scholarly journals Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Dimitrios Papanagnou ◽  
Matthew R. Klein ◽  
Xiao Chi Zhang ◽  
Kenzie A. Cameron ◽  
Amanda Doty ◽  
...  
Keyword(s):  
Clinical Encounter ◽  
Lessons Learned ◽  
Standardized Patient ◽  
Diagnostic Uncertainty ◽  
Complex Patient ◽  
Implicit Biases ◽  
Key Steps ◽  
Case Development ◽  
Case Design ◽  
Effective Case

AbstractHealth professions education has benefitted from standardized patient (SP) programs to develop and refine communication and interpersonal skills in trainees. Effective case design is essential to ensure an SP encounter successfully meets learning objectives that are focused on communication skills. Creative, well-designed case scenarios offer learners the opportunity to engage in complex patient encounters, while challenging them to address the personal and emotional contexts in which their patients are situated. Therefore, prior to considering the practical execution of the patient encounter, educators will first need a clear and structured strategy for writing, organizing, and developing cases. The authors reflect on lessons learned in developing standardized patient-based cases to train learners to communicate to patients during times of diagnostic uncertainty, and provide suggestions to develop a set of simulation cases that are both standardized and diverse. Key steps and workflow processes that can assist educators with case design are introduced. The authors review the need to increase awareness of and mitigate existing norms and implicit biases, while maximizing variation in patient diversity. Opportunities to leverage the breadth of emotional dispositions of the SP and the affective domain of a clinical encounter are also discussed as a means to guide future case development and maximize the value of a case for its respective learning outcomes.

Foundations of Advanced Neuroanatomy: Technical Guidelines for Specimen Preparation, Dissection, and 3D-Photodocumentation in a Surgical Anatomy Laboratory

2019 ◽  
Author(s):  
Luciano César PC Leonel ◽  
Lucas P. Carlstrom ◽  
Christopher S. Graffeo ◽  
Avital Perry ◽  
Carlos Diogenes Pinheiro-Neto ◽  
...  
Keyword(s):  
Oral Tradition ◽  
Dynamic Range ◽  
Tap Water ◽  
Three Dimensional ◽  
High Dynamic Range ◽  
Surgical Anatomy ◽  
Lessons Learned ◽  
Specimen Preparation ◽  
Technological Advances ◽  
Key Steps

Abstract Objective This study was aimed to provide a key update to the seminal works of Prof. Albert L. Rhoton Jr., MD, with particular attention to previously unpublished insights from the oral tradition of his fellows, recent technological advances including endoscopy, and high-dynamic range (HDR) photodocumentation, and, local improvements in technique, we have developed to optimize efficient neuroanatomic study. Methods Two formaldehyde-fixed cadaveric heads were injected with colored latex to demonstrate step-by-step specimen preparation for microscopic or endoscopic dissection. One formaldehyde-fixed brain was utilized to demonstrate optimal three-dimensional (3D) photodocumentation techniques. Results Key steps of specimen preparation include vessel cannulation and securing, serial tap water flushing, specimen drainage, vessel injection with optimized and color-augmented latex material, and storage in 70% ethanol. Optimizations for photodocumentation included the incorporation of dry black drop cloth and covering materials, an imaging-oriented approach to specimen positioning and illumination, and single-camera stereoscopic capture techniques, emphasizing the three-exposure-times-per-eye approach to generating images for HDR postprocessing. Recommended tools, materials, and technical nuances were emphasized throughout. Relative advantages and limitations of major 3D projection systems were comparatively assessed, with sensitivity to audience size and purpose specific recommendations. Conclusion We describe the first consolidated step-by-step approach to advanced neuroanatomy, including specimen preparation, dissection, and 3D photodocumentation, supplemented by previously unpublished insights from the Rhoton fellowship experience and lessons learned in our laboratories in the past years such that Prof. Rhoton's model can be realized, reproduced, and expanded upon in surgical neuroanatomy laboratories worldwide.

scholarly journals A Connected Autonomous Vehicle Testbed: Capabilities, Experimental Processes and Lessons Learned

Automation ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 17-32
Author(s):  
Thomas Kent ◽  
Anthony Pipe ◽  
Arthur Richards ◽  
Jim Hutchinson ◽  
Wolfgang Schuster
Keyword(s):  
Autonomous Vehicles ◽  
Autonomous Vehicle ◽  
Lessons Learned ◽  
Urban Setting ◽  
Sensor Data ◽  
Stable Set ◽  
Research And Innovation ◽  
Legal Frameworks ◽  
High Level ◽  
Key Steps

