: Numerous studies have examined the impacts of pay-for-performance programs, yet little is known about their long-term effects on health care expenses. : This study aimed to examine the long-term effects of a pay-for-performance program for diabetes care on health care utilization and expenses. : This study represents a nationwide ...

An interprofessional team of maternity care providers and academics developed a pilot interprofessional education (IPE) program in maternity care for undergraduate students in nursing, midwifery and medicine. There are few published studies examining IPE programs in maternity care, particularly at the undergraduate level, that examine long-term outcomes. This paper outlines ...

Forty-one hospice palliative care volunteers (from 6 community- and 3 hospital-based programs) participated in informal group discussions regarding (1) what aspects of their work provide them with the most (and least) satisfaction; (2) why they continue to volunteer; and (3) why they might stop. In 5 of the 9 programs, ...

Smile Train was founded with one, clear aim-to help as many children as possible who are needlessly suffering with unrepaired clefts. Its unique ";teach-a-man-to-fish" strategy supports local medical professionals to provide free, safe, and high-quality cleft care by offering free education and training opportunities, free equipment, and financial support for ...

OBJECTIVE: This discussion paper analyses a midwifery Continuity of Care program at an Australian University with the symbiotic clinical education model, to identify strengths and weakness, and identify ways in which this new pedagogical approach can be improved. BACKGROUND: In 2002 a major change in Australian midwifery curricula was the ...

Context: With medical training focused on medical knowledge and skills, the nurturing of humanistic care can suffer.Objectives: We designed and conducted an outpatient rheumatology patient-partner exercise that integrates the assessment of student compassionate care into an outpatient clinical skills training exercise. Methods: Eleven third-year medical students were videotaped performing a ...

Objective. To examine the impact that having pharmacy students on internal medicine patient care teams had on inappropriate prescribing of acid suppressive therapy (AST).Methods. In this observational cohort study, internal medicine patients who received care from teams with a pharmacy student were compared to patients who received care from teams ...

The aim of this article is to describe the development and implementation of a case completion curriculum as a new clinical education model for the predoctoral program at Harvard School of Dental Medicine. In this innovative model, students conduct patient-based comprehensive care and complete assigned patient cases on which their ...

Background.  Little research has been conducted to investigate students' attitudes, knowledge and beliefs regarding lesbian, gay, bisexual and transgender parents seeking health care for their children. Design.  Descriptive, comparative study. Validated scales were used to assess students' attitudes, knowledge and beliefs and gay affirmative practice. Three open ended questions assessed ...

BACKGROUND: Transferring complex patients between settings can be fraught with poor communication and adverse outcomes, yet few medical students nationwide are trained in specific skills to improve care transitions. OBJECTIVE: To give medical students the fund of knowledge and skills to develop and implement a safe discharge plan. DESIGN: A ...

Little is known about how students learn spiritual caregiving. A phenomenological study was conducted to examine the experience of Korean nursing students in a spiritual care practicum. Interviews with 12 students were analyzed and organized into 40 themes, 17 theme clusters, and five categories describing their experience in the practicum. ...

The recent Affordable Care Act (ACA) includes physician training provisions to address the US primary care workforce shortage and maldistribution. Policymakers require current graduate medical education (GME) residency finance data to design and implement programs that increase primary care physicians. The University of Washington Family Medicine Network residencies have collaborated ...

: To determine how training in pediatric cardiopulmonary resuscitation is provided in the Iberoamerican countries. : Survey. : Latin America, Spain, and Portugal. : Experts in pediatric cardiopulmonary resuscitation education. : A questionnaire was sent to experts in pediatric cardiopulmonary resuscitation training in 21 countries in Latin America, Spain, and ...

Studies have found a high prevalence of psychological distress among medical students both in the United States and abroad. Distress among medical students has serious professional ramifications, including damaging effects on empathy, ethical conduct, and professionalism, as well as personal consequences such as substance abuse, broken relationships, and suicidal ideation. ...

BACKGROUND: The optimal surgical management of gastroschisis has yet to be determined. We sought to define the practice patterns in the management of gastroschisis, and to ascertain the degree of variability among and within pediatric surgical training programs. MATERIALS AND METHODS: An electronic survey was sent to all second-year residents ...

This paper describes the training approach used with primary care staff to deliver an evidence-based computer-assisted cognitive-behavioral therapy (CBT) program for anxiety disorders within a collaborative care treatment delivery model. We describe the training and proficiency evaluation procedures utilized in the Coordinated Anxiety Learning and Management (CALM) study, a large ...

