0100

Citizen (Dar es Salaam)-The Medical Association of Tanzania's 48-hour notice to the government to pay striking interns at Muhimbili National Hospital their dues puts at serious risk the lives of hundreds of innocent patients. (Source: AllAfrica News: Health and Medicine)

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Tanzania: Patients Feel Pain of Interns' Strike

AllAfrica News: Health and Medicine — Fri, 06 Jan 2012 04:59:37 +0100

Citizen (Dar es Salaam)-The ongoing strike by interns at Muhimbili and Amana hospitals in Dar es Salaam, as well as at Dodoma Regional Hospital, have paralysed medical services. (Source: AllAfrica News: Health and Medicine)

Transition to life-a sendoff to the real world for graduating medical students.

Teaching and Learning in Medicine — Sun, 01 Jan 2012 05:00:00 +0100

The objectives of this study are to (a) assess baseline experience, knowledge, and comfort of seniors about "real-life" experiences, and (b) assess the efficacy of a 4-hr educational intervention on perceptions of understanding financial planning, real estate choices, intern preparedness, and physician wellness. Acute Care College seniors (classes of 2009 and 2010) attended the intervention after match day and completed a survey to gather demographic data and assess preexisting knowledge and a postintervention survey (1-7 Likert scale). Forty-nine students (45% male; M age = 25.5 years) participated. Prior experiences: 43% no break in education, 51% no full-time job, 38% never signed a rental lease and 94% had not purchased real estate, 90% did not have (or were not aware of having) disabi...

Supervision in Behavioral Health: Implications for Students, Interns, and New Professionals

The Journal of Behavioral Health Services and Research — Wed, 28 Dec 2011 16:44:58 +0100

Abstract Behavioral health providers (BHPs) are trained by their respective programs and professions on the importance of communicating with other professionals around patient care, yet few are trained on how to provide collaborative care and work as part of a team. New clinical innovation models, such as integrated care, punctuate the need to further develop training methods to best equip the next generation of BHPs to work in collaborative settings. Supervision is a tool that students, interns, and new professionals can use to help them navigate new and unfamiliar territory in health care settings. This manuscript will describe the steps of choosing a supervisor, provide elements that must be considered when developing a supervision contract, offer a template for craftin...

SIC’s Stateside World AIDS Day in Review

Support for International Change : HIV AIDS — Tue, 20 Dec 2011 19:12:02 +0100

As you can see from other posts, SIC around the world was very busy! In addition to our events in Tanzania and Southhampton, check out what we’ve been doing Stateside… Cornell’s SIC team hosted a bake sale. Our lovely interns Kelly, Meghan, and Chloe manning the table While at University of Arizona, SIC volunteers hosted an event complete with HIV testing SIC volunteers Michael & Karlie working it for the camera! U of A HIV Testing Our Boston University SICers got involved on campus too! Chloe tabling for WAD at Boston University _____________________________________________________________________________________________________ More in SIC/ WAD in the news: SIC’s World AIDS Day dance party event was mentioned in the Tuscon Weekly put on by our very own Jere...

Attention Graduate Students: Applications for the 2012 EPPLA Are Now Available

Public Policy Reports — Tue, 20 Dec 2011 07:27:32 +0100

Applications are now being accepted for the 2012 AIBS Emerging Public Policy Leadership Award (EPPLA). This award recognizes graduate students in the biological sciences who have demonstrated initiative and leadership in science policy. EPPLA recipients receive first-hand experience at the interface of science and public policy. EPPLA Winners Receive: A trip to Washington, DC, to participate in the Biological and Ecological Sciences Coalition (BESC) Congressional Visits Day, an annual event that brings scientists to the nation’s capital to advocate for federal investments in the biological sciences, with a primary focus on the National Science Foundation. The 2012 event will last for two days and may be held between March and May. The official dates will be announced in 2012. Do...

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50 Years Ago in The Journal of Pediatrics: Relationships of Doctors-in-Training with Pediatric Outpatients

The Journal of Pediatrics — Sat, 10 Dec 2011 19:07:34 +0100

Glaser HH, Lynn DB, Harrison GS. J Pediatr 1962;60:142-43 The authors reported a mixed-methods study of pediatric visits that directly observed the interactions of interns, residents, and fellows with families and evaluated family perspectives via postvisit interviews. Although the interactions were moderately satisfactory for the families, the families’ real needs often were not expressed—an issue that families still face today, as evidenced by the family-centered care movement. Interaction complexity, physician clarity, and positive attributes (eg, responsiveness) increased with physician training. Because visit conditions were assumed to be optimal, the influence of such factors as visit length and continuity in the doctor–family relationship were not explored, but their potentia...

What facilitates the entry of persons with disabilities into South African companies?

Disability and Rehabilitation — Sat, 10 Dec 2011 05:00:00 +0100

Conclusions: Rehabilitation practitioners can inform PWDs on the best strategies for approaching companies. Companies with facilitating factors already in place may also be more willing to employ PWDs and rehabilitation practitioners can target these companies as future employers of PWDs. [Box: see text]. PMID: 22149902 [PubMed - as supplied by publisher] (Source: Disability and Rehabilitation)

UpToDate is the most read medical reference tool - how did Harrison's, Cecil's, etc. manage to lose that war?

Clinical Cases and Images — Fri, 09 Dec 2011 13:47:01 +0100

This the summary of my Twitter discussion with an academic nephrologist (by the way, the founding editor of UpToDate is also a nephrologist):@DrVes: UpToDate is likely the most read medical reference tool, at least in the U.S. - how did Harrison's, Cecil's, etc. manage to lose that war?@kidney_boy (Joel Topf): Reasons for UpToDate winning: Harrison's had no search, and an editorial style that told you about disease but not how to treat it@DrVes: Exactly. It's amazing that those publishing companies didn't realize that they shipped "malfunctioning" product for years, and never fixed it.@kidney_boy (Joel Topf): Harrison's is the great preclinical prof teaching pathophysiology, UpToDate is the smart clinician teaching you how to care for the patient with EBM.@DrVes: UpToDate now has sections ...

Validation of the Revised Physical Therapist Clinical Performance Instrument (PT CPI): Version 2006.

Physical Therapy — Fri, 09 Dec 2011 05:00:00 +0100

CONCLUSION:/b>The results support the PT CPI: Version 2006 as a valid measure of physical therapist student clinical performance. PMID: 22135710 [PubMed - as supplied by publisher] (Source: Physical Therapy)

Attention Graduate Students: Applications for the 2012 EPPLA Are Now Available

Public Policy Reports — Thu, 08 Dec 2011 08:23:25 +0100

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The experience of nursing students in their transition to professional practice: a social phenomenological approach

Texto e Contexto - Enfermagem — Thu, 08 Dec 2011 00:57:17 +0100

This study made it possible to understand the reasons and motives for their actions within the transition process, as well as how a particular social group in a given time and space is integrated into the world of everyday life.Os objetivos deste estudo foram compreender o significado da experiência de aprendizagem de transição do estudante de enfermagem e o significado de suas expectativas de aprendizagem para a futura prática profissional. A abordagem da Fenomenologia Social de Alfred Schutz foi utilizada na condução da pesquisa. Foram entrevistados dez estudantes de internato de enfermagem. A análise compreensiva do tipo vivido permitiu identificar que o estudante sente que, ao assumir responsabilidades, experimenta sofrimento e insegurança devido à falta de conhecimento, não ...

Graduate Student Opportunity in Science Policy

AIBS Classifieds — Fri, 02 Dec 2011 08:35:04 +0100

Applications are now being accepted for the 2012 Emerging Public Policy Leadership Award (EPPLA). This award, presented by the American Institute of Biological Sciences, recognizes graduate students in the biological sciences who have demonstrated initiative and leadership in science policy. EPPLA recipients receive first-hand experience at the interface of science and public policy. EPPLA winners receive: A trip to Washington, DC, to participate in the Biological and Ecological Sciences Coalition (BESC) Congressional Visits Day, an annual event that brings scientists to the nation's capital to advocate for federal investments in the biological sciences, with a primary focus on the National Science Foundation. The 2012 event will last for two days and may be held between March and May....

Preparing for the field: A comprehensive program to train chiropractic students to conduct pre-season sports physicals and manage athletic injuries in high school athletes

Clinical Chiropractic — Thu, 01 Dec 2011 05:00:00 +0100

Introduction: Consistent with calls to improve the clinical training of chiropractic students, a program was initiated to provide supervised, pre-participation sports physicals to the student athletes (SAs) of a local high school. In addition, chiropractic interns (CIs) conduct a weekly injury status review and provide athletic training services during games. (Source: Clinical Chiropractic)

Disinfectant usage in chiropractic practice: From school to private clinic setting

Clinical Chiropractic — Thu, 01 Dec 2011 05:00:00 +0100

Background: Healthcare-related transmission of infectious diseases is a serious cause of concern for public health agencies. Bacterial contaminants on chiropractic treatment tables as well as attitudes and behaviors of chiropractic students have been investigated with respect to disinfection in the college environment in the Unites States; however, no such studies have addressed the attitudes and disinfection practices of chiropractors in the field nor have there been studies examining the bacterial load on treatment tables in the field. We undertook to determine the knowledge, frequency, and uniformity of usage of disinfectants among interns and clinicians at the Canadian Memorial Chiropractic College as well as a cohort of practicing chiropractors in Southern Alberta, Canada. In addition...

