scholarly journals Teaching the RAPID approach at the start of emergency medicine clerkship: an evaluation

CJEM ◽  
2014 ◽  
Vol 16 (04) ◽  
pp. 273-280 ◽  
Author(s):  
Robert A. Woods ◽  
Krista Trinder ◽  
Marcel D’Eon ◽  
Sean McAleer
Keyword(s):  
Emergency Medicine ◽  
Focus Groups ◽  
Intervention Group ◽  
Comprehensive Care ◽  
Exit Examination ◽  
Self Assessment ◽  
Medicine Clerkship ◽  
Written Examination ◽  
Emergency Department Patients ◽  
The One

ABSTRACTBackground:The RAPID approach (Resuscitation, Analgesia and assessment, Patient needs, Interventions, Disposition) was developed as an approach to managing emergency department patients. It is a mental checklist to help trainees provide comprehensive care, addressing issues in priority. Its impact on trainee performance has not been assessed.Methods:Forty-two clerkship students were enrolled, with 21 students in each group. They received or did not receive the teaching intervention on an alternate basis. Students were assessed through daily encounter cards, a case presentation, a self-assessment form, a prerotation case (case E), and a sixcase short-answer exit examination (cases A to F) with case E repeated. Case E was designed specifically to assess students’ ability to provide comprehensive care. Fourteen students participated in focus groups.Results:Students in the intervention group had significantly higher exit examination case E scores (11.67 of 14 v. 10.26 of 14, p 5 0.008) and improvement in their case E scores from pre- to postrotation (1.82 v. 0.26, p 5 0.006). There were no significant differences in the other outcome measures. Intervention group students made positive comments around analgesia, addressing nonmedical needs and counseling on health promotion during focus groups.Conclusions:Students exposed to the RAPID approach at the start of their emergency medicine rotation performed better on the one component of the written examination for which it was designed to improve performance. Students found it to be a useful mental checklist for comprehensive care, possibly addressing the hidden curriculum. Emergency medicine educators should consider further study and careful implementation of the RAPID approach.

Medical Student Self-Assessment Narratives: Perceived Educational Needs During Fourth-Year Emergency Medicine Clerkship

2013 ◽  
Vol 25 (1) ◽  
pp. 24-30 ◽  
Author(s):  
Aaron W. Bernard ◽  
Amanda Balodis ◽  
Nicholas E. Kman ◽  
Jeffrey M. Caterino ◽  
Sorabh Khandelwal
Keyword(s):  
Emergency Medicine ◽  
Medical Student ◽  
Educational Needs ◽  
Self Assessment ◽  
Medicine Clerkship

scholarly journals Medical students’ perceptions of an emergency medicine clerkship: an analysis of self-assessment surveys

2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Jennifer L Avegno ◽  
Heather Murphy-Lavoie ◽  
Daryl P Lofaso ◽  
Lisa Moreno-Walton
Keyword(s):  
Emergency Medicine ◽  
Medical Students ◽  
Self Assessment ◽  
Medicine Clerkship

52. Simulation based training improves resident competence in the performance of critical resuscitation procedures

2007 ◽  
Vol 30 (4) ◽  
pp. 56
Author(s):  
I. Rigby ◽  
I. Walker ◽  
T. Donnon ◽  
D. Howes ◽  
J. Lord
Keyword(s):  
Internal Medicine ◽  
Emergency Medicine ◽  
Medical Education ◽  
Family Medicine ◽  
Training Program ◽  
Correlation Coefficient ◽  
Training Programs ◽  
Self Assessment ◽  
Procedural Skills ◽  
Simulation Based

We sought to assess the impact of procedural skills simulation training on residents’ competence in performing critical resuscitation skills. Our study was a prospective, cross-sectional study of residents from three residency training programs (Family Medicine, Emergency Medicine and Internal Medicine) at the University of Calgary. Participants completed a survey measuring competence in the performance of the procedural skills required to manage hemodynamic instability. The study intervention was an 8 hour simulation based training program focused on resuscitation procedure psychomotor skill acquisition. Competence was criterion validated at the Right Internal Jugular Central Venous Catheter Insertion station by an expert observer using a standardized checklist (Observed Structured Clinical Examination (OSCE) format). At the completion of the simulation course participants repeated the self-assessment survey. Descriptive Statistics, Cronbach’s alpha, Pearson’s correlation coefficient and Paired Sample t-test statistical tools were applied to the analyze the data. Thirty-five of 37 residents (9 FRCPC Emergency Medicine, 4 CCFP-Emergency Medicine, 17 CCFP, and 5 Internal Medicine) completed both survey instruments and the eight hour course. Seventy-two percent of participants were PGY-1 or 2. Mean age was 30.7 years of age. Cronbach’s alpha for the survey instrument was 0.944. Pearson’s Correlation Coefficient was 0.69 (p < 0.001) for relationship between Expert Assessment and Self-Assessment. The mean improvement in competence score pre- to post-intervention was 6.77 (p < 0.01, 95% CI 5.23-8.32). Residents from a variety of training programs (Internal Medicine, Emergency Medicine and Family Medicine) demonstrated a statistically significant improvement in competence with critical resuscitation procedural skills following an intensive simulation based training program. Self-assessment of competence was validated using correlation data based on expert assessments. Dawson S. Procedural simulation: a primer. J Vasc Interv Radiol. 2006; 17(2.1):205-13. Vozenilek J, Huff JS, Reznek M, Gordon JA. See one, do one, teach one: advanced technology in medical education. Acad Emerg Med. 2004; 11(11):1149-54. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Acad Med. 2003; 78(8):783-8.

