Assessing the effectiveness of a cadaveric workshop in improving resident physicians' confidence in performing ultrasound-guided joint injections.

Our study showed that an educational workshop using a cadaveric specimen is effective in improving resident physicians' confidence in performing ultrasound-guided, as well as landmark-based, joint injections. Participants also reported a strong interest in future cadaveric workshops on ultrasound-guided joint injections and believe such workshops would be a valuable educational resource for other physicians. Implementing cadaver-based ultrasound-guided joint injection workshops similar to the one discussed in this manuscript could be used to supplement training for these procedures in medical education and provide residents with the early experience they need to be able to perform these injections independently in clinic settings.

The Influence of Journaling on Nursing Students: A Systematic Review.

Background: Nursing students often experience anxiety and stress from the expectations to develop clinical reasoning skills, internalize new knowledge, and learn to care for patients. Previous research has proposed reflective thinking as a tool to lessen anxiety and promote metacognition. This article examines the role of journaling in promoting reflection among undergraduate nursing students.

To Pay or Not to Pay Community Preceptors? That Is a Question ….

: Pairing medical students with community-based preceptors has provided unique medical education advantages. However, due to an increase in the number of M.D.

The Effects of Group Prenatal Care on Infant Birthweight and Maternal Well-Being: A Randomized Controlled Trial.

Introduction: Group prenatal care models have been in use in the USA for over 20 years and have shown benefits in reducing rates of preterm birth and low birth weight infants in high-risk civilian populations. Group prenatal care has been widely implemented at military treatment facilities, despite a lack of high-quality evidence for improved perinatal outcomes in this population.

Materials And Methods: In this randomized, controlled trial, 129 patients at a military treatment facility received either traditional one-on-one prenatal care or group prenatal care using the CenteringPregnancy model.

Using Post-Discharge Telephone Follow-Up by Nephrology Nurses to Reduce 30-Day Readmissions and Post-Discharge Complications for Adult Patients on Hemodialysis.

Hospital readmissions are responsible for considerable health care costs. About 35% of patients with end stage renal disease (ESRD) who are hospitalized are readmitted within 30 days of discharge (United States Renal Data System, 2017). Studies point to the considerable percentage of readmissions that are preventable through effective discharge planning and patient follow-up after discharge (Mistiaen & Poot, 2006).

Self-Regulated E-Learning Modules for Prenursing Success.

To be successful in their courses, nursing students must possess and routinely practice a wide range of self-regulated learning skills. Self-monitoring and regulation of cognition, metacognition, and behaviors influence learning for nursing practice. As reading and studying for comprehension, effective note taking, and taking tests successfully are challenging for many students, faculty at a rural community college created five self-regulated e-learning modules to equip prenursing students with evidence-based techniques to facilitate learning.

Integration of Basic and Clinical Science in the Psychiatry Clerkship.

Objective: Integration of basic and clinical science is a key component of medical education reform, yet best practices have not been identified. The authors compared two methods of basic and clinical science integration in the psychiatry clerkship.

Methods: Two interventions aimed at integrating basic and clinical science were implemented and compared in a dementia conference: flipped curriculum and coteaching by clinician and physician-scientist.

The Community Preceptor Crisis: Recruiting and Retaining Community-Based Faculty to Teach Medical Students-A Shared Perspective From the Alliance for Clinical Education.

Issue: Community-based instruction is invaluable to medical students, as it provides "real-world" opportunities for observing and following patients over time while refining history taking, physical examination, differential diagnosis, and patient management skills. Community-based ambulatory settings can be more conducive to practicing these skills than highly specialized, academically based practice sites. The Association of American Medical Colleges and other national medical education organizations have expressed concern about recruitment and retention of preceptors to provide high-quality educational experiences in community-based practice sites.

Medical School Factors Associated with Higher Rates of Recruitment into Psychiatry.

Objective: The medical school a student attends appears to be a factor in whether students eventually match into psychiatry. Knowledge of which factors are associated with medical schools with higher recruitment rates into psychiatry may assist in developing strategies to increase recruitment.

