scholarly journals Quality of written feedback given to medical students after introduction of real-time audio monitoring of clinical encounters

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Michael Sanatani ◽  
Kylea Potvin ◽  
Henry Conter ◽  
Kimberly Trudgeon ◽  
Andrew Warner
Keyword(s):  
Medical Students ◽  
Real Time ◽  
Written Feedback ◽  
Clinical Encounters

scholarly journals Quality of Written Feedback given to Medical Students after Introduction of Real-Time Audio Monitoring of Clinical Encounters

2020 ◽  
Author(s):  
Michael Sanatani ◽  
Kylea Potvin ◽  
Henry Conter ◽  
Andrew Warner ◽  
Kimberly Trudgeon
Keyword(s):  
Real Time ◽  
Body Language ◽  
Written Feedback ◽  
Feedback Process ◽  
Patient Encounter ◽  
High Quality ◽  
Usual Practice ◽  
Clinical Encounters ◽  
Easy Integration

Abstract Background Direct observation is necessary for specific and actionable feedback, however clinicians often struggle to integrate observation into their practice. Remotely audio-monitoring trainees for periods of time may improve the quality of written feedback given to them, and may be a minimally disruptive task for a consultant to perform in a busy clinic.Methods Selected faculty used a wireless audio receiver during the second half of students' oncology rotations to listen to encounters during clinic in real time. They then gave written feedback as per usual practice, as did faculty who did not use the listening-in intervention. Feedback was de-identified and rated, using a rubric, as strong/medium/weak according to consensus of 2/3 rating investigators.Results Monitoring faculty indicated that audio monitoring made the feedback process easier and increased confidence in 95% of encounters. Most students (19/21 respondents) felt monitoring contributed positively to their learning, and included more useful comments. 101 written evaluations were completed by 7 monitoring and 19 non-monitoring faculty. 22/23 (96%) of feedback after monitoring was rated as high quality, compared to 16/37 (43%) (p<0.001) for monitoring faculty before using the equipment (and 20/78 (26%) without monitoring for all consultants (p<0.001)).Conclusions Using live audio monitoring improved the quality of written feedback given to trainees, as judged by the trainees themselves and also using an exploratory grading rubric. The method was well received by both faculty and trainees. Although there are limitations compared to in-the-room observation (body language), the benefits of easy integration into clinical practice and a more natural patient encounter without the observer physically present lead the authors to now use this method routinely while teaching oncology students.

Abstract 275: Automated External Defibrillator with Real-Time Audiovisual Feedback System Improves the Quality of Cardiopulmonary Resuscitation

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Kenji Hayashi ◽  
Hiroaki Ushikoshi ◽  
Naoki Matsumaru ◽  
Sho Nachi ◽  
Hikaru Nachi ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Medical Students ◽  
Cardiopulmonary Resuscitation ◽  
Real Time ◽  
Healthcare Professionals ◽  
Feedback System ◽  
Automated External Defibrillator ◽  
Feedback Systems ◽  
External Defibrillator

Background: Public access defibrillation (PAD) with automated external defibrillator (AED) is a widely available and beneficial intervention for cardiac arrest. The quality of chest compressions (CC) is an important determinant of the outcome of cardiopulmonary resuscitation (CPR). In Japan, AED with real-time audiovisual feedback is being implemented, and has been available to bystanders since 2011. However, the benefit of CC feedback systems for laypersons remains unclear. In this study, we sought to determine the effects of audiovisual feedback system on the quality of CC in bystanders with different medical backgrounds. Methods: A total of 478 individuals (151 healthcare professionals [mean age, 31.3 years], 76 medical students [mean age, 23.6 years], and 251 non-healthcare professionals [mean age, 40.1 years]) participated in a CPR quality improvement challenge. Participants performed two 2-min trials of CC on a training manikin equipped with an accelerometer-based system for measuring both rate and depth of CC. Real-time audiovisual feedback was disabled during first trial, but activated during the second trial. The quality of CC was evaluated by counting the number of compressions with the appropriate depth (5.0-10 cm) and rate (100-120 cpm) in each trial. Results: Among all participants, mean depth of CC was higher (6.35 vs. 5.87 cm), and mean rate was lower (102.4 vs. 112.2 cpm) when the feedback system was activated than when it was disabled (p < 0.05). When real-time feedback was activated, non-healthcare professional participants performed CC of greater depth (6.41 vs. 5.63 cm) than healthcare professionals (6.25 vs. 6.09 cm) and medical students (6.34 vs. 6.19 cm) (p < 0.05). The quality index of CC, which the percentage of adequate depth and rate, was also significantly improved regardless medical backgrounds (p < 0.05). Conclusions: The use of real-time CPR feedback systems improves the quality of CC performed by individuals of all backgrounds, especially non-healthcare personnel. PAD with AED providing CPR feedback technologies may elevate the survival rate of out-of-hospital cardiac arrest and increase the likelihood of favorable outcomes.

scholarly journals Improved quality and quantity of written feedback is associated with a structured feedback proforma

