Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100107
Matthew J. Masewic
In this narrative, the author shares his perspective from both sides of the spectrum. First, he comments as a concerned husband and father and then also as a physician. They share their exhaustion and frustration at being unable to find a solution for their wife’s intractable migraine pain. The author shares the despair they live as their wife is perceived as a drug seeker whose pain is in her mind because the experts have failed to pinpoint a tangible cause. The author invites you to join this family on their quest for relief and urge you to remember that for all of us faced with conditions medicine can’t fix the landmarks are painstakingly similar. They urge us to look and help without judging. The author contributed his cry from the heart in the hope that his view from the inside out could improve medical experiences for others and open the floodgates to compassion and serve as the motivation for the art of medicine.
{"title":"Letter to ER: Reflections and Beyond","authors":"Matthew J. Masewic","doi":"10.4018/IJUDH.2012100107","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100107","url":null,"abstract":"In this narrative, the author shares his perspective from both sides of the spectrum. First, he comments as a concerned husband and father and then also as a physician. They share their exhaustion and frustration at being unable to find a solution for their wife’s intractable migraine pain. The author shares the despair they live as their wife is perceived as a drug seeker whose pain is in her mind because the experts have failed to pinpoint a tangible cause. The author invites you to join this family on their quest for relief and urge you to remember that for all of us faced with conditions medicine can’t fix the landmarks are painstakingly similar. They urge us to look and help without judging. The author contributed his cry from the heart in the hope that his view from the inside out could improve medical experiences for others and open the floodgates to compassion and serve as the motivation for the art of medicine.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133139389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100112
D. Elpern
{"title":"The Bully: A Documentary","authors":"D. Elpern","doi":"10.4018/IJUDH.2012100112","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100112","url":null,"abstract":"","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125077909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100109
P. Chatterjee
Published narratives on doctor-as-patient experiences show that physicians become more empathetic once they have gone through the process of being a patient. In this article, in response to a published doctor-as-patient narrative, the author enquires into the possible reason for such empathy-in-hindsight. The objectified and structured medical education system which puts little emphasis on soft skills, a rapidly evolving technological-diagnostic revolution that is distancing the patient from the doctor and lacunae in development of communication skills in doctors come up as probable reasons for this. Narratives of physician-patients provide good learning points, especially with respect to the lacunae in the teaching of empathy, communication and humanities in medicine.
{"title":"On Being a Patient","authors":"P. Chatterjee","doi":"10.4018/IJUDH.2012100109","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100109","url":null,"abstract":"Published narratives on doctor-as-patient experiences show that physicians become more empathetic once they have gone through the process of being a patient. In this article, in response to a published doctor-as-patient narrative, the author enquires into the possible reason for such empathy-in-hindsight. The objectified and structured medical education system which puts little emphasis on soft skills, a rapidly evolving technological-diagnostic revolution that is distancing the patient from the doctor and lacunae in development of communication skills in doctors come up as probable reasons for this. Narratives of physician-patients provide good learning points, especially with respect to the lacunae in the teaching of empathy, communication and humanities in medicine.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116156116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100113
Joan W. Young
{"title":"U.S. Cancer Politics Illuminated","authors":"Joan W. Young","doi":"10.4018/IJUDH.2012100113","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100113","url":null,"abstract":"","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122492053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100104
Sujoy Dasgupta
Lung cancer in a 25-year-old nonsmoker female is extremely rare. Ovarian malignancy in this age group is also infrequent and if occurs, is usually of germ cell type. If a patient presents with both lung and ovarian mass, the initial impression is the metastasis from one organ to the other. Chest X-ray, ultrasonogram, whole abdomen, CT scan of thorax and abdomen, bronchoscopic biopsy of lung mass and excision biopsy of ovarian mass are all needed to accurately diagnose condition. Therapy is also challenging for such patients. After accurate diagnosis for both the organs, surgery, chemotherapy, or radiotherapy should be considered after individualization of the case. Squamous cell carcinoma lung in advanced stage associated with early stage ovarian serous cystadenocarcinoma has not been described in literature. The rarity of the case, absence of cigarette smoking or radiation exposure, negative family history, unusual association and fatality of the cases prompted us to report this case.