Supervising Integrative Psychotherapy in the 21st Century: Pressing Needs, Impressing Possibilities

Journal of Contemporary Psychotherapy — Tue, 29 Nov 2011 22:19:08 +0100

Abstract Supervisors and teachers who are interested in advancing integrative psychotherapy in the 21st century have the dual task of surveying the range of treatment approaches that have been developed and distilling these approaches down to a manageable number of influences that have been found to have the greatest impact on clinical practice over time. It has been proposed that there are four bona fide schools of psychotherapy that would be most useful for comprehensive training and supervision that would contribute to either (a) case conceptualization or (b) the process of clinical interviewing: psychodynamic psychotherapy; cognitive-behavioral psychotherapy; family systems therapy; and, humanistic/client-centered therapy. The goal for such broadly based clinical instruc...

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Attention Graduate Students: Apply for the 2012 Emerging Public Policy Leadership Award

Public Policy Reports — Wed, 23 Nov 2011 07:41:40 +0100

Are there fish in the sea as good as ever came out of it? A response to using the common-pool resource paradigm to resolve the internship imbalance.

Training and Education in Professional Psychology — Mon, 21 Nov 2011 05:00:00 +0100

This article focuses on these issues and some of the efforts of the National Council of Schools and Programs of Professional Psychology to address them. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Training and Education in Professional Psychology)

Shifting the paradigm: Alternative perspectives and solutions to increasing the availability of quality internships.

Training and Education in Professional Psychology — Mon, 21 Nov 2011 05:00:00 +0100

The internship crisis facing the field of professional psychology is complex and multidetermined. The aim of this commentary is to broaden the discussion initiated by Hatcher (2011, The internship supply as a common-pool resource: A pathway to managing the imbalance problem, Training and Education in Professional Psychology, 5, pp. 126–140.) in his article that likens the match crisis to a common-pool resource problem. The authors contend that there are critical issues that must be considered in order to solve the match crisis, namely, the recognized need for a full-scale workforce analysis, the need to increase funding resources, and the recognition of alternative models of internship training. An existing additional pool of vetted high quality internships may not have been fully consid...

Managing the internship imbalance: Response to commentaries.

Training and Education in Professional Psychology — Mon, 21 Nov 2011 05:00:00 +0100

Thirty years' study of economic governance focusing on the management of scarce but renewable resources has demonstrated the need for effective governance systems to prevent degradation of valuable resources. One of professional psychology's most problematic scarce resources is the supply of quality-vetted internships; each year, the resource is subject to increasingly severe overuse. Hatcher's 2011 article used the research on resource management to analyze and propose a governance solution to the internship imbalance problem. This response reviews and responds to issues raised by commentators on Hatcher's article. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Training and Education in Professional Psychology)

Psychology internship training on interventions for children with maltreatment histories.

Training and Education in Professional Psychology — Mon, 21 Nov 2011 05:00:00 +0100

This current study surveyed predoctoral psychology internships' use of empirically supported treatments (ESTs) for children with a history of child maltreatment and their families. Predoctoral psychology internship directors of training were asked to complete an online survey about training offered in treatments for this population. Of the 373 psychology predoctoral child internships contacted, 137 (37%) responded. Results indicated training in at least one EST was provided by 82% of the internships that responded. Training in treatments that have been rated as not yet having sufficient research evidence to be labeled as supported were more likely to occur in non-APA accredited sites (than APA accredited sites) and nonacademic or nonhospital sites (than academic or hospital sites). Further...

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"We Belong to Them": The Costs of Funding for Rape Crisis Centers. - Maier SL.

SafetyLit: All (Unduplicated) — Sun, 20 Nov 2011 00:39:42 +0100

This research explores the transformation of rape crisis centers and whether directors, staff, interns, and volunteers see changes as beneficial or detrimental to rape crisis centers and the victims they serve. Data from 63 interviews with directors, staff... (Source: SafetyLit: All (Unduplicated))

Are patients receiving health promotion advice in the chiropractic teaching clinic setting?: an impact assessment of a brief intervention to increase advising rates and goal setting.

The Journal of Chiropractic Education — Thu, 17 Nov 2011 17:12:02 +0100

CONCLUSION: There are many opportunities for discussing needed lifestyle changes with patients. Patients self-report health behavioral issues related to physical activity, unhealthy weight, diet, stress, and sleep. More can be done in this area by this clinic, but initial assessments of impact from a brief intervention seem to have increased some levels of engagement by interns. PMID: 22069338 [PubMed] (Source: The Journal of Chiropractic Education)

Testing Conceptual Frameworks of Nonexperimental Program Evaluation Designs Using Structural Equation Modeling

American Journal of Evaluation — Wed, 16 Nov 2011 05:00:00 +0100

A theory-driven approach to evaluation (TDE) emphasizes the development and empirical testing of conceptual models to understand the processes and mechanisms through which programs achieve their intended goals. However, most reported applications of TDE are limited to large-scale experimental/quasi-experimental program evaluation designs. Very few (limited) examples of the relevance of TDE to nonexperimental program evaluation designs exist in literature. Using the method of structural equation modeling to analyze data from the Interns for Indiana (IfI) program, this study demonstrates how evaluation practitioners can test logical and sequential relationships among tiers of outcomes of nonexperimental programs, especially programs with limited datasets. The study also describes how the emp...

Attention Graduate Students: Applications for the 2012 EPPLA Are Now Available

Public Policy Reports — Fri, 11 Nov 2011 08:26:38 +0100

Internship Shortage Frustrates Psychology Students

NYT Health — Mon, 07 Nov 2011 21:02:52 +0100

There are not enough accredited openings to go around, undermining the annual process that matches slots with applicants. (Source: NYT Health)

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Cognitive behavioral therapy in practice: treatment delivered by trainees at an outpatient clinic is clinically effective.

Behavior Therapy — Fri, 04 Nov 2011 08:47:16 +0100

In this study, the authors used a benchmarking strategy to compare the outcomes of naturalistic CBT delivered by trainee therapists to those of efficacy and effectiveness studies using primarily professional therapists. Patients (N=249) with mood and anxiety disorders were treated by trainees (primarily by interns and postdocs) using nonstandardized nonmanualized CBT at an outpatient clinic in an urban academic medical center. Changes in anxiety and depression were assessed using effect sizes, reliable and clinically significant change, and benchmarked to efficacy and effectiveness studies. Symptoms of anxiety and depression significantly improved from start to end of treatment. Rates of improvement and recovery compared favorably to those achieved in other studies, with the exception of r...

Criterion-based laparoscopic training reduces total training time

Surgical Endoscopy — Tue, 01 Nov 2011 05:53:28 +0100

Conclusions Criterion-based training of basic laparoscopic skills can reduce the overall training time with no impact on training outcome, transferability or retention of skills. Criterion-based should be the training of choice in laparoscopic skills curricula. Content Type Journal ArticlePages 1-7DOI 10.1007/s00464-011-2005-6Authors Willem M. Brinkman, Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 EJ Eindhoven, The NetherlandsSonja N. Buzink, Faculty of Industrial Design Engineering, Delft University of Technology, Landbergstraat 15, 2628 CE Delft, The NetherlandsLeonidas Alevizos, Department of Surgery, Hippokration Hospital, 114 Queen’s Sofia Avenue, Athens, GreeceIgnace H. J. T. de Hingh, Department of Surgery, Catharina Hospital...

Hyperventilation in Pediatric Resuscitation: Performance in Simulated Pediatric Medical Emergencies

PEDIATRICS — Tue, 01 Nov 2011 04:00:00 +0100

CONCLUSIONS: Hyperventilation occurred in simulated pediatric resuscitation and did not vary according to provider type. Future educational interventions should focus on avoidance of excessive ventilation. (Source: PEDIATRICS)

Intern culture, internal resistance: uptake of peer review in two Australian hospital internship programs.

Australian Health Review — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion. To enhance uptake, peer review should be structured as key to clinical development, and modelled as a professional behaviour by higher-status colleagues. What is known about this topic? In non-clinical settings, peer review can lead to improvements in performance. Studies in the US and Canada have demonstrated that junior doctors in hospital have low rates of uptake of peer review. What does this paper add? In Australia, junior doctors had low rates of engagement with both mandatory and voluntary peer review. Peer review may be resisted because it threatens to undermine the collegiate atmosphere among hospital peers. What are the implications for practice? Peer review should be modelled as professional behaviour by higher-status colleagues, especially registrars and consult...

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Surgical intern survival skills curriculum as an intern: does it help?

American Journal of Surgery — Mon, 24 Oct 2011 04:00:00 +0100

Conclusions: The implementation of a surgical intern survival skills curriculum significantly improved the confidence levels of general surgery interns and seemed to ease the transition from medical student to surgical intern. (Source: American Journal of Surgery)

Scott & White Healthcare is 1 of 3 in Texas to receive workforce development grants

EurekAlert! - Social and Behavioral Science — Tue, 18 Oct 2011 04:00:00 +0100

(Scott & White Healthcare) Scott & White Healthcare in Temple is one of three sites chosen for a $1.6 million initiative to create internships for doctoral psychology students that will help alleviate mental health workforce shortages in Texas. (Source: EurekAlert! - Social and Behavioral Science)

Adapting the Surgical Council on Resident Education (SCORE) Web Portal to Resident and Program Needs at a Large Program

Journal of Surgical Education — Sun, 16 Oct 2011 01:32:17 +0100

The Wright State University (WSU) Integrated General Surgery Residency is a large program accepting 7 categorical residents and 9 preliminary interns annually. WSU and its residents have recently made efforts to improve the quality of surgical education within the program. Success has been multifactorial; however it was also greatly facilitated by the addition of the Surgical Council on Resident Education (SCORE) Web Portal (https://portal.surgicalcore.org/). In our program, we have adapted the SCORE portal to 3 levels of resident education: the program level, within a rotation, and facilitating the teaching of junior residents and medical students by senior residents. (Source: Journal of Surgical Education)

Adherence to guidelines for antibiotic prophylaxis in surgery patients in German hospitals: a multicentre evaluation involving pharmacy interns

Infection — Fri, 14 Oct 2011 15:43:25 +0100

Conclusions The study revealed that many patients do not receive the appropriate antibiotic prophylaxis despite the fact that guidelines are in place. Based on these results, we conclude that PIs may play an important role in antibiotic prophylaxis management. Content Type Journal ArticleCategory Clinical and Epidemiological StudyPages 1-7DOI 10.1007/s15010-011-0204-7Authors C. Hohmann, Department of Medicine, Centre for Drug Information and Pharmacy Practice (ZAPP), Federal Union of German Associations of Pharmacists (ABDA), Jaegerstraße 49-50, 10117 Berlin, GermanyC. Eickhoff, Department of Medicine, Centre for Drug Information and Pharmacy Practice (ZAPP), Federal Union of German Associations of Pharmacists (ABDA), Jaegerstraße 49-50, 10117 Berlin, GermanyR. Rad...

