scholarly journals Advanced Trainee-Led Physician Clinical Examination Workshop: Improving Training and Culture

2021 ◽  
pp. 1-8
Author(s):  
Prianka Puri ◽  
Prianka Puri ◽  
Alice Kennard ◽  
Luke Williamson ◽  
Ashwin Swaminathan
Keyword(s):  
Small Group ◽  
Negative Feedback ◽  
Clinical Signs ◽  
Well Being ◽  
Peer Teaching ◽  
Teaching Skills ◽  
Course Material ◽  
Case Presentations ◽  
Examination Preparation ◽  
Royal Australasian College

Background: Near-to-peer teaching involves more experienced learners acting as tutors for junior colleagues and has significant theoretical benefits for both teachers and learners [1-3]. Aim: Development, implementation, and assessment of a weekend examination preparation workshop by Royal Australasian College of Physicians Advanced Trainees (ATs) for Basic Physician Trainees (BPTs), using a near-to-peer framework. Methods: A two-day offsite course was designed by ATs. Day 1 - subspecialty short-case demonstrations, followed by small-group examination practice. Shared downtime was organized for the evening. Day 2 - two exemplar long-case presentations by ATs with consultant examiner feedback, followed by interactive small-group sessions focusing on presenting long-cases. Results: A post-course survey was completed by 72% of BPTs (13/18) and 88% of ATs (8/9). Responses demonstrated that all BPTs would recommend this workshop to peers. 84% (11/13) found the course material very useful. 62% (5/8) ATs felt their leadership and teaching skills had significantly improved. BPTs reported that the AT long-case demonstrations were highly useful. Negative feedback included the venue, course timing, and lack of patients with clinical signs. Conclusion: This innovative AT-led examination preparation workshop significantly enhanced training culture and candidate well-being. ATs benefited with increased confidence in their ability to lead and teach.

scholarly journals Swine Inflammation and Necrosis Syndrome (SINS)

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1670
Author(s):  
Gerald Reiner ◽  
Josef Kuehling ◽  
Frederik Loewenstein ◽  
Mirjam Lechner ◽  
Sabrina Becker
Keyword(s):  
Scientific Evidence ◽  
Age Groups ◽  
Clinical Signs ◽  
Well Being ◽  
Defence Mechanisms ◽  
Newborn Piglets ◽  
High Prevalence ◽  
Histopathological Studies ◽  
Molecular Patterns ◽  
Tail Damage

Tail biting is a prevalent and undesirable behaviour in pigs and a major source of significant reduction in well-being. However, focusing on biting considers only one part of the solution, because tail damage can be found with a high prevalence without any action by other pigs. The lesions are not limited to the tail but can also be found in the ears, heels, soles, claw coronary bands, teats, navel, vulva, and face. Environmental improvement alone often fails to overcome the problem. This review addresses a new inflammation and necrosis syndrome in swine (SINS). It shows the clinical signs and the frequencies of occurrence in different age groups. It compiles scientific evidence from clinical and histopathological studies in newborn piglets that argue for a primary endogenous aetiology of the disease. Bringing together the findings of a broad body of research, the possible mechanisms leading to the disease are identified and then discussed. This part will especially focus on microbe-associated molecular patterns in the circulation and their role in activating defence mechanisms and inflammation. Finally, the methods are identified to ameliorate the problem by optimizing husbandry and selecting a suitable breeding stock.

