Group items tagged

"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."

"Team-Based Learning Enhances Long-Term Retention and Critical Thinking in an Undergraduate Microbial Physiology Course "

This report assesses the status of relevant team training research

The tool was conceived by a research team from the Faculty of Health and Life Sciences at UWE Bristol led by principal lecturer Simon Messer, and developed in collaboration with Avon Somerset and Wiltshire Cancer Services (ASWCs) who commissioned the project as part of the National Awareness and Early Diagnosis Initiative. The idea is that GPs can access GP Sim from their computer at a time that suits to fine tune their diagnostic skills.

Problem-based learning, process-oriented guided inquiry learning, and peer-led team learning are student-centered, active-learning pedagogies commonly used in science education. The characteristic features of each are compared and contrasted to enable new practitioners to decide which approach or combination of approaches will suit their particular situation.

Although operating theater attendance is recognized as an important component of the medical school curriculum, overall attendance at sessions was low. Attendance could be increased by ensuring students knowing what is expected of them, making them feel welcome, setting learning objectives, and allowed them to actively participate. These results highlight the need to ensure that the time spent by medical students in the operating room is positive and maximized to its full potential through structured learning involving all members of the theater team.

"Overall though, the Dash system was successful in improving Dr. Williams' confidence that the implant was correctly placed. The iMedicalApps team previously reported on iPod Touch assisted orthopedic surgery. The Dash system is another method that will benefit patients via the use of mobile technology."

"Most people instinctively avoid conflict, but as Margaret Heffernan shows us, good disagreement is central to progress. She illustrates (sometimes counterintuitively) how the best partners aren't echo chambers -- and how great research teams, relationships and businesses allow people to deeply disagree."

"The duty of the teacher in this model is not to judge and rate but, rather, to read and tell what is seen. Our teachers, having been trained in the acts of close reading, are equipped not with rating rubrics but, rather, with a reading guide that prompts the reader to attend to several narrative features of a text. The reader/coach can thereby first see and then show the writer what is contained in the written text, at least from that reader's vantage point, helping along the process not only of the writing but also of the reflection the writing birthed. Multiple readers swell and complicate the lessons learned. As a dividend, we have observed, the group of readers/writers form strong, trusting, collaborative teams. And so our training for reflection also fulfills other difficult missions of medical education in teamwork, peer learning, trust, and care."

"CLEAR aims to provide clinicians with summarised evidence relating to aetiology, diagnosis, prognosis and treatment queries about patient care. CLEAR is delivered by an information team working to a service criteria and a defined method. "

"The trap that we nearly fell into is called anchoring bias. The patient was admitted to our team with the diagnosis of alcohol withdrawal. Once we had that label in our minds, we fit everything into that diagnostic box, anchoring all of his symptoms to that diagnosis, even ones that didn't quite fit."

"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."

"Patients and clinicians share why it's important to ask questions and offer ways that you can ask questions and get your health care needs met. In these short, compelling videos, patients talk about how simple questions can help you take better care of yourself, feel better, and get the right care at the right time. Doctors and nurses talk about how your questions help them take better care of you and offer advice on how you can be an active member of your health care team and get your most pressing questions answered."

The Hospice Volunteer Training Online program is different than any program currently offered. It is an introduction to the core concepts of hospice including it's history and philosophy, ethical and privacy considerations, definitions of team roles and eligibility, communication techniques, bereavement and grief explorations, and alternative therapies.

"WHAT TO DO WHEN A PATIENT LACKS CAPACITY - The degree and urgency with which to act on findings of impaired capacity depends on multiple factors, including the expected duration of impairment, the severity of the impairment, and the seriousness of the decision. Unless the urgency of a patient's medical condition requires that a substituted decision be made immediately, efforts should be made to identify and correct any reversible causes of the impairment [26]. This is particularly relevant in hospitalized patients with impaired capacity due to delirium. Treatment of the underlying causes of delirium may restore decision-making capacity. Patients with mild to moderate cognitive impairment that is not expected to fluctuate may benefit from more intensive efforts at education to improve understanding of the relevant facts, followed by reassessment of decision-making abilities. A randomized trial found that a memory and organizational aid given to patients with mild stage Alzheimer disease dementia (n = 80) improved performance on understanding, which in turn increased the likelihood of being judged capable of providing informed consent to enroll in a clinical trial [34]. This enhancement was also effective in a randomized trial with middle-aged and older adults with schizophrenia [35]. For patients whose impairments are severe enough that they are judged to lack the capacity to make a decision, there is a clear ethical obligation to seek out a substitute decision maker. Substitute or surrogate decision makers should ideally have been chosen by the patient in advance. In the absence of a designated surrogate, laws may vary in terms of which people can serve in this proxy role and their hierarchy; in general, the order is the spouse, adult children, parents, siblings, and other relatives. (See "Legal aspects in palliative and end of life care", section on 'Surrogate decision makers'.) When making a substituted decision, the proxy should take into consideration

Toronto General Hospital Perioperative Interactive Education

"A simple intervention resulted in improvement in staff confidence, as well as in multiple measures of family satisfaction with communication. This intervention is easily reproduced."

"By offloading tasks from the 15-minute visit in order to prioritize the patient's agenda, adding group, telephone, and electronic encounters, and reorganizing services with the aim of maximizing the health of a practice's entire patient population, innovative primary care practices could lead primary care out of crisis into an era of renewal."

This article seems to advocate the trend in UK based primary care- but key questions remain unanswered, can trust be transferred from the individual doctor to the team? Does this dilute the 'doctor as drug' benefit?