{"title":"An Unusual Association of Lung and Ovarian Malignancy in a Young Nonsmoker Female","authors":"Sujoy Dasgupta","doi":"10.4018/IJUDH.2012100104","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100104","url":null,"abstract":"Lung cancer in a 25-year-old nonsmoker female is extremely rare. Ovarian malignancy in this age group is also infrequent and if occurs, is usually of germ cell type. If a patient presents with both lung and ovarian mass, the initial impression is the metastasis from one organ to the other. Chest X-ray, ultrasonogram, whole abdomen, CT scan of thorax and abdomen, bronchoscopic biopsy of lung mass and excision biopsy of ovarian mass are all needed to accurately diagnose condition. Therapy is also challenging for such patients. After accurate diagnosis for both the organs, surgery, chemotherapy, or radiotherapy should be considered after individualization of the case. Squamous cell carcinoma lung in advanced stage associated with early stage ovarian serous cystadenocarcinoma has not been described in literature. The rarity of the case, absence of cigarette smoking or radiation exposure, negative family history, unusual association and fatality of the cases prompted us to report this case.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121708947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-10-01DOI: 10.4018/IJUDH.2012100102
J. Modi, M. Bharadwaj, Ruchi Kalra, Ashok Mhaske
Incisional hernia of the anterior abdominal wall is common but gravid uterus herniating into the sac is rare. Even rarer is the gravid uterus getting incarcerated in the hernia sac. The authors present an interesting obstetric challenge wherein a 30 year old pregnant lady reported to their antenatal clinic with an unusual bulge in the lower abdomen at the 7th month of pregnancy. This was found to be an incarcerated gravid uterus. It was further complicated by the presence of a trophic ulcer on the skin overlying the uterus. Very few such cases have been reported in literature and each one is a study in itself. The authors would like to share their experience in successfully managing the condition with the assistance of information from the internet and colleagues from across the globe. They will also identify the lessons learnt from this experience.
{"title":"Incarcerated Gravid Uterus in an Incisional Hernia","authors":"J. Modi, M. Bharadwaj, Ruchi Kalra, Ashok Mhaske","doi":"10.4018/IJUDH.2012100102","DOIUrl":"https://doi.org/10.4018/IJUDH.2012100102","url":null,"abstract":"Incisional hernia of the anterior abdominal wall is common but gravid uterus herniating into the sac is rare. Even rarer is the gravid uterus getting incarcerated in the hernia sac. The authors present an interesting obstetric challenge wherein a 30 year old pregnant lady reported to their antenatal clinic with an unusual bulge in the lower abdomen at the 7th month of pregnancy. This was found to be an incarcerated gravid uterus. It was further complicated by the presence of a trophic ulcer on the skin overlying the uterus. Very few such cases have been reported in literature and each one is a study in itself. The authors would like to share their experience in successfully managing the condition with the assistance of information from the internet and colleagues from across the globe. They will also identify the lessons learnt from this experience.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115321896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-07-01DOI: 10.4018/IJUDH.2012070105
T. Khan, Shyamala H. Hande, S. Bedi, T. Singh, Vinay Kumar
To deal with the lack of basic health care in the Middle East competency based training is the need of the hour (MCI, 1997). Use of learning objectives (LOs) in alignment with assessment ensures competency in the must know areas. In this paper the authors discuss the use of LOs in the enhancement of teaching-learning process. It is organized into seven sections that deal with the advantages, potential disadvantages, and strategies to overcome the problems with LOs as a tool. In particular, the philosophical and technical objections to the use of LOs are dealt with in detail by appropriate examples. They discuss the link between LOs and Bloom’s taxonomy of learning, Miller’s pyramid, and the need to make LOs developmental and congruent with assessment. The methodology for determining appropriate LOs is discussed in detail. Lastly the ABCD, Mager’s and Kern’s methods of writing objectives and limitations of each are discussed. The authors conclude that LOs are an important tool for competency based training and the current inability to come up with “perfect” LOs should not be a barrier to at least reach “good.” Like all other educational tools, LOs have to be improved incrementally based on student feedback recognizing that students are the best teachers of their “teachers.”