Methods: Psychiatry leaders in medical student education in the 25 highest and lowest recruiting US allopathic schools were surveyed concerning various factors that could be important such as curriculum, educational leadership, and presence of anti-psychiatry stigma.

Medical student psychiatric educators' perceptions of supports, resources, and rewards.

Objective: The primary purpose of this study was to determine the adequacy of resources for medical student education in psychiatry in US medical schools.

Methods: An e-questionnaire was deployed to psychiatric educators in the Association of the Directors of Medical Student Education in Psychiatry (ADMSEP) regarding resources for fulfilling their educational mission.

Results: Medical student educators in psychiatry were neutral as to whether they had adequate mentoring, yet did report support from their chair.

Postoperative pain medication requirements in patients undergoing computer-assisted (“Robotic”) and standard laparoscopic procedures for newly diagnosed endometrial cancer.

Purpose: Laparoscopy (LSC) offers superior patient outcomes compared to laparotomy. Small retrospective/prospective series have suggested robotics offers further reduction in postoperative pain and pain medication use compared to standard LSC. Our objective was to compare postoperative pain in patients undergoing robotically assisted (RBT) versus standard LSC for newly diagnosed endometrial cancer.

Improving child and adolescent psychiatry education for medical students: an inter-organizational collaborative action plan.

Objective: A new Child and Adolescent Psychiatry in Medical Education (CAPME) Task Force, sponsored by the Association for Directors of Medical Student Education in Psychiatry (ADMSEP), has created an inter-organizational partnership between child and adolescent psychiatry (CAP) educators and medical student educators in psychiatry. This paper outlines the task force design and strategic plan to address the long-standing dearth of CAP training for medical students.

Method: The CAPME ADMSEP Task Force, formed in 2010, identified common challenges to teaching CAP among ADMSEP's CAPME Task Force members, utilizing focus-group discussions and a needs-assessment survey.

Use of alcoholics anonymous as part of medical school education: students' and educators' perspectives.

The objective of this study was to discover the utility, barriers, and experiences with the use of Alcoholics Anonymous (AA) as a learning resource in the medical school curriculum. A third-year medical student cohort and a psychiatric educator group were queried about learned experiential lessons, attendance requirements, attitudes, and obstacles encountered. Forty-three educators, whose familiarity with AA varied widely, responded to the survey.

Medical student documentation in electronic health records: a collaborative statement from the Alliance for Clinical Education.

Purpose: The electronic health record (EHR) is an important advancement in health care. It facilitates improvement of health care delivery and coordination of care, but it creates special challenges for student education. This article represents a collaborative effort of the Alliance for Clinical Education (ACE), a multidisciplinary group formed in 1992.

Introduction of a computer-based surgical platform in the surgical care of patients with newly diagnosed uterine cancer: outcomes and impact on approach.

Objective: To assess the introduction of computer-based surgery (ie, robotic surgery [RBT]) in the treatment of patients with newly diagnosed uterine cancer.

Methods: We identified all patients who presented to our institution for initial surgical care of newly diagnosed uterine cancer from 5/1/07-12/31/10. Perioperative outcomes of laparotomy cases were compared to those of laparoscopic (LSC) or RBT cases.

Stability of Evolving Multiagent Systems.

A multiagent system is a distributed system where the agents or nodes perform complex functions that cannot be written down in analytic form. Multiagent systems are highly connected, and the information they contain is mostly stored in the connections. When agents update their state, they take into account the state of the other agents, and they have access to those states via the connections.

Telemental health for our soldiers: a brief review and a new pilot program.

This small but significant telemental health clinical pilot could easily serve as a "best practice" model for resource utilization between the nation's VHA/DOD institutions that wish to form partnerships and capitalize on resources. It demonstrates several potential areas of collaboration for TMH projects. For example, this study also points out requisite preparation needs, e.

Psychiatry clerkship students' preparation, reflection, and results on the NBME Psychiatry Subject Exam.

Objective: Psychiatry clerkship training involves many learning components, one of which is acquisition of scholarly knowledge. The authors investigate the reading materials and learning methods used by clinical clerks in their preparation for the National Board of Medical Examiners (NBME) Psychiatry Subject Exam (PSE).

Methods: Clerkship students from six U.