Publications by authors named "Doron Sagi"

Article Synopsis
  • Competency-based medical education (CBME) is becoming popular in post-graduate medical training, but implementing it sustainably is challenging due to various paradoxes.
  • A qualitative study using in-depth interviews uncovered three major paradoxes: the balance between standardized and flexible assessment tools, the need for uniform implementation vs. tailored protocols for different wards, and the contrast between a common definition of competency and individual indicators of achievement.
  • Addressing these paradoxes is crucial for successfully navigating the implementation challenges of CBME programs in medical education.
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Medical clowns (MCs) are trained professionals who aim to change the hospital environment through humor. Previous studies focused on their positive impact and began identifying their various skills in specific situations. When placed in pediatrics, MCs face various challenges, including approaching frustrated adolescents who are unwilling to cooperate with their care, dealing with their anxious parents, and communicating in a team in the presence of other health professionals.

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Background: There is consensus that medical schools have a duty to educate students about social determinants of health (SDOH) and equip them with skills required to ameliorate health disparities. Although the National Academy of Medicine (NAM) urged the development of experiential long term programs, teaching is usually conducted in the pre-clinical years or as voluntary courses. ETGAR a required health disparities course, based on the social ecological model, was initiated to answer the NAM call.

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Background: Low health literacy underpins health inequality and leads to poor adherence to medical care and higher risk of adverse events and rehospitalization. Communication in plain language, therefore, is an essential skill for health professionals to acquire. Most medical education communication skill programs focus on verbal communication, while written communication training is scarce.

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Holocaust survivors in Israel and abroad appear to be especially vulnerable to COVID-19 because of their early life history, advanced age, and associated health conditions. And although some survivors may experience retraumatization because of the pandemic, others appear to be especially resilient. We encourage a strength-based approach when working with survivors to foster resilience and effective coping in this uncertain time.

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Article Synopsis
  • This study evaluated a new educational program focused on teaching clinical-year students about social determinants of health (SDH) and health disparities through post-discharge home visits with patients.
  • A total of 105 students visited 177 patients from disadvantaged backgrounds, analyzing their reports using both qualitative and quantitative methods.
  • The findings revealed that students gained a deeper understanding of how SDH affects health outcomes and identified key issues like social support and medical conditions, with women and mixed couples providing more detailed insights.
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Competency Based Medical Education (CBME) is an educational approach that occupies a central place in medical education. Medical education is accountable for the graduates' professional level, ensuring they are skilled and competent in all key areas of their profession. Adopting CBME underscores the importance of simulation-based training.

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Article Synopsis
  • Competency-based medical education (CBME) is designed to tackle challenges in current medical training, particularly for undergraduate students, and is being introduced into a new fellowship program in neonatology in Israel.
  • The program includes a mentorship aspect to support its implementation in various medical wards, aiming to enhance the education experience for fellows.
  • Evaluation tools will be used to monitor the fellows' development and assess the program's overall impact on their performance and the satisfaction of all involved parties, promoting improvements in the neonatal profession in Israel.
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In Israeli emergency departments, pediatric residents are allowed to independently perform procedural sedation after training. Preparing the residents to practice unsupervised sedations requires participation in a simulation-based training in patient safety during sedation (STPSDS). The study objective was to evaluate participants' perception of knowledge and confidence from the STPSDS.

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Background: Human dignity has a pivotal role within the health care system. There is little experience using simulation-based medical education (SBME) programs that focus on human dignity issues in doctor-patient relationships.

Objectives: To describe and assess a SBME program aimed at improving physicians' competence in a dignifying approach when encountering adolescents and their parents.

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Health care organizations have installed electronic systems to increase efficiency in health care. Empirically assessing the cost-effectiveness of technologies to the health care system is a challenging and complex task. This study examined cost-effectiveness of additional clinical information supplied via an EHR system by simulating a case of abdominal aortic aneurysm devised and acted professionally by the Israel Center of Medical Simulation.

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Introduction: The transition for being a medical student to a full functioning intern is accompanied by considerable stress and sense of unpreparedness. Simulation based workshops were previously reported to be effective in improving the readiness of interns and residents to their daily needed skills but only few programs were implemented on a large scale.

Methods: A nationally endorsed and mandated pre-internship simulation based workshop is reported.

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Introduction: Patient bedside is the ideal setting for teaching physical examination, medical interviewing, and interpersonal skills. Herein we describe a novel model for bedside teaching (BST) practiced during tutor training workshop and its resulting effect on practitioners' self assessment of teaching skills and perceptions.

Methods: One-day tutor training workshop included theoretical knowledge supplementation regarding tutors' roles as well as implementing practical tools for clinical education, mainly BST model.

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It is widely believed that Electronic Health Records (EHR) improve medical decision-making by enabling medical staff to access medical information stored in the system. It remains unclear, however, whether EHR indeed fulfills this claim under the severe time constraints of Emergency Departments (EDs). We assessed whether accessing EHR in an ED actually improves decision-making by clinicians.

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Objectives: Even though Electronic Medical Records (EMRs) are increasingly used in healthcare organizations there is surprisingly little theoretical work or educational programs in this field. This study is aimed at comparing two training programs for doctor-patient-computer communication (DPCC).

Methods: 36 Family Medicine Residents (FMRs) participated in this study.

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