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anonymous

The feedback sanction. [Acad Emerg Med. 2000] - PubMed - NCBI - 1 views

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    "Good feedback is a necessary condition for well-calibrated performance by individuals, and is integral to effective team function. More needs to be known about outcomes for feedback to work efficiently. The critical role of feedback in other aspects of ED function, such as education and human factors engineering, should be emphasized. The current interest in medical error and evolving attitudes toward a new culture of patient safety provide a unique opportunity to examine feedback and the critical role it plays in ED function."
Andrea Owen

Calculate your item banking needs using UKCDR tool (V1) - 0 views

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    The requirements developed from across 8 different institutions in the original 2005-07 project are given here with tick boxes for departments, schools and institutions to select which aspects of item banking and associated functionality they feel are key to their own current or future processes. The tool will then give match information using the results of appraisal of 12 pieces of software, including some well known software companies e.g. Speedwell and QuestionMark, and some lesser known projects and companies such as TOIA and BTL. The original project was based heavily in medical undergraduate assessment. Note, a 2009 project is due to create and release information relevant to a V2 specification. The V2 will be more generic, building on the information brought forward for V1. UKCDR is a sister project to UMAP, a national collaborative project in the UK for core, applied assessment in undergraduate medicine.
anonymous

Physician burnout and the four horsemen of the physician burnout apocalypse - 0 views

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    "The Four Horsemen of the Physician Burnout Apocalypse Here they are in all their glory … see if they feel familiar to you. => Workaholic => Superhero => Emotion Free => Lone Ranger These four behaviors are actually functional - even essential - when we use them to get through a rough night on call or a particularly onerous clinical rotation. However, they go much deeper than that in most doctors."
anonymous

New free iBook demonstrates power of iPad as a medical education learning platform - 0 views

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    "The aim of this iBook is to help students learn and understand the structure and function of the brachial plexus by guiding the reader through four key areas. There is extensive use of interactive content throughout the app in the form of videos, question sessions in addition to the options offered as part of the iBooks app. This includes the ability to highlight passages, make notes or generate study cards based on material within the iBook."
anonymous

Anatomy Flash Cards by Lange - 0 views

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    "A handy notation function allows for notes to be made on cards throughout the app. The notes are then compiled in one place ("note" tab) so that all can be viewed at once rather than having to fish through cards to get to the notes. Notes can be viewed within cards too."
anonymous

The relationship between resilience and personality traits in doctors: implications for... - 1 views

shared by anonymous on 02 May 14 - No Cached
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    "Resilience was associated with a personality trait pattern that is mature, responsible, optimistic, persevering, and cooperative. Findings support the inclusion of resilience as a component of optimal functioning and well being in doctors. Strategies for enhancing resilience should consider the key traits that drive or impair it."
anonymous

Functional neurologic abnormalities due to prenatal alcohol exposure are common | Persp... - 0 views

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    Most children who are exposed to large amounts of alcohol while in the womb do not go on to develop fetal alcohol syndrome (FAS). Instead, problems that arise fall under a broader term that describes a spectrum of adverse outcomes, fetal alcohol spectrum disorders (FASD).
anonymous

Can music be used in medical education? - 0 views

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    "Music can function as a metaphor for medical practice. We can think of the consultation as performance art,4 which may just make me more nervous at work. What better description of general practice than a virtuoso struggle to perform near impossible feats against the backdrop of physical limitations to produce something beautiful and moving?"
Annalisa Manca

Abstract | Hunter disease eClinic: interactive, computer-assisted, problem-based approa... - 0 views

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    Computer-based teaching (CBT) is a well-known educational device, but it has never been applied systematically to the teaching of a complex, rare, genetic disease, such as Hunter disease (MPS II). Aim: To develop interactive teaching software functioning as a virtual clinic for the management of MPS II.
Annalisa Manca

virtual e-clinic - 0 views

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    a self-training, user-friendly educational software program, available at the Lysosomal Storage Research Group (http://www.lysosomalstorageresearch.ca), was developed using the Adobe Flash multimedia platform. It was designed to function both to provide a realistic, interactive virtual clinic and instantaneous access to supporting literature on Hunter disease.
Peter Kimmich

