Group items tagged

Web 2.0 use represents a profound departure from previous learning and decision processes which were normally controlled by senior medical staff or medical schools. There is widespread concern with the risk of poor quality information with Web 2.0 use, and the manner in which physicians are using it suggest effective use derives from the mitigating actions by the individual physician. Three alternative policy options are identified to manage this risk and improve efficiency in Web 2.0's use.

"In early April 2012, a flurry of news reports described a study of major health risks shortening the lives of people in the Canadian province of Ontario. A typical report described "bad lifestyle choices" as together taking as much as seven years off Ontarians' life expectancies."

"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."

Ninety-seven articles were included from 182 full-text articles of the initial 2,001 hits. All studies were of average or good quality and the majority had an observational study design.Ninety-six studies provided insight into the effect of 'the level of experience of residents' on patient outcomes during residency training. Within these studies, the start of the academic year was not without risk (five out of 19 studies), but individual progression of residents (seven studies) as well as progression through residency training (nine out of 10 studies) had a positive effect on patient outcomes.

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.

"CeaseFire is a unique, interdisciplinary, public health approach to violence prevention. We maintain that violence is a learned behavior that can be prevented using disease control methods. Using proven public health techniques, the model prevents violence through a three-prong approach: Identification & detection Interruption, Intervention, & risk reduction Changing behavior and norms"

"This comparative analysis reveals that medicine and music make culturally distinct assumptions about teaching and learning. The contrasts between the two cultures illuminate potential vulnerabilities in the medical learning culture, including the risks inherent in its competence-focused approach and the constraints it places on its own teachers. By highlighting these vulnerabilities, we provide a stimulus for reimagining and renewing medicine's educational practices."

"Rather than motivating individuals to lose weight, weight discrimination increases risk for obesity."

"Our experience with the calculators shows that it helps surgeons improve the quality of care they provide their patients because it improves shared decision making and patient-centered informed consent."

You hate what you do You are a paranoid, risk-averse milquetoast You work 170 hr/week You want to hire someone to do it You don't need patients You don't want anyone knowing what you think

The human error problem can be viewed in two ways: the person approach and the system approach. Each has its model of error causation and each model gives rise to quite different philosophies of error management. Understanding these differences has important practical implications for coping with the ever present risk of mishaps in clinical practice.

To avoid health risks in using herbal medicines, always stick to the prescription given to you by your health expert. The prescription is also part of the treatment process, making sure that your body will have enough of the curative properties to boost your body's recovery.

"Fairs provide medical students exposure to rural health issues through the valuable opportunity of using risk factor screening tools and counseling. This provides valuable information to patients of rural communities. Future research should examine how fairs influence student knowledge and attitudes toward rural health and affect health outcomes."

"They review some classics including: "The rational clinical examination. Is this patient having a myocardial infarction?" in JAMA 1998. "The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease" in JAMA 2000. "Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis" in NEJM 2003. "The Canadian C-spine rule versus the NEXUS low-risk criteria in patients with trauma" in NEJM 2003. "Computed tomography of the head before lumbar puncture in adults with suspected meningitis" in NEJM 2001."

"These patient decision aids (PDAs) have been developed to help support difficult decisions in which patients need to consider benefits versus risks. Decision aids prepare patients for decision-making by increasing their knowledge about expected outcomes and personal values. The PDAs are based on the best available evidence but are not a substitute for a discussion with a suitably skilled healthcare professional. We hope that their use in such discussions will result in better informed, patient-focused decision-making. "