scholarly journals Impact Assessment of Urethral Meatus Morphology and Penile Biometry in Transurethral Prostate and Bladder Surgery

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Rodrigo Ribeiro Vieiralves ◽  
Paulo Henrique Pereira Conte ◽  
Eduardo Medina Felici ◽  
Nádia Cristina Pinheiro Rodrigues ◽  
Tomás Accioly de souza ◽  
...  
Keyword(s):  
Average Length ◽  
Intervention Group ◽  
Urethral Meatus ◽  
New Classification ◽  
Average Width ◽  
Front Position ◽  
Determining Factors ◽  
Group A ◽  
The One ◽  
Group B

Objective. To analyze the penile and urethral meatus biometry and its correlation with meatoplasty during endoscopic resections. We also propose a new classification for urethral meatus morphology.Materials and Methods. We prospectively studied 105 patients who underwent prostate and bladder transurethral resections. We performed standardized measurement of penile and urethral meatus biometry followed by penile photo in the front position. The need to perform meatoplasty or dilatation during resectoscope introduction was registered. Data were analyzed comparing the correlation between two groups: without intervention (Group A) and with intervention (Group B).Results. We observed in Group A and Group B, respectively, the average length of urethral meatus of 1.07 cm versus 0.75 cm (p<0.001) and average width of urethral meatus of 0.59 cm versus 0.38 cm (p<0.001). Considering the morphology of the urethral meatus, we propose a new classification, in the following groups: (a) typical; (b) slit; (c) point-like; (d) horseshoe; and (e) megameatus. The point-like meatus was the one that most needed intervention, followed by the slit and the typical meatus (p<0.001).Conclusions. Point-like and slit-shaped urethral meatus, as well as reduced length and width of the urethral meatus, are the determining factors.

School-based obesity interventions in the metropolitan area of Rio De Janeiro, Brazil: pooled analysis from five randomised studies

2021 ◽  
pp. 1-7
Author(s):  
Renata da R. M. Rodrigues ◽  
Bruna K. Hassan ◽  
Michele R. Sgambato ◽  
Bárbara da S. N. Souza ◽  
Diana B. Cunha ◽  
...  
Keyword(s):  
Eating Habits ◽  
Intervention Group ◽  
Pooled Analysis ◽  
Control Group ◽  
Intention To Treat ◽  
School Year ◽  
School Based ◽  
Obesity Interventions ◽  
The One ◽  
And Control

Abstract School-based studies, despite the large number of studies conducted, have reported inconclusive results on obesity prevention. The sample size is a major constraint in such studies by requiring large samples. This pooled analysis overcomes this problem by analysing 5926 students (mean age 11·5 years) from five randomised school-based interventions. These studies focused on encouraging students to change their drinking and eating habits, and physical activities over the one school year, with monthly 1-h sessions in the classroom; culinary class aimed at developing cooking skills to increase healthy eating and attempts to family engagement. Pooled intention-to-treat analysis using linear mixed models accounted for school clusters. Control and intervention groups were balanced at baseline. The overall result was a non-significant change in BMI after one school year of positive changes in behaviours associated with obesity. Estimated mean BMI changed from 19·02 to 19·22 kg/m2 in the control group and from 19·08 to 19·32 kg/m2 in the intervention group (P value of change over time = 0·09). Subgroup analyses among those overweight or with obesity at baseline also did not show differences between intervention and control groups. The percentage of fat measured by bioimpedance indicated a small reduction in the control compared with intervention (P = 0·05). This large pooled analysis showed no effect on obesity measures, although promising results were observed about modifying behaviours associated with obesity.

scholarly journals Stakeholders’ Participation in Sustainable Tourism Planning for a Rural Region: Extremadura Case Study (Spain)

Land ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 553
Author(s):  
Marcelo Sánchez-Oro Sánchez ◽  
José Castro-Serrano ◽  
Rafael Robina-Ramírez
Keyword(s):  
Focus Groups ◽  
Group Dynamics ◽  
Sustainable Tourism ◽  
Strategic Decision ◽  
Tourism Planning ◽  
Rural Region ◽  
Rural Environments ◽  
Tourism Sector ◽  
Problems And Solutions ◽  
The One

