scholarly journals Self-learning Courses EaD to qualify clinical practice

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Fassa ◽  
E J Fantinel ◽  
D C Soares ◽  
M L V Carret ◽  
R Linhares ◽  
...  

Abstract Background Health service evaluation studies point to the low quality of care, however the permanent education of health professionals is a major challenge. Within the scope of the Open University for the Unified Health System (SUS), the Department of Social Medicine of the Federal University of Pelotas produced open access self-learning courses, for primary health care, based on interactive clinical cases, through distance learning. Methods The courses, with 45 hours, provides interactive clinical cases, medical calculators and textual materials for use by the professional or with the community. The cases are presented and followed by multiple choice questions, focusing diagnosis and treatment. The feedback is automatic. An expanded theoretical content ('learn more') that privileges the use of illustrations, images, infographics and flowcharts useful for professional practice can be accessed. Bibliographical references on the subject are also available. The courses are available in a responsive web client app, for various types of devices, providing control of progress and automatic certification. The app allows the work offline, enabling the permanent education of professionals working in remote areas. Results Six courses were produced for doctors, nurses and dentists, more than 30,000 users were certified. Conclusions This problem-based learning initiative allows the student to have a menu of cases, providing a choice of the subject, decision on the time allocated to the activity, repetition according to its need, access to a large bibliography and reading in the quantity and depth chosen by the student. In addition, the format is challenging and develops clinical reasoning. The proposition of questions promotes the reflection of the student in relation to his knowledge on the subject. Automatic feedback, 'learn more' and selected bibliographies provide formative assessment and subsidize students to define their study needs in each subject. Key messages Distance learning expands the possibility of qualifying the clinical practice of health professionals, especially those in remote areas. Interactive clinical cases provide the development of clinical reasoning, content review and promote formative assessment.

2021 ◽  
Vol 11 (21) ◽  
pp. 9923
Author(s):  
Laia Subirats ◽  
Santi Fort ◽  
Santiago Atrio ◽  
Gomez-Monivas Sacha

Distance learning has been adopted as a very extended model during COVID-19-related confinement. It is also a methodology that can be applied in environments where people do not have easy access to schools. In this study, we automatically classify students as a function of their performance and we describe the best self-learning methodologies in distance learning, which will be useful both in confinement or for people with difficult access to schools. Due to the different learning scenarios provided by the different confinement conditions in the COVID-19 pandemic, we have performed the classification considering data before, during, and after COVID-19 confinement. Using a field experiment of 396 students, we have described the temporal evolution of students during all courses from 2016/2017 to 2020/2021. We have found that data obtained in the last month before the final exam of the subject include the most relevant information for a correct detection of students at risk of failure. On the other hand, students who obtain high scores are much easier to identify. Finally, we have concluded that the distance learning applied in COVID-19 confinement changed not only teaching strategies but also students’ strategies when learning autonomously.


2021 ◽  
Vol 11 (2) ◽  
pp. 280-284
Author(s):  
Nure Naznin ◽  
Shamima Islam Nipa

Clinical reasoning is the thinking and decision-making processes associated with cognitive process and clinical practice of the health professionals. The main purpose of the study is management of case with aphasia by the three-track reasoning. Clinical reasoning is central to effective, efficient clinical practice and professional autonomy. Health professionals are accountable for their decisions and service provision to various stakeholders, including patients, caregivers, health sector managers, policy-makers and colleagues. An important aspect of this responsibility is the ability to clearly articulate and justify management decisions in a manner appropriate to the audience. However, clinical reasoning is not a skill that can be simply explained, understood and recalled because of its rapid, complex and often subconscious nature. For providing diagnosis and providing intervention as well as socially rehabilitate to the patient three reasoning is very important.


2009 ◽  
pp. 97-110
Author(s):  
Filippo Maria Ferro

- reading Tanzi and Riva's studies on "paranoia" (1884 - 1886) enriched by clinical cases masterly told with sharp sensibility, convey a thorough and deep analysis of an important notion in psychopathology. Their exemplary contribution is among the first definitions of the clinical picture in the context of the European psychiatric culture and its Kraepelinian inclusion in the construction of dementia praecox (schizophrenia). The Authors stand in a momentous time in the evolution of psychiatric knowledge and its needs for classifications. Their hypothesis, which follows "positivistic" ideas strong in Italy at the time, tends to interpret paranoia, its delusional expressions and, in particular, its peculiar personality organisation, in the context of the "degeneration" theory, in the belief that paranoia displays "atavistic" defects. Nevertheless, beyond this concept, linked to end of eighteenth century philosophical views, the Authors outline the subject of paranoia with precision, highlighting its essential features: the conservation of intellectual functions, despite the presence of disturbances affecting logic and language (with neologisms), and the complex interweaving of experiences caused by psychological events and existential confl icts. From this perspective, Tanzi and Riva's description maintains an undisputable importance whenever, in the superseding of nosographic stances, paranoia calls for an irreducible autonomy both in clinical practice, both in its theory.


