Article
Health Care Sciences & Services
Meng-Wei Chang, Chia-Te Kung, Shan-Fu Yu, Hui-Ting Wang, Chia-Li Lin
Summary: This study uses the DEMATEL method to determine the prioritization of professional competency development of emergency physicians (EPs), finding that professional literacy (PL) is the most important aspect, while professional skills (PS) is the dominated aspect. The strategies to improve the professional competency development of EPs should begin with improving PL, followed by CS, PK, and PS.
Article
Health Care Sciences & Services
Tudor-Stefan Rotaru, Aida Puia, Stefan Cojocaru, Ovidiu Alexinschi, Cristina Gavrilovici, Liviu Oprea
Summary: Little research has been done on professionals' perceptions of institutions and governments during epidemics. We aimed to create a profile of physicians who feel they can raise public health issues with relevant institutions during a pandemic. A total of 1285 Romanian physicians completed an online survey as part of a larger study. We found that feeling safe at work, considering the financial incentive worth the risk, receiving training on the use of protective equipment, having the same values as colleagues, and enjoying work as much as before the pandemic were predictors for physicians who felt they were able to raise public health issues with relevant institutions.
Review
Education & Educational Research
Benjamin Thomson, Heather O'Halloran, Luke Wu, Stephen Gauthier, David Taylor
Summary: This study identifies critical topics for curriculum development for the transition to practice stage in internal medicine. The identified topics include career development, continuing professional development, expectations of the profession, practice management, life, health and well-being, and clinical skills.
BMC MEDICAL EDUCATION
(2022)
Article
Education & Educational Research
Elizabeth Sinz, Arna Banerjee, Randolph Steadman, Matthew S. Shotwell, Jason Slagle, William R. McIvor, Laurence Torsher, Amanda Burden, Jeffrey B. Cooper, Samuel DeMaria, Adam I. Levine, Christine Park, David M. Gaba, Matthew B. Weinger, John R. Boulet
Summary: The performance of practicing physicians on simulated critical events may be highly context-specific. Realistic simulation-based assessment for practicing physicians is resource-intensive and may be best suited for individualized formative feedback. Aggregate data from participants may help identify skill or knowledge gaps for training programs and continuing education improvements.
BMC MEDICAL EDUCATION
(2021)
Article
Green & Sustainable Science & Technology
Chuluunbat Tsendsuren, Prayag L. Yadav, Seung Hun Han, Hohyun Kim
Summary: This study examined the impact of product market competition and managerial competency on corporate environmental responsibility and firm performance. It found that product market competition tends to discourage firms from addressing environmental challenges, but managerial competency plays a positive moderating role in enhancing corporate environmental practices under market competition. Additionally, firms with greater environmental efforts retain profitability under strong competition, especially when led by competent managers.
JOURNAL OF CLEANER PRODUCTION
(2021)
Article
Business
Katrin Muff, Coralie Delacoste, Thomas Dyllick
Summary: The study found that self-awareness is the central element in responsible leadership, higher education may contribute to better responsible leadership performance, and participants from the African region outperform others in responsible leadership.
CORPORATE SOCIAL RESPONSIBILITY AND ENVIRONMENTAL MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Vittorio Fineschi, Mauro Arcangeli, Nicola Di Fazio, Zoe Del Fante, Benedetta Fineschi, Paola Santoro, Paola Frati
Summary: The study found that most respondents are confident with the definition and characteristics of defensive medicine, and gynecologists implement behaviors of defensive medicine due to the fear of legal actions from patients. As a result of defensive medicine, there are more medical liability judgements concerning omission or delayed execution of cesarean section.
Article
Education & Educational Research
Qi Chen, Ming Li, Na Wu, Xue Peng, GuangMin Tang, Heng Cheng, LiuLing Hu, Bin Yang, ZhongLi Liao
Summary: This study investigated the perceptions of Chinese resident physicians towards competency-based medical education (CBME) and found that they generally held positive attitudes towards incorporating CBME into standardized resident training (SRT). The study revealed that residents placed the highest importance on clinical skills and patient care, interpersonal communication, and professionalism, and were interested in CBME residency programs. Most residents believed that implementing CBME could help clarify their professional direction and improve career planning.
BMC MEDICAL EDUCATION
(2022)
Article
Multidisciplinary Sciences
Marjolein Heddes, Baraa Altaha, Yunhui Niu, Sandra Reitmeier, Karin Kleigrewe, Dirk Haller, Silke Kiessling
Summary: This study reveals the importance of intestinal circadian clock in driving microbiome dynamics. Microbiota transfer from intestinal clock-deficient mice promotes altered intestinal phenotypes, highlighting the importance of functional intestinal clocks for gastrointestinal homeostasis of the host.
