China
Africa
Explore chapters and articles related to this topic
A safety checklist for specialty training
Published in Paul Bowie, Carl de Wet, Aneez Esmail, Philip Cachia, Safety and Improvement in Primary Care: The Essential Guide, 2020
Paul Bowie, John McKay, Moya Kelly
Adaptation of the checklist as a self-assessment tool for trainees was an unexpected study development. Self-assessment is a method of measuring and interpreting one’s own performance and is a well-established educational intervention among all healthcare professions and as part of specialty training.31 The use of self-assessment tools by specialty trainees to identify learning needs is routine in medicine,32,33 but it does not appear to be well developed in terms of highlighting specific educational interventions related to patient safety. The activity takes on a greater significance when the performance focus is related to the identification of learning need associated with safety-critical education and training. Although evidence highlights the limitations of self-assessment,31 it is still promoted as a valuable educational activity because it can be used as a baseline measure that prompts joint discussion and monitoring of performance over time by the trainee and supervisor.
Hypopharynx
Published in Neeraj Sethi, R. James A. England, Neil de Zoysa, Head, Neck and Thyroid Surgery, 2020
Patrick J. Bradley, Neeraj Sethi
Patient self-assessment has been shown to be helpful in determining functional health status and health-related quality of life. Validated available instruments include the Eating Assessment Tool (EAT-10), the MD Anderson Dysphagia Inventory and the Sydney Swallow Questionnaire.
The appraiser training curriculum
Published in Nick Lyons, Susanne Caesar, Abayomi McEwen, Sarah Akigbogun, Maurice Conlon, The Appraiser's Handbook, 2018
Nick Lyons, Susanne Caesar, Abayomi McEwen, Sarah Akigbogun, Maurice Conlon
There are an increasing variety of self-assessment tools available. The advent of revalidation is likely to generate even more. Perhaps the most familiar to doctors are the online e-learning modules (Chapter 11). The great advantage of these is the complete flexibility they provide for clinicians to do them at a time that is convenient. Most tools provide a print-out certificate that details the subject covered and when it was done. One possible disadvantage is that it is rarely clear before starting to use one of these tools how relevant the level of information presented and tested will be. There is not yet a single system for kite-marking tools of this type.
Self-assessment: With all its limitations, why are we still measuring and teaching it? Lessons from a scoping review
Published in Medical Teacher, 2022
Natasha Yates, Suzanne Gough, Victoria Brazil
When educators exploring SA have a clear definition of SA, it fits the available evidence on how students learn: SA is most helpfully conceptualised as a guided (not unguided), specific (not global), process (not ability). We call on medical educators and scholars to understand the limitations of self-assessment as an outcome measure, and the lack of evidence for it being a goal to strive for. A helpful step forward would be for us to stop using participant SA as a meaningful outcome measure of the ‘success’ of an intervention/program. While SA is an important part of the life-long learning process, research into reasons why students are poor at calibrating their SA with external measures (self-assessment of learning) serves no useful purpose. Similarly, attempts to improve their accuracy/calibration is misdirected effort. Researchers designing projects, academic institutions, funders, and journals would benefit from no longer accepting the use of SA in these flawed ways. Efforts should instead focus on progressing students’ self-assessment for learning.
Exposure based cognitive behavioral group therapy for IBS at a gastroenterological clinic – a clinical effectiveness study
Published in Scandinavian Journal of Gastroenterology, 2022
Hugo Wallén, Brjánn Ljótsson, Cecilia Svanborg, Sara Rydh, Lisa Falk, Perjohan Lindfors
A limitation to this study is that we have no follow-up data from a year or more after the treatment. We believe that this is representative of real-world clinical routine, where few clinics collect long-term self-assessment follow up data from patients. Our previous studies of ECBT have however shown that patients’ improvements in IBS symptoms are sustained up to 12, 15, and 18 months after treatment [12,14]. Another limitation was that we had no data on the patients who were not selected for the treatment. It would have been interesting to know for how many patients the treatment was considered appropriate and not appropriate and what factors influenced the patient selection. Additionally, no formal assessment of the therapists’ adherence to treatment protocol was made. However, the large effect sizes (similar to our previous trials) and high treatment adherence suggest that there is a low risk that the therapists made significant deviations from the protocol. Of the total number of 171 patients who were treated at the clinic during the data collection period, 129 (75%) provided complete data on GSRS-IBS and were in included in the analysis. However, we also performed sensitivity analysis using multiple imputation were 145 (85%) of the patients were included, which showed very similar results (data not reported). Nevertheless, there was a significantly larger proportion of women than men who provided complete data and thus the results may not be fully generalizable to male patients with IBS.
Prehospital Airway Management Training and Education: An NAEMSP Position Statement and Resource Document
Published in Prehospital Emergency Care, 2022
Maia Dorsett, Ashish R. Panchal, Christopher Stephens, Andra Farcas, William Leggio, Christopher Galton, Rickquel Tripp, Tom Grawey
A continued credentialing program should be designed to instruct, continually monitor, and evaluate performance in all three cognitive domains of airway management with a particular focus on clinical judgment in airway management. This can be accomplished through multiple facets. An initial training and skills assessment may serve as the first step to system entry, but continual monitoring of airway performance data in the EMS system should be performed and used to shape continued credentialing procedures. Self-assessment is a validated tool used throughout medicine to enhance learning, ensure retention, and highlight the salient details of high-risk, low-frequency procedures (76,77). The broad acceptance of self-assessment across medicine should indicate the value to EMS physician medical directors and adoption should be strongly considered in the initial and continuous credentialing process.