scholarly journals P095: Do resident as teacher programs increase emergency medicine residents comfort level with teaching junior learners?

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S90-S90
Author(s):  
M. R. Lipkus ◽  
A. Meiwald ◽  
K. Van Aarsen
Keyword(s):  
Emergency Medicine ◽  
Time Frame ◽  
Comfort Level ◽  
Group Discussions ◽  
Formal Curriculum ◽  
Comfort Levels ◽  
Academic Hospitals ◽  
Educational Concept ◽  
Short Time ◽  
The Impact

Introduction: At academic hospitals, it is a residents responsibility to teach junior learners. Residents endorse that there is limited education on how to effectively teach junior learners, and suggest a more formal curriculum on how to teach would be beneficial. Emergency Medicine (EM) residencies in North America may have a resident as teacher (RAT) curriculum, however, no Canadian EM study has characterized the impact of a RAT curriculum on residents. Our educational concept was to implement a formalized RAT workshop for residents in an EM residency. We assessed residents attitudes and comfort levels towards teaching in response to the curriculum. Methods: A formal RAT curriculum, provided at a single center in a 6-hour session, was provided for both Royal College and College of Family Physician EM residents. Residents completed a survey evaluating attitudes and behaviours regarding their ability to teach and give feedback as part of their roles as teachers, consistent with Kirkpatricks second level of program evaluation. The surveys were administered pre-workshop, immediately post-workshop, and at 3 and 6 months following the RAT workshop. Results: Residents were surveyed in terms of their attitudes towards teaching on a 5-point likert scale. Our educational concept was delivered through a 6-hour workshop with emphasis on practical teaching skills that residents could incorporate into their practice. Lecture topics included orientation of the learner, giving effective feedback, teaching within a short time frame, as well as an introduction to theory of learning. Lectures were geared to be interactive, and included breakout sessions and group discussions. 21 residents participated in the workshop. Of 18 pre-survey respondents, 89.8% (n=16) had no previous formal training in how to teach, yet 72.21% (n=13) ‘sometimes’ or ‘often’ have a learner on shift with them. There were 15 post survey respondents. 53.33% (n=8) respondents somewhat agreed or agreed they were more likely to teach in response to the workshop, and 56.25% (n=8) responded that they somewhat agreed or agreed they were more comfortable with teaching while in the Emergency Department in an immediate post workshop survey. Conclusion: After a formal RAT curriculum, residents reported that they had increased comfort and were more likely to teach junior learners. Although small and single-centered, our study will help provide a basis for larger RAT studies, evaluating the effect on both residents and junior learners.

scholarly journals Integrating CanMEDS competencies into global health electives: an innovative elective program

CJEM ◽  
2011 ◽  
Vol 13 (01) ◽  
pp. 34-39 ◽  
Author(s):  
Rahim Valani ◽  
Abi Sriharan ◽  
Dennis Scolnik
Keyword(s):  
Emergency Medicine ◽  
Medical Students ◽  
Global Health ◽  
Pediatric Emergency ◽  
Lessons Learned ◽  
Peace Building ◽  
Pediatric Emergency Medicine ◽  
Application Process ◽  
Formal Curriculum ◽  
The Impact

ABSTRACT Globalization has opened the doors for medical students to undertake international health electives, providing an opportunity for them to gain valuable competencies and skills outside their formal curriculum. As the number of medical students embarking on these electives increases, there is a need to structure the electives with specific learning objectives and to ensure adequate educational outcomes. We describe the International Pediatric Emergency Medicine Elective (IPEME), which is a novel global health elective that brings together students from Canada and the Middle East who are selected on the basis of a competitive application process and brought to Toronto for a 4-week living and studying experience. The program was introduced in 2004 and uses four specific areas to provide its structure: pediatric emergency medicine, global health, leadership, and peace building. The elective uses core CanMEDS competencies to foster cross-cultural dialogue, networking, and cooperation and fulfills the program's aim of using health as a bridge to peace. The lessons learned from the curriculum planning and implementation process are highlighted and the impact of the program explored to help provide a framework for developing similar international electives.