VENTURER was one of the first three UK government funded research and innovation projects on Connected Autonomous Vehicles (CAVs) and was conducted predominantly in the South West region of the country. A series of increasingly complex scenarios conducted in an urban setting were used to: (i) evaluate the technology created as a part of the project; (ii) systematically assess participant responses to CAVs and; (iii) inform the development of potential insurance models and legal frameworks. Developing this understanding contributed key steps towards facilitating the deployment of CAVs on UK roads. This paper aims to describe the VENTURER Project trials, their objectives and detail some of the key technologies used. Importantly we aim to introduce some informative challenges that were overcame and the subsequent project and technological lessons learned in a hope to help others plan and execute future CAV research. The project successfully integrated several technologies crucial to CAV development. These included, a Decision Making System using behaviour trees to make high level decisions; A pilot-control system to smoothly and comfortably turn plans into throttle and steering actuation; Sensing and perception systems to make sense of raw sensor data; Inter-CAV Wireless communication capable of demonstrating vehicle-to-vehicle communication of potential hazards. The closely coupled technology integration, testing and participant-focused trial schedule led to a greatly improved understanding of the engineering and societal barriers that CAV development faces. From a behavioural standpoint the importance of reliability and repeatability far outweighs a need for novel trajectories, while the sensor-to-perception capabilities are critical, the process of verification and validation is extremely time consuming. Additionally, the added capabilities that can be leveraged from inter-CAV communications shows the potential for improved road safety that could result. Importantly, to effectively conduct human factors experiments in the CAV sector under consistent and repeatable conditions, one needs to define a scripted and stable set of scenarios that uses reliable equipment and a controllable environmental setting. This requirement can often be at odds with making significant technology developments, and if both are part of a project’s goals then they may need to be separated from each other.

scholarly journals PURSUING AGE-FRIENDLY UNIVERSITY PRINCIPLES AT A MAJOR UNIVERSITY: LESSONS IN GRASSROOTS ORGANIZING

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S762-S762
Author(s):  
Clare C Luz
Keyword(s):  
Information Exchange ◽  
Large Scale ◽  
Population Aging ◽  
Lessons Learned ◽  
Michigan State University ◽  
State University ◽  
Grassroots Organizing ◽  
Public Issues ◽  
Clear Vision ◽  
Key Steps

Abstract Rapid population aging presents opportunities for higher education to address major aging-related public issues facing society that have a direct impact on students, faculty, and both local and global communities. Students in virtually all disciplines will be working within the context of an aging society post-graduation and need to be prepared as they make career choices and enter the workforce. Further, faculty and staff are not only aging themselves but may be caregivers, which has an impact on health, income and productivity. Michigan State University (MSU) is now addressing these needs through a new program guided by Age-Friendly University (AFU) principles called AgeAlive that grew out of five years of grassroots organizing. Large-scale, research-intensive institutions present special challenges to pursuing AFU status but the lessons learned by AgeAlive may help any organization that wishes to become more age friendly. This session will review AgeAlive’s path to a recognized program with a clear vision, a strategic plan, two crosscutting goals including AFU designation, and five focus areas with initiatives in each area. Tools to help achieve these goals include an inventory of aging-related activity on campus and a virtual hub for networking and information exchange. Key steps in the program development process will be described as will recommendations related to choosing a model, cultivating champions, making decisions based on data, and building infrastructure. It will allow others to understand what challenges they may face and potential approaches to minimizing and overcoming these challenges in their own AFU journey.

scholarly journals Designing HDAC-PROTACs: lessons learned so far

2021 ◽  
Author(s):  
Fabian Fischer ◽  
Leandro A Alves Avelar ◽  
Laoise Murray ◽  
Thomas Kurz
Keyword(s):  
Histone Deacetylase Inhibitors ◽  
Hormone Receptors ◽  
Ubiquitin Proteasome System ◽  
Research Field ◽  
Lessons Learned ◽  
Binding Motifs ◽  
Phase Ii Clinical Trials ◽  
Traditional Drug ◽  
Ubiquitin Proteasome ◽  
Key Steps

Proteolysis-targeting chimeras (PROTACs) are a powerful tool to hijack the endogenous ubiquitin-proteasome system (UPS) and to degrade the intracellular proteins of therapeutic importance. Recently, two heterobifunctional degraders targeting hormone receptors headed into Phase II clinical trials. Compared to traditional drug design and common modes of action, the PROTAC approach offers new opportunities for the drug research field. Histone deacetylase inhibitors (HDACi) are well-established drugs for the treatment of hematological malignancies. The integration of HDAC binding motifs in PROTACs explores the possibility of targeted, chemical HDAC degradation. This review provides an overview and a perspective about the key steps in the structure development of HDAC–PROTACs. In particular, the influence of the three canonical PROTAC elements on HDAC–PROTAC efficacy and selectivity are discussed, the HDACi, the linker and the E3 ligase ligand.