A review of prevocational medical trainee assessment in New South Wales.

Med J Aust — Mon, 03 Oct 2011 04:00:00 +0100

CONCLUSIONS: As currently used by trainees and supervisors, the assessment forms may underreport trainee underperformance, do not discriminate strongly between different levels of performance of trainees or the training system, and do not provide trainees with enough specific feedback to guide their professional development. PMID: 21978350 [PubMed - in process] (Source: Med J Aust)

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Professional issues in Canadian counselling psychology: Identity, education, and professional practice.

Canadian Psychology — Mon, 03 Oct 2011 04:00:00 +0100

The past decade has seen significant growth in counselling psychology's professional identity, increased visibility of the specialization within applied psychology, and advances in doctoral training and accreditation by the Canadian Psychological Association. The current article details professional issues associated with the recent evolution of the field, including the establishment of a strong professional identity for the profession, developments and challenges associated with graduate training (e.g., the limited availability of predoctoral internships), and the implications of the dynamic, changing workplace environment for graduates affiliated with counselling psychology. Recommendations are offered for continued development of the specialization in its Canadian context. (PsycINFO Dat...

Not for resuscitation: more harm than good?

Ir Med J — Sat, 01 Oct 2011 04:00:00 +0100

Authors: Foley D, Cunningham C Abstract Advance directives such as do not resuscitation orders are becoming more common place in Irish Hospitals. A questionnaire was completed by all 44 interns working in St James' Hospital in January 2010 and by 49/50 Senior House Officers in June 2010.3/44 of interns (6%) and 5/49 (10%) SHO believe that there is no difference between palliative patients and NFR patients. 41/44 interns (93%) and 40/49 of SHOs (81%) believe that attitudes of treating staff change once a patient is listed as NFR. 14/44 of Interns (32%) and 15/49 SHOs (31%) think that nursing staff are reluctant to request a review when these patients become unwell. They were asked if someone listed as NFR became unwell, what would be an appropriate intervention using a grading syste...

[Parents' and medical employees' accuracy in the estimation of fees for consultations and frequent medical procedures.]

Archives de Pediatrie — Fri, 30 Sep 2011 04:00:00 +0100

CONCLUSION: Global understanding of the costs related to medical care requires educating the population and medical professionals. Medical staff should be informed of the real costs of treatment to enable them to manage unnecessary costs. There is a balance between justifying the costs of essential medical treatment and not using economic constraints as a pretext for denial of treatment. PMID: 21963377 [PubMed - as supplied by publisher] (Source: Archives de Pediatrie)

The relationship between immediate relevant basic science knowledge and clinical knowledge: physiology knowledge and transthoracic echocardiography image interpretation

Advances in Health Sciences Education — Wed, 28 Sep 2011 05:54:11 +0100

In this study, we explore the relationship between immediate relevant basic science (physiology) and clinical knowledge within a specific domain of medicine (echocardiography). Twenty eight medical students in their 3rd year and 45 physicians (15 interns, 15 cardiology residents and 15 cardiology consultants) took a multiple-choice test of physiology knowledge. The physicians also viewed images of a transthoracic echocardiography (TTE) examination and completed a checklist of possible pathologies found. A total score for each participant was calculated for the physiology test, and for all physicians also for the TTE checklist. Consultants scored significantly higher on the physiology test than did medical students and interns. A significant correlation between physiology test scores ...

Effectiveness of an Ultrasound Training Module for Internal Medicine Residents

BMC Medical Education — Wed, 28 Sep 2011 04:00:00 +0100

This study sought to assess the feasibility of simulation based ultrasound training among first year internal medicine residents and measure their comfort at effectively using ultrasound to perform invasive procedures before and after this innovative model of ultrasound training. Methods: A simulation based ultrasound training module was implemented during intern orientation that incorporated didactic and practical training in a simulation and cadaver laboratory. Participants completed anonymous pre and post surveys in which they reported their level of confidence in the use of ultrasound technology and their comfort in identifying anatomic structures including: lung, pleural effusion, bowel, peritoneal cavity, ascites, thyroid, and internal jugular vein. Survey items were structured on a ...

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Medical Interns' knowledge and training regarding urethral catheter insertion and insertion-related urethral injury in male patients

BMC Medical Education — Tue, 27 Sep 2011 04:00:00 +0100

Conclusions: More thorough training of incoming medical interns in urinary catheterization may help to reduce the risk of complications and injury. Training should be universal and thought given to its timing within the curriculum. Training should include step by step instruction in the process, emphasis on history taking and awareness of factors associated with increased risk of urethral injury. (Source: BMC Medical Education)

Patients Wary of Large Role for Surgical Interns, Residents Patients Wary of Large Role for Surgical Interns, Residents

Medscape Today Headlines — Wed, 21 Sep 2011 14:46:22 +0100

Many patients consent to allowing residents to assist surgeons, but fewer agree to give trainees more responsibility during procedures. Medscape Medical News (Source: Medscape Today Headlines)

[Lessons and impact of two audits on postpartum hemorrhages in 24 maternity hospitals of the network "Sécurité Naissance - Naître Ensemble" in "Pays-de-la-Loire" area.]

Journal de Gynecologie, Obstetrique et Biologie de la Reproduction — Tue, 20 Sep 2011 04:00:00 +0100

CONCLUSION: There is a general improvement in prevention and care, with critical points and persistent disparities between pregnancies. In the aftermath of the completion of the audit, the overall results were sent to officials with the rank of each maternity, inviting each responsible to analyze weaknesses and implement corrective actions. Further action is planned within the network. PMID: 21940114 [PubMed - as supplied by publisher] (Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction)

Informatics in Radiology: Evaluation of an e-Learning Platform for Teaching Medical Students Competency in Ordering Radiologic Examinations [Informatics]

Radiographics recent issues — Wed, 14 Sep 2011 04:00:00 +0100

A preliminary audit of orders for computed tomography was performed to evaluate the typical performance of interns ordering radiologic examinations. According to the audit, the interns showed only minimal improvement after 8 months of work experience. The online radiology ordering module (ROM) program included baseline assessment of student performance (part I), online learning with the ROM (part II), and follow-up assessment of performance with simulated ordering with the ROM (part III). A curriculum blueprint determined the content of the ROM program, with an emphasis on practical issues, including provision of logistic information, clinical details, and safety-related information. Appropriate standards were developed by a committee of experts, and detailed scoring systems were devised f...

Developing cardiac auscultation skills among physician trainees

International Journal of Cardiology — Wed, 14 Sep 2011 04:00:00 +0100

Cardiac exam skills among medical trainees are poor . In a study of internal medicine and family medicine residents, only 20% of heart sounds were accurately identified, and this number did not improve with additional years in training . Similarly, in a study of medical students, trainees, and faculty, proficiency in identifying heart sounds did not improve subsequent to the third year of medical school; in fact, proficiency declined with more years in practice . These data support the need for curricula that are effective in developing and retaining cardiac auscultation skills. Accordingly, we developed a standardized curriculum for first year internal medicine residents that emphasized didactic and simulation cardiac auscultation training. We investigated interns' ability to identify a r...

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US Teaching Hospitals May Suffer With New Limits On Physician Training Hours

Health News from Medical News Today — Mon, 12 Sep 2011 07:00:00 +0100

The new limits on hours that physicians-in-training can work will prove costly for U.S teaching hospitals, which will need to spend up to $1.3 billion a year, and possibly more, to effect the changes, a new UCLA study suggests. On July 1, the Accreditation Council for Graduate Medical Education (ACGME), the national body charged with overseeing the training of junior doctors as they complete their specialty training, put into effect strict duty-hour limits on interns and medical residents and instituted related changes to the training environment... (Source: Health News from Medical News Today)

New limits on physician training hours could prove costly for U.S. teaching hospitals

UCLA Newsroom: Health Sciences — Thu, 08 Sep 2011 16:00:00 +0100

Classroom-based science research at the introductory level: changes in career choices and attitude.

CBE Life Sciences Education — Mon, 05 Sep 2011 09:16:02 +0100

Authors: Harrison M, Dunbar D, Ratmansky L, Boyd K, Lopatto D Abstract Our study, focused on classroom-based research at the introductory level and using the Phage Genomics course as the model, shows evidence that first-year students doing research learn the process of science as well as how scientists practice science. A preliminary but notable outcome of our work, which is based on a small sample, is the change in student interest in considering different career choices such as graduate education and science in general. This is particularly notable, as previous research has described research internships as clarifying or confirming rather than changing undergraduates' decisions to pursue graduate education. We hypothesize that our results differ from previous studies of the impac...

