PubMed Health⌕ Search

Biomedical subjects

L B Heery

Publications and source records attributed to L B Heery.

4 recordsLinked to original sources

Teaching residents to teach. An instructional program for training pediatric residents to precept third-year medical students in the ambulatory clinic.

OBJECTIVE: To provide second- and third-year pediatric residents with practical teaching skills for precepting third-year medical students in the outpatient clinic. DESIGN: Educational intervention with 3-month follow-up of participants. SETTING: University teaching hospital. PARTICIPANTS: Second- and third-year pediatric residents. INTERVENTION: A curriculum for a half-day workshop to provide residents with 6 key clinical teaching skills. Residents participated in the workshop and then were observed by trained faculty as they precepted third-year medical students in the pediatric clinic. MAIN OUTCOME MEASURE: Direct observation of resident-student precepting encounters, noting the presence or absence of their use of clinical teaching skills taught in the workshop. RESULTS: Twenty-one of 23 pediatric residents participated in the workshop. Observation of 56 resident teaching encounters before and after the workshop showed that the residents improved their clinical teaching skills. Residents valued the workshop, and many suggested it should also be considered for faculty development. CONCLUSIONS: Residents can be taught clinical teaching skills in a half-day workshop. These skills also are applicable in various clinical venues. With the increasing interest in using community-based primary care physicians for student and resident education, this curriculum is well suited for training practicing clinicians to teach in their own practice sites.

Adult↗

Pulse oximetry at moderate altitude. Healthy children and children with upper respiratory infection.

Pulse oximetry is commonly used in both outpatient and inpatient settings to assess children with respiratory illness. This study was designed to obtain reference values for oxygen saturations in young children living at moderate altitude and to assess the impact of upper respiratory infection (URI) on oxygen saturation. We hypothesized that oxygen saturations of sick children at the University of Utah, Salt Lake City (1,500 meters above sea level), would be lower than oxygen saturations of those who were well. Eighty well children and 74 children with URI and nasal congestion were recruited from the University of Utah Pediatric Clinic. Subjects were 2 to 23 months of age. Oxygen saturations were recorded at 1-minute intervals for 5 minutes, and an average value was then calculated for each child. Mean oxygen saturation for well children (range 96% to 100%, mean 98.9%) corresponded to reported values at sea level. Oxygen saturations of children with URI were significantly lower (mean 97.5%, P < .001). Although the difference between well and sick children was statistically significant, given the small difference, URI cannot be considered the cause of clinically significant oxygen desaturation in previously healthy children at moderate altitude.

Altitude↗

Nipple confusion.

Explore the source record for details and available documents.

Bottle Feeding↗