clinical competence

..In this research project, a descriptive exploratory design was used to identify the levels of cultural awareness and cultural competence of nursing staff who participated in a family-centered geriatric care training program...

..Design: A cross-sectional survey was conducted in four major cities (Beijing, Shanghai, Guangzhou, and Chongqing) in China from November to December 2003...

..The author describes the basics of this experience and the planning steps prior to implementation, including hospital approval, preceptor selection, and evaluation of the overall clinical experience...

..0011), demonstrating the transfer of psychomotor skills from simulator training to arthroscopy in the operating theatre. This has implications for the planning of future training curricula...

..Physicians today are increasingly faced with healthcare challenges that require an understanding of global health trends and practices, yet little is known about what constitutes appropriate global health training...

..Typically adopted hand movement metrics reflect only one half of the eye-hand coordination relationship; therefore, little is known about how hand movements are guided and controlled by vision...

..To determine the psychometric properties and validity of an OSCE to assess the competencies of Practice-Based Learning and Improvement (PBLI) and Systems-Based Practice (SBP) in graduate medical education...

..To assess the availability of resources that support the provision of basic neonatal care in eight first-referral level (district) hospitals in Kenya...

..This paper examines the current tools available to assess EBP competence and compares their applicability to existing assessment techniques used in medicine, nursing and health sciences...

..To examine the impact of the Quality and Outcomes Framework, a major pay-for-performance incentive introduced in the UK during 2004, on diabetes management in patients with and without co-morbidity...

..Computer-based simulation technology provides a major opportunity for surgical skills development without morbidity and operating room inefficiency...

..Additional longitudinal studies are necessary to confirm the validity of virtual reality simulation before these teaching aids can be more fully recommended for surgical education...

..This study aimed to investigate the feasibility of implementing a proficiency-based FLS skills training curriculum and to evaluate its effectiveness in preparing trainees for certification...

..To determine whether skills acquired by simulation-based training transfer to the operative setting...

..This study compares success rates for ventilation and intubation via the intubating laryngeal mask (ILMA-V/ILMA-TI) with those via bag-mask ventilation and laryngoscopic intubation (BM-V/LG-TI)...

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..This study aimed to explore how medical students experience contacts with real patients and what they learn from them...

..Training within a proficiency-based virtual reality (VR) curriculum may reduce errors during real surgical procedures. This study used a scientific methodology for development of a VR training curriculum for laparoscopic cholecystectomy...

..To examine, in a simulated environment, the ability of final-year nursing students to assess, identify and respond to patients either deteriorating or at risk of deterioration...

..We aimed to determine the mean pneumothorax rate following thoracentesis and to identify risk factors for pneumothorax through a systematic review and meta-analysis...

..This study aims to provide a critical review of the literature and the main experiences and efforts relating to the validation of simulators during the last two decades...

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..Multivariate generalizability analysis was used to investigate the performance of a commonly used clinical evaluation tool...

..Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for...

..This consensus statement is based on current literature and incorporating the experience of delegates attending the 2003 Conference of Evidence-Based Health Care Teachers and Developers ("Signposting the future of EBHC")...

..Our aim was to undertake a systematic review of the comparison of the methods used to train staff in clinical skills...

..The aim of this study was to explore, structure and describe the views on primary prevention of cardiovascular disease in clinical practice among Swedish GPs...

..Therefore, both have an important role to play and should coexist within a continuous assessment pathway...

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..Multiple tools for direct observation are available, but their characteristics and outcomes have not been compared systematically...

..To evaluate published evidence that the Accreditation Council for Graduate Medical Education's six general competencies can each be measured in a valid and reliable way...

..To establish which personal and contextual factors are predictive of successful outcomes in postgraduate medical education...

..This strategy is based on the adage that "assessment drives curriculum" and proposes a series of new assessment tools to be added to all phases of the training-practice continuum...

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..No significant differences were found between the two groups on measures of interpersonal skills, therapeutic communication skills, and knowledge of depression..

..Empathy is a skill that can be acquired by practise and should become a habit...

..Electronic clinical knowledge support systems have decreased barriers to answering clinical questions but there is little evidence as to whether they have an impact on health outcomes...

..We argue that learning how to manage errors effectively would enable trainee practitioners to improve patient care, reduce the burden on an overstretched health care system and engage in dynamic as opposed to defensive practice...

..However, more research is required into the calculation errors in practice. In particular there is a need for a direct observational study on paediatric nurses as there are presently none examining this area of practice...

