Pub Date : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa3133
Rachel Jones, S. Barnes, K. Bateman
{"title":"Recognising Excellence in Respiratory Medicine","authors":"Rachel Jones, S. Barnes, K. Bateman","doi":"10.1183/13993003.congress-2018.pa3133","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa3133","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129717740","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 : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.OA1640
A. Hare, M. Chatwin, D. Field, H. Tan, A. Simonds
{"title":"Interprofessional education (IPE) for respiratory care in neuromuscular disease (NMD) is feasible, and improves confidence in clinical practice","authors":"A. Hare, M. Chatwin, D. Field, H. Tan, A. Simonds","doi":"10.1183/13993003.CONGRESS-2018.OA1640","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.OA1640","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131632614","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 : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.OA1645
Maryam Ahmed, T. Saba, Tracy Duncan, S. Grundy, M. Evison
{"title":"The Pulmonary Passport: Uptake of a regional electronic procedure logbook in Respiratory Medicine","authors":"Maryam Ahmed, T. Saba, Tracy Duncan, S. Grundy, M. Evison","doi":"10.1183/13993003.CONGRESS-2018.OA1645","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.OA1645","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115704068","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 : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa3136
R. Bontsevich, K. Gashynova, O. Kompaniets, G. Batisheva, O. V. Cherenkova, T. M. Shagieva, E. Luchinina, Alexander A. Leonov, Alina Chernykh, Alina Leonova, K. Shchurovskaya, A. Mikhno, T. Pokrovskaia
{"title":"Assessment of physicians and undergraduates in COPD: ASCO-2 study","authors":"R. Bontsevich, K. Gashynova, O. Kompaniets, G. Batisheva, O. V. Cherenkova, T. M. Shagieva, E. Luchinina, Alexander A. Leonov, Alina Chernykh, Alina Leonova, K. Shchurovskaya, A. Mikhno, T. Pokrovskaia","doi":"10.1183/13993003.congress-2018.pa3136","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa3136","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122066087","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 : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA3145
A. Bagnasco, M. Zanini, G. Aleo, G. Catania, Loredana Sasso
Introduction: Informal caregivers are often overwhelmed by the burden of dealing with patients with complex disorders, such as those requiring mechanical ventilation. Simulation skill labs (Laschinger, S. et al. Int J Evid Based Healthc 2008; 6:278-302) help caregivers to manage patients requiring mechanical ventilation at home. Aims and objectives: Increase informal caregivers’ ability to manage patients requiring mechanical ventilation at home. Methods: After analyzing the skills gaps, we identified the topics for the simulation skill sessions. At the end, participants completed a questionnaire on their experience. Section one of the questionnaire focused on the importance of the topics; section two focused on the quality of training methods and trainers, who were physicians and nurses. Section three involved the assessment of their decision to take part in simulation sessions. A six-point Likert scale was used to measure satisfaction. Results: The respondents were 99. High scores were obtained for the quality of the education, underlining appropriateness of teaching, materials, and technology. Also teaching effectiveness scored positively, confirming the appropriateness of the methodology used. High scores related to their decision to take part in this course confirmed that educational expectations had been met. Conclusions: Informal caregivers were very satisfied with the simulated skill labs, and wanted to repeat them in the future. This suggests that simulation lab sessions should be provided to all informal caregivers on a routine basis.