Recent Experience With Weld Overlay Repair of Indications in Alloy 182 Butt Welds in Two Operating PWRs

2006 ◽  
Author(s):  
Warren Bamford ◽  
Bruce Newton ◽  
Don Seeger
Keyword(s):  
Stress Corrosion ◽  
Stress Corrosion Cracking ◽  
Corrosion Cracking ◽  
Lessons Learned ◽  
Recent Experience ◽  
Weld Overlay ◽  
Butt Welds ◽  
The Future ◽  
Plant Personnel ◽  
Key Steps

Recent service experience with Alloy 182/82 butt welds in PWR primary piping and its joints with major components has revealed stress corrosion cracking. This mechanism of environmental cracking is known to have long incubation times, so these incidences of cracking have not been numerous to date, but it is becoming increasingly evident that this may not be the case in the future. This paper provides a summary of two recent repairs which were performed as a result of the finding of indications during in-service inspections. The weld overlay repairs followed the guidelines of code case N504, but a number of supplementary requirements were added. In each case, the repair had to be initiated with no warning other than the knowledge that the inspection was underway. The design of the weld overlay repair was done while the repair equipment was being mobilized, and the repair went as planned, with the final inspections showing that the weld overlay was flawless. In each case excellent cooperation between the plant personnel, the engineering designers, the inspectors, and the welders made for an excellent end product. In addition to a review of the processes used for each of the key steps in the repair, a review of lessons learned will be provided, so that operating plants which may face similar issues in the future can benefit from this experience.

scholarly journals Using Blockchain-Enabled Solutions as SDG Accelerators in the International Development Space

2021 ◽  
Author(s):  
Ahmet Faruk Aysan ◽  
Fouad Bergigui ◽  
Mustafa Disli
Keyword(s):  
International Development ◽  
Integrated Approach ◽  
Lessons Learned ◽  
Use Case ◽  
Blockchain Technology ◽  
Hype Cycle ◽  
The World ◽  
Fit For Purpose ◽  
Development Approach ◽  
Case Development

As the world is striving to recover from the shockwaves triggered by the Covid-19 crisis, all hands are needed on deck to transition towards a green recovery and make peace with nature as prerequisites of a global sustainable development pathway. In this paper, we examine the blockchain hype and the gaps in data and tools to build promising use cases for blockchain technology to accelerate global efforts in the decade of action towards achieving the SDGs. We attempted to break the hype-cycle portraying blockchain’s superiority by navigating a rational blockchain use case development approach. By prototyping an SDG Acceleration Scorecard to use blockchain-enabled solutions as SDG accelerators, we aim to provide useful insights towards developing an integrated approach that is fit-for-purpose to guide organizations and practitioners in their quest to make informed decisions to design and implement blockchain-backed solutions as SDG accelerators. Acknowledging the limitations in prototyping such tools, we believe these are minimally viable products and should be considered as living tools that can further evolve as the blockchain technology is getting mature, its pace of adoption increasing, and its lessons learned, good practices and standards widely shared and internalized by teams and organizations working on innovation for development.

Seven principles of effective case design for a problem-based curriculum

1997 ◽  
Vol 19 (3) ◽  
pp. 185-189 ◽  
Author(s):  
Diana H.J.M. Dolmans ◽  
Hetty Snellen-Balendong ◽  
Cees P.M. van der Vleuten
Keyword(s):  
Seven Principles ◽  
Case Design ◽  
Effective Case

scholarly journals Legal instability in cyberspace and OSCE’s mitigation role

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Adina PONTA
Keyword(s):  
Human Rights ◽  
International Law ◽  
Lessons Learned ◽  
Due Diligence ◽  
Conflict Prevention ◽  
Open Questions ◽  
The Creation ◽  
Key Steps

After the international legal community widely endorsed the application of international law to cyberspace, many open questions remain on the concrete interpretation of existing rights and obligations to the cyber realm. In pursuit of its mandate to promote human rights and conflict prevention, the OSCE can play a major role to support operationalization of international law and application of existing principles to cyberspace. This paper examines some key steps in the aftermath of the creation of norms of behavior, and transparency and confidence-building measures. After a brief analysis of the normcreation process, this piece identifies several pressing cybersecurity challenges on the international landscape, and offers suggestions for consolidating the voluntary non-binding norms States agreed upon. Using lessons learned from other domains, the analysis will focus on mechanisms of building further stability and transparency in cyberspace, in particular by reference to the due diligence principle and States’ human rights obligations.

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