Publications by authors named "D B Armour"

Frail and elderly persons approaching end of life who suffer cardiac arrest are often subject to rigorous, undignified, and inappropriate resuscitation attempts despite poor outcomes. This scoping review aims to investigate how people feel about the appropriateness of CPR in this population. This review was guided by the PRISMA-ScR methodological framework.

View Article and Find Full Text PDF

Purpose: Undergraduate medical education (UGME) has to prepare students to do safety-critical work (notably, to prescribe) immediately after qualifying. Despite hospitals depending on them, medical graduates consistently report feeling unprepared to prescribe and they sometimes harm patients. Research clarifying how to prepare students better could improve healthcare safety.

View Article and Find Full Text PDF

Background: Ensuring that students transition smoothly into the identity of a doctor is a perpetual challenge for medical curricula. Developing professional identity, according to cultural-historical activity theory, requires negotiation of dialectic tensions between individual agency and the structuring influence of institutions. We posed the research question: How do medical interns, other clinicians and institutions dialogically construct their interacting identities?

Methods: Our qualitative methodology was rooted in dialogism, Bakhtin's cultural-historical theory that accounts for how language mediates learning and identity.

View Article and Find Full Text PDF
Article Synopsis
  • * A study involving 88 patients found that only 0.9% of VC appointments needed urgent medical follow-up, demonstrating the clinics' safety, while also saving significant travel time and costs.
  • * VC clinics promote patient-centered care, but further research is necessary to explore patient satisfaction and to integrate other telemedicine approaches for comprehensive care.
View Article and Find Full Text PDF