scholarly journals Use of Manikins to Improve Confidence of Core Surgical Trainees Performing Digital Rectal Examinations

2020 ◽  
Author(s):  
Thomas Barker ◽  
Alexander Durst
Keyword(s):  
Clinical Skills ◽  
Training Session ◽  
Written Feedback ◽  
Teaching Session ◽  
Post Graduate ◽  
Surgical Trainees ◽  
Postgraduate Level ◽  
Structured Teaching ◽  
Survey Results ◽  
The Subject

Abstract Background: DRE is an important skill across a variety of medical and surgical specialties. Previous research has shown that structured teaching and practice on mannequins is of benefit when teaching the skill to medical students. The current literature does not demonstrate any research into post-graduate teaching and assessment of doctors. Methods: New core surgical trainees from within the Health Education East of England post-graduate surgical school attended a regional induction day, which included a clinical skills circuit. One station focussed on DRE, where participants were asked to complete a pre-teaching survey, they then received a brief teaching session which included simulation with manikins, and subsequently completed a post-teaching survey. Results: 48 core surgical trainees participated in the training session and completed the survey. All bar one had had formal teaching on DRE previously, however only 5 had had teaching on the subject at postgraduate level. After teaching/simulation the mean self perceived competency level rose from 6.25 to 8.92 (of 10) p<0.001. Discussion: Survey findings indicated that participants were likely to overestimate their competence at DRE, but that a brief structured teaching session including practice on manikins was effective in improving confidence. Written feedback was positive and highlighted previously poorly taught/understood aspects of a neurological DRE.

scholarly journals Questionnaire based study showing role of anatomy in post-graduate courses in clinical subjects

2016 ◽  
Vol 05 (01) ◽  
pp. 005-010
Author(s):  
Monika Lalit ◽  
Harbans S Azad ◽  
Sanjay Piplani
Keyword(s):  
Clinical Skills ◽  
General Level ◽  
Undergraduate Medical Students ◽  
Graduate Courses ◽  
Post Graduate ◽  
Graduate Curriculum ◽  
Group I ◽  
The Subject ◽  
One Year

Abstract Background and aims : Clinical skills are built upon the anatomical knowledge, the study of which must not be reduced to a level where it becomes detrimental to the care of patients. The drastic curtailment of period in basic teaching of anatomy in the curriculum of undergraduate medical students from one and a half year to one year, non availability of cadavers and decline in faculty have further reduced the general level of its applied aspect. This situation illustrates the need for organized teaching of clinically relevant Anatomy as part of post-graduate curriculum. The aim of the present study is to assess and evaluate the group's perception towards organized teaching of clinically relevant Anatomy as part of clinicaVsurgical subjects. Materials and methods : Three groups were made which reflect their perception in the form of questionnaire responses towards organized teaching of clinically relevant anatomy as a part of clinicaVsurgical subjects. The questionnaire were framed to assess whether these visits were of any help in betterment of their understanding of clinical subjects. Results : Based on groups perception in the form of questionnaire responses the results were observed, recorded and tabulated. Before viewing the sections of regional anatomy 63.3% (19) of group I and 80% (72) of group II and in group ill 86.7% (26) were in favour of having the moderate knowledge of the structures while attending the operation. After viewing the specimens out of 150 participants 86.7% rated this method of great help. 70% (105) were in view that the knowledge of normal histology also helps in understanding the subject of pathology. 91.3% (137) commented that of all the basic sciences, Anatomy is the most clinically relevant and should be revised thoroughly during post graduation courses. Conclusion: Anatomy forms back-bone of all specialties, without which foundation of clinical specialties could not be strengthened. Thus anatomy as it applies to all aspects of surgery and other clinical subjects should be revised thoroughly during their post-graduation.

scholarly journals Three-dimensional printing in congenital heart disease: Considerations on training and clinical implementation from a teaching session

2019 ◽  
Vol 42 (10) ◽  
pp. 595-599 ◽  
Author(s):  
Giovanni Biglino ◽  
Elena G Milano ◽  
Claudio Capelli ◽  
Jo Wray ◽  
Andrew IU Shearn ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Training Session ◽  
Third Party ◽  
Teaching Session ◽  
Clinical Implementation ◽  
Three Dimensional Printing ◽  
Hands On ◽  
Survey Results ◽  
Cardiovascular Models ◽  
Dimensional Printing