scholarly journals Evaluation of the Environmental Performance of Residential Building Envelope Components

Energies ◽  
2019 ◽  
Vol 13 (1) ◽  
pp. 174 ◽  
Author(s):  
Serik Tokbolat ◽  
Farnush Nazipov ◽  
Jong R. Kim ◽  
Ferhat Karaca
Keyword(s):  
Life Cycle ◽  
Environmental Performance ◽  
Residential Buildings ◽  
Ghg Emissions ◽  
Building Envelope ◽  
Comfort Level ◽  
Environmental Cost ◽  
Energy Deficit ◽  
Comfort Levels ◽  
The Impact

The role of buildings in the context of addressing the consequences of climate change and the energy deficit is becoming increasingly important due to their share in the overall amount of green house gas (GHG) emissions and rapidly growing domestic energy consumption worldwide. Adherence to a sustainability agenda requires ever-increasing attention to all stages of a building′s life, as such approach allows for the consideration of environmental impacts of a building, from design, through construction stages, until the final phase of a building′s life—demolition. A life cycle assessment (LCA) is one of the most recognized and adopted models for the evaluation of the environmental performance of materials and processes. This paper aims to perform an LCA of four different types of residential buildings in Nur-Sultan, Kazakhstan. The assessment primarily considered embodied energy and GHG emissions as key assessment indicators. Findings suggest that the operational stage contributed to more than half of the GHG emissions in all the cases. The results of the study indicate that there is a dependence between the comfort levels and the impact of the buildings on the environment. The higher the comfort levels, the higher the impacts in terms of the CO2 equivalent. This conclusion is most likely to be related to the fact that the higher the comfort level, the higher the environmental cost of the materials. A similar correlation can be observed in the case of comparing building comfort levels and life-cycle impacts per user. There are fewer occupants per square meter as the comfort level increases. Furthermore, the obtained results suggest potential ways of reducing the overall environmental impact of the building envelope components.

Abstract TP298: Code Stroke Simulation Training Benefits Junior Neurology Residents

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Linda C Wendell ◽  
Bradford B Thompson ◽  
Mahesh Jayaraman ◽  
Muhib Khan ◽  
David Lindquist ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Ischemic Stroke ◽  
Stroke Patient ◽  
Clinical Training ◽  
Simulation Training ◽  
Comfort Level ◽  
Ischemic Stroke Patient ◽  
Comfort Levels ◽  
Before And After ◽  
Perceived Preparedness

Introduction: Junior neurology residents frequently receive the first call for emergency neurological conditions, including acute ischemic stroke and intracerebral hemorrhage (ICH) (Code Stroke). Code Stroke simulations allow residents to gain experience in the evaluation and treatment of a potential stroke patient without compromising patient care. Simulations also give residents the opportunity to improve their skills through direct observation and feedback. We hypothesized that simulation training would increase junior neurology residents’ confidence, comfort level and preparedness in leading a Code Stroke. Methodology: Ten neurology residents in their first months of training each took turns leading a Code Stroke simulation – either assessment of an ischemic stroke patient for intravenous thrombolytics, coordination of an ischemic stroke patient for embolectomy, or management of an ICH patient. Standardized patients were used in each case. Emergency medicine, vascular neurology and neurointerventional radiology attendings were active participants in the cases and gave feedback. Residents completed a survey before and after the simulation. Results: On a 5-point Likert scale (1 – least true and 5 – most true), confidence in leading a Code Stroke significantly increased from 2.80 to 3.95 (p=0.01) and perceived preparedness for the next Code Stroke significantly improved from 2.80 to 4.30 (p<0.01). Residents reported significantly improved comfort levels in rapidly assessing the National Institutes of Health Stroke Scale score (3.35 vs. 4.25, p=0.03) and rapidly assessing a Code Stroke patient for thrombolytics (3.15 vs. 4.25, p=0.02), making the decision to give thrombolytics (2.80 vs. 4.00, p=0.02) and assessing a patient for embolectomy (3.33 vs. 4.67, p=0.03). There was a perception of enhanced mutli-disciplinary collaboration with emergency medicine providers (3.55 vs. 4.40, p=0.04) and neurointerventional radiologists (3.00 vs. 4.50, p=0.07). Conclusion: Simulation training is a beneficial part of medical education for junior neurology residents and should be considered in addition to traditional didactics and clinical training.