What Does a Nurse Do? - 0 views

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    Nurses perform a variety of functions, based on their individual specialties and their level of expertise.
Peter Kimmich

Dental Assistant Occupation Overview - 0 views

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    Dental assistants work alongside dentists, performing a variety of tasks to maintain patient comfort and smooth office function.
anonymous

The delivery of public health interventions online - 0 views

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    The Internet increasingly serves as a platform for the delivery of public health interventions. The efficacy of Internet interventions has been demonstrated across a wide range of conditions. Much more work remains, however, to enhance the potential for broad population dissemination of Internet interventions. In this article, we examine the effectiveness of Internet interventions, with particular attention to their dissemination potential. We discuss several considerations (characterizing reach rates, minimizing attrition, promoting Web site utilization, use of tailored messaging and social networking) that may improve the implementation of Internet interventions and their associated outcomes. We review factors that may influence the adoption of Internet interventions in a range of potential dissemination settings. Finally, we present several recommendations for future research that highlight the potential importance of better understanding intervention reach, developing consensus regarding Web site usage metrics, and more broadly integrating Web 2.0 functionality.
anonymous

Acland's Video Atlas of Human Anatomy | Home - 2 views

shared by anonymous on 28 Jul 11 - No Cached
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    "Explore anatomical structures and functions with AclandAnatomy.com. This Video Atlas presents expertly dissected human specimens as three-dimensional objects-just as they appear in the living body. Intelligent search and navigation tools make it easy to find the content you need to teach, learn, or review. Ideal for students and instructors as well as practitioners, Acland's Video Atlas is a virtual anatomy lab at your fingertips. "
Dr.Ravichandra Karkal

WORKUP AND DIAGNOSIS OF A SOLITARY THYROID NODULE from Townsend: Sabiston Textbook of S... - 0 views

  • Rapid growth and signs of possible invasion, such as pain or hoarseness, are most suggestive, but not conclusive of malignancy
  • Clinical groups with the highest risk for malignancy in a thyroid nodule are children, males, adults younger than 30 or older than 60 years, and those exposed to radiation therapy, especially during childhood
  • history of specific endocrine disorders
    • Dr.Ravichandra Karkal
       
      medullary carcinoma, MEN 2, or papillary thyroid cancer (PTC), or a history of familial polyposis, including Gardner's syndrome.
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  • Serum Tg has been reported as useful in predicting a well-differentiated carcinoma
  • Radioisotope Scanning
  • radionuclide scans allow assessment of thyroid function.
  • Technetium pertechnetate (99mTc) is taken up rapidly by the normal activity of follicular cells. It is trapped by follicular cells, but not organified. 99mTc has a short half-life and low radiation dose. Its rapid absorption allows quick evaluation of increased uptake (so-called hot) or hypofunctioning (so-called cold) areas of the thyroid.
  • 123I and 131I iodine scintigraphy is also used to evaluate the functional status of the gland
  • Advantages of scanning with 123I include a low dose of radiation (30 mrad) and short half-life.
  • 123I is a good choice for evaluating suspected lingual thyroids or substernal goiters.
  • 131I has a longer half-life (8 days) and emits higher levels of β-radiation. 131I is optimal for imaging thyroid carcinoma.
  • screening modality of choice for the evaluation of distant metastasis.
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

Medical Moulage - 1 views

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    "Rely on this easy-to-use guide to create over 300 special effects for your clinical simulations and live drills. Simple recipes and over 1,200 full-color illustrations provide step-by-step how-to's using readily available ingredients."
Andrea Owen

AMEE: Introducing the Malaga 2009 conference - 0 views

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    Talk given at the close of the 2008 conference in Prague.
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    Is anyone going to AMEE this year? I was still there in prague when this presentation was given last year. there is another clip on Youtube that shows the Malaga bit better, but really it is a little bit like an advert for a resort. I wonder what function these video clips have. I would rather know about the way the conference will be structured and new ways they might have of working.
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