U.S. Firms Pledge More Engineering Internships

ScienceNOW — Thu, 01 Sep 2011 20:48:49 +0100

PORTLAND, OREGON—A group of U.S. companies has promised to create thousands of internships for... (Source: ScienceNOW)

Academy of Medical Sciences Policy Internship Schemes

Society for Endocrinology — Thu, 01 Sep 2011 12:00:00 +0100

The Academy of Medical Sciences offers internships to PhD students funded by the Medical Research Council (MRC) or the Wellcome Trust to undertake three months of first-hand experience of the medical science policy environment. Interns will gain insights into how research can impact on policy, and build valuable networks with the UK’s most eminent medical scientists and key science and health stakeholders. They will also receive a three-month extension to their PhD maintenance stipend and a discretionary travel grant. The deadline for applications for MRC-funded PhD students is 31 October 2011 (the deadline for Wellcome Trust-funded PhD students will be advertised in Spring 2012). For more information please follow the link below. Full article (Source: Society for Endocrinology)

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Evolving internship issues in school psychology preparation

Psychology in the Schools — Thu, 01 Sep 2011 04:00:00 +0100

AbstractCurrent issues relevant to school psychology internships are reviewed. The movement toward professional competencies and behavioral benchmarks as they relate to school psychology internships is discussed, with a concentration on American Psychological Association and National Association of School Psychologists standards. Given the emphasis on observable outcomes and assessment of competencies, implications specific to the internship year at both the specialist and doctoral levels are considered. © 2011 Wiley Periodicals, Inc. (Source: Psychology in the Schools)

Executive functions of interns after a night on call.

Revista Brasileira de Psiquiatria — Thu, 01 Sep 2011 04:00:00 +0100

Authors: Suozzo AC, Malta SM, Rodriguez RA, Villar E, Nogueira-Martins LA PMID: 21971788 [PubMed - in process] (Source: Revista Brasileira de Psiquiatria)

A descriptive study of consent documentation.

Ir Med J — Thu, 01 Sep 2011 04:00:00 +0100

This study highlights the difficulties encountered by consenting doctors, an issue which may lead to patient dissatisfaction, threaten the efficient running of a surgical unit and potentially expose its staff to avoidable litigation. It also recommends the use of multimedia adjuncts to facilitate both patient and doctor education in the consent process. PMID: 22125877 [PubMed - in process] (Source: Ir Med J)

Self‐reported competence of urethral catheterization in interns

ANZ Journal of Surgery — Wed, 31 Aug 2011 23:00:00 +0100

(Source: ANZ Journal of Surgery)

Creating an Art Therapy Anger Management Protocol for Male Inmates Through a Collaborative Relationship. - Breiner MJ, Tuomisto L, Bouyea E, Gussak DE, Aufderheide D.

SafetyLit: All (Unduplicated) — Sat, 27 Aug 2011 22:22:37 +0100

A training partnership was established with the Florida Department of Corrections in 2003, and over the ensuing years, art therapy graduate student interns from Florida State University's Graduate Art Therapy Program have been placed in local prisons at di... (Source: SafetyLit: All (Unduplicated))

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Children-at-risk for poor nutrition: Expanding the approach of future professionals in educational institutions.

Child Abuse and Neglect — Wed, 17 Aug 2011 23:00:00 +0100

CONCLUSIONS: The findings illuminate the need to reduce barriers hampering the individual work with children at risk of poor nutrition in educational institutions. PRACTICE IMPLICATIONS: In the training of future teachers, there is a need to advance a bio-psycho-social educational approach incorporating a knowledge base about assessing situations of poor nutrition, including how to advance an interdisciplinary collaboration with specialists in the area of nutrition. PMID: 21855144 [PubMed - as supplied by publisher] (Source: Child Abuse and Neglect)

Pathologist Shortage and Delays in Lab Test Reports Get Publicity in Saskatchewan

Dark Daily — Mon, 15 Aug 2011 10:00:28 +0100

Inadequate number of anatomic pathologists is a factor in lengthy delays in pathology test reporting Even as the Province of Manitoba deals with some highly-publicized issues in anatomic pathology, over in the neighboring Province of Saskatchewan, a sizeable backlog in anatomic pathology cases earlier in the year caused the Saskatoon Health Region to refer pathology [...] (Source: Dark Daily)

Trainees with professional competency problems: Preparing trainers for difficult but necessary conversations.

Training and Education in Professional Psychology — Sun, 14 Aug 2011 23:00:00 +0100

This article underscores the importance of trainers addressing graduate students and interns with PPC for whom regular summative and formative feedback has not been effective by engaging in the often difficult, but necessary, conversations as a first step in many remediation processes. These conversations are framed as an ethical responsibility and suggested as a core competency for trainers. Attention is paid to the myriad barriers that trainers often encounter in engaging in difficult conversations, including personal factors, training setting and systems issues, and the relationship between personal and contextual factors. Strategies are offered with regard to overcoming these barriers. In addition, recommended steps and tools for effective difficult conversations are provided. Implicat...

Intern final oral examinations: An exploration of alternative models of competency.

Training and Education in Professional Psychology — Sun, 14 Aug 2011 23:00:00 +0100

The training committee of an American Psychological Association (APA) accredited VA internship program implemented oral examinations as a method of assessing interns' readiness for independent practice. Performance criteria for the examinations were constructed using four models of professional competency: (a) APA Benchmarks/Cube, (b) California School of Professional Psychology (CSPP; Petti, 2008), (c) American Board of Professional Psychology (ABPP) Clinical Psychology, and (d) the local internship performance rating system. Two to three interns were assigned to each model, and examiners rated competencies during an oral case presentation. All interns passed according to the summary criterion for their assigned model. On postexamination process inquiry, interns and examiners were most sa...

The dermatology acting internship.

Dermatol Online J — Wed, 10 Aug 2011 18:30:03 +0100

Authors: Stephens JB, Raimer SS, Wagner RF Acting internships are an important component of modern day medical school curriculum. Several specialties outside of internal medicine now offer acting internship experiences to fourth year medical students. We have found that a dermatology acting internship is a valuable experience for fourth year medical students who are interested in pursuing a residency in dermatology. Our experience with the dermatology acting internship over the 2010-2011 academic year is described. PMID: 21810394 [PubMed - in process] (Source: Dermatol Online J)

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Summer Internship: Blazing Trails

AAAS — Tue, 09 Aug 2011 18:20:58 +0100

AAAS ENTRY POINT! Interns Showing NASA and Others Just How Good They Can Be Maria Lyon, diagnosed with rheumatoid arthritis at 17, worried her NASA career would be lost. But with an internship arranged by AAAS ENTRY POINT!, her dream is back on track. (Source: AAAS)

August’s Free E-Book from Psychiatry Online

What's New on JEFFLINE — Tue, 02 Aug 2011 19:58:05 +0100

Every month Psychiatry Online offers a different free e-book for Jeffersonians. All you need to do to collect it is visit Psychiatry Online via JEFFLINE’s Quick Links, see the Book of the Month on the homepage, and click to download the book. August’s free book is The Difficult-to-Treat Psychiatric Patient, edited by Mantosh J. Dewan, MD, and Ronald W. Pies, MD. From the publisher’s blurb: Why do some psychiatric patients fail to get better, even when in the care of competent clinicians? Treatment-refractory conditions are all too common in everyday clinical practice. Treatment resistance occurs across the full spectrum of psychiatric disorders, incurring enormous emotional, economic, and social costs. In the United States, treatment of depression alone costs more t...

[Analysis of patients' trust and satisfaction with dental interns].

Shanghai Journal of Stomatology — Mon, 01 Aug 2011 04:00:00 +0100

CONCLUSIONS: Because of various reasons, patients have some inimical emotion to dental interns and unwilling to cooperate with their performance. Interns, clinicians, hospitals and schools should enhance patients' content and trust to upgrade the quality and efficiency of clinical training and practice. PMID: 21909615 [PubMed - in process] (Source: Shanghai Journal of Stomatology)

Simulation in Pediatrics: The Reliability and Validity of a Multiscenario Assessment

PEDIATRICS — Sun, 31 Jul 2011 23:00:00 +0100

CONCLUSIONS: An inventory of critical events was designed to assess pediatric residents' diagnostic and management skills. A reliable measure of ability could be obtained, provided the residents managed multiple scenarios. The residents outscored the interns, providing evidence to support the construct validity of the scores. Additional validity evidence is needed, including studies to determine if this type of training improves physicians' management of real-life critical events. (Source: PEDIATRICS)

Unusual or Unavailable?