Psychological engagement of university students

2018 ◽  
Vol 10 (3) ◽  
pp. 243-255 ◽  
Author(s):  
Carolyn Timms ◽  
Tracey Fishman ◽  
Alexander Godineau ◽  
Jamie Granger ◽  
Tariro Sibanda
Keyword(s):  
University Students ◽  
Learning Community ◽  
Well Being ◽  
First Year ◽  
Content Type ◽  
Course Experience Questionnaire ◽  
Human Needs ◽  
Psychological Engagement ◽  
Course Experience ◽  
Course Material

Purpose The purpose of this paper is to investigate the relationship of undergraduate university students’ course experience (learning community (LC), clear goals and standards, student support, study-family affect (SF affect) and autonomy) to their well-being, as measured by psychological engagement (dedication, absorption and vigour) and burnout (exhaustion and disengagement/cynicism). Design/methodology/approach First-year psychology students (n=128) were surveyed using previously validated measures of their well-being and experiences at university. Findings Belonging to a LC (where students were encouraged to develop fluidity with the subject matter and share insights) was positively related to students’ psychological engagement. By contrast, the provision of ready access to course materials did not predict student engagement. Knowledge of goals and standards predicted that students would find course work energising (vigour). Respondents reported that SF affect (where participation at university enhances family life) was related to their engagement at university. In addition, mature age students (over the age of 25 years) reported higher levels of engagement in their study than did younger students. Research limitations/implications The dominant predictor of student well-being (LC) was redolent of two important psychological human needs (affiliation and mastery). The central nature of this variable to student well-being is therefore currently undifferentiated and calls for the application of more finely tuned instruments to predict student well-being. Originality/value The current research applied measures from the widely validated Course Experience Questionnaire (Ramsden, 1991) as predictors of students’ psychological engagement and burnout. It highlights the value of personal relationships and community in university students’ mastery of difficult course material.

Myofascial Pain May Present Clinically as Occipital Neuralgia

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 610-613 ◽  
Author(s):  
Steven B. Graff-Radford ◽  
Bernadette Jaeger ◽  
John L. Reeves
Keyword(s):  
Myofascial Pain ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Trigger Points ◽  
Occipital Neuralgia ◽  
Invasive Procedures ◽  
Myofascial Trigger Points ◽  
Surgical Interventions ◽  
Clinical Signs And Symptoms ◽  
Case Presentations

Abstract Three case presentations illustrate that the clinical signs and symptoms of occipital neuralgia may be produced by myofascial pain. Assessment of myofascial trigger points is needed before making a diagnosis of occipital neuralgia. Myofascial trigger points can be effectively treated with minimally invasive procedures, thereby avoiding irreversible surgical interventions.

A case of spontaneous splenic rupture in pregnancy

2014 ◽  
Vol 63 (4) ◽  
pp. 69-73
Author(s):  
Yevgeniy Sergeyevich Mikhaylin ◽  
Lada Anatolyevna Ivanova ◽  
Aleksey Gennadyevich Savitskiy ◽  
Sergey Georgiyevich Kucheryavyy ◽  
Roman Anatolyevich Krasnolobov ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Abdominal Cavity ◽  
Clinical Signs ◽  
Expectant Management ◽  
Well Being ◽  
Spontaneous Splenic Rupture ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Abdominal Bleeding ◽  
In Pregnancy

The article provides an observation case of spontaneous splenic rupture in 33/34 weeks of pregnancy. The patient was under active-expectant management, because of premature rupture of membranes at term of 33 weeks. Suddenly, against a background of well-being, emerged clinical signs of massive intra-abdominal bleeding. During the revision of the abdominal cavity the rupture of the capsule of the spleen was detect. Cesarean section and splenectomy were performed. The postoperative period was uncomplicated, the patient was discharged home with the baby.

scholarly journals Implementation of small-group reflection rounds at an emergency medicine residency program

CJEM ◽  
2013 ◽  
Vol 15 (03) ◽  
pp. 175-178 ◽  
Author(s):  
Leana S. Wen ◽  
Justin T. Baca ◽  
Patricia O'Malley ◽  
Kriti Bhatia ◽  
David Peak ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Small Group ◽  
Reflective Practice ◽  
Well Being ◽  
Ethical Challenges ◽  
Clinical Experiences ◽  
Safe Environment ◽  
Wellness Curriculum ◽  
Curricular Interventions ◽  
Question Survey