NATURE COMMUNICATIONS
(2022)
Article
Education & Educational Research
Mohammad H. Rahbar, Iuliana Dobrescu, Shezeen Gillani, Manouchehr Hessabi, Sori Kim, Mihaela Stancu, Florina Rad
Summary: Through a survey and factor analysis of Romanian physicians' perceived competency in ASD knowledge, it was found that physicians have varying levels of understanding in five sub-domains: stigma, potential causes, behavior in ASD children, special education needs, and misconceptions related to ASD. Younger physicians are more knowledgeable about the potential causes of ASD, while older physicians have more understanding of the behavior of children with ASD.
BMC MEDICAL EDUCATION
(2021)
Article
Area Studies
Mordechai Chaziza
Summary: This study argues that China's strategy to maintain its non-interference policy is carefully devised to fit the country's doctrine. China's leadership supports a global proactive diplomatic approach, including five diplomatic and military measures, which are suitable to meet the challenge of the safety and rights of Chinese tourists in the Middle East.
CHINA-AN INTERNATIONAL JOURNAL
(2021)
Article
Medicine, General & Internal
Louise M. Allen, Claire Palermo
Summary: This study demonstrates the effectiveness and low-cost nature of using document analysis to revise competency standards for dietitians in Australia. By incorporating stakeholder engagement and thematic framework analysis, the revised standards now address the skills and attributes necessary for working with specific populations, emphasize the role of dietitians in teaching and learning, and give greater consideration to advocacy and sustainability. Further research is needed to explore the potential of document analysis in creating new competency standards.
FRONTIERS IN MEDICINE
(2022)
Article
Biochemistry & Molecular Biology
Sungryul Park, Jin Hwa Cho, Jong-Hwan Kim, Mijin Park, Seulki Park, Seon-Young Kim, Seon-Kyu Kim, Kidae Kim, Sung Goo Park, Byoung Chul Park, Jeong Hee Moon, Gaseul Lee, Sunhong Kim, Jung-Ae Kim, Jeong-Hoon Kim
Summary: This study reveals the molecular mechanism of oxygen-dependent degradation of SETDB1 by the CRL2(VHL) E3 complex and its role in genome stability under hypoxic conditions. Loss of SETDB1 leads to the accumulation of transposable element-derived double-stranded RNAs and triggers an immune-inflammatory response and DNA damage-induced cell death.
NUCLEIC ACIDS RESEARCH
(2023)
Editorial Material
Endocrinology & Metabolism
Matthew R. Hepworth
Summary: This study reveals the importance of dietary proline in maintaining gut health, as it modulates the metabolism and cytokine production of group 3 innate lymphoid cells (ILC3s) responsible for intestinal barrier integrity.
Article
Engineering, Biomedical
Francesca Giacomini, David Baiao Barata, Hoon Suk Rho, Zeinab Tahmasebi Birgani, Clemens van Blitterswijk, Stefan Giselbrecht, Roman Truckenmuller, Pamela Habibovic
Summary: Tendons are highly organized tissues that require aligned collagen fibers for proper function. This study developed a microfluidic platform that allows controlled formation and alignment of collagen fibers, leading to changes in cell morphology and marker expression in tenocytes. This research has implications for tendon regeneration and the development of physiologically relevant in vitro models.
ADVANCED HEALTHCARE MATERIALS
(2023)
Review
Health Care Sciences & Services
Neva M. Howard, David A. Cook, Rose Hatala, Martin Pusic
Summary: A systematic review on the reporting quality of learning curves in simulation-based education research found that many important elements were frequently omitted, and there was no improvement over time. Recommendations for enhancing the statistical, graphical, and conceptual reporting of learning curves were provided.
SIMULATION IN HEALTHCARE-JOURNAL OF THE SOCIETY FOR SIMULATION IN HEALTHCARE
(2021)
Article
Emergency Medicine
Kathleen Adelgais, Martin Pusic, Denise Abdoo, Sean Caffrey, Katherine Snyder, Michelle Alletag, Ashley Balakas, Timothy Givens, Ian Kane, Maria Mandt, Kelley Roswell, Mary Saunders, Kathy Boutis
Summary: An online educational intervention for prehospital professionals (PHPs) was effective in improving their skills in identifying abusive versus non-abusive burn and bruise injuries. Participants showed increased diagnostic accuracy and comfort in recognizing and reporting potential cases of abuse after completing the intervention. The study highlights the importance of ongoing education and deliberate practice in enhancing PHPs' ability to detect and respond to suspected abuse.
PREHOSPITAL EMERGENCY CARE
(2021)
Editorial Material
Education, Scientific Disciplines
Martin V. Pusic, Tasha R. Wyatt
Article
Education & Educational Research
Ilan Reinstein, Jennifer Hill, David A. Cook, Matthew Lineberry, Martin V. Pusic
Summary: Visual diagnosis of radiographs, histology, and electrocardiograms can be practiced through deliberate practice, supported by large online case banks. However, determining which cases to provide to different learners remains to be worked out. Advances in statistical modeling, based on accumulating learning curves, offer more effective methods for pairing learners with calibrated cases.