JEMS: Journal of Emergency Medical Services — Sun, 31 Jul 2011 23:00:00 +0100

It's interesting how EMS physicians respond to calls in Pittsburgh. I wish all of EMS would become standardized, which would then require paramedics to achieve a higher standard of care. I think there should be more educational requirements for providers to become paramedics and to stay licensed as paramedics, such as mandatory degrees and internships. (Source: JEMS: Journal of Emergency Medical Services)

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Up to 40% of final-year interns set to emigrate

The Irish Times - Health — Tue, 26 Jul 2011 00:08:29 +0100

A SENIOR HSE official has admitted that about 40 per cent of the 102 final-year intern doctors in the HSE West area will emigrate after graduating. (Source: The Irish Times - Health)

Uganda: Mulago Hospital Interns Resume Work

AllAfrica News: Health and Medicine — Mon, 25 Jul 2011 13:27:26 +0100

Intern doctors at Mulago Hospital have resumed work after they suspended it for several hours on Friday morning. Their action paralysed work, leaving several patients unattended to. (Source: AllAfrica News: Health and Medicine)

Uganda: Health in Crisis Meeting Over Interns' Strike

AllAfrica News: Health and Medicine — Mon, 25 Jul 2011 13:19:39 +0100

THE Ministry of health officials on Monday morning convened a crisis meeting aimed at ending an ongoing strike by over 200 intern medical doctors, dental surgeons, nurses and pharmacists. (Source: AllAfrica News: Health and Medicine)

Are we proper role models for students? Interns' perception of faculty and residents' professional behaviour

Postgraduate Medical Journal — Sun, 24 Jul 2011 23:00:00 +0100

Conclusion Medical faculty and residents should be more aware of their behaviour and attitudes in practice, especially their interaction with colleagues so that students' professional behaviour can be improved. (Source: Postgraduate Medical Journal)

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Cost Implications of ACGME’s 2011 Changes to Resident Duty Hours and the Training Environment

Journal of General Internal Medicine — Thu, 21 Jul 2011 18:15:27 +0100

CONCLUSION Implementation decisions greatly affect the cost. Unless PAEs decline substantially, teaching hospitals will lose money. If PAEs decline modestly, the requirements might be cost-saving or cost-effective to society. Content Type Journal ArticlePages 1-9DOI 10.1007/s11606-011-1775-9Authors Teryl K. Nuckols, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, 911 Broxton Avenue, Los Angeles, CA 90095, USAJosé J. Escarce, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, 911 Broxton Avenue, Los Angeles, CA 90095, USA Journal Journal of General Internal MedicineOnline ISSN 1525-1497Print ISSN...

Research reports - increasing opportunities for high quality higher education work experience

MEDEV News — Thu, 21 Jul 2011 10:29:02 +0100

Report to HEFCE by Oakleigh Consulting and the Careers Research Advisory Centre. Summary HEFCE commissioned Oakleigh Consulting and the Careers Research Advisory Centre to undertake a research project to evaluate opportunities for higher education (HE) students to undertake high-quality work experience and to recommend how these can be increased. The research investigated how HE and its partners can increase the uptake of high-quality work experience by students and graduates, including broadening the range of employers that offer placement opportunities. The report also examines the early impact and outcomes of the HEFCE-funded graduate and undergraduate internships with professional organisations during 2010-11, which were initiated in response to the recession and the then Government&rs...

Fair internship guidance published

Management in Practice — Tue, 19 Jul 2011 13:49:00 +0100

New document sets out guidelines to ensure internships are fair, open and of a high standard (Source: Management in Practice)

[Perspectives] Building the momentum to prevent HIV in MSM

LANCET — Fri, 15 Jul 2011 23:00:00 +0100

Larry Kramer, on accepting the Tony Award last month from the Theatre Guild-American Theatrical Society for The Normal Heart as Best Revival of a Play said: “To gay people everywhere, whom I love so dearly…we are a very special people, an exceptional people, and…our day will come.” My day came in 1982 when I secured an Assistant Professorship in the Department of Medicine at the University of California, San Francisco. I set about establishing a behavioural medicine clinic fully integrated into general medicine practices, researching chronic disease prevention, and teaching interns and residents about psychological issues. (Source: LANCET)

Books in brief

Nature — Tue, 12 Jul 2011 23:00:00 +0100

Nature 475, 7355 (2011). doi:10.1038/475171a In 2002, NASA fellow Thad Roberts, aided by three interns, stole lunar and martian samples from a Johnson Space Center vault in Houston, Texas. As writer Ben Mezrich deftly recounts, Roberts's motivation was not geological obsession, but a desire to impress one of his accomplices, (Source: Nature)

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Year One Outcomes Assessment of a Masters Suturing and Knot-Tying Program for Surgical Interns

Journal of Surgical Education — Mon, 04 Jul 2011 04:00:00 +0100

Conclusions: Training, feedback, and remediation are necessary to reach proficiency in basic suturing and knot tying. This program provides an objective assessment of interns' skills not discernible by conventional measures. (Source: Journal of Surgical Education)

Patient acuity rating: Quantifying clinical judgment regarding inpatient stability

Journal of Hospital Medicine — Thu, 30 Jun 2011 23:00:00 +0100

CONCLUSIONS:Clinical judgment regarding patient stability can be reliably quantified in a simple score with the potential for efficiently conveying complex assessments of at‐risk patients during handoffs between healthcare members. Journal of Hospital Medicine 2011;. © 2011 Society of Hospital Medicine (Source: Journal of Hospital Medicine)

Goal Directed Learning: Early Assessment and Individualized Education Plans for Family Medicine Interns (Glenda Stockwell PhD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Sun, 26 Jun 2011 23:00:00 +0100

(Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Discussion

Journal of the American College of Surgeons — Thu, 23 Jun 2011 00:49:58 +0100

The authors looked at 7 surgical interns working on surgical simulators both before and after they took call at Banner Medical Center. The study was carefully constructed and measurements were taken from computers, simulators, and an electroencephalograph. The trainees themselves acted as their own controls: sometimes they were postcall and fatigued, sometimes precall and presumably well rested. The results suggest that fatigue adversely affects surgical resident technical proficiency as well as cognitive function. The authors suggest that such performance decrements need to be taken into account when surgical trainees are assigned call duties and are asked to care for and operate on patients. I have 3 broad questions for the authors regarding sleep, drugs, and, performance. (Source: Journ...

Training the evidence-based practitioner: university of Western States document on standards and competencies.

The Journal of Chiropractic Education — Tue, 21 Jun 2011 08:30:03 +0100

Authors: Lefebvre RP, Peterson DH, Haas M, Gillette RG, Novak CW, Tapper J, Muench JP An important goal of chiropractic clinical education should be to teach specific evidence-based practice (EBP) skills to chiropractic students, interns, and doctors. Using a nominal group process, the authors produced a document similar to the Council of Chiropractic Education standards for clinical competencies that can be used to drive an EBP curriculum. Standard texts and journal articles were consulted to create the standards for this program and each standard and corresponding learning objective was discussed in detail and was then graded by the committee in terms of importance and the level of competency that should be attained. Six standards and 31 learning objectives were generated with the le...

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Avoiding Three Traps for Good Parent-Child Communication

Psychology Today Parenting Center — Fri, 17 Jun 2011 18:48:49 +0100

Do you ever wonder what happened to the sweet child you once had—the one who talked with you about anything and everything? Where did he go? Did he morph into a sullen, closed down kid? Will he ever come back or is he gone forever?Editorial Controls Editorial Status: No Status read more (Source: Psychology Today Parenting Center)

Medical ethics educational improvement, is it needed or not?! Survey for the assessment of the needed form, methods and topics of medical ethics teaching course amongst the final years medical students Faculty of Medicine Ain Shams University (ASU), Cairo, Egypt 2010

Journal of Forensic and Legal Medicine — Sat, 11 Jun 2011 03:42:56 +0100

Conclusions: This study revealed the essential need for a model medical ethics curriculum that responds to students' concerns in addition to providing basic training in moral reasoning and ethical decision making to be applied both horizontally and vertically across the whole years of medical school.Recommendations: A Simple booklet containing recent version of the Egyptian code of ethics, common ethical dilemmas and recently evolving ethical issues should be available for all newly graduated health professionals. (Source: Journal of Forensic and Legal Medicine)

A pre-rotational simulation-based workshop improves the safety of central venous catheter insertion: Results of a successful internal medicine house staff training program.

Chest — Wed, 08 Jun 2011 23:00:00 +0100

CONCLUSIONS: Implementation of a pre-rotational workshop significantly improved the safety of CVC insertion, especially for CVCs placed by inexperienced operators. We suggest that simulation-based training with ultrasound instruction should be conducted if house staff are responsible for CVC placement. PMID: 21659429 [PubMed - as supplied by publisher] (Source: Chest)

A model for training and evaluation of myringotomy and tube placement skills

The Laryngoscope — Sun, 05 Jun 2011 23:00:00 +0100

Conclusions:Junior surgical residents performed an M&T procedure using a novel, low‐cost model. This study demonstrated the skills lab's positive effect on training as measured by global rating scale, time‐to‐completion, and overall resident confidence. We anticipate its application to be valuable not only in training residents but also in assessing competency. (Source: The Laryngoscope)

12 Tips for Surviving and Thriving in Grad School

Psych Central — Sat, 04 Jun 2011 19:25:59 +0100

Carol Williams-Nickelson, Ph.D, former associate executive director of the American Psychological Association of Graduate Students and co-editor of Internships in Psychology: The APAGS Workbook for Writing Successful Applications and Finding the Right Fit, hears the words “surviving grad school” a lot. But she wants prospective and current students to know that while grad school is an intense and challenging experience, it’s also a rewarding one. “Grad school was one of the best times of my life,” she said. Grad school also is a unique experience. It’s unlike college, where classes are of chief importance, cramming the night before leads to decent grades and there’s plenty of time for play and extracurricular activities. Being a graduate student is a full-time job that requ...

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Intensive laparoscopic training course for surgical residents: program description, initial results, and requirements

Surgical Endoscopy — Sat, 04 Jun 2011 06:04:17 +0100

Conclusion A multimodality intensive laparoscopic training course should become a standard requirement for surgical residents, enabling them to acquire basic and advanced laparoscopic skills on a routine basis. Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-011-1770-6Authors Hannah Zimmerman, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, Room 5344, Tucson, AZ 85724, USARifat Latifi, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, Room 5344, Tucson, AZ 85724, USABehrooz Dehdashti, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, Room 5344, Tucson, AZ 85724, USAEvan Ong, Department of Surgery, University of Arizona, 1501 N. Campbell Avenue, Room 5344, Tucson, AZ 85724, USATun Jie, Department...