ABSTRACT: BACKGROUND: The number of students selecting careers in primary care has declined by 41% in the last decade, resulting in anticipated shortages. METHODS: First-year medical students interested in primary care were paired with primary care mentors. Mentors were trained, and mentors and students participated in focus groups at the ...

Over the last decade there have been significant improvements in the standards of training across both the UK and US. Improvements in the UK have been catalysed by the need for high quality colonoscopy within the bowel cancer screening programme. In both the UK and US, central organisations now oversee ...

STUDY OBJECTIVE: We use medical students' reflections to deepen understanding of professionalism in the emergency department (ED), including the ideals that students wish to model and the lapses they hope to avoid. METHODS: Fourth-year students in a mandatory ED clerkship were required to write 2 narrative reflections during the month. ...

This paper has the following aims: (i) to explore the extent to which students who received an intervention involving HIV/AIDS and sexuality perceived that their teacher cared for their health and well-being, (ii) to investigate the characteristics of students who reported to have caring teachers and (iii) to document the ...

: To investigate the effectiveness of brief bedside "booster" cardiopulmonary resuscitation (CPR) training to improve CPR guideline compliance of hospital-based pediatric providers. : Prospective, randomized trial. : General pediatric wards at Children's Hospital of Philadelphia. : Sixty-nine Basic Life Support-certified hospital-based providers. : CPR recording/feedback defibrillators were used to evaluate ...

This paper reports on the experience of undergraduate speech-language pathology students at one university chosen for the implementation stage of the Palliative Care Curriculum for Undergraduates (PCC4U) Project. Funded by a government department for health and ageing through a national palliative care programme, the project was managed by a team ...

To enhance students' knowledge of and critical-thinking skills in the management of acutely ill patients using online independent learning partnered with high-fidelity patient simulation sessions. Students enrolled in the Acute Care Simulation watched 10 weekly Web-based video presentations on various critical care and advanced cardiovascular pharmacotherapy topics. After completing each ...

To compare the clinical consultations provided by American and Kenyan pharmacy students in an acute care setting in a developing country. The documented pharmacy consultation recommendations made by American and Kenyan pharmacy students during patient care rounds on an advanced pharmacy practice experience at a referral hospital in Kenya were ...

This article highlights the need for midwives to access and receive support and self-care when looking after families who themselves need support. The nature of being pregnant and giving birth means that there is a multitude of unknowns for the woman and her family. Every midwife works in situations which ...

To describe and compare the development of emotional-social intelligence (ESI), caring, and leadership of nursing and physical therapy students from the beginning of their professional education until after their first clinical experiences. At the beginning of their first professional year, 73 nursing students and 60 physical therapy students completed three ...

The Housing and Urban Development-Department of Veterans Affairs Supportive Housing (HUD-VASH) program is the largest supported housing program in the country for homeless veterans who are seeking rapid entry into permanent independent housing. This study examined factors related to how rapidly clients were housed in the early years of the ...

To evaluate the viability and effectiveness of a simulation-based pediatric mock code program on patient outcomes, as well as residents' confidence in performing resuscitations. A resident's leadership ability is integral to accurate and efficient clinical response in the successful management of cardiopulmonary arrest (CPA). Direct experience is a contributing factor ...

The foundations of the major federal policies that govern today's workplace were put in place during the 1930s, when most families had a stay-at-home caregiver who could tend to the needs of children, the aged, and the sick. Seven decades later, many of the nation's workplace policies are in need ...

There is a growing awareness of the potent ways in which the wellbeing of physicians impacts the health of their patients. The purpose of this study was to investigate the health behaviors, care needs and attitudes towards self-prescription of Dutch medical students, and any differences between junior preclinical and senior ...

In the future, an increased number of the elderly with their vulnerability related to aging will demand more multidisciplinary and innovative approaches toward their care. A course called "Care of the Elderly from a European Perspective" has been developed in collaboration among several European universities with the aim of providing ...

The present review focuses on the latest evidence from the past 18 months related to pediatric hospitalist medicine. The number of hospitalists continues to increase despite many programs not being financially self-supporting. Reports in the past have shown decreased length of stay, resource utilization, and costs with the hospitalist model. ...

To identify the qualities and skills of exemplary and ideal pediatric hospitalist educators. The authors conducted a prospective, multi-institutional qualitative study from November 2008 through January 2009 in which they interviewed pediatric hospitalists who were identified as exemplary educators at three academic pediatric residency programs. They then conducted focus groups ...

