417 results match your criteria: "Royal College of Physicians and Surgeons[Affiliation]"

Objective: The objective of this scoping review is to develop a list of items for potential inclusion in the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) reporting guidelines for network meta-analysis (NMA), scoping reviews (ScRs), and rapid reviews (RRs).

Introduction: The PRISMA extensions for NMA and ScRs were published in 2015 and 2018. However, since then, their methodologies and innovations, including automation, have evolved.

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Health Professions Education (HPE) assessment is being increasingly impacted by Artificial Intelligence (AI), and institutions, educators, and learners are grappling with AI's ever-evolving complexities, dangers, and potential. This AMEE Guide aims to assist all HPE stakeholders by helping them navigate the assessment uncertainty before them. Although the impetus is AI, the Guide grounds its path in pedagogical theory, considers the range of human responses, and then deals with assessment types, challenges, AI roles as tutor and learner, and required competencies.

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Objectives: POCUS is a core emergency medicine skill and mainstay of early pregnancy assessment. The ultrasound competency assessment tool was developed as an entrustment-based assessment tool for use by content experts evaluating trainees performing multiple POCUS study types. The objective of this study was to evaluate the scoring and extrapolation inferences of the tool within Kane's validity framework when used to assess trainees performing an early pregnancy POCUS.

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Introduction: Disparities of power between high-income (HICs) and low- and middle-income countries (LMICs) have long characterised the structures of global health, including knowledge production and training. Historical case study analysis is an often-overlooked tool to improve our understanding of how to mitigate inequalities.

Methods: Drawing from the contemporary experience of collaborators from Canada and Ethiopia, we chose to examine the historical relationship between Ethiopian Emperor Haile Selassie and Canadian Jesuit Lucien Matte as a case study for international collaborations based on the model of an 'invited guest'.

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Evaluating the Value of Eye-Tracking Augmented Debriefing in Medical Simulation-A Pilot Randomized Controlled Trial.

Simul Healthc

October 2024

From the Faculty of Health Sciences (H.B.), Office of Professional Development and Educational Scholarship; Faculty of Education, School of Medicine, Department of Biomedical and Molecular Sciences (H.B.), Queen's University, Kingston; Department of Emergency Medicine (A.K.H.), University of Ottawa, Ottawa; Royal College of Physicians and Surgeons of Canada (A.K.H.); Department of Emergency Medicine (K.C., D.D.), Queen's University; Departments of Emergency Medicine/Public Health Sciences (M.W.), Queen's University; Queen's Health Sciences (D.D.), Kingston; Department of Medicine (J.S.), McMaster Education Research, Innovation and Theory (MERIT) Program, McMaster University; Department of Medicine (M.S.), Centre for Simulation-Based Learning, McMaster University; Centre for Simulation-Based Learning (B.W.), McMaster University, Hamilton; Departments of Critical Care Medicine and Emergency Medicine (D.H.), Clinical Simulation Centre, Queen's University; Kingston General Hospital Research Institute (A.G.D.); Department of Family Medicine (W.W.), Queen's University; Departments of Emergency Medicine and Psychology (A.S.), Fellowship Program in Resuscitation and Reanimation; and Educational Scholarship Lead, Postgraduate Medical Education (A.S.), Queen's University, Kingston, ON, Canada.

Introduction: Debriefing after simulation facilitates reflective thinking and learning. Eye-tracking augmented debriefing (ETAD) may provide advantages over traditional debriefing (TD) by leveraging video replay with first-person perspective. This multisite randomized controlled trial compared the impact of ETAD with TD (without eye-tracking and without video) after simulation on 4 outcomes: (1) resident metacognitive awareness (the primary outcome), (2) cognitive load (CL) of residents and debriefers, (3) alignment of resident self-assessment and debriefer assessment scores, and (4) resident and debriefer perceptions of the debriefing experience.

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Continuous professional development (CPD) is crucial for physicians to maintain and enhance their skills. In response to the changing context of CPD and health care, this study applied a design thinking approach to transform and modernise the Royal College of Physicians and Surgeons of Canada's Maintenance of Certification (MOC) Program. A member-wide survey and co-design sessions with physicians, CPD leaders, and patient representatives were conducted, emphasising the importance of their insights and experiences.

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Article Synopsis
  • Interviews are essential in health professions education but can be challenging in engaging diverse participants and gathering rich data. Elicitation techniques, such as participant photography and neighborhood walks, can enhance these interactions and address these challenges effectively.
  • The study conducted an integrative review of literature, resulting in a comprehensive analysis of 293 relevant citations that discuss various elicitation techniques for improved qualitative interviews, along with a framework for researchers to choose appropriate methods based on their specific interview challenges.
  • By utilizing specific elicitation techniques, researchers can improve data richness and participant empowerment by shifting dialogues away from entrenched narratives, addressing sensitive topics, and ensuring equal interaction opportunities for diverse populations.
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In competency-based medical education (CBME), which is being embraced globally, the patient-learner-educator encounter occurs in a highly complex context which contributes to a wide range of assessment outcomes. Current and historical barriers to considering context in assessment include the existing post-positivist epistemological stance that values objectivity and validity evidence over the variability introduced by context. This is most evident in standardized testing.