The Impact of PowerPoint Presentations on Student Achievement and Student Attitudes

2011 ◽  
pp. 166-184
Author(s):  
Michael Fedisson ◽  
Silvia Braidic
Keyword(s):  
African American ◽  
African American Males ◽  
Student Attitudes ◽  
Time Frame ◽  
Comfort Level ◽  
First Year ◽  
African American Female ◽  
Low Achieving Students ◽  
The Impact ◽  
Middle Class Families

Seventh grade students were tested on their knowledge of sentences and nouns in a language arts classroom. This study was conducted over a two-year time frame. In the first year, classes consisted of twenty-eight (28) males and thirty-one (31) females. All students are Caucasians with the exception of two African American males. In year two, the classes consisted of thirty-two (32) females and thirtytwo (32) males. All students are Caucasians with the exception of one African American female and one Nicaraguan-American female. Students are predominantly from middle class families. All three classes are grouped heterogeneously. During instruction for two units, classes were taught with the following approaches: 1) using traditional methods of book work and handouts for one unit, and 2) using technological aids such as Microsoft PowerPoint for a second unit. Test results from three classes during both units were compared. The data indicates that when using technological aids as teaching tools, student test grades increased in year one, especially for low-achieving students or for those with learning disabilities. In year two, those same results were not achieved. A technology survey was also used to establish each student’s comfort level with technology and their attitudes towards the use of technological aids in the classroom

scholarly journals Enhancing student-pharmacists' professional development through community outreach with dementia population

2020 ◽  
Vol 10 (1) ◽  
pp. 6-11
Author(s):  
Brianne Mosley ◽  
Kelly Reilly Kroustos ◽  
Kristen Finley Sobota ◽  
Rebecca Brooks
Keyword(s):  
Psychological Symptoms ◽  
Neuronal Loss ◽  
Community Outreach ◽  
Sensory Stimulation ◽  
Comfort Level ◽  
Patient Specific ◽  
Health Care Students ◽  
Comfort Levels ◽  
Communication Ability ◽  
The Impact

Abstract Introduction Misinterpreted or minimized sensations related to progressive neuronal loss are predictive of the prominent behavioral and psychological symptoms (BPSD) observed in dementia. Guidelines recommend nonpharmacologic interventions via sensory engagement be included in the standard of patient care. To facilitate implementation, collaboration with health care students equipped with nonpharmacologic strategies to manage BPSD should be encouraged. The aim of this study was to determine the impact of outreach participation on student-pharmacists' comfort levels and perceived communication ability when interacting with patients with dementia. Methods During the sensory stimulation outreach, pharmacy students were paired with a patient with dementia to encourage fidget blanket use through patient-specific directions and demonstration. A single-group, pretest-posttest design was utilized to assess changes in students' comfort level and perceived communication ability prior to and immediately following outreach participation. Results Twenty-six students attended between 1 and 5 outreaches. Students reported a statistically significant increase in comfort level while interacting with patients with dementia after attending their first (n = 26, Z = 2.754, P = .006), second (n = 16, Z = 2.124, P = .034), and third outreach (n = 12, Z = 2.449, P = .014). Students' weighted composite communication scores showed a statistically significant increase after their first (n = 26, Z = 3.309, P = .001) and third outreach experiences (n = 12, Z = 2.375, P = .018). Discussion Participation in this sensory stimulation outreach improved students' comfort level and ability to communicate while interacting with patients with dementia. Greater exposure to the population through continued outreach participation was associated with a further increase in comfort level and perceived communication ability.

