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At least 325 records · Page 18Linked to original sources
PubMed1998

Clinical teaching rounds. A case-oriented faculty development program.

OBJECTIVE: To improve clinical teaching with emphasis on improving provision of feedback through a faculty development series modeled on clinical rounds. METHOD: Seven 1-hour conferences were held for the pediatric faculty during the academic year 1994-1995. Clinical rounds were emulated, with a simulated learner functioning as the patient with a chief complaint of some instructional problem. The conferences progressed from discussion about teaching in a particular situation, to videotapes of clinical teaching, and finally to live clinical teaching. Evaluation of the conferences was assessed by attendance records, participants' evaluations of the conferences, and comparing student and resident evaluations of faculty who attended (i.e., those who attended > or = 2) with faculty who did not attend. Comparisons were made for the academic year before and after the conferences using paired t tests. RESULTS: Forty percent of the faculty attended 2 or more conferences. Mean conference ratings were 4.00 to 4.35, (1 is poor; 5, excellent). Faculty who attended had a significant improvement in ratings for feedback (P = .01) and overall teaching effectiveness (P = .04). Ratings for faculty who did not attend did not change. CONCLUSION: These conferences were well received by the faculty and are an effective way to improve clinical teaching.

Clinical Competence↗
PubMed2001

Production performance of beef cows raised on three different nutritionally controlled heifer development programs.

The objective of this study was to determine primiparous heifer performance following three different heifer development strategies that were the result of timed nutrient limitation. Two hundred eighty-two spring-born MARC III heifers were weaned at 203+/-1 d of age and 205+/-1 kg BW. The experiment was conducted on two calf crops with 120 heifers born in 1996 and 162 heifers born in 1997. Treatments consisted of different quantities of the same diet being offered for a 205-d period. Heifers in the HIGH treatment were offered 263 kcal ME/(BWkg)0.75 daily. Heifers in the MEDIUM treatment were offered 238 kcal ME/(BWkg)0.75 daily. Heifers in the LOW-HIGH treatment were offered 157 kcal ME/(BWkg)0.75 daily the first 83 d and 277 kcal ME/(BWkg)0.75 daily for the remainder of the 205 d. Treatments differed in total ME intake (P < 0.001); heifers on the HIGH treatment consumed 3,072+/-59 Mcal/heifer, those on the MEDIUM treatment consumed 2,854+/-21 Mcal/heifer, and those on the LOW-HIGH treatment consumed 2,652+/-19 Mcal/ heifer. At the beginning of breeding, heifers on the HIGH treatment were taller at the hips (P = 0.01) and weighed more (P < 0.001) than heifers in the other two treatments. The percentage of heifers that calved expressed as a fraction of the cows exposed did not differ among treatments (89.7%; P = 0.83). The age of heifer at parturition (P = 0.74) and the time from first bull exposure to calving (P = 0.38) did not differ among treatments. Birth weight of calves (P = 0.80) and the calves' weaning weight (P = 0.60) did not differ among the treatments. Calf survival rate on the LOW-HIGH treatment (73%) was lower than that on the moderate treatment (89%; P = 0.007) but did not differ from that on the HIGH treatment (81%; P = 0.26). The second-calf pregnancy rate (92.8%) for cows with a nursing calf at the start of breeding did not differ between treatments (P = 0.83). These findings suggest that as long as heifers are growing and meet a minimal BW before mating, patterns of growth may be altered in the post-weaning period without a decrease in the ability of the heifer to conceive or a decrease in calf growth potential. However, limit-feeding heifers may decrease first-calf survival. These alterations in postweaning gain through monitoring the amount of feed offered can be used to optimize feed resources.

Animal Husbandry↗
PubMed2002

[Scientifically based patient education exemplified by patients with primary systemic vasculitis. The vasculitis patient education program--development, contents and initial results of evaluation].

Referring to the literature, it is known that structured standardized patient education represents an effective additional treatment in patients with chronic diseases. Most programs are based on cognitive behavioral interventions. Within the last few years, an interdisciplinary approach for providing information on disease, therapies, side effects, coping strategies, nutrition and physiotherapy has been developed for patients with primary systemic vasculitides (PSV) in the vasculitis center of the Medical University of Lübeck/Bad Bramstedt. The contents of the seminars were revised and condensed into five modules. New slides and handouts for patients were developed. To evaluate the new form of the program, a documentation system consisting of patient and physician-administered questionnaires assessing socioeconomic, knowledge and disease-related outcome-parameters was designed. Patients are trained in closed groups (n = 10-15) and asked to complete questionnaires at baseline, 4 weeks and 6 months after training. First results show statistically significant improvement of knowledge and health-related quality of life.