In light of growing interest for three-dimensional printing technology in the cardiovascular community, this study focused on exploring the possibilities of providing training for cardiovascular three-dimensional printing in the context of a relevant international congress and providing considerations on the delivery of such courses. As a second objective, the study sought to capture preferences in relation to three-dimensional printing uses and set-ups from those attending the training session. A survey was administered to n = 30 professionals involved or interested in three-dimensional printing cardiovascular models following a specialised teaching session. Survey results suggest the potential for split training sessions, with a broader introduction for those with no prior experience in three-dimensional printing followed by a more in-depth and hands-on session. All participants agreed on the potential of the technology in all its applications, particularly for aiding decision-making around complex surgical or interventional cases. When exploring setting up an in-house three-dimensional printing service, the majority of participants reported that their centre was already equipped with an in-house facility or expressed a desire that such a facility should be available, with a minority preferring consigning models to an external third party for printing.

scholarly journals A Novel Microsurgical Suturing Pilot Course for Ophthalmology Residents Based on Kern's Model for Curriculum Development

2020 ◽  
Vol 12 (02) ◽  
pp. e244-e250
Author(s):  
Aliya C. Roginiel ◽  
Christopher C. Teng ◽  
Jessica H. Chow
Keyword(s):  
Curriculum Development ◽  
Clinical Training ◽  
Training Session ◽  
Surgical Instruments ◽  
Knowledge Assessment ◽  
Skills Assessment ◽  
Practical Skills ◽  
Teaching Session ◽  
Suturing Techniques ◽  
Practice Time

Abstract Background Sutureless ophthalmic procedures are becoming more commonplace, reducing opportunities for ophthalmology residents to learn microsurgical suturing techniques. There is no standard curriculum in place to address this gap in clinical training among ophthalmology residency programs. Objective The aim of this study was to design, implement, and evaluate a preliminary microsurgical suturing curriculum for ophthalmology residents using Kern's six-step approach for curriculum development as a guideline, and the principles of distributed practice and guided, self-directed practice. Methods We designed a faculty-led teaching session on fundamental microsurgical suturing techniques for all 15 ophthalmology residents from Yale University over one academic year. Suturing skills were evaluated, followed by a guided teaching session, 30 days of self-directed practice time, and a re-evaluation of skills. The residents were evaluated through a written knowledge assessment and practical skills assessment. The residents also evaluated their skill level before and after the teaching session and practice period through written Likert-scale surveys. Data were evaluated in Excel using descriptive statistics and the paired t-test. Results After the session, postgraduate year 2 (PGY-2) residents felt more confident in recognition and use of surgical instruments (p < 0.01). PGY-3 residents felt less confident in their knowledge of microsurgical suturing after the session (p = 0.02). PGY-4 residents felt they were better able to identify different suture types after the session (p = 0.02). All residents improved on the written knowledge assessment (p < 0.001) and in all categories of the practical skills assessment (p < 0.001). Conclusions Implementation of a faculty-led microsurgical suturing training session, followed by 1-month of practice time, significantly improved residents' knowledge and practical application of various microsurgical suturing techniques that are necessary for performing common ophthalmic procedures.

scholarly journals Analysis of Survey Results in Terms of Selection of Characteristics of the Mining Rescuer to the Ranks of Rapid Response

2016 ◽  
Vol 22 (2) ◽  
pp. 135-140
Author(s):  
Aneta Grodzicka ◽  
Jan Szlązak
Keyword(s):  
Heart Rate ◽  
Stress Resistance ◽  
Work Motivation ◽  
Test Results ◽  
Risk Appetite ◽  
Survey Results ◽  
The Subject ◽  
Potential Member ◽  
Selection Of

Abstract The authors of the current study undertook the subject of the analysis features of the mining rescuer as a member of the ranks of the rescue, with particular emphasis on the following parameters: heart rate, body weight, height, BMI, age and seniority in the mining and rescue. This publication concerns the analysis of the test results of these characteristics rescuer as a potential member of the ranks of the rescue, taking into account its risk appetite, stress resistance, attitude towards life, the role of the team, teamwork, attitude to work, motivation to work and physical fitness.

scholarly journals Persepsi dan Perilaku Mahasiswa Keperawatan tentang Integritas Akademik

2012 ◽  
Vol 1 (3) ◽  
pp. 200
Author(s):  
Lisa Musharyanti ◽  
Gandes Retno Rahayu ◽  
Yayi Suryo Prabandari
Keyword(s):  
Nursing Students ◽  
Academic Integrity ◽  
Random Sampling ◽  
Deviant Behavior ◽  
Clinical Skills ◽  
Academic Misconduct ◽  
Nursing School ◽  
Professional Behavior ◽  
The Subject ◽  
And Behavior