Training in Social Determinants of Health in Primary Care: Does it Change Resident Behavior?

Academic Pediatrics — Fri, 03 Jun 2011 04:00:00 +0100

Conclusion: The educational intervention increased interns’ comfort and knowledge of social determinants of health and community resources. Documentation of social questions also increased. (Source: Academic Pediatrics)

24 High School Students Land Research Internships at UA

Health — Thu, 02 Jun 2011 07:00:00 +0100

By mid-July, more than 100 Arizona teens will have completed KEYS internships and contributed to ongoing research projects across the University. The high school students will work in UA laboratories engaged in bioscience, bioengineering and environmental health science research. (Source: Health)

Enrolments Open For The PSA National Intern Training Program! Australia

Health News from Medical News Today — Wed, 01 Jun 2011 09:00:00 +0100

If you are a pharmacy intern looking to further your career and develop your practice knowledge the Pharmaceutical Society of Australia's specialist National Intern Training Program (NITP) is what you are looking for. Enrolments for the 2011 Second Intake* are now open. The NITP is predominately an online program specifically designed to meet your needs and has tailored face-to-face workshops, workplace-based assessments and practical-based projects which have been developed after close consultation with PSA members and previous interns to ensure that the content is relevant to you... (Source: Health News from Medical News Today)

Tracheal intubation during chest compressions using Pentax-AWS(®), GlideScope (®), and Macintosh laryngoscope: a randomized crossover trial using a mannequin.

Canadian Journal of Anaesthesia — Tue, 31 May 2011 23:00:00 +0100

CONCLUSIONS: The two videolaryngoscopes were superior to the Macintosh laryngoscope in terms of performing tracheal intubation during continuous chest compressions on a mannequin. In a difficult airway scenario simulating cardiac arrest, the Pentax-AWS performed better than the GlideScope. PMID: 21630116 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)

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Greater NP Responsibility Requires Stronger Educational Programs

The Journal for Nurse Practitioners — Tue, 31 May 2011 23:00:00 +0100

In order to help nurse practitioners (NPs) provide care for the millions of uninsured Americans that will be brought into the health care system as a result of the Affordable Care Act, action plans are being developed that address the recommendations of the Institute of Medicine report on nursing. Among the strategies for change will be curriculum modifications, increased emphasis on quality clinical educational experiences, and even internships to assist in practice and skill mastery. (Source: The Journal for Nurse Practitioners)

Make‐up of the epinephrine autoinjector: the effect on its use by untrained users

Pediatric Allergy and Immunology — Tue, 31 May 2011 23:00:00 +0100

Conclusion: Few and simple modifications in the design of epinephrine autoinjector were found effective in increasing its correct use and decreasing common use errors by untrained users. (Clinical trials identifier: NCT01217138). (Source: Pediatric Allergy and Immunology)

Choosing Between the PsyD and PhD Psychology Graduate Degrees

Psych Central — Tue, 31 May 2011 17:29:34 +0100

Because clinical psychology programs are known for being competitive, most students don’t care so much where they get in. They just care if they get in. It’s this attitude of “I’ll go anywhere that picks me” that can get students into trouble, according to Tara Kuther, Ph.D, professor at the Department of Psychology at Western Connecticut State University and About.com guide to graduate school. Students get so excited about becoming psychologists that they “don’t take the time to look into programs,” said Carol Williams-Nickelson, Psy.D, former associate executive director of the American Psychological Association of Graduate Students and co-editor of Internships in Psychology: The APAGS Workbook for Writing Successful Applications and Finding the Right Fit. Glossing over t...

Unpaid Student Interns: Relief for Under-Resourced Infection Prevention Programs

American Journal of Infection Control — Mon, 30 May 2011 17:34:42 +0100

In a 2006 APIC-sponsored survey of members, 49% of respondents stated the resources devoted to their Infection Prevention program were only “somewhat adequate”; while 16% and 5% of respondents stated the resources were “barely adequate” and “not at all adequate”, respectively. With laws in many states requiring facilities to report healthcare-associated infections and other increasing demands on Infection Preventionist (IP) time, it is often difficult to do all that needs to be done. (Source: American Journal of Infection Control)

Learning psychotherapy in the digital age.

Psychotherapy: Theory, Research, Practice, Training — Sun, 29 May 2011 23:00:00 +0100

This article describes our experience over a 5-year period in developing the use of Webcams for training psychology interns and psychiatric residents in the delivery of psychotherapy services. Pragmatic and technical details are given about how we went about establishing a recording system that is easy to use and provides secure, confidential storage of information at a reasonable cost. Discussion addresses both the weighing of choices that need to be made and overcoming the hesitation of trainees to reveal their work during treatment sessions. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Psychotherapy: Theory, Research, Practice, Training)

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Internships can be practice management training opportunities

Optometry - Journal of the American Optometric Association — Fri, 27 May 2011 16:06:21 +0100

Internships are a critical part of any optometry student’s professional education. By observing an experienced practitioner, a student learns how to apply the didactic knowledge gained during classroom instruction to the real-world practice of eye and vision care. Under the preceptor’s watchful eye, students hone clinical skills and get a feel for what it means to work with patients on a daily basis. They gain confidence in their ability to handle whatever clinical issues may come up in the course of patient care. If everything goes as planned, students complete their internships with all the clinical skills necessary to pass their National Boards and state exams. They can then begin providing care to patients independently. Some students may even begin to develop an area of practice e...

Internship hours revisited: Further evidence for a national standard.

Training and Education in Professional Psychology — Sun, 15 May 2011 23:00:00 +0100

Inconsistent training requirements across predoctoral internships have problematic implications for psychologists seeking licensure and for the profession as a whole. This investigation is an 11-year follow-up to a previous study (Bartle & Rodolfa, 1999) that explored the variation in hours accrued across predoctoral internship programs. The current study examined the total number of supervised training hours provided by internships and the methods utilized by training directors to calculate these hours. The total number of supervised hours reported by training directors ranged from 1,840 to 2,080, with 58.2% calculating hours by approximation, rounding off, or estimation. As training directors reported more total hours, they were increasingly likely to include holiday, vacation, and sick ...

The Revolving Door of Resident Continuity Practice: Identifying Gaps in Transitions of Care

Journal of General Internal Medicine — Wed, 11 May 2011 06:03:28 +0100

Conclusions This study demonstrates the high-risk nature of patient handoffs in the ambulatory setting when residents graduate. We discuss changes that might improve the panel transfer process. Content Type Journal ArticlePages 1-4DOI 10.1007/s11606-011-1731-8Authors Laurie C. Caines, Department of Medicine, University of Connecticut School of Medicine, Farmington, CT, USADiane M. Brockmeyer, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Healthcare Associates, Suite 607, 330 Brookline Avenue, Boston, MA, USAAnjala V. Tess, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Healthcare Associates, Suite 607, 330 Brookline Avenue, Boston, MA, USAHans Kim, Division of General Medicine and Primary Ca...

Help! I'm Alone in the Office with an Oxy Shopper (Sandra B Coleman PhD)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Tue, 10 May 2011 23:00:00 +0100

This lecture-discussion focuses on our residency program's longitudinal method for helping residents cope with dilemmas posed by drug -seeking patients. A beginning highlight is the use of "teachers" in recovery from our local drug treatment program. Interns learn about drugs and accompanying lifestyles of the addict instructors. Residents have an unusual opportunity to dialogue first hand in a face-to-face experience with those with long histories of drug addiction. Most importantly, residents learn how abusers "con" prescriptions from doctors. Our interns' reactions to the experience are presented via brief video clips. Presentation includes an overview of educational processes that continue throughout residency. After three years we are confident that our graduates are well prepared to ...

Baby boomers need their own online voice to fight prejudice as they get old

Guardian Unlimited Science — Sat, 07 May 2011 23:05:56 +0100

Gransnet, a social networking site for Britain's 14m grandparents, aims to counter deeply ingrained ageismBack in 1965, the chief executive of Elizabeth Arden wrote in Forbes magazine: "We don't want to be connected with older women."Not much has changed. Today there are more than 20 million Britons over 50; yet, despite our numbers, we can be forgiven for feeling that we are ever so slightly embarrassing.The ageing population is almost never out of the news, but the fact that we're all living longer, which really ought to be a good thing, is always seen as a problem. The country can't afford the pension bills or the social care. We're threatening the social fabric with our healthcare costs and our housing wealth. David Willetts, minister for universities and science, has written a book, T...

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Effectiveness of Laparoscopic Computer Simulator Versus Usage of Box Trainer for Endoscopic Surgery Training of Novices

Journal of Surgical Education — Thu, 05 May 2011 23:00:00 +0100

Conclusions: We conclude that laparoscopic simulator training improves surgical skills in novice trainees. We found both the box trainers and the virtual reality simulators are equally effective means of teaching laparoscopic skills to novice learners. (Source: Journal of Surgical Education)

What I Wish I Knew in Grad School: Current and Former Students Share 16 Tips

Psych Central — Thu, 05 May 2011 17:30:21 +0100

Graduate school is both an incredibly challenging and rewarding time in a person’s life. As with any challenge you take on, it’s wise to be prepared. Oftentimes, some of the best people to help you along the way are the ones who’ve already been through the process. That’s why we spoke with current and former students from different types of clinical and counseling psychology programs to get their tips for graduate school success. Below, they discuss everything from self-care and finances to internship and future goals. 1. Explore all your options. There are many types of psychology grad programs. “Learn the differences among PhD and Master’s-level helping professions, and talk to people who hold those licenses to figure out what will be the best fit for you and your prof...