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Article Synopsis
  • Nephropathy, a common complication of diabetes, was studied to estimate its prevalence among diabetic patients in North America.
  • The analysis included 11 studies and revealed a pooled prevalence of 28.2% for nephropathy in diabetic patients across the region, with varying rates in the USA (24.2%), Canada (31.2%), and Mexico (31.1%).
  • The overall prevalence was lower in North America compared to regions like Africa, Europe, and Asia, highlighting the need for improved diagnostics, healthcare access, and awareness to address this issue.
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Background: As competency-based medical education (CBME) curricula are introduced in residency programs across Canada, systematic evaluation efforts are needed to ensure fidelity of implementation. This study evaluated early outcomes of CBME implementation in one Canadian Physical Medicine and Rehabilitation program that was an early adopter of CBME, with an aim to inform continuous quality improvement initiatives and CBME implementation nationwide.

Methods: Using Rapid Evaluation methodology, informed by the CBME Core Components Framework, the intended outcomes of CBME were compared to actual outcomes.

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Competency based medical education implementation at the institutional level: A cross-discipline comparative program evaluation.

Med Teach

August 2024

Departments of Emergency Medicine and Psychology Educational Scholarship Lead, Postgraduate Medical Education, Queen's University, Kingston, Ontario, Canada.

Introduction: As an early adopter of competency-based medical education (CBME) our postgraduate institution was uniquely positioned to analyze implementation experience data across programs, while keeping institutional factors constant. We described participants' experiences related to CBME implementation across programs derived from early program evaluation efforts within our setting.

Methods: This evaluation focused on eight residency programs at a medium-sized academic institution in Canada.

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Introduction: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may cause withdrawal at dose decrease, discontinuation, or switch. Current diagnostic methods (e.g.

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Reconstruction of Sockets and Associated Maxillary Ridge Defect Using Suture Tenting, Synthetic Bone Graft, and Unique Macro Morphology Implants With an Immediately Loaded Provisional Bridge.

Compend Contin Educ Dent

July 2024

Fellow, College of General Dentistry (UK); Membership, Faculty of Dental Surgery, Royal College of Surgeons of England; Membership, Faculty of Dental Surgery, Royal College of Physicians and Surgeons of Glasgow; Membership, Advanced General Dental Surgery, Royal College of Surgeons of Edinburgh; Private Practice in Dental Implants, Adel, Leeds, United Kingdom.

Immediate implant placement in the anterior maxilla remains complex, particularly when the labial cortical plate of the socket is deficient and there is an associated class IV ridge defect with both hard- and soft-tissue deficiencies. This case report describes a novel combination of polydioxanone (PDS) suture tenting to support a synthetic bone graft with simultaneous implant placement with implants featuring a body-shift design and subcrestal internal angle correction. In addition, the implants were immediately loaded with a four-unit provisional bridge at the time of surgery, thus reducing morbidity, costs, and total treatment time.

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The pectus care guidelines: best practice consensus guidelines from the joint specialist societies SCTS/MF/CWIG/BOA/BAPS for the treatment of patients with pectus abnormalities.

Eur J Cardiothorac Surg

July 2024

Thoracic Lead at NHS England, President of the Society for Cardiothoracic Surgery in Great Britain and Ireland, London, UK.

Article Synopsis
  • Pectus defects, which occur in about 1 in 250 people, include conditions where the sternum either sinks in (excavatum) or protrudes out (carinatum), impacting some individuals psychologically and physiologically.
  • Most cases are mild and don't hinder daily activities, but some patients experience lower self-esteem and depression, avoiding social situations due to physical appearance issues.
  • Treatment options vary from supportive care and psychological support to non-surgical methods like bracing, as well as surgical options like the Nuss and Ravitch procedures for severe cases, with many patients only needing supportive care.
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The COVID-19 pandemic has had disruptive effects on all parts of the health-care system, including the continuing education (CE) landscape. This report documents, what has happened in six different CE accreditation systems to CE activities as well as learners. Complete lockdown periods in the first part of the COVID-19 pandemic have inevitably led to reductions in numbers of the then predominant format of education, i.

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Recommendations for the Effective Orientation of Clinical Fellows.

J Grad Med Educ

June 2024

is Program Director, Royal College of Physicians and Surgeons of Canada Area of Focused Competence in Solid Organ Transplant, Transplant Hepatologist, University Health Network, and Assistant Professor of Medicine, Division of Gastroenterology, University of Toronto, Toronto, Ontario, Canada.

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Introduction: The Nominal Group Technique (NGT) is a consensus group method used to synthesize expert opinions. Given the global shift to virtual meetings, the extent to which researchers leveraged virtual platforms is unclear. This scoping review explores the use of the vNGT in healthcare research during the COVID-19 pandemic.

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Arboviral diseases are serious threats to global health with increasing prevalence and potentially severe complications. Significant arthropod-borne viruses are the dengue viruses (DENV 1-4), the Zika virus (ZIKV), and the chikungunya virus (CHIKV). Among the areas most affected is the South Pacific Region (SPR).

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Objectives: In 2017, Queen's University launched Competency-Based Medical Education (CBME) across 29 programs simultaneously. Two years post-implementation, we asked key stakeholders (faculty, residents, and program leaders) within the Pediatrics program for their perspectives on and experiences with CBME so far.

Methods: Program leadership explicitly described the intended outcomes of implementing CBME.

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Tuberculosis (TB) remains a serious problem for public health and a leading cause of death after COVID-19 and superior to even HIV/AIDS. It is a social health issue and can cause stigma and economic loss as the person cannot perform professionally due to lethargy caused by disease. It is a retrospective study done on data from National TB program Muzaffarabad chapter.

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