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1.
Educ. med. (Ed. impr.) ; 21(5): 299-305, sept.-oct. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-196873

RESUMO

Aunque todas las especialidades incorporan en sus programas formativos los objetivos relacionados con la adquisición de competencias y habilidades en investigación, la valoración de los residentes en cuanto a la formación recibida y el tiempo de dedicación es deficiente. El presente estudio trata de evaluar el impacto de una nueva estrategia formativa en investigación, que incorpora un nivel básico y un nivel avanzado con el desarrollo y puesta en marcha durante la residencia de un proyecto de investigación. La presentación de dicho proyecto permite aplicar los conocimientos teóricos adquiridos, tratando de responder de forma sistematizada y metódica a una pregunta de investigación que surja de la observación de la práctica clínica diaria. Tras 4 ediciones, el 100% de los residentes presentó algún trabajo a congresos, el 27% presentaron más de 30 y el 33% presentaron entre 20 y 30. El 64% terminaron la formación con publicaciones científicas y la valoración de la formación percibida por el residente ha mejorado en las encuestas de satisfacción, siendo de excelente o muy buena en más de un 55%. Un programa de formación con un nivel básico y avanzado de investigación que concluya con la puesta en marcha de un proyecto de investigación podría mejorar los indicadores de la actividad investigadora de residentes y de especialistas de un hospital universitario, aspectos que contribuyen a la adquisición de competencias y el cumplimiento de objetivos del programa de la especialidad


All the specialties incorporate objectives related to the acquisition of competences and skills in research in their training programs. However, from the point of view of residents, the training received and the length of time seems deficient. The present study attempts to evaluate the impact of a new training strategy in research, which incorporates a basic level and an advanced level with the development and implementation of a research project during the residency. The presentation of this project allows the acquired theoretical knowledge to be applied, trying to answer a research question that arises from the observation in the daily clinical practice. After 4 editions, 100% of the residents presented some work at congresses, with 27% presenting more than 30, and 33% presenting between 20 and 30. Almost two-thirds (64%) finished the training period with scientific publications. The evaluation of the training programme has also improved in the satisfaction surveys, being excellent or very good in more than 55%. A speciality training program with a basic and advanced level of research with a research project performed during the residency could improve the indicators in relation to research activity of residents and specialists in a university hospital. These aspects could contribute to the acquisition of competencies and compliance with the objectives of the specialty program


Assuntos
Humanos , Educação de Pós-Graduação em Medicina/métodos , Avaliação Educacional/métodos , Hospitais Universitários/estatística & dados numéricos , Pesquisa/educação , Internato e Residência , Educação/organização & administração , Estatística como Assunto/educação , Análise de Dados , Medicina/classificação , Medicina/estatística & dados numéricos
2.
Ann Glob Health ; 86(1): 103, 2020 08 19.
Artigo em Inglês | MEDLINE | ID: mdl-32874934

RESUMO

Global health trainees rely on immersive experiences to apply their classroom knowledge in real-world settings. However, during the COVID-19 pandemic travel has come to a halt and short-term experiences are no longer available in their current form. As with didactic material, global health programs have an opportunity to innovate the delivery of applied learning, providing trainees with robust, mentored experiences that promote the acquisition of core global health competencies. We provide a series of practical solutions for remote applied learning including case-based learning, pathfinder pedagogy, virtual reality simulations, and twinning. We further describe the role of these approaches in addressing common criticisms of short-term experiences and their potential for creating new win-win dynamics between institutions and trainees.