8 Tips for a Successful Internship

Psych Central — Thu, 05 May 2011 13:30:32 +0100

You’ve finally received word that you’ve scored an internship site — a process that’s taken tremendous amounts of work and effort. Though it’s taken years to get here, your internship year will fly by. Below, experts provide their insight on making the most of your time. 1. Take the initiative to learn as much as you can. “Take the initiative to seek out training opportunities” at your internship site, said Gregory T. Eells, Ph.D, associate director of Gannett Health Services and director of Counseling & Psychological Services at Cornell University. These are “really your last opportunities to be a trainee,” he said. Even if you do a post-doctoral fellowship, you’ll be treated like a staff member, not a trainee, he added. “Don’t just do the minimum training r...

Surgical Skills Assessment of Applicants to General Surgery Residency

Journal of Surgical Research — Thu, 05 May 2011 04:00:00 +0100

Conclusion: This study suggests that surgical dexterity levels do not correlate with the self-assessed skill levels or with previous experience with other manual dexterity activities. Moreover, there appears to be no self-selection of applicants for surgery residency based on actual surgical skills. Selection criteria for surgical training, which incorporate technical proficiency skills, may potentially better discriminate those applicants with an aptitude for a surgical specialty. (Source: Journal of Surgical Research)

End-of-Life Care at an Academic Medical Center: Are Attending Physicians, House Staff, Nurses, and Bereaved Family Members Equally Satisfied? Implications for Palliative Care.

The American Journal of Hospice and Palliative Care — Wed, 04 May 2011 23:00:00 +0100

CONCLUSIONS: Overall satisfaction was high, but there was discordance among different providers. Continuity of care was limited. Age and location of death alone did not significantly affect satisfaction with end-of-life care. Implications of this type of research for improving end of life care at academic centers are discussed. PMID: 21546403 [PubMed - as supplied by publisher] (Source: The American Journal of Hospice and Palliative Care)

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9 Ideas for Increasing Your Chances of Matching

Psych Central — Wed, 04 May 2011 15:30:34 +0100

“The number of students seeking internships significantly outnumbers the availability of internship positions,” according to Sharon Berry, Ph.D, chair of the Association of Psychology Postdoctoral and Internship Centers (APPIC). This imbalance crisis is a variable that’s clearly beyond a candidate’s control. However, you can focus your efforts on what you can control. Here, experts share what students can do to increase their chances of matching for internship. 1. Apply to both competitive and non-competitive sites. Applying exclusively to competitive internships can limit your chances of matching. Why? Competitive sites have high numbers of applicants but only several slots available, according to Carol Williams-Nickelson, PsyD, former associate executive director of the America...

8 Hints for Selecting an Internship Site

Psych Central — Tue, 03 May 2011 17:41:27 +0100

With so many internship sites to choose from, it can be hard to narrow down your search. What criteria do you use? What makes a good site? Below, experts plow through the confusion and share their pointers for picking quality internships. 1. Focus on fit. All of the experts interviewed agreed that fit is the most important consideration when selecting sites. As Gregory T. Eells, Ph.D, associate director of Gannett Health Services and director of Counseling & Psychological Services at Cornell University, said, the three things that students should consider are “fit, fit and fit.” Ask yourself “how does this site fit with [my] interests and where [I] want to be as a professional,” Eells said. Also, consider where you lack experience and how a site might fill that gap, said Car...

Extent of internships revealed

Management in Practice — Tue, 03 May 2011 10:32:00 +0100

Almost one in five UK business have used unpaid interns to cut the cost of work during the recession, survey reveals (Source: Management in Practice)

Evaluating Interns in a New Residency Program Using A July OSCE (Paul Gordon MD, MPH)

Family Medicine Digital Resources Library (FMDRL) Recently Uploaded — Mon, 02 May 2011 23:00:00 +0100

This presentation was made at STFM Annual Meeting in New Orleans, April 2011. The PowerPoint as well as three Word documents present the viewer with materials that could facilitate designing an OSCE in their own institution. The PowerPoint does not include the actual videos due to file size. (Source: Family Medicine Digital Resources Library (FMDRL) Recently Uploaded)

Attachment-Focused Family Therapy Workbook

Psych Central — Mon, 02 May 2011 20:57:53 +0100

BWH Nurses Participate in First Clinical Ethics Residency Program

BWH News — Mon, 02 May 2011 00:00:00 +0100

Shortly after she became the director of the Critical Care Nurse Intern Program, Mary Pennington, MSN, RN, CCRN, recognized that the nurse interns were experiencing moral distress. (Source: BWH News)

Psychologist suicide: Incidence, impact, and suggestions for prevention, intervention, and postvention.

Professional Psychology: Research and Practice — Sun, 01 May 2011 23:00:00 +0100

This article offers suggestions for possible preventive approaches, for intervention with potentially at-risk colleagues, and for postvention efforts in the wake of a colleague suicide. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (Source: Professional Psychology: Research and Practice)

Incorporating Best Practices and Evidence-Based Learning Strategies into NICU Nurse Residency Programs.

Neonatal Network — Sat, 30 Apr 2011 23:00:00 +0100

Authors: Pilcher J NURSE INTERNSHIPS AND residency programs are not new to specialty areas, such as critical care, surgical units, and neonatal intensive care settings. 1 Studies have demonstrated benefits of nurse residency programs to include financial return on investment, increased retention rates, and enhanced participant confidence, competence, and satisfaction.2-5 The recent Institute of Medicine (2010) report, The Future of Nursing: Leading Change, Advancing Health, has brought a renewed focus and public spotlight to orientation programs for novice nurses.6 Specifically, recommendation #3 states, "Implement nurse residency programs. State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses' completio...

Preparedness for internship: a survey of new interns in a large Victorian health service.

Australian Health Review — Sat, 30 Apr 2011 23:00:00 +0100

Authors: Kelly C, Noonan CL, Monagle JP To gain better understanding of the work-preparedness of new interns and identify areas where further training and education should be provided. PMID: 21612725 [PubMed - in process] (Source: Australian Health Review)

Concern for Medical Residents Buying Disability Insurance

Disabled World — Fri, 29 Apr 2011 21:19:36 +0100

Based on a recent study marking an increase in depressive symptoms amongst medical interns, those interested in disability insurance should avoid delay in applying. (Source: Disabled World)

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The Role Of Spirituality In Modern Medicine

Health News from Medical News Today — Fri, 29 Apr 2011 15:00:00 +0100

People expect their medical needs to be satisfied when in the hospital, but how about their spiritual, emotional and cultural needs? These are also important to the healing process and, at Greenwich Hospital, it's the spiritual care chaplains who make sure doctors understand how to address these patient needs. Every other week, Greenwich Hospital's Director of Spiritual Care Eddie Lopez makes spirituality-in-medicine rounds with interns and residents. He helps physicians develop their sensitivity toward patients in today's multicultural, eclectic society... (Source: Health News from Medical News Today)

Kenya: Quick Action Can Save Infants From Suffocation At Birth

AllAfrica News: Pregnancy and Childbirth — Wed, 27 Apr 2011 09:34:50 +0100

In 1998, Dr John Wachira and other medical student colleagues were sent out to hospitals across the country to work as interns. (Source: AllAfrica News: Pregnancy and Childbirth)

Nasal carriage of methicillin-resistant Staphylococcus aureus among preclinical medical students: epidemiologic and molecular characteristics of methicillin-resistant S. aureus clones

Diagnostic Microbiology and Infectious Disease — Thu, 21 Apr 2011 14:42:18 +0100

Abstract: Between May 2008 and October 2009, a total of 2103 interns were randomly tested for nasal colonization of S. aureus and methicillin-resistant Staphylococcus aureus (MRSA). The prevalence of S. aureus among staphylococci specimens was 23.1%, and among the total S. aureus the MRSA prevalence was 9.4%. MRSA isolates were further subtyped using genetic element staphylococcal cassette chromosome mec (SCCmec) typing, pulsed-field gel electrophoresis (PFGE) band pattern, and multilocus sequence typing. SCCmec type IVa was the most prevalent strain, at 45.4 %. Eleven PFGE patterns were identified in MRSA strains, with 1 predominant (pulsotype A, 45.5%). Eight strains which belonged to clonal complex 78 carried type IVa SCCmec and produced type 3 coagulase. Panton–Valentine leukocidin (...

The communication competency of medical students, residents and consultants

Patient Education and Counseling — Tue, 19 Apr 2011 04:00:00 +0100

Conclusion: Students acquire a ‘satisfactory’ level of communication competency early in the curriculum. Communication courses in the curriculum do not enhance this level. Clinical experience has also a limited effect.Practice implications: The learning conditions for deliberate practice must be fulfilled in medical curricula and in postgraduate training in order to provide medical students and physicians the opportunity to attain an expert level in communication. (Source: Patient Education and Counseling)

Preoperative tests: an Irish perspective

Irish Journal of Medical Science — Thu, 07 Apr 2011 06:02:43 +0100

This study demonstrates that the previously well-documented international practice of overuse and unexplained variation in preoperative testing is also the norm in Ireland. Content Type Journal ArticlePages 1-4DOI 10.1007/s11845-011-0696-2Authors C. Flynn, National University of Ireland, Galway, IrelandT. Moran, Department of Otorhinolaryngology, St James Hospital, Dublin, IrelandA. J. Cunningham, Department of Anaesthesia, Beaumont Hospital, Dublin, IrelandS. Ó Riain, Department of Anaesthesia, MWRH, Dooradoyle, Limerick, Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 (Source: Irish Journal of Medical Science)

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Knowledge, perceptions, and practices of chiropractic interns in the early detection of atypical moles

Journal of Chiropractic Medicine — Wed, 06 Apr 2011 23:00:00 +0100

Conclusion: As skin cancer continues to increase in prevalence, chiropractic interns can serve in the primary screening process of patients with atypical moles; and chiropractic education should emphasize the opportunity to detect and assess atypical moles as a routine part of primary prevention in clinical education. (Source: Journal of Chiropractic Medicine)

Palliative Care Education in China: Insight Into One Medical University

Journal of Pain and Symptom Management — Thu, 31 Mar 2011 23:00:00 +0100

Conclusion: Palliative care education is inadequate from the perspective of the Chinese medical interns. An improvement in the medical school curriculum is needed. (Source: Journal of Pain and Symptom Management)

Automated scanning probe lithography with n-alkanethiol self assembled monolayers on Au(111): Application for teaching undergraduate laboratories.