Background: Besides knowledge and clinical skills, nursing students should have professional behavior as an essential component of competences as a side of knowledge and clinical skills. One aspect of professionalism is academic integrity. Lecturer should know about students’ perception of academic integrity and behavior, to make a good way to detect and prevent the deviant behavior. The objective of this study is to describe nursing students’ perception and behavior on academic integrity.Method: Survey was conducted in a nursing school in Yogyakarta. The subject were 230 nursing students who were taken by proportionate stratified random sampling. The data were analyzed with descriptive analysis.Results: There were many deviant or unacceptable behaviors which were not considered as an academic misconduct (by 5.2%-61.3% students). Peer students’ percentage who had done an academic misconduct with 10 of the highest percentage was 50%-82.2% and the behavior ever done by students was 28.7%-68.7%. The intention to do the behavior in the future was 3-38.7%.Conclusion: Perceptions of nursing students on academic integrity varied widely. Many of the actual behaviors were not considered as academic misconduct. Nursing students had different opinions about the behavior that violated academic integrity. Students’ perceptions about the behavior and the behavior of a peer friend were in accordance with the students’ own behavior. Therefore, there is a need for a shared perception between institutions and students about behaviors that violate academic integrity.

The main trends in the Russian tourism and hospitality market from the point of view of Russian travel agencies

2018 ◽  
Vol 10 (4) ◽  
pp. 412-420 ◽  
Author(s):  
Aleksandr Gudkov ◽  
Elena Dedkova ◽  
Kristina Dudina
Keyword(s):  
Relevant Information ◽  
Tourism Industry ◽  
Point Of View ◽  
Content Type ◽  
Qualitative Research Methodology ◽  
Recent Developments ◽  
Survey Results ◽  
The Subject ◽  
Tourism And Hospitality ◽  
The Impact

PurposeThis paper aims to discuss recent developments in the Russian tourism industry and the main reasons for new initiatives in local destination development.Design/methodology/approachThe study is based on qualitative research methodology. A summary of key literature is presented alongside the analysis of the survey results.FindingsThis paper sheds light on the challenges and changes that took place in the Russian tourism business between 2014 and 2017. The subject is poorly covered in academic literature. The basic data for analysis presented in official statistics are scarce. Therefore a more effective way of obtaining relevant information was to conduct a survey using a semi-structured questionnaire, with tourism business actors as respondents.Research limitations/implicationsThis paper provides mostly conceptual analysis based on limited empirical data; directions for further empirical research are proposed in the conclusion.Originality/valueThe paper reveals something of the impact of economic and geopolitical factors, both negative and positive ones, on the restructuring of the Russian tourism market and the emergence of promising opportunities for the development of new domestic destinations. As a result, tourism market actors are able to become more diverse.

What Do Library Workers Want From Professional Conferences?

2014 ◽  
pp. 1-16
Author(s):  
Samantha Schmehl Hines
Keyword(s):  
Professional Development ◽  
Online Survey ◽  
Future Trends ◽  
Face To Face ◽  
Committee Work ◽  
Survey Results ◽  
The Subject ◽  
State Library ◽  
Virtual Events

What do library workers want from professional conferences? This question was the subject of a nationwide online survey administered to a randomly selected audience of library workers. Survey results showed that most library workers attend conferences, and their preferences were for face-to-face, topical events. The primary consideration for event attendance according those responding to the survey was the content presented. Issues of cost were also highly important to respondents, although funding for professional development was reported to be generally stable or even increasing. Of lesser interest to potential conference attendees were issues of location, vendor interaction, or the opportunity to perform committee work. Some future trends predicted include a growing acceptance of virtual events, a declining importance on location-based events like state library association conferences, and a need to review the roles of vendors and exhibitors in conferences.

scholarly journals Simulation to Improve Trainee Skill and Comfort with Forceps-Assisted Vaginal Deliveries

2019 ◽  
Vol 09 (01) ◽  
pp. e6-e9 ◽  
Author(s):  
Kelsey Rose ◽  
Kirsten Jensen ◽  
Rong Guo ◽  
Yalda Afshar
Keyword(s):  
Simulation Training ◽  
Training Session ◽  
Low Frequency ◽  
Ability To Consent ◽  
Powerful Learning ◽  
Postgraduate Level ◽  
Signed Rank ◽  
Vaginal Deliveries ◽  
Simulation Based ◽  
Cesarean Delivery Rate