2012 ◽  
Vol 9 ◽  
pp. 10 ◽  
Author(s):  
Philip M. Newton ◽  
Melisa J. Wallace ◽  
Judy McKimm
Keyword(s):  
Medical Students ◽  
Design Feature ◽  
Educational Programme ◽  
Free Text ◽  
Written Feedback ◽  
Feedback Form ◽  
Transferable Skills ◽  
Before And After ◽  
Important Design

Facilitating the provision of detailed, deep and useful feedback is an important design feature of any educational programme. Here we evaluate feedback provided to medical students completing short transferable skills projects. Feedback quantity and depth were evaluated before and after a simple intervention to change the structure of the feedback-provision form from a blank free-text feedback form to a structured proforma that asked a pair of short questions for each of the six domains being assessed. Each pair of questions consisted of asking the marker ?占퐓hat was done well???and ?占퐓hat changes would improve the assignment???Changing the form was associated with a significant increase in the quantity of the feedback and in the amount and quality of feedback provided to students. We also observed that, for these double-marked projects, the marker designated as ?占퐉arker 1??consistently wrote more feedback than the marker designated ?占퐉arker 2??

Development and Application of Quality Control System for Highway Subgrade Construction

2019 ◽  
Vol 2 (5) ◽  
Author(s):  
Tong Wang
Keyword(s):  
Quality Control ◽  
Real Time ◽  
Detection Method ◽  
System Development ◽  
Effective Control ◽  
Construction Process ◽  
Development Mode ◽  
The Road ◽  
Whole Process

The compaction quality of the subgrade is directly related to the service life of the road. Effective control of the subgrade construction process is the key to ensuring the compaction quality of the subgrade. Therefore, real-time, comprehensive, rapid and accurate prediction of construction compaction quality through informatization detection method is an important guarantee for speeding up construction progress and ensuring subgrade compaction quality. Based on the function of the system, this paper puts forward the principle of system development and the development mode used in system development, and displays the development system in real-time to achieve the whole process control of subgrade construction quality.

CONTROL IN REAL TIME THE DENSITY OF PRODUCT AT VARIOUS STAGES OF THE TECHNOLOGICAL PROCESS OF SUGAR PRODUCTION

2020 ◽  
Author(s):  
S.B. Kudryashev ◽  
◽  
N.S. Assev ◽  
R.D. Belashov ◽  
V.A. Naumenko ◽  
...  
Keyword(s):  
Real Time ◽  
Technological Process ◽  
Sugar Industry ◽  
Sugar Production ◽  
Production Processes ◽  
Quality Of Products

The article is devoted to solving one of the most important problems of the development of the sugar industry in Russia – the modernization of sugar production processes. Today, sugar production is actively being modernized, shifting most of its processes to the path of avomatization and optimization to improve the quality of products. This article describes one of the main ways to obtain information about the concentration of sucrose in syrup in the production of sugar.

scholarly journals Mentors' experiences in an osteopathic medical student research program

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Tyler Hamby ◽  
W. Paul Bowman ◽  
Don P. Wilson ◽  
Riyaz Basha
Keyword(s):  
Medical Students ◽  
Research Program ◽  
Online Survey ◽  
Medical Schools ◽  
Systematic Instruction ◽  
Medical Student Research ◽  
Research Programs ◽  
Student Mentor ◽  
The University

Abstract Context Medical students, especially at osteopathic medical schools, have limited research exposure. Systematic instruction in research, supervised by qualified mentors, could motivate osteopathic medical students to pursue research in their careers, thereby increasing the number of future clinician-scientists. Recruiting and retaining suitable research mentors are crucial to sustaining such programs, but this task is also particularly challenging for osteopathic medical schools. Objectives To assess mentors' experiences in a voluntary student-mentor medical research program. Methods An online survey was sent to 76 university- or hospital-based participants who previously mentored 219 medical students between 2014 and 2019. The questionnaire consisted of 13 items with responses in checklist, five-point Likert scale, and categorical multiple-choice formats, assessing motivation for participation, satisfaction with the program, and interest in future participation. Data were analyzed descriptively, and responses from mentors at the university and hospital were compared using univariate logistic and ordinal regression analyses. Results Among 70 (92.1%) mentors who responded to the survey, 61 (87.1%) reported being motivated by a desire to help medical students learn research. Forty-nine (70.0%) mentors indicated that furthering their own research productivity was a motivation, and hospital-based mentors were statistically significantly more likely to endorse this source of motivation (OR=2.02; 95% CI=1.18–3.45; p=0.01). Most respondents were satisfied with the quality of the students' work (59 [84.3%]) and with the program (59 [85.5%]). However, 46 (65.7%) suggested the program could be enhanced by requiring medical students to be physically present in the clinic or laboratory for a minimum amount of time. Importantly, most (58 [84.1%]) mentors reported that they would be interested in participating in future mentored research programs. Conclusions Mentors were motivated to participate in the voluntary research program for both altruistic and professional reasons. Since most mentors reported being satisfied with the program, it is likely they would participate in future mentored research programs. Our results suggest that mentors viewed this voluntary research program as mutually beneficial.

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