JALA — Thu, 31 Mar 2011 23:00:00 +0100

In this report, atomic force microscopy (AFM) methods of lithography known as nanoshaving and nanografting are used to write nanopatterns within organic thin films. Commercial instruments provide software to control the length, direction, speed, and applied force of the scanning motion of the tip. For nanoshaving, higher forces are applied to an AFM tip to selectively remove regions of the matrix monolayer, exposing bare areas of the gold substrate. Nanografting is accomplished by force-induced displacement of molecules of a matrix SAM, followed immediately by the surface self-assembly of n-alkanethiol molecules from solution. Advancements in AFM automation enable rapid protocols for nanolithography, which can be accomplished within the tight time restraints of undergraduate laboratories. ...

Parent understanding of the role of doctors and doctors in training on an inpatient pediatric ward.

Teaching and Learning in Medicine — Thu, 31 Mar 2011 23:00:00 +0100

Conclusion: Confusion exists about the different roles of physicians and trainees, particularly in parents without a college education, and who self-identify as non-White. PMID: 21516597 [PubMed - in process] (Source: Teaching and Learning in Medicine)

Resident sign-out and patient hand-offs: opportunities for improvement.

Teaching and Learning in Medicine — Thu, 31 Mar 2011 23:00:00 +0100

Conclusions: We found variability in the content and organization of interns' sign-out, possibly reflecting a lack of instruction and supervision. Standardization of sign-out content, and education on good sign-out skills are increasingly important as patient hand-offs become more frequent. PMID: 21516595 [PubMed - in process] (Source: Teaching and Learning in Medicine)

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A survey of sleep deprivation patterns and their effects on cognitive functions of residents and interns in Korea

Sleep Medicine — Wed, 30 Mar 2011 04:49:04 +0100

Abstract: Objective: To investigate the effects of sleep deprivation on physical health, cognition, and work performance in residents and interns who suffer from chronic sleep deprivation.Methods: Fifty-eight residents and interns were recruited in this study. They completed sleep diary for 2weeks and questionnaires including health complaints, daytime sleepiness and work performance, and were evaluated with actigraphy. Stroop test, continuous performance test (CPT), trail-making test (TMT) and Korean-California verbal learning test (K-CVLT) were done as neuropsychological evaluations. Subjects were divided into severe sleep deprived (S-SD, average night sleep less than 4h), mild to moderate deprived (M-SD, 4–6h), and non-sleep deprived (Non-SD, more than 6h) groups.Results: Forty-one su...

Rural Doctors Urge NSW Health To Reverse "Appalling Decision" On Rural Internships, Australia

Health News from Medical News Today — Tue, 29 Mar 2011 11:00:00 +0100

The Rural Doctors Association of NSW (RDA NSW) says NSW Health must urgently reverse an "appalling decision" that will see medical students from NSW, who are studying medicine at the Australian National University in Canberra, unable to secure internship positions at rural NSW hospitals. Guaranteed intern places under the Rural Preferential Recruitment (RPR) Scheme have now been restricted only to medical graduates from NSW universities. Previously students from interstate universities who had completed their HSC in NSW were also guaranteed an internship in rural NSW hospitals... (Source: Health News from Medical News Today)

Evaluation of knowledge among Interns in a medical college regarding palliative care in people living with HIV/AIDS and the impact of a structured intervention

Indian Journal of Palliative Care — Mon, 28 Mar 2011 23:00:00 +0100

Conclusion: In spite of the unique challenges presented by the varying course of illness in PLWHA and the variety of needs on the medical, psychosocial and family dimensions, a structured approach and an integrated course curriculum involving principles of both primary and palliative care principles will improve the efficiency of the undergraduate medical education program and enable delivery of effective palliative care interventions and improve quality of life in PLWHA. (Source: Indian Journal of Palliative Care)

Primary care residencies up again on Match Day

American Medical News - PROFESSION — Mon, 28 Mar 2011 12:00:00 +0100

More seniors entering internships select family or internal medicine for the second consecutive year. (Source: American Medical News - PROFESSION)

Patients suffer as Maharashtra doctors go on strike

The Economic Times — Sat, 26 Mar 2011 12:55:47 +0100

Patients were left in the lurch on Friday, when resident doctors and medical interns struck work at all medical colleges across the state, stating that their charter of demands be fulfilled. (Source: The Economic Times)

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Well: Interns at the Operating Table

NYT Health — Thu, 24 Mar 2011 19:43:13 +0100

Why patients can relax if they see a young doctor-in-training following their gurney into the operating room. (Source: NYT Health)

Will the Playstation generation become better endoscopic surgeons?

Surgical Endoscopy — Thu, 17 Mar 2011 19:23:26 +0100

Conclusions Our study results did not predict an advantage of videogame experience in children with regard to superior psychomotor skills for endoscopic surgery. However, at adult age, a difference in favor of gaming is present. The next generation of surgeons might benefit from videogame experience during their childhood. Content Type Journal ArticlePages 1-6DOI 10.1007/s00464-010-1548-2Authors Koen W. van Dongen, Department of Surgery, University Medical Centre Utrecht, Utrecht, NetherlandsEgbert-Jan M. M. Verleisdonk, Department of Surgery, Diakonessenhuis, Utrecht, NetherlandsMarlies P. Schijven, Department of Surgery, Academic Medical Centre, Amsterdam, NetherlandsIvo A. M. J. Broeders, Institute of Technical Medicine, Twente University, Enschede, Netherlands ...

Awareness of neurocysticercosis: A study from Northwest India

Annals of Indian Academy of Neurology — Tue, 15 Mar 2011 00:00:00 +0100

Conclusions: The awareness of NCC was poor in both the groups. Educational programs are needed to improve the awareness about NCC among the patients and the public. (Source: Annals of Indian Academy of Neurology)

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Inability of Providers to Predict Unplanned Readmissions

Journal of General Internal Medicine — Fri, 11 Mar 2011 18:10:42 +0100

CONCLUSIONS This study found (1) overall readmission rates were higher than previously reported, possibly because we employed a more thorough follow-up methodology, and (2) neither providers nor a published algorithm were able to accurately predict which patients were at highest risk of readmission. Amid increasing pressure to reduce readmission rates, hospitals do not have accurate predictive tools to guide their efforts. Content Type Journal ArticlePages 1-6DOI 10.1007/s11606-011-1663-3Authors Nazima Allaudeen, Department of Medicine, VA-Palo Alto Healthcare System, 3801 Miranda Ave, MC 111, Palo Alto, CA 94304, USAJeffrey L. Schnipper, BWH Academic Hospitalist Service and Division of General Medicine, Brigham and Women′s Hospital, Harvard Medical School, Bosto...

Barriers to Managing Diabetes During Pregnancy: The Perceptions of Health Care Practitioners

Birth — Thu, 10 Mar 2011 00:00:00 +0100

Conclusions: Educating women with diabetes about the importance of using effective birth control until they have achieved good glycemic control can help reduce the risk for adverse pregnancy outcomes. Motivators and barriers for a woman with diabetes to achieve glycemic control before, during, and after pregnancy should be considered when developing approaches to improve outcomes. Helping practitioners know what and how to address the needs of childbearing women with or at risk for diabetes can be beneficial. Additional efforts to increase women’s knowledge about diabetes and pregnancy and to develop effective strategies to encourage women’s achievement and maintenance of glycemic control before, during, and after pregnancy are needed. (BIRTH 38:2 June 2011) (Source: Birth)

Summer Internships at TOMS

Support for International Change : HIV AIDS — Wed, 09 Mar 2011 16:38:24 +0100

In 2006, American traveler Blake Mycoskie befriended children in Argentina and found they had no shoes to protect their feet. Wanting to help, he created TOMS Shoes, a company that would match every pair of shoes purchased with a pair of new shoes given to a child in need. One for One. Blake returned to Argentina with a group of family, friends and staff later that year with 10,000 pairs of shoes made possible by TOMS customers. As an intern at TOMS, you are given a tremendous amount of responsibility, so we take your application very seriously. We look for TOMS advocates who are passionate about the One for One movement and have proven success in college. From the beginning, we have consistently relied on our interns to take on an active role within the company. Our interns are given larg...

Cultural roadmap: Developing cultural learning strategies during internship.

Training and Education in Professional Psychology — Mon, 07 Mar 2011 00:00:00 +0100

This article describes a program designed to provide cultural training focused on increasing cultural awareness for psychology interns. The training program outlined is based in part on anthropological research methods and teaches interns a method for learning about different cultures. Interns focus on one cultural group, and go through a flexible sequence of several steps from gathering general information, meeting with community representatives, meeting specific groups of community members, to finally developing a project using the information learned to serve the group studied. An overview of the program is provided, with a recent project example to highlight the process. Reactions from interns have generally been positive. Examples are discussed of how the project has evolved to reflec...