Assuntos
Infecções por Coronavirus , Educação a Distância , Saúde Global/educação , Pandemias , Pneumonia Viral , Aprendizagem Baseada em Problemas , Ensino/tendências , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Educação/organização & administração , Educação a Distância/métodos , Educação a Distância/organização & administração , Humanos , Inovação Organizacional , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/organização & administração
3.
Br J Hosp Med (Lond) ; 81(9): 1-6, 2020 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-32990069

RESUMO

Hands-on wet lab simulation training is a vital part of modern surgical training. Since 2010, surgical 'boot camps' have been run by many UK deaneries to teach core surgical trainees basic entry level skills. Training in advanced skills often requires attendance at national fee-paying courses. In the Wessex Deanery, multiple, free of charge, core surgical 'field camps' were developed to provide more advanced level teaching in the particular specialty preference of each core surgical trainee. After the COVID-19 pandemic, national hands-on courses will be challenging to provide and deanery-based advanced skills training may be the way forward for craft-based specialties. The experiences over 2 years of delivering the Wessex core surgical field camps are shared, giving a guide and advice for other trainers on how to run a field camp.


Assuntos
Competência Clínica , Infecções por Coronavirus , Educação , Cirurgia Geral/educação , Pandemias , Pneumonia Viral , Treinamento por Simulação , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Educação/métodos , Educação/organização & administração , Avaliação Educacional , Humanos , Modelos Anatômicos , Modelos Educacionais , Pandemias/prevenção & controle , Satisfação Pessoal , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Autoimagem , Treinamento por Simulação/métodos , Treinamento por Simulação/organização & administração , Apoio ao Desenvolvimento de Recursos Humanos/métodos , Reino Unido
5.
Sheng Wu Gong Cheng Xue Bao ; 36(7): 1459-1464, 2020 Jul 25.
Artigo em Chinês | MEDLINE | ID: mdl-32748604

RESUMO

The teaching laboratory is the central place to teach lab courses to undergraduate students. It is thus critical to evaluate how lab skills of students will be affected by the management of this lab. This study attempts to introduce the 6S concept, referring to "Seiri", "Seiton", "Seiso", "Seiketsu", "Shisuke", and "Safety", to the management of teaching laboratory, in particular, to the management of environments, safety, item deposition, reagents and consumables in the laboratory. We find that applying the "6S" management maintains a tidy lab environment, facilitates teaching the lab skills, and improves the quality of teaching, which together achieves the goal of education with the atmosphere. This study can provide a guideline for establishing and managing teaching laboratories in universities.


Assuntos
Educação , Laboratórios , Universidades , Educação/organização & administração , Educação/normas , Planejamento Ambiental , Humanos , Laboratórios/organização & administração , Laboratórios/normas , Estudantes , Universidades/organização & administração , Universidades/normas
7.
Glob Health Action ; 13(1): 1797296, 2020 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-32757713

RESUMO

The Coronavirus Disease 2019 (COVID-19) pandemic has overwhelmed many health systems globally. Innovative initiatives are needed to combat the pandemic and scaleup response efforts. This communication describes a collaborative partnership between an international humanitarian organization and an academic university to develop and rapidly deploy a remote digital COVID-19 trainer-of-trainers (TOT) program to enhance global response. The ongoing program has resulted in more than 900 TOT personnel who have themselves trained over 22,000 frontline response providers from 21 different countries and territories. The developed and implemented COVID-19 digital training program is a key example of how academic-humanitarian partnerships can be leveraged to strengthen healthcare training and response capacity during pandemics.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Educação/organização & administração , Medicina de Emergência/educação , Pneumonia Viral/epidemiologia , Saúde Pública/educação , Altruísmo , Betacoronavirus/fisiologia , Saúde Global , Humanos , Pandemias , Universidades
8.
Dig Dis Sci ; 65(8): 2161-2163, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32519138

RESUMO

Many GI training programs have needed to adjust to the serious disruption to the training and education of fellows worldwide due to the COVID-19 pandemic. A silent problem that has arisen within programs is the issue of burnout among their trainees. Burnout is common among gastroenterologists, especially in fellows (Keswani et al. in Gastroenterology 147(1):11-14, 2014. https://doi.org/10.1053/j.gastro.2014.05.023 , Am J Gastroenterol 106(10):1734-1740, 2011. https://doi.org/10.1038/ajg.2011.148 ), with negative consequences to patient care and the safety of the trainees if not effectively dealt with. In this article, the author describes several additional factors potentially contributing to the intensifying burnout of the fellows in their home institution during this pandemic. Moreover, he describes specific practical interventions that the hospital and program have taken in order to address these factors.