2018 ◽  
Vol 16 (4) ◽  
pp. 420
Author(s):  
Danielle Lemos Querido ◽  
Marialda Moreira Christoffel ◽  
Maria Estela Diniz Machado ◽  
Viviane Saraiva de Almeida ◽  
Ana Paula Vieira dos Santos Esteves ◽  
...  

Aim: to know the perceptions of health professionals about pain in a neonatal intensive care unit. Method: this is an exploratory, descriptive, qualitative study, carried out from March to November 2013 with 10 nurses, 40 nursing technicians, two physiotherapists and six nursing residents of a School Maternity in Rio de Janeiro. The data collection technique was an educational intervention, where the speeches were transcribed and submitted to the analysis of thematic content. Results: three categories emerged: "Identifying and evaluating newborn pain in painful situations"; "Promoting non-pharmacological management of pain"; "Identifying the barriers to pain management in the Neonatal Unit". Conclusion: in the perception of the professionals, the pain exists, and the evaluation and the management are present in their daily life; however, the knowledge about the subject is still embryonic and needs to be deepened so that there is applicability in the clinical practice of care.


2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.


2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.


2020 ◽  
Vol 7 (1) ◽  
pp. 29-40
Author(s):  
Nur Syafiqah Hussin ◽  
Naqiah Awang ◽  
Farah Husna Mohd Fatzel

Covid-19 is an unprecedented crisis that has affected almost all industry players including education. It has transformed our way of life and introduced a new normal to how things are done. As an effort to contain the outbreak of pandemic Covid-19, universities have shifted to online learning. In line with this, Universiti Teknologi MARA (UiTM) has decided to execute open and distance learning (ODL) for the current semester until 31 December 2020. ODL introduces a different learning environment as compared to the traditional classroom that requires students to be self-reliant in learning new things. Hence, the purpose of the study is to explore students’ experiences in the process of knowledge transfer through ODL specifically for accounting subjects. A questionnaire was distributed to students who were taking the subject of Introduction to Financial Accounting and Introduction to Cost Accounting in UiTM Pahang Kampus Raub and a total of 206 responses were received. The study found over half of the students enjoy learning through ODL but only one-third were looking forward to having ODL for the next semester. Poor internet connection is the main reason found in the study that makes ODL not preferred by the students. At the same time, few features were highlighted by the students about ODL such as the advantage of pre-recorded video to catch up the new material and flexibility for them to learn at their own pace.


Author(s):  
Sachin Bagali ◽  
Umapati Baragi ◽  
M. R. Sajjanshetti

In the present day scenario prime need of Ayurveda is practical applicability of Ayurvedic fundamental principles and research should be more focused on all aspects where scientific inputs should confirm Ayurveda’s principles and philosophy. In Ayurveda, Gunas are described as the way of presentation of action without which no Karma (action) can be possible. Ayurveda has provided significance to every Guna so that they become useful in clinical practice. Clinical practice or research is a continuous process including a series of events which need to be performed in a sequential manner. Though there are many factors on which accomplishment of treatment depends, among these Charaka has given prime importance to Paradi Gunas. In clinical practice, Guna which are to be with Bhishak are mainly the Paradi Gunas which can also be called as miscellaneous Gunas. As rightly quoted by Acarya Charaka, for getting success in the treatment Paradi Gunas are the best. The Sutra quotes "Sidhyupaya Chikitsayam" which means that Chikitsa i.e. Dhatusamya will be done mainly with the help of Paradi Gunas. Knowledge of Paradi Gunas are required to be present in pharmacists, physicians and Researchers. Acharya Charaka says that Chikitsa Siddhi i.e. successful management of disease is not possible without the knowledge of Paradi Gunas. Paradi Gunas play an important role in selection, adaption and manifestation of drug as per condition of the disease and the patient in particular Desha and Kala. The ultimate goal of any clinical activity is to contribute in the knowledge domain and to improve professional practice. Thus this literary review of Paradi Gunas serves to explore the subject of the clinical practice.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nerea Fernández Ros ◽  
Felipe Lucena ◽  
Mercedes Iñarrairaegui ◽  
Manuel F. Landecho ◽  
Patricia Sunsundegui ◽  
...  

Abstract Background Active learning strategies such as formative assessment through clinical cases may help to get a deeper learning. We have studied the effect of this kind of online formative assessment in pathophysiology teaching. Methods Seven brief clinical cases were used to give formative assessment in the first semester of a pathophysiology course. To evaluate its effect on learning, we analyzed the proportion of students that passed the end of semester exam with a score above 60 over 100. We also analyzed the effect of the intervention according to the students’ previous academic performance. Results Ninety-six students participated in the study and sat the exam. Sixty-five of them passed it. Students that passed the exam had a higher previous academic performance and had done a higher number of exercises of formative assessment, both in univariate and multivariate analysis. The participants were divided in three groups, according to their previous academic performance. In the intermediate group, the number of cases done by the students who passed the exam was significantly higher than in those who did not pass it (median: 4 versus 0; P = 0.009). Conclusion Formative assessment through web-based clinical cases was followed by an improvement of the academic results in pathophysiology, mainly in students with intermediate performance.


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