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Dianne Rees

Ignatia Webs: Paper on Continuing Medical Education through mobile devices for Health C... - 0 views

ignatiawebs.blogspot.com/...tinuing-medical-education.html

mlearning mobile learning mobile learning mhealth mobile health ART CME medical education developing countries

shared by Dianne Rees on 06 Oct 10 - Cached
  • Dianne Rees on 06 Oct 10
     
    mlearning and CME in developing countries
avivajazz jazzaviva

AARP |:| Fixing US Healthcare - 0 views

www.getbetterhealth.com/...2008.07.14

healthcare AARP public policy electronic medical records medical records EMR mayo clinic online web-based coordination coordinate collaborate

shared by avivajazz jazzaviva on 11 Apr 09 - Cached
  • 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.
  • avivajazz jazzaviva on 11 Apr 09
     
    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.
anonymous

The International Charter for Human Values in Healthcare - 2 views

charterforhealthcarevalues.org

compassion

shared by anonymous on 12 Apr 13 - No Cached
  • anonymous on 12 Apr 13
     
    "The International Charter for Human Values in Healthcare is a collaborative effort involving people, countries, organizations and institutions around the world working together to restore core human values to healthcare."
anonymous

National Steering Committee on Resident Duty Hours | Home - 0 views

residentdutyhours.ca

residents

shared by anonymous on 03 Jul 13 - No Cached
  • anonymous on 03 Jul 13
     
    "Nine organizations involved in postgraduate medical education and experts from across Canada have joined together to produce a groundbreaking report outlining pan-Canadian principles, key findings, recommendations and metrics to inform decision-making about resident duty hours across the country. Supported by Health Canada, the final report, Fatigue, Risk and Excellence: Towards a Pan-Canadian Consensus on Resident Duty Hours, includes five principles and detailed recommendations that are intended to outline a path forward that optimizes patient care and training for the 21st century."
Peter Kimmich

The Nation's Top 10 Diagnostic Medical Sonography Schools - 1 views

www.bukisa.com/...tic-medical-sonography-schools

sonography ultrasound healthcare education medical diagnostic medical sonography

shared by Peter Kimmich on 17 Sep 09 - Cached
  • Peter Kimmich on 17 Sep 09
     
    Here is a quick rundown of the top ten ultrasound technician and diagnostic medical sonographer schools in the country, in alphabetical order, according to US News in 2008.
Peter Kimmich

How to Become a Registered Nurse | eHow.com - 0 views

www.ehow.com/ecome-rn-registered-nurse.html

nurse nursing registered nurse rn

shared by Peter Kimmich on 10 Sep 09 - Cached
  • Peter Kimmich on 10 Sep 09
     
    For the right person, becoming a registered nurse can be a challenging and rewarding career move. Nurses are the most numerous health care professional in the country, but despite their numbers...
Peter Kimmich

Best Medical Assistant Schools for Associate's Degrees and Certificates - 0 views

www.medicalassistants.info/...best-medical-assistant-schools

medicalassistant medicalassisting education schools degrees

shared by Peter Kimmich on 14 Jul 09 - Cached
  • Peter Kimmich on 14 Jul 09
     
    These career schools and colleges offer established medical assisting programs to students across the country...
anonymous

NCSBN National Simulation Study - 0 views

www.ncsbn.org/2094.htm

simulation

shared by anonymous on 22 Aug 14 - No Cached
  • anonymous on 22 Aug 14
     
    NCSBN conducted a landmark, national, multi-site, longitudinal study of simulation use in prelicensure nursing programs throughout the country.
Dingwall PGME

Editing Wikipedia Pages for Med School Credit - NYTimes.com - 1 views

www.nytimes.com/...ges-for-med-school-credit.html

shared by Dingwall PGME on 01 Oct 13 - No Cached
  • Wikipedia editing will force students to think clearly and avoid jargon, he said. “We do a great job in helping them talk to doctors, but we don’t do as good a job in helping them speak to the public,” he added.
    • Dingwall PGME
      Dingwall PGME on 01 Oct 13
       
      #Communicator #Professional #CanMEDS
  • These articles are submitted to a group from Translators Without Borders that produces medical articles for Wikipedias in languages spoken in countries that often lack high-quality medical information.
    • Dingwall PGME
      Dingwall PGME on 01 Oct 13
       
      #HealthAdvocate #CanMEDS #Collaborator
  • He said he planned to see the students for two days at the start to plot the writing and editing requirements, then track their work on Wikipedia. While some might fear that his students would cut corners, Dr. Azzam said: “I am working with medical students — professionals in training — who are highly motivated. I’m not worried about them slacking.”
    • Dingwall PGME
      Dingwall PGME on 01 Oct 13
       
      multiaccess model. #Professional #Scholar #CanMEDS
Ambika Kilaparthi

Placebos Are Getting More Effective. Drugmakers Are Desperate to Know Why. - 0 views