Assuntos
Esgotamento Psicológico , Infecções por Coronavirus/epidemiologia , Educação , Gastroenterologia/educação , Internato e Residência , Pneumonia Viral/epidemiologia , Betacoronavirus , Esgotamento Psicológico/etiologia , Esgotamento Psicológico/prevenção & controle , Educação/ética , Educação/organização & administração , Educação/tendências , Ética Institucional , Bolsas de Estudo/métodos , Gastroenterologistas/psicologia , Humanos , Internato e Residência/métodos , Internato e Residência/organização & administração , Internato e Residência/tendências , Pandemias
9.
Acad Radiol ; 27(8): 1147-1153, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32507612

RESUMO

RATIONALE AND OBJECTIVES: Social distancing mandates due to COVID-19 have necessitated adaptations to radiology trainee workflow and educational practices, including the radiology "readout." We describe how a large academic radiology department achieved socially distant "remote readouts," provide trainee and attending perspectives on this early experience, and propose ways by which "remote readouts" can be used effectively by training programs beyond COVID-19. MATERIALS AND METHODS: Beginning March 2020, radiologists were relocated to workspaces outside of conventional reading rooms. Information technologies were employed to allow for "remote readouts" between trainees and attendings. An optional anonymous open-ended survey regarding remote readouts was administered to radiology trainees and attendings as a quality improvement initiative. From the responses, response themes were abstracted using thematic analysis. Descriptive statistics of the qualitative data were calculated. RESULTS: Radiologist workstations from 14 traditional reading rooms were relocated to 36 workspaces across the hospital system. Two models of remote readouts, synchronous and asynchronous, were developed, facilitated by commercially available information technologies. Thirty-nine of 105 (37%) trainees and 42 of 90 (47%) attendings responded to the survey. Main response themes included: social distancing, technology, autonomy/competency, efficiency, education/feedback and atmosphere/professional relationship. One hundred and forty-eight positive versus 97 negative comments were reported. Social distancing, technology, and autonomy/competency were most positively rated. Trainees and attending perspectives differed regarding the efficiency of remote readouts. CONCLUSION: "Remote readouts," compliant with social distancing measures, are feasible in academic radiology practice settings. Perspectives from our initial experience provide insight into how this can be accomplished, opportunities for improvement and future application, beyond the COVID-19 pandemic.


Assuntos
Infecções por Coronavirus , Educação a Distância , Pandemias , Pneumonia Viral , Radiografia/métodos , Radiologia/educação , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Educação/métodos , Educação/organização & administração , Educação a Distância/métodos , Educação a Distância/tendências , Eficiência Organizacional , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle
14.
J Athl Train ; 55(4): 359-364, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32160059