scholarly journals The Impact of Hurricane Irma on the Metabolism of St. Martin’s Island

2020 ◽  
Vol 12 (17) ◽  
pp. 6731 ◽  
Author(s):  
Roxana Popescu ◽  
Hélène Beraud ◽  
Bruno Barroca
Keyword(s):  
Waste Management ◽  
Spatial Structure ◽  
Future Development ◽  
Time Frame ◽  
Small Islands ◽  
Total Destruction ◽  
Saint Martin ◽  
Short Time ◽  
The Impact ◽  
Hurricane Irma

Due to their sometimes devastating and, at the same time, transformative effects, the impacts of major hurricanes on small islands leave their mark both on the way territories operate and on their future development. This was the case during the passage of hurricane Irma over the island of Saint Martin in 2017. By analyzing the stocks and circulation of hurricane waste flows, our aim was to see whether the inherent evolution of Saint Martin’s metabolism as a result of the island’s total destruction tended toward a lasting transformation of its waste management system and, therefore, toward the territory’s sustainability. This evolution was analyzed in a diachronic approach and over a short time frame. It was based on three structuring territorial metabolism dimensions: the intensity of waste flows, the spatial structure of the metabolism and the actors and techniques that explain it. Results show that while the intensity of the waste flows changed durably after Irma, the lasting transformation of the spatial structure and the actor system was less obvious and depended on the waste stream. Results also reveal the importance of reflecting on the development of recycling and reuse methods as a solution for improving post-hurricane waste planning on islands.

scholarly journals Improving Psychological Comfort of Paramedics for Field Termination of Resuscitation through Structured Training

2021 ◽  
Vol 18 (3) ◽  
pp. 1050
Author(s):  
Chungli Bang ◽  
Desmond Ren Hao Mao ◽  
Rebacca Chew Ying Cheng ◽  
Jen Heng Pek ◽  
Mihir Gandhi ◽  
...  
Keyword(s):  
Training Session ◽  
Comfort Level ◽  
Domain Specific ◽  
Sociocultural Attitudes ◽  
Comfort Levels ◽  
Before And After ◽  
Change In The Mean ◽  
The Mean ◽  
The Impact ◽  
Self Administered Questionnaire

This study examines the impact of a newly developed structured training on Singapore paramedics’ psychological comfort before the implementation of a prehospital termination of resuscitation (TOR) protocol. Following a before and after study design, the paramedics underwent a self-administered questionnaire to assess their psychological comfort level applying the TOR protocol, 22 months before and one month after a 3-h structured training session. The questionnaire addressed five domains: sociocultural attitudes on resuscitation and TOR, multi-tasking, feelings towards resuscitation and TOR, interactions with colleagues and bystanders and informing survivors. Overall psychological comfort total (PCT) scores and domain-specific scores were compared using the paired t-test with higher scores representing greater comfort. Ninety-six of the 345 eligible paramedics responded. There was no statistically significant change in the mean PCT scores at baseline and post-training; however, the “feelings towards resuscitation and TOR” domain improved by 4.77% (95% CI 1.42 to 8.13 and p = 0.006) and the multi-tasking domain worsened by 4.11% (95% CI −7.82 to −0.41 and p = 0.030). While the structured training did not impact on the overall psychological comfort levels, it led to improvements in the feelings of paramedics towards resuscitation and TOR. Challenges remain in improving paramedics’ psychological comfort levels towards TOR.

scholarly journals The Relationship between the Arab Spring Revolutions and Entrepreneurial Inhibitors, Enablers, and Activity in North Africa