www.wired.com/...ff_placebo_effect

placebo

shared by Ambika Kilaparthi on 20 Sep 09 - Cached
  • response to placebo was considered a psychological trait related to neurosis and gullibility rather than a physiological phenomenon that could be scrutinized in the lab and manipulated for therapeutic benefit. But then Benedetti came across a study, done years earlier, that suggested the placebo effect had a neurological foundation. US scientists had found that a drug called naloxone blocks the pain-relieving power of placebo treatments. The brain produces its own analgesic compounds called opioids, released under conditions of stress, and naloxone blocks the action of these natural painkillers and their synthetic analogs.
  • Placebo-activated opioids, for example, not only relieve pain; they also modulate heart rate and respiration. The neurotransmitter dopamine, when released by placebo treatment, helps improve motor function in Parkinson's patients. Mechanisms like these can elevate mood, sharpen cognitive ability, alleviate digestive disorders, relieve insomnia, and limit the secretion of stress-related hormones like insulin and cortisol.
  • Alzheimer's patients with impaired cognitive function get less pain relief from analgesic drugs than normal volunteers do. Using advanced methods of EEG analysis, he discovered that the connections between the patients' prefrontal lobes and their opioid systems had been damaged. Healthy volunteers feel the benefit of medication plus a placebo boost. Patients who are unable to formulate ideas about the future because of cortical deficits, however, feel only the effect of the drug itself. The experiment suggests that because Alzheimer's patients don't get the benefits of anticipating the treatment, they require higher doses of painkillers to experience normal levels of relief.
  • ...17 more annotations...
  • placebo response has limits. It can ease the discomfort of chemotherapy, but it won't stop the growth of tumors. It also works in reverse to produce the placebo's evil twin, the nocebo effect. For example, men taking a commonly prescribed prostate drug who were informed that the medication may cause sexual dysfunction were twice as likely to become impotent.
  • placebo aids recovery is by hacking the mind's ability to predict the future. We are constantly parsing the reactions of those around us—such as the tone a doctor uses to deliver a diagnosis—to generate more-accurate estimations of our fate. One of the most powerful placebogenic triggers is watching someone else experience the benefits of an alleged drug. Researchers call these social aspects of medicine the therapeutic ritual.
  • What turns a dummy pill into a catalyst for relieving pain, anxiety, depression, sexual dysfunction, or the tremors of Parkinson's disease? The brain's own healing mechanisms, unleashed by the belief that a phony medication is the real thing. The most important ingredient in any placebo is the doctor's bedside manner, but according to research, the color of a tablet can boost the effectiveness even of genuine meds—or help convince a patient that a placebo is a potent remedy.
  • Red pills can give you a more stimulating kick
  • green reduces anxiety
  • White tablets—particularly those labeled "antacid"—are superior for soothing ulcers
  • More is better,scientists say. Placebos taken four times a day deliver greater
  • Branding matters. Placebos stamped or packaged with widely recognized trademarks are more effective than "generic"
  • Clever names
  • volunteers in this high-interaction group got as much relief as did people taking the two leading prescription drugs for IBS. And the benefits of their bogus treatment persisted for weeks afterward, contrary to the belief—widespread in the pharmaceutical industry—that the placebo response is short-lived.
  • hybrid treatment strategies that exploit the placebo effect to make real drugs safer and more effective. Cancer patients undergoing rounds of chemotherapy often suffer from debilitating nocebo effects—such as anticipatory nausea—conditioned by their past experiences with the drugs. A team of German researchers has shown that these associations can be unlearned through the administration of placebo, making chemo easier to bear.
  • body's response to certain types of medication is in constant flux, affected by expectations of treatment, conditioning, beliefs, and social cues.
  • Big Pharma have moved aggressively into Africa, India, China, and the former Soviet Union. In these places, however, cultural dynamics can boost the placebo response in other ways. Doctors in these countries are paid to fill up trial rosters quickly, which may motivate them to recruit patients with milder forms of illness that yield more readily to placebo treatment. Furthermore, a patient's hope of getting better and expectation of expert care—the primary placebo triggers in the brain—are particularly acute in societies where volunteers are clamoring to gain access to the most basic forms of medicine. "The quality of care that placebo patients get in trials is far superior to the best insurance you get in America
  • The HAM-D was created nearly 50 years ago based on a study of major depressive disorder in patients confined to asylums. Few trial volunteers now suffer from that level of illness. In fact, many experts are starting to wonder if what drug companies now call depression is even the same disease that the HAM-D was designed to diagnose.
  • What all of these disorders have in common, however, is that they engage the higher cortical centers that generate beliefs and expectations, interpret social cues, and anticipate rewards. So do chronic pain, sexual dysfunction, Parkinson's
  • In standard trials, the act of taking a pill or receiving an injection activates the placebo response. In open/hidden trials, drugs and placebos are given to some test subjects in the usual way and to others at random intervals through an IV line controlled by a concealed computer. Drugs that work only when the patient knows they're being administered are placebos themselves.
  • Ironically, Big Pharma's attempt to dominate the central nervous system has ended up revealing how powerful the brain really is. The placebo response doesn't care if the catalyst for healing is a triumph of pharmacology, a compassionate therapist, or a syringe of salt water. All it requires is a reasonable expectation of getting better. That's potent medicine.
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