{"title":"Simulation skill labs to support informal caregivers who care for patients requiring mechanical ventilation at home","authors":"A. Bagnasco, M. Zanini, G. Aleo, G. Catania, Loredana Sasso","doi":"10.1183/13993003.CONGRESS-2018.PA3145","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA3145","url":null,"abstract":"Introduction: Informal caregivers are often overwhelmed by the burden of dealing with patients with complex disorders, such as those requiring mechanical ventilation. Simulation skill labs (Laschinger, S. et al. Int J Evid Based Healthc 2008; 6:278-302) help caregivers to manage patients requiring mechanical ventilation at home. Aims and objectives: Increase informal caregivers’ ability to manage patients requiring mechanical ventilation at home. Methods: After analyzing the skills gaps, we identified the topics for the simulation skill sessions. At the end, participants completed a questionnaire on their experience. Section one of the questionnaire focused on the importance of the topics; section two focused on the quality of training methods and trainers, who were physicians and nurses. Section three involved the assessment of their decision to take part in simulation sessions. A six-point Likert scale was used to measure satisfaction. Results: The respondents were 99. High scores were obtained for the quality of the education, underlining appropriateness of teaching, materials, and technology. Also teaching effectiveness scored positively, confirming the appropriateness of the methodology used. High scores related to their decision to take part in this course confirmed that educational expectations had been met. Conclusions: Informal caregivers were very satisfied with the simulated skill labs, and wanted to repeat them in the future. This suggests that simulation lab sessions should be provided to all informal caregivers on a routine basis.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121610778","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 : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa3148
B. Khan
{"title":"Systems approach to improving safety with intercostal chest drains (ICD)","authors":"B. Khan","doi":"10.1183/13993003.congress-2018.pa3148","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa3148","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122647436","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 : 2018-09-15DOI: 10.1183/13993003.congress-2018.OA1639
P. Pietersen, K. R. Madsen, O. Graumann, L. Konge, B. U. Nielsen, C. Laursen
{"title":"Education and training in lung ultrasound: a systematic review","authors":"P. Pietersen, K. R. Madsen, O. Graumann, L. Konge, B. U. Nielsen, C. Laursen","doi":"10.1183/13993003.congress-2018.OA1639","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.OA1639","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125477772","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 : 2018-09-15DOI: 10.1183/13993003.congress-2018.pa3147
R. Mishra
{"title":"Diffuse panbronchiolitis is not restricted to east asia - A mini literature review","authors":"R. Mishra","doi":"10.1183/13993003.congress-2018.pa3147","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa3147","url":null,"abstract":"","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115415848","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 : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.PA3138
J. Tonkin, Y. Ong
Introduction: Fibreoptic bronchoscopy is performed in a variety of patients. Potential complications include respiratory failure and bleeding. We looked at whether team-based simulation could improve the management of these complications. Methods: Five sessions were run every 6 months in the endoscopy unit using a mannequin with a bronchial tree. The scenario started from the WHO checklist to completion of the case. Consultants underwent the scenario initially, then ran the simulation at each change of junior doctors with endoscopy staff. During the simulation, the patient developed respiratory failure. It examined skills such as identification of the deteriorating patient, decision to stop the procedure, resuscitation including use of oxygen and bag valve mask and reversal agents. After each simulation, debriefing was performed and written feedback gained. Results: 8 consultants, 9 trainees and 8 nurses took part. 82% said they have changed practice as a result. Several noted the importance of a specific patient focussed initial team brief, including discussion of when the procedure should be aborted. Some nurses had noticed the deteriorating patient but commented on the observations without actually saying “stop”. Discussion: Simulation allows staff to practise how to manage emergencies in a safe environment. The sessions highlighted the importance of a patient specific team brief and it reinforced that all staff should be able to suggest stopping the procedure. A simulation scenario is now run in the first bronchoscopy session when trainees start at our hospital. Bronchoscopy simulation is useful not only in teaching learners how to do the procedure, but can also teach teams how to cope when emergencies occur.