ADVANCES IN HEALTH SCIENCES EDUCATION
(2021)
Article
Emergency Medicine
Laura Penalo, Martin Pusic, Julie Lynn Friedman, Barry P. Rosenzweig, Jeffrey D. Lorin
Summary: This study aimed to develop an importance ranking of American Heart Association electrocardiogram diagnostic labels through interdisciplinary perspectives. Results showed that participants from all disciplines identified skill in electrocardiogram interpretation as clinically imperative, recognizing the importance of identifying normal, life-threatening, and time-sensitive electrocardiogram rhythms.
JOURNAL OF EMERGENCY NURSING
(2021)
Letter
Medicine, General & Internal
David A. Cook, Martin V. Pusic
JAMA INTERNAL MEDICINE
(2021)
Review
Education, Scientific Disciplines
David A. Cook, So-Young Oh, Martin Pusic
Summary: The study identified features of instruments, test procedures, study design, and validity evidence in published studies of electrocardiogram (ECG) skill assessments. Results showed that ECG interpretation skill assessments consist of idiosyncratic instruments with limited interpretability. Best practices were suggested to improve the validity of assessments.
Article
Obstetrics & Gynecology
Sarah Campos, Tanya Smith, Adrienne L. Davis, Martin Pusic, Michelle Shouldice, Jocelyn Brown, Lori Legano, Martin Pecaric, Kathy Boutis
Summary: The study aimed to identify diagnoses and image features associated with difficult interpretation of prepubescent female genital images. Results showed variations in mean correct proportion scores by diagnosis, as well as common features in images with the highest frequency of diagnostic errors.
JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY
(2021)
Article
Education, Scientific Disciplines
Michelle S. Lee, Martin Pusic, Mark Camp, Jennifer Stimec, Andrew Dixon, Benoit Carriere, Joshua E. Herman, Kathy Boutis
Summary: By integrating the Ebel Method with radiographs from the clinical domain, we established a defensible, clinically relevant mastery learning competency standard for the skill of radiograph interpretation. Through utilizing a digital platform, emergency physicians interpreted pediatric musculoskeletal extremity radiographs, which were then categorized based on interpretation difficulty and clinical significance. The overall performance-based competency score was derived from a weighted sum, showcasing the consequences of implementing this standard in terms of diagnostic errors.
TEACHING AND LEARNING IN MEDICINE
(2022)
Article
Emergency Medicine
Elana Thau, Manuela Perez, Martin Pusic, Martin Pecaric, David Rizzuti, Kathy Boutis
Summary: Through learning analytics, the study identified variables affecting the difficulty of pCXR interpretation, such as the presence of pneumonia, visibility of pneumonia, lung pathology, localized pneumonia, and number of views. The research also revealed that participants with lower clinical experience were less accurate when reviewing one of two available views, while accuracy of those with higher experience increased with increased confidence.
AEM EDUCATION AND TRAINING
(2021)
Article
Emergency Medicine
Teresa M. Chan, Stefanie S. Sebok-Syer, Warren J. Cheung, Martin Pusic, Christine Stehman, Michael Gottlieb
Summary: In the era of competency-based medical education, there is a growing interest in the collection and utilization of workplace-based assessment data in emergency medicine. This scoping review highlights the current landscape of literature on this topic, showing a recent increasing trend in research contributions. Further research is needed to fully understand and enhance data collection and utilization in the field of CBME.
AEM EDUCATION AND TRAINING
(2021)
Article
Education, Scientific Disciplines
Kimberly D. Lomis, George C. Mejicano, Kelly J. Caverzagie, Seetha U. Monrad, Martin Pusic, Karen E. Hauer
Summary: Competency-based medical education (CBME) is a developmental approach that ensures each trainee is prepared to progress through different stages of training and continue to grow in unsupervised practice to meet current and future healthcare challenges. Implementing CBME requires a fundamental shift in organizational culture and investment in appropriate infrastructure.
Article
Family Studies
Selin T. Sagalowksy, Vartan Pahalyants, Cindy G. Roskind, Martin V. Pusic
CHILD ABUSE & NEGLECT
(2020)
Article
Family Studies
A. L. Davis, M. Pecaric, M. Pusic, T. Smith, M. Shouldice, J. Brown, S. A. Wynter, L. Legano, J. Kondrich, K. Boutis
CHILD ABUSE & NEGLECT
(2020)
Article
Emergency Medicine
Charisse Kwan, Martin Pusic, Martin Pecaric, Kirstin Weerdenburg, Mark Tessaro, Kathy Boutis
AEM EDUCATION AND TRAINING
(2020)