Abstract Background: Critical care rotations involve emotionally unsettling situations with greater frequency and intensity than those that are encountered in other portions of residency training. New approaches are needed to optimize the preparation and professionalism of postgraduate medical trainees when managing crisis management scenarios. Methods: An anonymous survey was conducted ...

Trauma video review (TVR) is an effective method of quality improvement and education. The objective of this study was to determine TVR practices in the United States and use of TVR for quality improvement and education. Adult and pediatric trauma centers identified by the American College of Surgeons (n = ...

Among specialty fellowships available in the United States, matching in ophthalmic plastic and reconstructive surgery (OPRS) is widely thought of as an exceptionally competitive process. There are articles discussing fellowship selection and competition in other fields of medicine; however, little information is available in the peer review literature regarding the ...

The specialty of Pathology and Laboratory Medicine has entered into a phase when the 4-year sequence of Anatomic Pathology and/or Clinical Pathology Residency Training is almost universally followed by 1 or more years of Subspecialty Fellowship Training. Such training may occur in one of the American Board of Pathology-recognized subspecialties ...

This article documents the development of geriatric medicine fellowship training in the United States through 2009. Results from a national cross-sectional survey of all geriatric medicine fellowship training programs conducted in 2007 is compared with results from a similar survey in 2002. Secondary data sources were used to supplement the ...

In 2003, the Chinese Government initiated a free antiretroviral therapy (ART) program focusing on adult AIDS patients. Pediatric antiretroviral (ARV) formulations were yet unavailable. It was not until July 2005, with the initiation of a two-stage program implemented by the Chinese Ministry of Health, that pediatric formulations became accessible in ...

OBJECTIVE: To determine the timing of and key factors in resident decision making to pursue either a career in general pediatrics or subspecialty training. DESIGN: We used a 10-item fixed-choice questionnaire that focused on exploring how and when pediatric residents make career choices. SETTING: The survey was administered to all ...

Videolaryngoscopy may facilitate tracheal intubation in difficult airway scenarios. Our objective was to compare the ability of residents to intubate a child manikin using the standard Macintosh laryngoscope and the novel GlideScope. Pediatric residents who passed an advanced pediatric life support course were eligible. Four scenarios were proposed: Macintosh (M) ...

In order to understand how robotic surgery impacts gynecologic oncology fellowship training and surgical practices, a survey of fellows and fellowship directors was conducted. Questionnaires designed to determine the prevalence, application, and acceptance of robotics were sent to fellows and fellowship directors in approved U.S. programs. Of the respondents, 95% ...

Competition for subspecialty fellowship positions in ophthalmology continues to grow, and there is increasing interest regarding the factors considered important in fellowship selection. While a previous report evaluated the characteristics and criteria used by ophthalmology subspecialty program directors to select fellows in retina, cornea/external disease, and glaucoma fellowship programs, to ...

: The focus was to examine the educational structure and curricular planning involved in current pediatric emergency interhospital transport teams that use resident physicians as members of the team and to compare these current results with the findings from 2 previous, similar surveys complete during the past 2 decades. : ...

To describe a program designed to meet the need to mentor trainees in manuscript reviewing. Mentors (n = 25) and mentees (n = 32) participating in the Journal of Pediatric Psychology's Manuscript Review Mentoring Program completed an online survey assessing their experiences and satisfaction with the program, perceptions of benefits and challenges to participating, ...

While still in the early stages of development, the work of the Global Pediatric Education Consortium represents a major initiative designed to facilitate needed improvements in the way pediatric physicians throughout the international community are trained and assessed. With the combined resources, expertise, and mutual cooperation of its member organizations, ...

Our current generation of young people could become the first generation to live shorter lives than their parents. Families need resources in their community to address this issue. Identifying barriers and facilitators of community organizations to offer obesity-related services is a first step in understanding sustainable community programs. The objective ...

The objective was to describe the common educational goals, curricular elements, and methods of evaluation used in international emergency medicine (IEM) fellowship training programs currently. IEM fellowship programs have been developed to provide formal training for emergency physicians (EPs) interested in pursuing careers in IEM. Those fellowships are variable in ...

OBJECTIVES: Currently, many pediatric hospitals are using simulation technology to teach trainees the skills required to effectively succeed in managing critically ill patients. Unfortunately, no curricula integrating the use of simulation have been described for pediatric emergency medicine (PEM) fellowship programs. Our objective was to outline our experience with the ...

The question of accreditation and standardization of neuroanesthesia fellowship training programs in the U.S. has been discussed extensively within the field. Although numerous opinion pieces have been published, there are no data indicating the level of support or opposition for accreditation of subspecialty training among specialists in the field of ...