RESUMO

CONTEXT: Neuromuscular training programs can reduce the rate of noncontact anterior cruciate ligament (ACL) injuries, particularly in female athletes. OBJECTIVE: To assess the awareness of, experience with, and factors associated with participation in preventive training programs (PTPs) among female collegiate athletes and their knowledge of ACL injuries. DESIGN: Cross-sectional study. SETTING: National Collegiate Athletic Association (NCAA) sports programs. PATIENTS OR OTHER PARTICIPANTS: A total of 440 female NCAA athletes (age = 20 ± 1 years) representing 20 sports during the 2017-2018 academic year. MAIN OUTCOME MEASURE(S): We used a 12-item survey to collect data on each participant's age, sport, position, college, NCAA division, and awareness of and experience with PTPs. We performed descriptive statistics and used odds ratios (ORs) to assess relationships between demographic data and awareness of or interest in PTPs. RESULTS: Of the 440 respondents, 85% (n = 373) knew that female athletes were at higher risk for sustaining ACL injuries than male athletes, and 89% (n = 391) knew that ACL injuries were preventable. Thirty-three percent (n = 143) were familiar with the concept of ACL PTPs. Only 15% (n = 64) had ever performed PTPs, but 89% (n = 391) reported they would perform a daily PTP if it could prevent ACL injuries. Fifty-two of the 64 respondents (81%) who had performed PTPs said athletic trainers or coaches oversaw the PTPs. Participants were more likely to be familiar with ACL PTPs if they (OR = 3.5; 95% confidence interval [CI] = 2.0, 5.8) or a teammate (OR = 4.6; 95% CI = 2.1, 9.8) had sustained an ACL injury. Respondents were more willing to perform PTPs if they (OR = 2.3; 95% CI = 0.80, 6.6) or a teammate (OR = 3.4; 95% CI = 1.8, 6.6) had sustained an ACL injury. CONCLUSIONS: Although 89% of respondents expressed interest in performing daily ACL PTPs, only 15% had performed such programs, and only 33% were familiar with the concept of ACL PTPs.


Assuntos
Lesões do Ligamento Cruzado Anterior/prevenção & controle , Traumatismos em Atletas/prevenção & controle , Educação , Medicina Esportiva , Atletas/estatística & dados numéricos , Estudos Transversais , Educação/métodos , Educação/organização & administração , Feminino , Humanos , Serviços Preventivos de Saúde , Medicina Esportiva/métodos , Medicina Esportiva/normas , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Estados Unidos , Universidades , Adulto Jovem
15.
PLoS Negl Trop Dis ; 14(3): e0008023, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32163408

RESUMO

BACKGROUND: Human cystic echinococcosis (CE) is one of the commonest zoonoses, and it is endemic in many parts of the world including China. Complications and recurrences after the surgical treatment of hepatic CE (HCE) incur a large personal, healthcare, and societal burden. There has been some progress in HCE prevention, diagnosis, and treatment, but there is no "one size fits all" approach, and surgery still remains the cornerstone of treatment for some cyst stages and locations or in areas with little knowledge or access to other treatment modalities. In 2009 we designed and implemented a program to improve surgical outcomes from HCE in Xinjiang province, China. METHODOLOGY/PRINCIPAL FINDINGS: A multimodal HCE training program was implemented in eleven primary hospitals in Xinjiang province, China, which provided education and training on HCE clinical knowledge and practice, the application of diagnostic and treatment options, and optimal surgery. The management of HCE cases was analyzed before and after program implementation. Contrast enhanced CT use, application of scoloicidal agents, removal of necrotic cyst wall remnants, appropriate perioperative drug use, and the use of optimal surgical approach increased after program implementation. Further, postoperative recurrences and residual cavity complications creased from 7.4% to 1.3% and 15.2% to 9.0% after program implementation, respectively. CONCLUSIONS/SIGNIFICANCE: Tis integrated surgical training program is useful for improving outcomes of patients with HCE and can be used in institutions in other endemic areas.


Assuntos
Equinococose Hepática/cirurgia , Educação/organização & administração , Procedimentos Cirúrgicos Operatórios/educação , Adulto , Anti-Helmínticos/uso terapêutico , China , Gerenciamento Clínico , Equinococose Hepática/diagnóstico , Equinococose Hepática/tratamento farmacológico , Feminino , Hospitais , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Operatórios/métodos , Tomografia Computadorizada por Raios X/métodos
18.
Sch Psychol ; 35(1): 10-19, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31904254