Few residency curricular interventions have focused on improving well-being and promoting humanism. We describe the implementation of a novel curriculum based on small-group reflection rounds—the Emergency Medicine Reflection Rounds (EMRR)—at a 4-year US emergency medicine (EM) residency. During the inaugural year (2010–2011), nine residents volunteered to take part in 1-hour monthly sessions with faculty facilitators. Residents were provided with a confidential environment to discuss difficult ethical and interpersonal encounters from their clinical experiences. Ongoing feedback from participants was solicited, culminating with a four-question survey in which all respondents remarked that the EMRR contributed to improving their own well-being and agreed that it provided an important forum for residents to discuss difficult issues in a safe environment. In this article, we describe our innovation as an example of a wellness initiative that has promoted reflective practice and fostered cooperative learning around the communication, professional, and ethical challenges inherent in EM practice. Our EMRR model may be useful to other EM residences looking to supplement their wellness curriculum.

scholarly journals Analisis keterampilan dasar mengajar mahasiswa tadris biologi

2020 ◽  
Vol 5 (1) ◽  
pp. 56-63
Author(s):  
Nasrul Hakim ◽  
Yudiyanto Yudiyanto ◽  
Pundi Restu Lulul Hakiki ◽  
Siti Soleha
Keyword(s):  
Classroom Management ◽  
Small Group ◽  
Learning Strategy ◽  
Teaching Skills ◽  
Management Skills ◽  
Biology Students ◽  
Professional Teacher ◽  
Data Source ◽  
Biology Learning ◽  
Opening And Closing

Keterampilan dasar mengajar sangat menentukan proses dan hasil pembelajaran. Tujuan penelitian ini adalah mengungkap keterampilan dasar mengajar mahasiswa Tadris biologi IAIN Metro. Penelitian ini menggunakan metode deskriptif kualitatif. Data penelitian ini diperoleh dari mahasiswa jurusan Tadris biologi semester V yang sedang menempuh matakuliah strategi pembelajaran biologi. Hasil penelitian menunjukkan bahwa keterampilan bertanya diperoleh skor 56,80 masuk kategori kurang terampil, keterampilan menjelaskan diperoleh skor 51,90 masuk kategori kurang terampil, keterampilan membuka dan menutup pembelajaran diperoleh skor 44,67 masuk kategori kurang terampil, keterampilan membimbing diskusi kelompok kecil diperoleh skor 68,15 masuk kategori cukup terampil, keterampilan mengajar kelompok kecil dan perorangan diperoleh skor 52,70 masuk kategori kurang terampil, keterampilan mengelola kelas diperoleh skor 53,32 masuk kategori kurang terampil, keterampilan memberi penguatan diperoleh skor 65,80 masuk kategori cukup terampil, dan keterampilan mengadakan variasi diperoleh skor 70,45 masuk kategori terampil.Kata kunci: Keterampilan dasar mengajar, guru profesional, mahasiswa biologi Basic teaching skills analysis of tadris biology students. Basic teaching skills determine the learning process and outcomes. This research aims to revealed the level of teaching students basic skills at Tadris Biology IAIN Metro. This study used descriptive qualitative method. This research data source was Biology Department students students in semester V who are taking biology learning strategy courses. The results showed that the questioning skills obtained by a score is 56.80 in the category of less skilled, explaining skills obtained a score is 51.90 in the category of less skilled, learning skills opening and closing obtained a score is 44.67 in the category of less skilled, the skills of guiding the discussion a small group obtained a score is 68.15 in the category of moderately skilled, small group and individual teaching skills obtained a score is 52.70 in the category of less skilled, classroom management skills obtained a score is 53.32 in the category of less skilled, the skill of giving reinforcement was obtained a score is 65.80 in the category of skilled enough, while the skills to hold variations obtained scores is 70.45 in the skilled category.Keywords: Basic teaching skills, professional teacher, biology students

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