Objective Simulation training is a powerful learning tool for low frequency events. Forceps-assisted vaginal deliveries (FAVD) are an important tool in reducing cesarean deliveries. The aim of this study is to create a high-fidelity simulation-based curriculum for residency education and investigate pre- and posttest skill and confidence. Methods A prospective cohort study was conducted involving obstetrics and gynecology residents over 2 academic years. Residents participated in one to three FAVD simulation trainings. All sessions involved video, didactic, and hands-on practice. Pre- and postsurvey and skills assessment were conducted to assess confidence, ability to consent, and perform a FAVD. Wilcoxon's signed-rank tests and Kruskal–Wallis tests were used. Results Thirty residents (73%) completed at least one forceps simulation training session. Participants demonstrated significant improvement in confidence (p < 0.005) following training. Before the intervention, there was a disparity in confidence by postgraduate level (p < 0.005); however, this difference was not seen postsimulation (p = 0.24). Residents demonstrated significant improvement in their FAVD skills (p < 0.05), as well as their ability to consent (p < 0.01). Conclusion Simulation training improves residents' perceived confidence in FAVD. Simulation helped to better equalize confidence across classes. FAVD simulations improves resident confidence, skill, and more broadly broadened the armamentarium to decrease the cesarean delivery rate.

scholarly journals Acquisition of clinical skills

1999 ◽  
Vol 5 (4) ◽  
pp. 311-316 ◽  
Author(s):  
Linda Gask
Keyword(s):  
Clinical Training ◽  
Interpersonal Skills ◽  
Clinical Skills ◽  
Continuous Process ◽  
Skills Training ◽  
Communication Skills Training ◽  
Clinical Teachers ◽  
The Past ◽  
Postgraduate Level ◽  
Closed Door

“No-one except you and the patient really know what happens when you take him for an interview. You learn from your own mistakes behind the closed door” (Adams & Cook, 1984).Clinical skills in psychiatry are not best acquired in unsupervised practice or in learning by apprenticeship. In the past, it was reported that during the course of their clinical training, students' interviewing skills actually deteriorated rather than improved (Helfer, 1970; Maguire & Rutter, 1976), although recent research suggests that improved training is now having an impact (Davis & Nicholaou, 1992). The methods described below may be employed at both undergraduate and postgraduate level. Traditionally, psychiatrists have been actively involved, along with general practitioners, in the provision of communication skills training to undergraduates. In the future, this training will become a continuous process carried out alongside and within other teaching in all specialities (Gushing, 1996). One of the biggest challenges facing medical schools is how to engage and train clinical teachers from a range of specialities in facilitating students in the acquisition of clinical interpersonal skills.

scholarly journals 154 Enhancing Communication Between Foundation Doctors and Radiologists

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
Y H Chuang ◽  
V Jones ◽  
M Trail ◽  
M Szewczyk-Bieda ◽  
G M Nandwani
Keyword(s):  
Communication Skills ◽  
Teaching Hospital ◽  
Baseline Level ◽  
Patient Management ◽  
Likert Scale ◽  
Formal Training ◽  
Radiological Imaging ◽  
Teaching Session ◽  
Post Graduate ◽  
Before And After

Abstract Introduction Facilitating radiological imaging for patients is an essential task for all Foundation Year (FY) doctors. Achieving competence in this task can expedite patient management. We evaluated the confidence and skills of FYs in facilitating radiological imaging before and after introduction of formal training. Method Surgical FYs working at a teaching hospital were surveyed to evaluate their baseline level of competence in booking and discussing imaging with radiology colleagues. Parameters were measured on a Likert scale, including confidence in discussing requests and satisfaction of their own performance following discussions. Eight radiology consultants were surveyed to evaluate their opinions on FYs’ communication and established areas for improvement. A teaching session was then delivered to improve communication skills. Furthermore, PACCSS poster was introduced to remind the FYs of the salient information required when discussing imaging. Results One month after the intervention, the participants were re-surveyed. This demonstrated a statistically significant improvement in self-reported confidence from 5.3/10 to 7.3/10 (p &lt; 0.001), and in satisfaction of own performance from 5.4/10 to 7.0/10 (p &lt; 0.001). Conclusions We identified deficiencies in surgical FY doctors’ confidence and skills in facilitating radiological imaging. There was a demonstrable benefit with focused training. Inter-specialty communication should be introduced into under- and post-graduate educational curriculum.

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