Training the Anesthesiologist Trainer: Enhancing the Quality of Feedback during Human Patient Simulations

2018 ◽  
Vol 34 (6) ◽  
pp. 638-643
Author(s):  
Elissa A. Adame ◽  
Ryan S. Bisel ◽  
Edward S. Kosik ◽  
Julia A. Rygaard
Keyword(s):  
Human Patient ◽  
Patient Simulations ◽  
Human Patient Simulations

scholarly journals Two Human Patient Simulations of Patients Having Acute Uncal Herniations

MedEdPORTAL ◽  
2011 ◽  
Vol 7 (1) ◽  
Author(s):  
William McIvor ◽  
Steven Orebaugh ◽  
Charles Lin ◽  
Brian Gierl ◽  
Alen Zehnaly ◽  
...  
Keyword(s):  
Human Patient ◽  
Patient Simulations ◽  
Human Patient Simulations

Human Patient Simulations

2017 ◽  
pp. 452-480
Author(s):  
Grace N. Onovo
Keyword(s):  
Self Efficacy ◽  
Learning Strategy ◽  
Clinical Skills ◽  
Cognitive Domain ◽  
Human Patient ◽  
Patient Simulations ◽  
Undergraduate Nursing ◽  
Self Confidence ◽  
Anxiety Levels ◽  
Human Patient Simulations

The relationship between self-efficacy (self-confidence) and anxiety levels, and the use of Human Patient Simulations (HPS) as a teaching-learning strategy, has not been sufficiently studied in the area of clinical nursing education. The purpose of this chapter is to evaluate the self-efficacy/self-confidence and anxiety levels in clinical skills performance of undergraduate nursing students, pre-use and post-use of Human Patients Simulations (HPS), as a teaching and learning strategy in maternity nursing. The study used a quantitative, pre-experimental, one group study design with a pretest and posttest experiment in data collection. The findings concluded that HPS reduced anxiety and increased self-efficacy/self-confidence in clinical skills performance and decision-making of the participants. In addition, the study found that the participants had difficulties in tasks performance with the following action verbs associated with the cognitive domain of Bloom's taxonomy. The verbs were “identify,” “apply,” and “analyze.”

Human Patient Simulations

2014 ◽  
pp. 233-261
Author(s):  
Grace N. Onovo
Keyword(s):  
Self Efficacy ◽  
Learning Strategy ◽  
Clinical Skills ◽  
Cognitive Domain ◽  
Human Patient ◽  
Patient Simulations ◽  
Undergraduate Nursing ◽  
Self Confidence ◽  
Anxiety Levels ◽  
Human Patient Simulations

The relationship between self-efficacy (self-confidence) and anxiety levels, and the use of Human Patient Simulations (HPS) as a teaching-learning strategy, has not been sufficiently studied in the area of clinical nursing education. The purpose of this chapter is to evaluate the self-efficacy/self-confidence and anxiety levels in clinical skills performance of undergraduate nursing students, pre-use and post-use of Human Patients Simulations (HPS), as a teaching and learning strategy in maternity nursing. The study used a quantitative, pre-experimental, one group study design with a pretest and posttest experiment in data collection. The findings concluded that HPS reduced anxiety and increased self-efficacy/self-confidence in clinical skills performance and decision-making of the participants. In addition, the study found that the participants had difficulties in tasks performance with the following action verbs associated with the cognitive domain of Bloom's taxonomy. The verbs were “identify,” “apply,” and “analyze.”

scholarly journals The Potential to Source a Patient’s Imaginative Powers in Treating Cancer: Illustrated in Three Cases

2019 ◽  
Vol 27 (1) ◽  
pp. 55-60
Author(s):  
Martin Roesch
Keyword(s):  
Quality Of Life ◽  
Overall Survival ◽  
Randomized Trials ◽  
Pancreatic Tumor ◽  
Case Reports ◽  
Evaluation Criteria ◽  
Human Patient ◽  
Complementary Approach ◽  
Negative Side Effects

Background: The imaginative power of a human patient has the big advantage of sourcing his/her own depth leading to first-hand experiencing. Such experiences have a potential to make a deep impact that can be instrumental to the process of healing. Successful healing is almost inevitably linked to new recognitions and perceptions, changes in attitudes or changes in lifestyle. Therapists in charge may find that they cannot exert direct control over this process but nevertheless, there is a big inherent potential to such processes as a truly complementary approach to clinical oncology. Case Reports: Going by the characteristic of the matter, it seems impossible to conduct randomized trials; rather, we have to learn from the very individual experiences and try to find common traits. Hence, in this contribution, it is “just” three cases that are presented: patients with a pancreatic tumor, lung metastasis, and a colon carcinoma. Still, the same objectives of evaluation criteria as in any conventional clinical trial, namely overall survival and quality of life, are followed here. The presented cases are set against expected outcomes of the guideline-oriented therapy options. Conclusion: Quality of life has improved in all three cases, expected overall survival extended in one case, the second is still to be verified. Certainly beneficially, however, is the ratio of effect to – in these cases – no negative side effects.

scholarly journals Innovative digital tools for new trends in teaching and assessment methods in medical and dental education