Antibodies, Antineutrophil Cytoplasmic↗
PubMed1990

[A self-development program for obese female students].

The purpose of this study is to construct and evaluate a self-development programme for obese female students. The important role of psychological factors in the etiology of obesity, affects self-development in the client through methods of growth stimulation, and will promote ego strength to assist in the demands of mass control. A self-development programme is constructed and applied to a group of obese female students. The experimental design comprised a pre, post and post-post evaluation with physical and psychological measuring instruments on an experimental and a control group. No significant changes in body mass occurred. Psychologically the programme promoted self-actualisation in terms of (intrapersonally) increased spontaneity, self-regard, confidence, worthiness and decreased nervousness, and (interpersonally) increased general social adaptation and the capacity for intimate, personal contact. It is recommended that the stimulation of psychological growth be stressed even more in mass control programmes. Also, the contents of this type of programme should be investigated to promote behaviour change over a longer period of time.

Adolescent↗
PubMed1990

Teaching material. Ways to enhance visual aids in staff development programs.

Most nurse educators incorporate some kind of media into their teaching strategies. The widespread availability of professionally developed media resources, however, does not guarantee effectiveness. The ASSURE model was presented as one method of selecting these materials on the basis of their suitability for the subject, the adult learner, and the instructor in achieving the desired educational outcomes. Furthermore, it offers guidelines for modifying or designing materials to be used in settings where media resources may be limited. The ASSURE model can help staff development educators provide effective instruction by making the best use of available media through the use of systematic instructional design principles.

Audiovisual Aids↗
PubMed1996

Fellow of the American Dietetic Association credentialing program: development and implementation of a portfolio-based assessment.

This report has described the measurement and operational procedures used for the design, development, and implementation of the newly inaugurated Fellow of The American Dietetic Association credentialing program. The program was established to identify and certify registered dietitians who possess the characteristics of advanced-level practice. The main features of the Fellow program are as follows. It is based on the results of an empirical study that identified the characteristics of advanced-level practice. It is guided by the Fellow Assessment Plan, which specifies the content and level of dietetics practice involved and the psychometric and operational requirements for sound measurement. It is a performance-based portfolio assessment of six professional characteristics (education, work experience, professional achievement, professional roles, professional contacts, and approach to practice). It uses objective automated computer scoring and independent peer-review grading of candidate materials in relation to an explicit scoring rubric. It requires statistical analysis of the database of candidate scores, which is conducted to ensure that the scoring of candidate materials is accurate and reliable and that the assessment, as a measurement instrument, is psychometrically sound. It involves a standard-setting workshop in which a panel of subject-matter experts establish the lowest level of acceptable candidate performance on Approach to Practice; the passing standard for the other five characteristics was preestablished by the empirical study. A careful review of all evidence on the development and implementation of the 1994 Fellow assessment suggests that these procedures are technically sound and produce psychometrically defensible results. Our evaluation and commentary from CDR and CTB staff, subject-matter expert participants, and the candidates themselves suggested a number of ways to improve the Fellow program in subsequent administrations of the assessment. Changes have been implemented and CDR will continue to consider all data in its ongoing improvement efforts.

Credentialing↗
PubMedDate not supplied

An intrathoracic left ventricular assist system: utilization of results from a development program.

An intrathoracic, electrohydraulically actuated, left ventricular assist system (LVAS) was subjected to formal device readiness testing. Endurance testing was initiated on eight systems before testing was halted due to failure of four of the systems. Three failed due to environmental leakage. Solutions were straightforward, involving gasket changes and o-ring resizing. The fourth failure involved a magnetic coupling piston swelling and seizing. The failure was attributed, after long investigation, to hydrogen adsorption by the samarium-cobalt magnets. An unknown number of coupling magnets were affected in this fashion, necessitating complete replacement of magnets to resolve the problem. However, this was beyond the scope of the program, and no further endurance testing was accomplished. The test experience of the Nimbus/CCF LVAS has demonstrated all functional aspects of the complete LVAS, both in vitro and in vivo, and the endurance and reliability potential is indicated as well. Although the LVAS program is currently inactive, its legacy of technical innovations continue to drive the development of other medical devices.

Animals↗
PubMed1967

Emergency health services informational and educational programs: development and present status.

The development and present status of the Emergency Health Services (EHS) national and educational programs are discussed. Instituted in 1951 for medical and dental practitioners at a military school at Camp Borden, professional civilian indoctrination was later assumed by EHS at Canadian Emergency Measures College (CEMC). The federally sponsored courses there are now specialized; provincial EHS authorities undertake general indoctrination. Courses for graduates in pharmacy and nursing are also offered at CEMC. Hospital Disaster Institutes have been held across the country since 1954; Public Health Disaster Institutes, since 1966. Schools of Hygiene include the subject in graduate programs. Some years ago, three medical faculties introduced undergraduate teaching in mass casualty care; now, encouraged by the Association of Canadian Medical Colleges, a larger number are doing so. Several faculties of Dentistry, all faculties of Pharmacy, and 132 of 177 nursing schools teach apposite aspects. Professional journals have published many articles on this subject; this, for example, is the fourth Emergency Health Services Symposium presented by The Canadian Medical Association Journal.

