Group items tagged

" The BEME Collaboration is a group of individuals or institutions who are committed to the promotion of Best Evidence Medical Education through: the dissemination of information which allows medical teachers, institutions and all concerned with medical education to make decisions on the basis of the best evidence available; the production of appropriate systematic reviews of medical education which reflect the best evidence available and meet the needs of the user; and the creation of a culture of best evidence medical education amongst individual teachers, institutions and national bodies."

Details nominees for best medical blogs of 2008. These are over several categories including best clinical sciences blogs, best ethics blogs etc and you can link out to each of the blogs.

Check out the list of best liquor names including Switzerland Absinthe, premium liquor. Also check out the ways how alcohol can kill you only at Rosebud Magazine.

"WHAT TO DO WHEN A PATIENT LACKS CAPACITY - The degree and urgency with which to act on findings of impaired capacity depends on multiple factors, including the expected duration of impairment, the severity of the impairment, and the seriousness of the decision. Unless the urgency of a patient's medical condition requires that a substituted decision be made immediately, efforts should be made to identify and correct any reversible causes of the impairment [26]. This is particularly relevant in hospitalized patients with impaired capacity due to delirium. Treatment of the underlying causes of delirium may restore decision-making capacity. Patients with mild to moderate cognitive impairment that is not expected to fluctuate may benefit from more intensive efforts at education to improve understanding of the relevant facts, followed by reassessment of decision-making abilities. A randomized trial found that a memory and organizational aid given to patients with mild stage Alzheimer disease dementia (n = 80) improved performance on understanding, which in turn increased the likelihood of being judged capable of providing informed consent to enroll in a clinical trial [34]. This enhancement was also effective in a randomized trial with middle-aged and older adults with schizophrenia [35]. For patients whose impairments are severe enough that they are judged to lack the capacity to make a decision, there is a clear ethical obligation to seek out a substitute decision maker. Substitute or surrogate decision makers should ideally have been chosen by the patient in advance. In the absence of a designated surrogate, laws may vary in terms of which people can serve in this proxy role and their hierarchy; in general, the order is the spouse, adult children, parents, siblings, and other relatives. (See "Legal aspects in palliative and end of life care", section on 'Surrogate decision makers'.) When making a substituted decision, the proxy should take into consideration

A Doctor-Professor answers the old question "What is the single best thing we can do for our health" in a completely new way. Dr. Mike Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute, an Associate Professor of Family Medicine and Public Health at the University of Toronto, and a staff physician at St. Michael's

"Since the goal of those involved in medical education and patient care is to perform at the highest possible level, we offer twelve practical tips for making the best use of feedback in order to support learners of all levels."

The AARP just met with the leadership of the Mayo Clinic, one of the most outstanding medical institutions in the country. They provide excellent care at a cost that is less than most other parts of the healthcare system - and with improved outcomes. We asked them about their secret to success. Mayo has an electronic medical record and all their patients have their information online. The physicians are on salary, so there's no incentive to order unnecessary tests or procedures, and Mayo has an ethic of patient-centered care, with a long history of attracting the best people and rewarding them. If Mayo can do it, why can't everyone else? The AARP believes that the potential is there for most communities to have excellent care - we must emulate the care delivery of institutions like the Mayo Clinic, and put in place payment and information systems that will coordinate care management better. It's a big job and will take some investment, but we have many opportunities to do a better job than we're doing today.

"Learning is a social, active, and ongoing process. What would a motivated group of self-learners need to know to agree on a subject or skill, find and qualify the best learning resources about that topic, select and use appropriate communication media to co-learn it? Beyond technology, what do they need to know about learning and putting learning programs together? What does a group of people need to know to use today's digital resources to co-learn a subject? This handbook is intended to answer that last question and provide a toolbox for co-learners."

"With an ever-aging population, the presence of many chronic co-morbid conditions is a reality for a majority of patients. As such, the clinician would be best served to be up-to-date with the latest evidence-based medicine. "

"The information and video below gives valuable insight into what is bullying, harassment and undermining behaviour and how these issues can be constructively dealt with. In itself this educational tool, although helpful, will not make change happen. This material would be best used as part of a wider learning experience where individuals can make sense of the issues and reflect on their own experience, attitude and behaviour."

" The SOC are based on the best available science and expert professional consensus. Because most of the research and experience in this field comes from a North American and Western European perspective, adaptations of the SOC to other parts of the world are necessary. The SOC articulate standards of care while acknowledging the role of making informed choices and the value of harm reduction approaches. In addition, this version of the SOC recognizes that treatment for gender dysphoria i.e., discomfort or distress that is caused by a discrepancy between persons gender identity and that persons sex assigned at birth (and the associated gender role and/or primary and secondary sex characteristics) has become more individualized."

"The AMS Phoenix Project: A Call to Caring is based on the premise that health professionals provide the best care when they are able to balance human compassion and technical expertise. "

"Appreciative Inquiry (AI) is a capacity building approach that selectively seeks to locate, highlight, and illuminate the life-giving forces within an organization or community. AI seeks out the best of "what is" to help ignite the collective imagination of "what might be"."

"Most people instinctively avoid conflict, but as Margaret Heffernan shows us, good disagreement is central to progress. She illustrates (sometimes counterintuitively) how the best partners aren't echo chambers -- and how great research teams, relationships and businesses allow people to deeply disagree."

"I've just discovered Instacast, an app that makes it astonishingly easy to subscribe to and follow podcasts on an iPhone or iPad. Subscriptions are entered by touching one button, podcasts can be streamed or downloaded for off-line viewing, show notes can be browsed or followed while listening to or watching a podcast."

"Outpatient learning frameworks could be structured to take best advantage of the heightened learning potential created by patient encounters. We propose the Patient-Teacher-Tutorial sequence as a framework for organizing learning in outpatient clinical settings. "

""After the small group interaction, students overwhelmingly agreed that the exercise was helpful and that the SPs were 'realistic,'" Dessureault says. "They also agreed strongly that the post-interview discussion was the most advantageous feature and that, overall, their knowledge of best practices had increased." "

"Without some definitions, all attempts to improve teaching wander aimlessly in a sea of conflicting ambitions. In this essay, we offer a way across those troubled waters. With a definition of good teaching clearly in mind, we can then offer some insights into how the best teachers achieve them. "

"In conclusion, this issue of the journal examines the handoff process across multiple domains, learners and contexts and creates a foundation for further inquiry. Future research should focus on determining best practices for handoff education for all learner levels, demonstrating validity of assessment methods, understanding the patient perspective and objectively measuring patient safety outcomes."

"How do we raise critical thinkers to best face the challenges that face our modern society?"