..g., music, conversation, and unadapted use of sophisticated technologies). This study aimed to examine whether such realistic social and technological distracting conditions may influence surgical performance...

..Both sets of skills can be impaired by intra-operative stress, compromising performance and patient safety. This systematic review aims to assess the effects of intra-operative stress on surgical performance...

..focusing on variations of the term observation in the titles of articles and introducing the concept of clinical competence. In conclusion, direct observation is a unique and useful tool in the assessment of medical students and ..

..Feedback from questionnaires completed by orthopaedic surgeons indicates that the system has face validity for its remit of basic arthroscopic training...

..High-risk organizations such as aviation rely on simulations for the training and assessment of technical and team performance. The aim of this study was to develop a simulated environment for surgical trainees using similar principles...

..Retrospective review...

..We investigated patient responses to videotaped doctor-patient vignettes to ascertain what they liked about patient-centered and biomedical communication...

..An important issue is how to create optimal conditions for integration of these types of simulators into the surgical training curriculum. The willingness of surgical residents to train these skills on a voluntary basis was surveyed...

..LEVEL OF EVIDENCE: Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence...

..Whether CME activities actually improve their knowledge and whether multiple media, instructional techniques, and exposures are better than single experiences are questions that are still under discussion...

..CONCLUSIONS: An ongoing chart audit and feedback system can be associated with improvements both in the performance of individual residents and in the long-term performance of a residency program...

..The results of this study may be helpful in designing arthroscopic training programs for orthopaedic residents or sports medicine fellows; however, the wide variability in opinions may indicate difficulty in reaching a consensus...

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..To develop a model linking the processes and outcomes of workplace learning...

..To evaluate the recorded range of procedures tracked by emergency medicine (EM) programs, and to determine whether differences in procedural experience occur in various types of residency or hospital settings...

..To evaluate and compare the readiness of academic general internal medicine physicians and academic family medicine physicians to perform and teach 13 common ambulatory procedures...

..of lifelong learning, continuing medical education credit, relicensure, specialty recertification, and clinical competence are linked to the abilities of physicians to assess their own learning needs and choose educational ..

..Consequences of these results for nursing and person-related services in general are discussed and the aim of future research is outlined...

..This correlation appears to be stronger and is more clearly established for surgeon volumes than it is for hospital volumes...

..In an era of increased emphasis on patient safety and competency-based education, demonstration of significant variability in the teaching of flexible bronchoscopy has led to initiatives for new standardized curricula and assessment tools...

..The purpose of this study was to show the validity of a motion analysis system in its ability to differentiate between surgeons and non-surgeons when performing simple arthroscopic tasks...

..The aim of this study was to evaluate the effectiveness and costs of a critical appraisal skills educational intervention aimed at health care professionals...

..Even then, for some uses, physician clinical performance assessment at the individual physician level may be technically impossible to accomplish in a valid and fair way...

..This study aimed to investigate whether individual stress responses are associated with intraoperative alterations of manual surgical skills and technical errors of the laparoscopic surgeon...

..In lay persons and health care providers performing cardiopulmonary resuscitation (CPR), does the use of CPR feedback/prompt devices when compared to no device improve CPR skill acquisition, retention, and real life performance?..

..In this document we expand on these broad statements, provide a view of how these learning objectives might be achieved, and identify the key elements of a core curriculum in prescribing and therapeutics...

..Experts rated the simulator as an effective teaching tool, giving it a mean score of 4.22 and 4.44 (maximum, 5) for teaching instrument control and triangulation, respectively...

..However, it is not known whether knowledge of CKD management in primary care physicians (PCPs) might have an important role in the suboptimal care and whether PCP characteristics are associated with having adequate knowledge...

..This study helps to define the benefits and opportunities of the PRHO year, as currently perceived by the trainees, and should be of interest to those involved in the planning and delivery of postgraduate training...

..To evaluate the use of the Laryngeal Mask Airway (LMA), the oesophageal-tracheal combitube (ETC) and the tracheal tube (TT) by medical students, with a view to recommend changes to the medical school curriculum...

..As patient populations become increasingly diverse, we need to be able to measure residents' preparedness and skillfulness to provide cross-cultural care...

..We wanted to examine reasons for re-admission, possible errors in coding and any preventable factors in these patients subsequently re-admitted acutely...

..Although simulation is relatively new to medicine, simulators have been used extensively for training and assessment in many other domains, most notably the aviation industry. Some parallels and differences will be highlighted...

