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Natalie Lafferty

Institute for Healthcare Improvement: Home - 0 views

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    The Institute for Health Improvement site which includes free on-line courses. You just need to sign up for a free account to view these. "The Institute for Healthcare Improvement (IHI) is an independent not-for-profit organization helping to lead the improvement of health care throughout the world. Founded in 1991 and based in Cambridge, Massachusetts, IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving patient care, and helping health care systems put those ideas into action."
anonymous

Twenty terrible reasons for lecturing - 0 views

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    "A number of reasons commonly given for lecturing and claims commonly made for the efficiency of lecturers are examined for their basis in empirical evidence and common sense. Most of these claims are found to be somewhat weak. It appears that lecturing takes place rather more often than can be reasonably justified. The real reasons for the popularity of lecturing amongst lecturers are then examined. Of the twenty reasons for lecturing examined here, the first nine have little substance and the last eleven are avoidable."
anonymous

The Clinical Assessment of Substance Use Disorders - publication - MedEdPORTAL - 0 views

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    "To describe the essential components of the medical model of substance use disorders. To delineate the interviewing skills necessary to screen effectively for substance use and abuse. To understand the high rate of psychiatric and medical co-morbidity and more effectively screen patients for these disorders. To demonstrate skills for evaluating patients' stage of change, readiness to accept the diagnosis, and readiness to undertake behavior change. To clearly and supportively recommend treatment to patients with substance use disorders. To describe the skills required for addiction prevention counseling. To define the skills that help set respectful limits on patient requests for prescription medication. To demonstrate awareness of how physician/clinician attitudes toward patients with substance use disorders impact recognition, diagnosis, and treatment of patients. To demonstrate knowledge of substance use disorder treatment standards and the ability to recommend appropriate referrals."
anonymous

Welcome to MedMaps.co.uk - 1 views

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    The purpose of this website is to create a collection of free medical mindmaps in order to facilitate learning of complex topics. Mindmaping is a way of incorporating imagery, colour, and visual-spatial arrangement to your notes. These elements have been separately shown to improve recall of learnt material. Mindmapping allows for the whole topic to be displayed on a single page, which increases revision speed and allows you to see connections between different ideas more easily. The difficulty in using mindmaps for revision is that it often takes a fair amount of time to design them and there are many topics to be covered in medicine. In preparation for exams, it would be very difficult for a student to make a good mindmap for every topic. One of the aims of this website is to help you overcome this problem.
Gloria Shiverdecker

Child Fitness and Development - Fitness for HealthFitness for Health - 0 views

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    Support your child's development by purchasing the proper fitness equipment. With so many sedentary activities, it's important that your children stay active. Swinging is great exercise for you and your child. Look for items that will promote social interaction by allowing for multiple participants and also leave room for the imagination to run wild!
anonymous

CaRMS Pre-Game: Preparing for the Interview « boringem - 0 views

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    "It's that time of year again. The references are in, the applications are complete, interviews have been accepted, flights are booked and medical students across Canada are preparing themselves for the rigamarole known as CaRMS that will determine where they will be living for the next 2-5 years and what kind of medicine they will be practicing for the rest of their lives."
Andrea Owen

McGraw Hill's AccessEmergency Medicine | Home - 0 views

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    Quickly search AccessEmergency Medicine for diagnosis and treatment information plus technique-oriented videos for teaching, learning, and board review. Quickly search AccessEmergency Medicine for diagnosis and treatment information plus technique-oriented videos for teaching, learning, and board review.
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.
anonymous