RESUMO

The article discusses salient factors that influence the current context within which homeschooling occurs. Individual states have applied various approaches to establish regulations that both preserve the rights of homeschooling parents and fulfill the state's obligation to ensure that its residents receive the education to which they are constitutionally entitled. Case and ethnographic studies or research involving small and selected samples often appear in outlets associated with homeschool advocacy groups or in outlets that are not mainstream. The paucity of empirical evidence derived from methodologically strong research paradigms has led to little certainty about many aspects of homeschooling, including its effectiveness in preparing an educated citizenry. From state to state, the understanding and definition of homeschooling vary widely, leading to equally wide variations in regulatory practices. The article documents and summarizes state-to-state variations in matters pertaining to homeschooling and offers recommendations to help school psychologists work more effectively with students who are educated at home. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Educação , Pais , Instituições Acadêmicas , Adolescente , Criança , Educação/legislação & jurisprudência , Educação/organização & administração , Humanos , Instituições Acadêmicas/legislação & jurisprudência , Instituições Acadêmicas/organização & administração , Estados Unidos
19.
J Med Libr Assoc ; 108(1): 29-35, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31897049

RESUMO

Objective: As computer programming becomes increasingly important in the biomedical sciences and more libraries offer programming classes, it is crucial for librarians to understand how researchers use programming in their work. The goal of this study was to understand why biomedical researchers who enrolled in a library-sponsored workshop wanted to learn to program in R and Python. Methods: Semi-structured in-depth interviews were performed with fourteen researchers registered for beginning R and Python programming workshops at the University of California, San Francisco Library. A thematic analysis approach was used to extract the top reasons that researchers learned to program. Results: Four major themes emerged from the interviews. Researchers wanted to learn R and Python programming in order to perform their data analysis independently, to be an informed collaborator, to engage with new forms of big data research, and to have more flexibility in the tools that they used for their research. Conclusions: Librarians designing programming workshops should remember that most researchers are hoping to apply their new skills to a specific research task such as data cleaning, data analysis, and statistics and that language preferences can vary based on research community as well as personal preferences. Understanding the programming goals of researchers will make it easier for librarians to partner effectively and offer services that are critically needed in the biomedical community.


Assuntos
Pesquisa Biomédica/organização & administração , Educação/organização & administração , Bibliotecários/psicologia , Serviços de Biblioteca/organização & administração , Pesquisadores/educação , Pesquisadores/psicologia , Design de Software , Adulto , Atitude Frente aos Computadores , Pesquisa Biomédica/educação , Currículo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
20.
J Med Libr Assoc ; 108(1): 36-46, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31897050

RESUMO

Objective: This prospective, longitudinal study explored the impact of a continuing education class on librarians' knowledge levels about and professional involvement with systematic reviews. Barriers to systematic review participation and the presence of formal systematic review services in libraries were also measured. Methods: Participants completed web-based surveys at three points in time: pre-class, post-class, and six-months' follow-up. Descriptive statistics were calculated for demographics and survey questions. Linear mixed effects models assessed knowledge score changes over time. Results: Of 160 class attendees, 140 (88%) completed the pre-class survey. Of those 140, 123 (88%) completed the post-class survey, and 103 (74%) completed the follow-up survey. There was a significant increase (p<0.00001) from pre-class to post-class in knowledge test scores, and this increase was maintained at follow-up. At post-class, 69% or more of participants intended to promote peer review of searches, seek peer review of their searches, search for grey literature, read or follow published guidelines on conduct and documentation of systematic reviews, and ask for authorship on a systematic review. Among librarians who completed a systematic review between post-class and follow-up, 73% consulted published guidelines, 52% searched grey literature, 48% sought peer review, 57% asked for authorship, and 70% received authorship. Conclusions: Attendance at this continuing education class was associated with positive changes in knowledge about systematic reviews and in librarians' systematic review-related professional practices. This suggests that in-depth professional development classes can help librarians develop skills that are needed to meet library patrons' changing service needs.


Assuntos
Educação Continuada/organização & administração , Educação/organização & administração , Avaliação Educacional/métodos , Bibliotecários/educação , Bibliotecas Médicas/organização & administração , Revisões Sistemáticas como Assunto , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Pennsylvania , Estudos Prospectivos
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