{"title":"Can bronchoscopy be made safer through team-based Simulation?","authors":"J. Tonkin, Y. Ong","doi":"10.1183/13993003.CONGRESS-2018.PA3138","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.PA3138","url":null,"abstract":"Introduction: Fibreoptic bronchoscopy is performed in a variety of patients. Potential complications include respiratory failure and bleeding. We looked at whether team-based simulation could improve the management of these complications. Methods: Five sessions were run every 6 months in the endoscopy unit using a mannequin with a bronchial tree. The scenario started from the WHO checklist to completion of the case. Consultants underwent the scenario initially, then ran the simulation at each change of junior doctors with endoscopy staff. During the simulation, the patient developed respiratory failure. It examined skills such as identification of the deteriorating patient, decision to stop the procedure, resuscitation including use of oxygen and bag valve mask and reversal agents. After each simulation, debriefing was performed and written feedback gained. Results: 8 consultants, 9 trainees and 8 nurses took part. 82% said they have changed practice as a result. Several noted the importance of a specific patient focussed initial team brief, including discussion of when the procedure should be aborted. Some nurses had noticed the deteriorating patient but commented on the observations without actually saying “stop”. Discussion: Simulation allows staff to practise how to manage emergencies in a safe environment. The sessions highlighted the importance of a patient specific team brief and it reinforced that all staff should be able to suggest stopping the procedure. A simulation scenario is now run in the first bronchoscopy session when trainees start at our hospital. Bronchoscopy simulation is useful not only in teaching learners how to do the procedure, but can also teach teams how to cope when emergencies occur.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123944652","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 : 2018-09-15DOI: 10.1183/13993003.CONGRESS-2018.OA1644
C. Katzer, V. Wileman, A. Chan, Stephanie J. C. Taylor, R. Horne
ICS nonadherence contributes to poor asthma control. Perceptions of asthma and ICS are important determinants, particularly doubts about ICS-necessity (N) and concerns (C) about harm. Our intervention, the Balance Model (BM), communicates a common-sense rationale for ICS-N and addresses C using health psychology theory. We examined its effect on ICS-beliefs and adherence in people without asthma (asthma-naive, a proxy for newly-diagnosed patients) and with asthma. We randomised 503 adults reporting asthma and 388 asthma-naive to: Control (NHS-information) vs BM-text vs BM-video. N-C medication beliefs, adherence and intentions were assessed post-intervention and follow-up (2wk). Asthma-naive: BM-video participants reported higher N (F(2,252)=7.1, p=.001) and lower C (F(2,252)=9.6, p Asthma: Medication beliefs group differences were non-significant, but N increased in BM-video participants post intervention (t(150)=-2.54, p=0.012) and follow-up. In the BM-text group C decreased (t(151)=2.19, p=0.029) post intervention only. The BM-text group reported higher adherence at follow-up than controls (t(230)=-2.42, p=0.016). The BM, especially as a video, could help newly-diagnosed people develop a medically accurate, common-sense understanding of asthma and ICS motivating adherence. In the asthma group the BM changed ICS-beliefs and reported adherence but the effects were smaller, equivalent to NHS-information, likely due to fixed beliefs based on experience, requiring more intensive, personalised approaches.
{"title":"Reframing asthma and inhaled corticosteroids (ICS) to modify treatment beliefs: an online randomised controlled trial","authors":"C. Katzer, V. Wileman, A. Chan, Stephanie J. C. Taylor, R. Horne","doi":"10.1183/13993003.CONGRESS-2018.OA1644","DOIUrl":"https://doi.org/10.1183/13993003.CONGRESS-2018.OA1644","url":null,"abstract":"ICS nonadherence contributes to poor asthma control. Perceptions of asthma and ICS are important determinants, particularly doubts about ICS-necessity (N) and concerns (C) about harm. Our intervention, the Balance Model (BM), communicates a common-sense rationale for ICS-N and addresses C using health psychology theory. We examined its effect on ICS-beliefs and adherence in people without asthma (asthma-naive, a proxy for newly-diagnosed patients) and with asthma. We randomised 503 adults reporting asthma and 388 asthma-naive to: Control (NHS-information) vs BM-text vs BM-video. N-C medication beliefs, adherence and intentions were assessed post-intervention and follow-up (2wk). Asthma-naive: BM-video participants reported higher N (F(2,252)=7.1, p=.001) and lower C (F(2,252)=9.6, p Asthma: Medication beliefs group differences were non-significant, but N increased in BM-video participants post intervention (t(150)=-2.54, p=0.012) and follow-up. In the BM-text group C decreased (t(151)=2.19, p=0.029) post intervention only. The BM-text group reported higher adherence at follow-up than controls (t(230)=-2.42, p=0.016). The BM, especially as a video, could help newly-diagnosed people develop a medically accurate, common-sense understanding of asthma and ICS motivating adherence. In the asthma group the BM changed ICS-beliefs and reported adherence but the effects were smaller, equivalent to NHS-information, likely due to fixed beliefs based on experience, requiring more intensive, personalised approaches.","PeriodicalId":228043,"journal":{"name":"Medical education, web and internet","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124037567","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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