The objective of this research is to obtain and analyze discursive information on the problems and solutions of the tourism sector in an eminently rural region, such as Extremadura, based on the opinions of stakeholders, in order to incorporate them into the evaluation and tourism planning of the region. More specifically, on the situation of the sector, perceptions on profitability and return on investment, the problem of overnight stays, and coordination between tourism agents and training demands, in order to make a sustainable tourism sector in a rural region. The research starts from the following premise: for tourism to be sustainable, stakeholders must participate in the strategic decision-making process. This paper aims, on the one hand, to clarify sufficiently the state of the art regarding the validity of focus groups and their analysis as a research methodology, explaining how to address the main challenges implied by this technique by reviewing a selection of research works that we consider relevant in this field. On the other hand, an analysis of the tourism sector in Extremadura is carried out based on these group dynamics. The main result, after analyzing the discourse of six focus groups, is that the different opinions of their members reveal, despite everything, that the training of human capital in the tourism sector in rural environments is a pending issue.

scholarly journals Consumer-Led Adaptation of the EsSense Profile® for Herbal Infusions

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 684
Author(s):  
Célia Rocha ◽  
Ana Pinto Moura ◽  
Diana Pereira ◽  
Rui Costa Lima ◽  
Luís Miguel Cunha
Keyword(s):  
Content Analysis ◽  
Focus Groups ◽  
Sensory Attributes ◽  
Lemon Balm ◽  
The One ◽  
Herbal Infusions ◽  
Discriminant Power ◽  
Lemon Verbena

This work aimed to adapt the EsSense Profile® emotions list to the discrimination of herbal infusions, aiming to evaluate the effect of harvesting conditions on the emotional profile. A panel of 100 consumers evaluated eight organic infusions: lemon verbena, peppermint, lemon thyme, lemongrass, chamomile, lemon balm, globe amaranth and tutsan, using a check-all-that-apply (CATA) ballot with the original EsSense Profile®. A set of criteria was applied to get a discriminant list. First, the terms with low discriminant power and with a frequency mention below 35% were removed. Two focus groups were also performed to evaluate the applicability of the questionnaire. The content analysis of focus groups suggests the removal of the terms good and pleasant, recognized as sensory attributes. Six additional terms were removed, considered to be too similar to other existing emotion terms. Changes in the questionnaire, resulting in a list of 24 emotion terms for the evaluation of selected herbal infusions, were able to discriminate beyond overall liking. When comparing finer differences between plants harvested under different conditions, differences were identified for lemon verbena infusions, yielding the mechanical cut of plant tips as the one leading to a more appealing evoked emotions profile.

scholarly journals Teaching Rapid Assessment Skills in Triage for the Emergency Medicine Clerkship

2021 ◽  
Author(s):  
Frances Rudolf ◽  
Leslie C. Oyama ◽  
Kristy Schwartz ◽  
Jorge A. Fernandez ◽  
Stephen R. Hayden
Keyword(s):  
Emergency Medicine ◽  
Rapid Assessment ◽  
Medicine Clerkship ◽  
Assessment Skills

scholarly journals The Teaching Model through Problem-Based Learning in a Course on Bibliographic Research

2018 ◽  
Vol 22 (2) ◽  
pp. 1
Author(s):  
Ruth Cristina Hernández-Ching
Keyword(s):  
Focus Groups ◽  
Online Survey ◽  
Problem Based Learning ◽  
Teaching Model ◽  
Research Approach ◽  
Epistemological Foundation ◽  
Communication Processes ◽  
Survey Results ◽  
The One ◽  
Formative Learning

The experience of applying problem-based learning (PBL) technique in the Bibliographic Research course from a Bachelor of English study plan of a public university during the first half of 2014 is shared. The investigation aimed to answer the following question: Does the problem-based learning technique in the Bibliographic Research course allows to implement the main tenets of the teaching model: epistemological foundation, learning theory, methodology and didactics, and communication processes? The research approach proposed was qualitative, and triangulation for measuring variables was implemented. The following instruments were applied: observation, experience record books, and focus groups. Furthermore, formative learning was measured by means of an online survey. Results of the instruments were categorized using technology-based tools such as Wordle (observation), NVivo (record books) and MindNode (focus groups). A convenience sampling was used to collect data from eight students enrolled in the Bibliographic Research course, ten students of Integrated English II for non-English majors, and the researcher, as professor of the courses. It was determined that the PBL technique permitted to reach the main tenets of the teaching model. It was identified that the teacher was the main learner, and the one who benefited from the process, since a culture of knowledge, throughout the course, was created. It was also concluded that this technique allowed to develop twenty-first century skills. It would be valuable to quantify whether the development of the four basic skills of English, especially the conversation one, improves using the technique along with technologies.

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