Canada↗
PubMed2002

[Primary care and alcohol use disorders: evaluation of a faculty-development program in Venezuela].

OBJECTIVE: Primary care offers an opportunity to identify and treat persons who drink alcohol above permissible levels. In order to prepare primary care practitioners around the world to prevent and treat alcohol-related problems, the National Institute on Alcohol Abuse and Alcoholism of the United States of America has developed and tested a model international program for educating physicians about such problems. The model was designed to increase the clinical, teaching, and research skills of medical school faculty who work with medical students, residents, and primary care physicians. Venezuela was one of the countries selected for the initiative. METHODS: During September 1999 a five-day faculty-development course consisting of 19 workshops was conducted at the University of Zulia, which is located in the city of Maracaibo, Zulia, Venezuela. Teaching strategies included class presentations, role plays, case presentations, skills-building workshops, and having each participant develop a teaching plan that he or she would use. RESULTS: Thirty-three faculty members from 9 of Venezuela's 10 medical schools participated in the project. The 18 female and 15 male participants had an average age of 44 years. The areas of specialization of the 33 participants were: family medicine (9 participants), psychiatry (7), pediatrics (6), obstetrics (4), internal medicine (3), and unspecified (4). Of the 33 participants, 25 of them (76%) completed a six-month follow-up interview. This group said they had significantly increased their competence in 14 clinical areas and that they had successfully implemented new teaching activities within their respective medical schools and residency programs. CONCLUSIONS: This model proved to be an effective strategy for increasing training for physicians in the prevention and treatment of alcohol-related problems in Venezuela. The evaluation confirms similar findings in other countries where the program has been implemented.

Adult↗
PubMedDate not supplied

Continuing education in later adulthood: implications for program development for elderly guest students.

While more and more institutions of higher education are offering cost-free continuing education programs to older men and women, the enrollment of this target population is quite low. This study was conducted to identify factors that would positively influence the decisions of individuals over sixty years of age to participate in such programs. Sixty-five white predominantly upper middle-class, highly educated (means = 16.92 years of schooling) women aged sixty years and over (means = 68.80) were given a questionnaire concerning attitudes toward continuing education. The majority (86%) indicated a high level of interest in taking geology, political science, world and art history, music, literature, and language courses. In addition, 85 percent preferred to participate in learning situations that included younger and older individuals; 58 percent reported interest in having a companion enroll with them; 48 percent preferred no specific learning environments (i.e., lecture, discussion, or workshop); and 75 percent reported that family members did not suggest that they enroll in continuing education classes. It is suggested that the high level of interest in taking courses offered by institutions of higher education displayed by the women surveyed is because of personal experience with university level education in young adulthood.

Aged↗
PubMed2002

Measuring disability-specific patient benefit in cochlear implant programs: developing a short form of the Glasgow Health Status Inventory, the Hearing Participation Scale.

As healthcare resources are limited, evidence of program effectiveness is necessary. To demonstrate this, measurement should be conducted at the specific illness level, the generic health status level, and the utility level. Instruments need to be parsimonious to avoid cognitive overload, response burden, or participation refusal. Critical analysis of the Glasgow Hearing Status Inventory (GHSI) suggested that several items were redundant and the instrument could be shortened. We administered the GHSI and Assessment of Quality of Life (AQoL) instruments to 148 deafened adults with cochlear implants (CIs) and to 54 without CIs, as part of a cross-sectional study. We used standard psychometric procedures to examine the GHSI's structure, resulting in the removal of half of the items. The short version of the GHSI we labeled the Hearing Participation Scale (HPS), to avoid confusion with the GHSI. The HPS is an 11-item instrument measuring self-esteem, social handicap, and hearing handicap. Factor analysis suggested that each subscale was unidimensional. All items loaded on the principal component. Correlation with the GHSI was 0.95, suggesting that the two instruments could be used interchangeably. Both the HPS and the GHSI pro-vided evidence of monotonicity when used to predict AQoL scores. They were equally sensitive at differentiating between implantees and non-implantees. Although these findings need to be confirmed, the HPS is ready to be used in studies of interventions for deafness. At a time when evaluators are being asked for evidence of program effect, the parsimonious HPS achieves similar results to the GHS but requires half the items.

Adult↗