{"title":"Learning Objectives: \"Perfect is the Enemy of Good!\"","authors":"T. Khan, Shyamala H. Hande, S. Bedi, T. Singh, Vinay Kumar","doi":"10.4018/IJUDH.2012070105","DOIUrl":"https://doi.org/10.4018/IJUDH.2012070105","url":null,"abstract":"To deal with the lack of basic health care in the Middle East competency based training is the need of the hour (MCI, 1997). Use of learning objectives (LOs) in alignment with assessment ensures competency in the must know areas. In this paper the authors discuss the use of LOs in the enhancement of teaching-learning process. It is organized into seven sections that deal with the advantages, potential disadvantages, and strategies to overcome the problems with LOs as a tool. In particular, the philosophical and technical objections to the use of LOs are dealt with in detail by appropriate examples. They discuss the link between LOs and Bloom’s taxonomy of learning, Miller’s pyramid, and the need to make LOs developmental and congruent with assessment. The methodology for determining appropriate LOs is discussed in detail. Lastly the ABCD, Mager’s and Kern’s methods of writing objectives and limitations of each are discussed. The authors conclude that LOs are an important tool for competency based training and the current inability to come up with “perfect” LOs should not be a barrier to at least reach “good.” Like all other educational tools, LOs have to be improved incrementally based on student feedback recognizing that students are the best teachers of their “teachers.”","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132813417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-07-01DOI: 10.4018/IJUDH.2012070107
V. Selvaraj
Many individuals in India are nowadays either being diagnosed early with type 2 diabetes or lack optimal control of their diabetes. Reducing the burden and impact of diabetes mellitus in India is a major priority among the healthcare system. Diabetes educators, through DPP models, have shown to reduce the risk of developing diabetes among pre-diabetics through lifestyle changes. Among diabetics, DSME is seen as an essential intervention and as a cornerstone of diabetes care. Short-lived benefits and presence of barriers & challenges limit the inclusion of sufficient numbers of health educators or trained individuals in resource limited Indian settings to educate high risk individuals and improve self-management behaviors.
{"title":"Do Diabetes Self-Management Education (DSME) Programs Merit more Consideration in the Indian Setting?","authors":"V. Selvaraj","doi":"10.4018/IJUDH.2012070107","DOIUrl":"https://doi.org/10.4018/IJUDH.2012070107","url":null,"abstract":"Many individuals in India are nowadays either being diagnosed early with type 2 diabetes or lack optimal control of their diabetes. Reducing the burden and impact of diabetes mellitus in India is a major priority among the healthcare system. Diabetes educators, through DPP models, have shown to reduce the risk of developing diabetes among pre-diabetics through lifestyle changes. Among diabetics, DSME is seen as an essential intervention and as a cornerstone of diabetes care. Short-lived benefits and presence of barriers & challenges limit the inclusion of sufficient numbers of health educators or trained individuals in resource limited Indian settings to educate high risk individuals and improve self-management behaviors.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113979525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-07-01DOI: 10.4018/IJUDH.2012070109
Christine Condaris
{"title":"Scales to Scalpels: Doctors Who Practice the Healing Arts of Music and Medicine","authors":"Christine Condaris","doi":"10.4018/IJUDH.2012070109","DOIUrl":"https://doi.org/10.4018/IJUDH.2012070109","url":null,"abstract":"","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115566234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-07-01DOI: 10.4018/IJUDH.2012070106
P. Shankar, Kundan Singh, A. Dhakal, A. Shakya, R. Piryani
A medical humanities (MH) module has been conducted for first year students at KIST Medical College, Lalitpur, Nepal for the last four years. The students are divided into small groups and case scenarios, role-plays, paintings, and activities are used to explore MH. The module for the fourth batch of students was conducted from December 2011 to March 2012. In this article the authors provide a brief overview of the MH module, Sparshanam and the learning objectives of different sessions. They provide transcripts of some of the role plays done during the module. The role plays were conducted in Nepali with the help and guidance of the facilitators and the written transcripts in English language were provided by different student groups.
{"title":"Transcripts of a Medical Education in Humanities Module: Selection of Role Plays","authors":"P. Shankar, Kundan Singh, A. Dhakal, A. Shakya, R. Piryani","doi":"10.4018/IJUDH.2012070106","DOIUrl":"https://doi.org/10.4018/IJUDH.2012070106","url":null,"abstract":"A medical humanities (MH) module has been conducted for first year students at KIST Medical College, Lalitpur, Nepal for the last four years. The students are divided into small groups and case scenarios, role-plays, paintings, and activities are used to explore MH. The module for the fourth batch of students was conducted from December 2011 to March 2012. In this article the authors provide a brief overview of the MH module, Sparshanam and the learning objectives of different sessions. They provide transcripts of some of the role plays done during the module. The role plays were conducted in Nepali with the help and guidance of the facilitators and the written transcripts in English language were provided by different student groups.","PeriodicalId":211533,"journal":{"name":"International Journal of User-Driven Healthcare","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126156128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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