Economics ◽  
2015 ◽  
pp. 921-937
Author(s):  
Henry Shin
Keyword(s):  
Arab Spring ◽  
Positive Relationship ◽  
Negative Relationship ◽  
Time Frame ◽  
Entrepreneurial Activity ◽  
Future Data ◽  
Short Time ◽  
The Arab Spring ◽  
The Impact ◽  
The Relationship

The purpose of this chapter is to detail the impact of the Arab Spring Revolutions in Tunisia, Egypt, and Libya in regards to entrepreneurship. This study tests the validity of three hypotheses, which were whether the Arab Spring revolutions had a positive relationship with entrepreneurial inhibitors, a negative relationship with entrepreneurial enablers, and a negative relationship with entrepreneurial activity in Tunisia, Egypt, and Libya. This quantitative study utilized data from before, during, and after the Arab Spring Revolutions to evaluate the validity of the hypotheses. Findings determined partial validity in regard to all three relationships; more research is necessary to determine if these hypotheses can be fully validated. With only a short time frame since the end of these revolutions, future data of these factors are required to determine whether it truly was the Arab Spring Revolutions that had an impact on entrepreneurship in these countries.

The Relationship between the Arab Spring Revolutions and Entrepreneurial Inhibitors, Enablers, and Activity in North Africa

2015 ◽  
pp. 82-98
Author(s):  
Henry Shin
Keyword(s):  
Arab Spring ◽  
Positive Relationship ◽  
Negative Relationship ◽  
Time Frame ◽  
Entrepreneurial Activity ◽  
Future Data ◽  
Short Time ◽  
The Arab Spring ◽  
The Impact ◽  
The Relationship

The purpose of this chapter is to detail the impact of the Arab Spring Revolutions in Tunisia, Egypt, and Libya in regards to entrepreneurship. This study tests the validity of three hypotheses, which were whether the Arab Spring revolutions had a positive relationship with entrepreneurial inhibitors, a negative relationship with entrepreneurial enablers, and a negative relationship with entrepreneurial activity in Tunisia, Egypt, and Libya. This quantitative study utilized data from before, during, and after the Arab Spring Revolutions to evaluate the validity of the hypotheses. Findings determined partial validity in regard to all three relationships; more research is necessary to determine if these hypotheses can be fully validated. With only a short time frame since the end of these revolutions, future data of these factors are required to determine whether it truly was the Arab Spring Revolutions that had an impact on entrepreneurship in these countries.

scholarly journals EP.TU.356Can day case elective operating lists provide efficient training opportunities for general surgical trainees?

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Rachael Coulson ◽  
Catherine Gilmore ◽  
Catherine Sheridan ◽  
Anna Murray ◽  
Scott McCain ◽  
...  
Keyword(s):  
Time Frame ◽  
Day Surgery ◽  
Day Case ◽  
Surgical Trainees ◽  
Significant Difference ◽  
Centre Of Excellence ◽  
Hands On Learning ◽  
Short Time ◽  
The Impact ◽  
Training Opportunities

Abstract Introduction During the COVID-19 pandemic there has been a reduction in trainee hands-on learning opportunities due to curtailment of elective workload. Our study aims to assess the impact of non-consultant led operating on theatre list efficiency. Methods Prospective data collection over an eight week period of consecutive elective day case hernia lists at a newly established regional centre of excellence for day surgery. Specifically recording of key time points in surgical cases including time ready, knife to skin, last suture and exit theatre. This was achieved using the Theatre Management System (TMS). Results 46 patients underwent open unilateral elective inguinal hernia repair. 54% (N = 25) of cases were trainee led. Median trainee time was 53 minutes, vs 51 minutes for consultant led procedures; no significant difference (p &gt; 0.05). Conclusion Day case elective hernia lists can be efficient training opportunities for general surgical trainees. Our results demonstrate that trainee-led operating in this setting have not resulted in significantly increased surgical time or operative theatre inefficiency. It is widely acknowledged there is benefit to training in performing the same technical skill within a short time frame.

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