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anonymous

From Mindless to Mindful Practice - Cognitive Bias and Clinical Decision Making - NEJM - 1 views

www.nejm.org/...NEJMp1303712

error decision making

shared by anonymous on 05 Jul 13 - No Cached
  • anonymous on 05 Jul 13
     
    "The two major products of clinical decision making are diagnoses and treatment plans. If the first is correct, the second has a greater chance of being correct too. Surprisingly, we don't make correct diagnoses as often as we think: the diagnostic failure rate is estimated to be 10 to 15%. "
anonymous

5 Minute Clinical Consult app for Android is a great medical resource - 2 views

www.imedicalapps.com/...te-clinical-consult-android-ap

apps clinical

shared by anonymous on 15 Aug 12 - No Cached
  • anonymous on 15 Aug 12
     
    "contains over 900 medical conditions to help physicians diagnose, treat, and follow up with patients. 5MCC 2012 also includes 200 pediatric topics, 130 dermatology images, medical news RSS feeds, and Diagnosaurus with 1,000 differential diagnoses."
Andrea Owen

Isabel Healthcare - 0 views

www.isabelhealthcare.com/...default

isabel

shared by Andrea Owen on 01 Mar 09 - Cached
  • Andrea Owen on 01 Mar 09
     
    Isabel is an award-winning, clinical decision support system designed to enhance the quality of diagnosis decision making. Its unique feature is a diagnosis reminder system.For a given set of clinical features Isabel instantly provides a checklist of likely diagnoses including bio-terrorism conditions, related diagnoses and causative drugs.
avivajazz jazzaviva

DiagnosisPro | Medical and Differential Diagnosis Tool - 0 views

en.diagnosispro.com

diagnosis diagnoses diagnostics online tools differential symptoms labs imaging radiography diagnostic web-based portal

shared by avivajazz jazzaviva on 16 Mar 09 - Cached
  • anonymous on 16 Mar 09
     
    - The Ultimate Medical & Differential Diagnosis Reminder Tool
  • avivajazz jazzaviva on 24 Mar 09
     
    Get a list of possible diagnoses in seconds covering over 15,000 disease manifestations such as symptoms, labs, ECG, X-ray, CT-scan, MRI, ultrasound...
avivajazz jazzaviva

Clinical Cases + Images | Medblog - 0 views

clinicalcases.blogspot.com

clinicalcases images imaging clinical teaching education medicine medical diagnoses diagnostics medicine2.0 medblog medblogs blog blogs

shared by avivajazz jazzaviva on 18 Dec 08 - Cached
  • Natalie Lafferty on 18 Dec 08
     
    Free case-based curriculum of clinical medicine.
  • avivajazz jazzaviva on 22 Aug 09
     
    Free case-based curriculum of clinical medicine. Differential diagnoses, clinical images and an all-round great blog
anonymous

STATworkUP - Medical App Journal - 1 views

medicalappjournal.com/app_details.php

apps

shared by anonymous on 11 Mar 13 - No Cached
  • anonymous on 11 Mar 13
     
    "STATworkUP™ has an immense amount of correlated data between symptoms, tests, diagnoses and treatments. While the app cannot be relied upon to thoroughly determine a differential diagnosis or provide an evidence-based summary of therapy, it can serve as an additional arrow in the clinicians quiver especially when wrestling with an uncommon diagnostic dilemma."
anonymous

Clinical Gestalt - Reflective Interactive Medical Education | LinkedIn - 1 views

www.linkedin.com/...edical-4248189%2ES%2E235011355

interactive cases

shared by anonymous on 27 Apr 13 - No Cached
  • anonymous on 27 Apr 13
     
    "Sharable free cases created by any author from any institution at any time. Simple non-linear navigation while authoring or learning. Traditional case components such as history (hx), physical examination (pe), etc. are clickable tabs. Flexible searches are created by authors. More keywords for less advanced learners, fewer keywords for more advanced learners Learner-built medical record created on the fly. Review is easy. Immediate feedback is provided by comparing the learner-assigned value with the author's value. Delayed feedback is provided during a final review and the summary. Sortable diagnoses forming a differential are created by the author and learner and compared. Non-linear navigation includes a "Tx" tab so problems can be treated while other data is gathered."
anonymous

Educational Strategies to Promote Clinical Diagnostic Reasoning - NEJM - 0 views

www.nejm.org/...NEJMra054782

clinical reasoning

shared by anonymous on 29 Apr 13 - No Cached
  • anonymous on 29 Apr 13
     
    "linical teachers differ from clinicians in a fundamental way. They must simultaneously foster high-quality patient care and assess the clinical skills and reasoning of learners in order to promote their progress toward independence in the clinical setting.1 Clinical teachers must diagnose both the patient's clinical problem and the learner's ability and skill."
anonymous

Virtual Interactive Case System (VICS): Perioperative Interactive Education (PIE), Toro... - 0 views

pie.med.utoronto.ca/vic

casebased clinical

shared by anonymous on 15 Oct 12 - No Cached
  • anonymous on 15 Oct 12
     
    "Welcome to the Virtual Interactive Case (VIC) system for creating simulations of encounters with patients in clinics. VIC cases are clinical reasoning exercises with feedback. Their role is to provide a bridge between theory and seeing patients in clinic (or ER), providing students with what Ericsson has called "deliberate practice" as a way of gaining clinical expertise. The strength of VIC is that it is optimized for rapidly creating a large number of cases, by using a patient template, and creating variations of cases with different differential diagnoses for the same presenting complaint."
anonymous

Virtual patients for real medical students | OEB Newsportal - 1 views

www.icwe.net/...ts-for-real-medical-students-2

simulations

shared by anonymous on 30 Nov 11 - No Cached
  • anonymous on 30 Nov 11
     
    "Teaching hospitals the world over face increasing difficulties in sourcing real patients who exhibit every conceivable ailment which medical students need to learn to diagnose and treat. An e-learning approach using interactive computer simulations known as virtual patients is one way to solve the problem, but in which settings is the use of these virtual patients most effective?"
anonymous

headache.interactive(home-page) - 0 views

piripirei.net/headache

medical cases clinical communication

shared by anonymous on 27 Dec 08 - Cached
  • anonymous on 27 Dec 08
     
    A site about communicating with and diagnosing patients with headaches.
anonymous

The Biomedicine Research Labs Island - 0 views

www.ireport.com/DOC-59704

Second Life scenario

shared by anonymous on 01 Apr 09 - Cached
  • anonymous on 01 Apr 09
     
    The Biomedicine Research Labs Island, which opened in January, 2008, is in fact the digital headquarters of RL organization S.H.R.O. of Philadelphia, PA. According to their press release "S.H.R.O. is committed to excellence in basic genetic research to cure and diagnose cancer, cardiovascular diseases, diabetes and other chronic illnesses and to foster the training of young international doctors in a spirit of professionalism and humanism".
Dr.Ravichandra Karkal

INQUISITIVES- Identify the Pathology and Diagnose - 1 views

inquisitives.posterous.com/entify-the-pathology-and-diagn

inquisitives photoquiz quiz pathology posterous medicine students education blog doctors web2.0

shared by Dr.Ravichandra Karkal on 29 Sep 09 - Cached
  • Dr.Ravichandra Karkal on 29 Sep 09
     
    Have a look at my posterous...And take part in the photo-quiz..
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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