Overview Toolkit for Making Written Material Clear and Effective - 3 views

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    "The focus of this Toolkit is on creating written material intended for use by people eligible for or enrolled in Medicare, Medicaid, or the Children's Health Insurance Program -- and by people who serve or assist them, such as family members and friends, outreach workers, agency staff, community organizations, and care providers. While the guidelines and advice we offer are geared to the needs of CMS audiences, most of them reflect general principles for effective communication of information that can be applied to any audience."
Ravimohan RAVIMOHAN

e-meducation open access medical education portal</title> - 0 views

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    primarily resources for learning about infections
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    Medical education portal. Links to free open access medical education resources, monthly teaching cases, custom medical search. Alfa Institute of Biomedical Sciences-AIBS educational site., We created for our visitors a custom Google search engine that generates results from professional oriented sites for healthcare providers, leaving outside commercial pages. It is a highly specialized Custom Search Engine that reflects medical knowledge and interests.{kl_php} include("http://www.e-meducation.com/templates/daydream2blue/google.php");{/kl_php}, Orofacial pain and fever, Severe shortness of breath after PTCA, A short description of the procedure is presented for each case along with interesting remarks and teaching points. We present our findings in: Laparascopic surgery, Lesions on blue skin base, Fever in a patient with liver metastasis of bowel carcinoma
Andrea Owen

UKCDR Project - 0 views

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    I'm sharing the UKCDR project - full disclosure - I am Project Manager of this collaborative project. It aims to make it easier for groups and schools in medical education to have conversations about assessment software requirements with commercial and other developers. Additionally, the project is engaging with commercial developers and trying to win the battle to ensure that best practice pedagogic needs come top in their software development plans.
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    UK Collaboration for a Digital Repository for High Stakes Assessments. Sister project to UMAP. New activity planned for 2009.
anonymous

Microbiology Flashcards app for USMLE uses gamification for board prep - 0 views

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    "The app provides mini flashcards for over 130 bugs including high yield keywords and disease associations. Quizzes include vignettes that have more information about each organism, but this app still does not include all the relevant board exam related microbiology information. This app cannot be used as the only microbiology resource when studying for boards, but the app may be useful to quickly study on the go."
anonymous

e-Learning Resources on Addiction for Undergraduate Medical Education in Canada | Canad... - 1 views

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    "AFMC and the Norlien Foundation have partnered to provide funding and support for the development of a suite of e-learning tools on early brain and biological development and addictions for undergraduate medical education. The suite of resources includes virtual patients, a primer (e-textbook), and podcast series. Topics that are addressed include core concepts of early child development, epigenetics, intervention and treatment strategies, and system responses to addiction."
anonymous

Medical educator pool shrinks - 0 views

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    "A SHORTAGE of senior medical educators and growing demand for their expertise has prompted leading Australian educators to call for a more defined career pathway for medical education"
anonymous

Retrieval-Based Learning: Active Retrieval Promotes Meaningful Learning - 1 views

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    Retrieval is the key process for understanding learning and for promoting learning. It is essential for understanding learning because all expressions of knowledge involve retrieval and therefore depend on the retrieval cues that are available in a given context.
anonymous

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

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    "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

Simulation Case Library - 1 views

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    "The Society for Academic Emergency Medicine (SAEM) Simulation Collection is compiled by the SAEM Simulation Interest Group, working with the SAEM Simulation Task Force. Cases can be posted for sharing and feedback only, or for peer-review and publication. "
anonymous

iInTIME | Virtual Patients - 3 views

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    "The Institute for Innovative Technology In Medical Education (iInTIME) meets its mission by collaborating to develop and then distribute virtual patient cases and other on-line educational modules that are consistent with iInTIME's educational philosophy. These virtual patient cases harness the power of medical knowledge and are designed to supplement traditional clerkship teaching and patient care activities for third-year medical students, but also are appropriate for many other learners."
anonymous

Patient-Centered Care Model Demands Better Physician-Patient Communication, February 1,... - 1 views

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    "It's not just patients who can learn from tools that help them make evidence-based decisions. Assessing patients' understanding of the information provided and the reasons for their health care choices has been an educational experience for Dale Collins Vidal, MD, director of the Center for Informed Choice at Dartmouth Medical School in Hanover, New Hampshire."
anonymous

JAMA Network | Archives of Surgery | Pursuing Professional AccountabilityAn Evidence-Ba... - 2 views

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    " It is essential to set clear expectations for professional behavior with faculty and residents. A notice of deficiency should define the expected acceptable behavior, timeline for improvement, and consequences for noncompliance. Faculty should note and address systems problems that unintentionally reinforce and thus enable unprofessional behavior. "
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