..These data suggest that the immersive arthroscopic trainer might be useful as an initial screening or training tool for beginning medical students...

..Assessment tools related to bronchoscopy training, however, have not yet been developed or validated...

..Continuing medical education (CME) is one such strategy, but the impact of CME is poorly defined in relation to clinical outcomes, and efforts to standardize definitions of clinical outcomes are in varied stages of development...

..The study raises questions about the recent trend toward temporary employment of clinical teachers and in the separation of academic and clinical roles of nurse educators...

..To determine if participation in a 12-month longitudinal long-term care (LTC) rotation resulted in improved knowledge and attitudes about geriatrics...

..This study examined the effect of an educational intervention of factual knowledge on emergency nurses' knowledge and clinical decisions related to paediatric fever...

..This article describes the development of a framework, known by the acronym BECOME. The purpose of this framework is to provide educators with a repertoire of strategies for educating and mentoring preceptors...

..The aim of this study was to report the perceptions of senior academics' working in institutions of higher education towards professional doctorates for the health and social care professions...

..Successful teaching strategies are presented that are substantiated by increased student cross-cultural interaction score scores...

..Notable findings from the focus groups are discussed in this study. Recommendations based on these findings are proposed as this project moves into subsequent phases...

..Improving evidence-based practices in nursing programs has the potential to impact many breastfeeding families in the hospital and the community...

..Patients generally indicated that students always or normally performed caring behaviors. The study showed that with an appropriate curriculum and learning strategies, students can learn caring skills...

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..Further research should be undertaken with undergraduate nurses specialising in different branch of nursing...

..Recommendations are made for death issues to be explored more extensively during both undergraduate and postgraduate nurse education...

..Importantly, since the implementation of the workshops and other collaborative initiatives, an increasing number of newly graduated nurses from the region are choosing to work in mental health...

..Exemplars of students' self-reported reflections are included...

..Mature students claimed that more practice effort was required but also felt more prepared for placements and achieved higher OSCE scores...

..In addition, the results demonstrate that interactive videoconferencing does not compromise student learning or assessment by external assessors...

..There was a significant positive increase in CBL students' attitudes toward personal aging from the first to fourth years of the program. This suggests that CBL learning fosters an inner maturity toward personal aging...

..A foundation for improving the evidence bases for future nursing practice is guided by the curricular modifications described in this article...

..Data suggested that pedagogies that incorporate the rich life and prior educational experiences of second-degree students are needed in accelerated nursing programs...

..To examine the current curriculum content and learning needs of graduating nursing students related to end-of-life care (EOLC)...

..The process of instrument development has general application to other educational programs...

..abstract_text> ..

..We further postulate that ES improves glenohumeral stability by facilitating motor recovery. Thus we will evaluate the effects of these treatments on objective measures of poststroke motor recovery. ..

..We further postulate that ES improves glenohumeral stability by facilitating motor recovery. Thus we will evaluate the effects of these treatments on objective measures of poststroke motor recovery. ..

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..The long-term goal of the proposal is to develop new strategies for prevention and treatment of chronic liver and intestinal disease in humans. ..

..Targeting PiHDL with interventions that restore protective function to HDL might be considered for prevention of ATH in both lupus and non lupus patients. ..

..Once this study clarifies the incidence and mechanisms, rational strategies can be developed to limit this potentially life-threatening syndrome. (End of Abstract) ..

..MRI guidance will also avoid the ionizing radiation exposure of x-rays and the potential kidney toxicity of iodinated contrast agents. ..

..The proposed training will provide the candidate with a novel set of skills to use in investigating the potential causes of IBS, and developing new treatment strategies ..

..The model and analytical approaches acquired by the candidate during her training will be used later to develop a decision analytical model describing geriatric depression. ..

..Our results will help set clinical performance standards. ..

..recognized difficulties in providing consistent, high quality learning environments that ensure clinical competence for novice physicians-in-training...

..recognized difficulties in providing consistent, high quality learning environments that ensure clinical competence for novice physicians-in-training...

..The proposed study will examine the feasibility and utility of SPs in this environment. ..

..Project strategies will be shared with 22 osteopathic colleges via the annual meeting of the American Assoc. of Colleges of Osteopathic Med. ..

..Modulation of the lateral prefrontal cortex is predicted during levodopa infusion. The degree of modulation is predicted to depend on baseline dopaminergic status (PD vs control) and the degree of memory load (low vs high). ..