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anonymous

Healthtalkonline: Patients, family and professional experience of health and illness...... - 0 views

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    Healthtalkonline is the award-winning website of the DIPEx charity and replaces the website formerly at dipex.org. Healthtalkonline lets you share in other people's experiences of health and illness. You can watch or listen to videos of the interviews, read about people's experiences and find reliable information about conditions, treatment choices and support. The information on Healthtalkonline is based on qualitative research into patient experiences, led by experts at the University of Oxford. These personal stories of health and illness will enable patients, families and healthcare professionals to benefit from the experiences of others
anonymous

The view from over there: reframing the OSCE through the experience of standardised pat... - 1 views

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    "The results can be used to reframe understanding of the SP role and of the psychometric discourse of assessment. Ratings awarded by SPs are socially constructed and reveal the complexity of the OSCE process and the unfeasibility of absolute objectivity or standardisation. Standardised patients valued individuality, subjective experience and assessment for learning. The potential of SPs is under-used their greater involvement should be used to promote real partnership as educators move into a post-psychometric era. New-generation assessments should strive to value subjective experience as well as psychometric data in order to utilise the significant potential for learning within assessment."
anonymous

Student perspectives on assessment: Experience in a competency-based portfolio system, ... - 2 views

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    " Four students share personal reflections of their experience to illuminate themes from the subjective experience of the learner and to understand how to align the learners' interests with the requirements of an assessment program."
anonymous

Patient Blogging Could Offer Host of Benefits - Features - iHealthBeat - 2 views

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    "According to a 2011 report by the Pew Research Center's Internet & American Life Project, of the 74% of American adults using the Internet, 34% have read someone else's commentary or experience about health or medical issues on an online news group, website or blog. Meanwhile, about 13% of patients blog about their diagnosis or experience. "
anonymous

Undermining behaviour - 1 views

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    "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."
anonymous

Improving Teaching Through A Community of Practice - 0 views

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    "Four faculty members describe their collective experiences of being involved in a community of practice (CoP) designed to deconstruct individual teaching experiences through critical reflection and dialogue. "
anonymous

Fifty-five Word Stories: "Small Jewels" for Personal Reflection and Teaching - 0 views

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    Fifty-five word stories are brief pieces of creative writing that use elements of poetry, prose, or both to encapsulate key experiences in health care. These stories have appeared in Family Medicine1 and JAMA2 and have been used to teach family medicine faculty development fellows.3 Writers and readers of 55-word stories gain insight into key moments of the healing arts; the brevity of the pieces adds to both the writing and reading impact. Fifty-five word stories may be used with trainees to stimulate personal reflection on key training experiences or may be used by individual practitioners as a tool for professional growth.
Ambika Kilaparthi

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

  • 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.
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  • 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.
Anne Marie Cunningham

Mobile McLuhan: Float Mobile Learning - 0 views

    • Anne Marie Cunningham
       
      need an LMS with tagging 
  • s soon as information is acquired, is very rapidly replaced by still newer information. Our electrically configured world has forced us to move from the habit of data classification to the mode of pattern recognition. We can no longer build serially, block by block, step-by-step, because instant communication ensures that all factors of the environment and of experience coexist in a state of active interplay.”
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    "as soon as information is acquired, is very rapidly replaced by still newer information. Our electrically configured world has forced us to move from the habit of data classification to the mode of pattern recognition. We can no longer build serially, block by block, step-by-step, because instant communication ensures that all factors of the environment and of experience coexist in a state of active interplay."
anonymous

The experience of living at home with frailty in old age. - 0 views

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    With enhanced longevity, many people in late old age find themselves frail and living at home, often alone. Whilst conceptualisations vary, frailty is often used in clinical practice as a directional term, to refer to older people at particular risk of adverse health outcomes and to organise care. Investigation of the experience of being frail is a complementary and necessary addition to international research endeavours clearly to define, predict and measure frailty.
anonymous

Medical education needs to be responsive to changes in professional identity being gene... - 0 views

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    "Medical education needs to be responsive to changes in professional identity being generated from factors within medical student experiences and within contemporary society."
Anne Marie Cunningham

Wiki as Learning Resource - 0 views

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    Cardiff School of Pharmacy experience
Dianne Rees

Preparing Learners for Future Experiences using Game-Based Learning - 0 views

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    More applications for meded
anonymous

Longitudinal integrated rural placements: a social learning systems perspective | Conve... - 0 views

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    "Longitudinal, integrated clinical placement models can be understood as SLSs comprising synergistic and complementary learning spaces, in which students engage and participate in multiple CoPs. This occurs in a context shaped by unique influences of the geography of place. This engagement provides for a range of student learning experiences, which contribute to clinical learning and the development of a more sophisticated professional identity. A range of pedagogical and practical strategies can be embedded within this SLS to enhance student learning."
anonymous

CAMH: Collaborating with Families Affected by Concurrent Disorders Online Course - 0 views

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    Families are an immense resource in the care, treatment and recovery of individuals with co-occurring mental health and addiction problems. However, they often have limited access to the resources, information and help that they need to be supportive to the ones they love. This six-week online course for health care providers explores the needs of families affected by concurrent disorders as well as the strategies that health care providers can use to empower families and ensure that their experiences are more positive. The recommended pre-requisite for this course is the Concurrent Disorders Core Course.
anonymous

Learning Together with Cases - 1 views

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    "As our collection of cases grows, we hope to collect teachers' stories of the road to implementation and reflections on interprofessional education using the LTWC collection. Please let us know if you would like to share your experiences (you can also request access to join the discussion threads below)."
anonymous

COMFORT-IPE: Communication training for Interprofessional Patient-centered Care - publi... - 1 views

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    "COMFORT is an acronym that stands for the basic principles of palliative care communication and comprises seven modules (Communication, Orientation/Opportunity, Mindfulness, Family, Openings, Relating, Team). These communication skills training modules are designed to highlight interprofessional care and communication. Each module of the COMFORT curriculum can stand alone as a teaching activity or can be integrated into a new or existing course. Modules C (narrative clinical communication) and F (family caregivers) provide beginner level instruction, while M (mindfulness), O/O (orientation), and T (team) provide intermediate instruction and O (openings) and R (relating) provide advanced communication skills and are intended for learners who have clinical observation experience."
anonymous

Standards of Care for the Health of Transsexual, Transgender, and Gender-Nonconforming ... - 1 views

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    " 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."
anonymous

Labguru's Free iPad App - 0 views

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    "Bridge the gap between planning experiments on your PC and executing on your lab bench. Access your protocols, record notes and sync results back to the Labguru web application. "
anonymous

MyMedicalTutor app allows doctors to practice presentation skills - 0 views

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    "When it comes to OSCE exams and presenting cases, practice is essential. In order to develop these vital skills, doctors and students need to gain vital experience. Thankfully, there is now an app to help do this."
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