2021 ◽  
Vol 18 ◽  
pp. 13
Author(s):  
Jung-Chul Park ◽  
Hyuk-Jae Edward Kwon ◽  
Chul Woon Chung
Keyword(s):  
Dental Education ◽  
Art Museum ◽  
Assessment Methods ◽  
Computer Aided Instruction ◽  
Optimal Care ◽  
Human Patient ◽  
Student Centered ◽  
Future Challenges ◽  
Information And Communication ◽  
Human Patient Simulations

With the goal of providing optimal care to patients, student-centered active learning and the development of clinical competency have become vital components of the education of future physicians capable of sustainably coping with future challenges. However, the shape of future medicine is dramatically changing based on advances in information and communication technology, and the current classroom model seems to have difficulties in fully preparing students for the future of medicine. New trends in teaching and assessment methods include computer-aided instruction, virtual patients, augmented reality, human patient simulations, and virtual reality for the assessment of students' competency. The digital technologies introduced in medical and dental education include Google Forms to collect students’ answers, YouTube livestreaming, Google Art & Culture (an online art museum), and choose-your-own-adventure as a story-telling technique. Innovations in digital technology will lead the way toward a revolution in medical and dental education, allowing learning to be individualized, interactive, and efficient.

scholarly journals Progress Toward Improving the Quality of Cardiac Arrest Medical Team Responses at an Academic Teaching Hospital

2011 ◽  
Vol 3 (2) ◽  
pp. 211-216 ◽  
Author(s):  
Aashish Didwania ◽  
William C. McGaghie ◽  
Elaine R. Cohen ◽  
John Butter ◽  
Jeffrey H. Barsuk ◽  
...  
Keyword(s):  
Medical Records ◽  
Simulation Training ◽  
Life Support ◽  
Heart Association ◽  
Advanced Cardiac Life Support ◽  
Retrospective Case ◽  
Human Patient ◽  
Simulation Based ◽  
The Impact

Abstract Background Internal medicine (IM) residents who undergo simulation-based advanced cardiac life support (ACLS) training are significantly more likely to manage actual events according to American Heart Association (AHA) standards than nontrained residents. How long ACLS skills are retained is unknown. Methods We conducted a retrospective case-control study of ACLS responses from January to June 2008 and reviewed medical records to assess adherence to AHA standards. Cases and controls are team responses to ACLS events divided into those directed by postgraduate year 2 (PGY-2) IM resident leaders versus those managed by PGY-3 IM resident leaders. Residents in 2008 completed an educational program featuring deliberate practice in ACLS using a human patient simulator during their second year. Medical records of ACLS events were reviewed to assess adherence to AHA guidelines. We evaluated the effects of simulation training on quality of ACLS care during the 2008 period and in comparison with historical 2004 data. Results In 2008, 1 year after simulation training, PGY-3 residents showed the same adherence to AHA standards (88% [SD, 17%]) as that of PGY-2 residents who were newly simulator trained (86% [SD, 18%]) (P  =  .77). Previously, in 2004, PGY-2 simulator-trained residents showed significantly higher adherence to AHA standards (68% [SD, 20%]) than nonsimulator-trained PGY-3 residents (44% [SD, 20%]) (P < .001). All resident groups in 2008 outperformed their 2004 peers. Conclusions Improved quality of ACLS care was maintained by 2008 PGY-3 simulator-trained residents 1 year after training, likely due to skill retention rather than increased clinical experience, as a prior cohort of PGY-3 residents did not perform as well as PGY-2 residents in actual ACLS care. Our results confirm prior work regarding the impact of simulation-based education to improve the quality of actual patient care.

Immunoferritin localization of intracellular antigens in positively stained frozen sections

1978 ◽  
Vol 36 (2) ◽  
pp. 168-169
Author(s):  
K. T. Tokuyasu
Keyword(s):  
Surface Tension ◽  
Water Surface ◽  
Thin Layers ◽  
The Other ◽  
Positive Staining ◽  
Frozen Sections ◽  
The Past ◽  
Ultrathin Frozen Sections ◽  
Definition Of

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).

Lithography below 100 nm

1983 ◽  
Vol 41 ◽  
pp. 96-99
Author(s):  
L. D. Jackel
Keyword(s):  
Spatial Distribution ◽  
Electron Beam ◽  
Electron Scattering ◽  
Electron Beam Lithography ◽  
Substrate Material ◽  
Local Electron ◽  
Electron Dose ◽  
Positive Resist ◽  
Exposure Process

Most production electron beam lithography systems can pattern minimum features a few tenths of a micron across. Linewidth in these systems is usually limited by the quality of the exposing beam and by electron scattering in the resist and substrate. By using a smaller spot along with exposure techniques that minimize scattering and its effects, laboratory e-beam lithography systems can now make features hundredths of a micron wide on standard substrate material. This talk will outline sane of these high- resolution e-beam lithography techniques.We first consider parameters of the exposure process that limit resolution in organic resists. For concreteness suppose that we have a “positive” resist in which exposing electrons break bonds in the resist molecules thus increasing the exposed resist's solubility in a developer. Ihe attainable resolution is obviously limited by the overall width of the exposing beam, but the spatial distribution of the beam intensity, the beam “profile” , also contributes to the resolution. Depending on the local electron dose, more or less resist bonds are broken resulting in slower or faster dissolution in the developer.

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