1000 resultados para General Osorio
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The Swiss postgraduate training program in general internal medicine is now designed as a competency-based curriculum. In other words, by the end of their training, the residents should demonstrate a set of predefined competences. Many of those competences have to be learnt in outpatient settings. Thus, the primary care physicians have more than ever an important role to play in educating tomorrows doctors. A competency-based model of training requires a regular assessment of the residents. The mini-CEX (mini-Clinical Evaluation eXercise) is the assessment tool proposed by the Swiss institute for postgraduate and continuing education. The mini-CEX is based on the direct observation of the trainees performing a specific task, as well as on the ensuing feedback. This article aims at introducing our colleagues in charge of residents to the mini-CEX, which is a useful tool promoting the culture of feedback in medical education.
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INTRODUCTION: Delirium is a highly prevalent disorder, with serious consequences for the hospitalised patient. Nevertheless, it remains under-diagnosed and under-treated. We developed evidence-based clinical practice guidelines (CPGs) focusing on prevention, screening, diagnosis, and treatment of delirium in a general hospital. This article presents the implementation process of these CPGs and a before-after study assessing their impact on healthcare professionals' knowledge and on clinical practice. METHODS: CPGs on delirium were first implemented in two wards (Neurology and Neurosurgery) of the Lausanne university hospital. Interactive one-hour educational sessions for small groups of nurses and physicians were organised. Participants received a summary of the guidelines and completed a multiple choice questionnaire, assessing putative changes in knowledge, before and three months after the educational session. Other indicators such as "diagnosis of delirium" reported in the discharge letters, and mean duration of patients' hospital stay before and after implementation were compared. RESULTS: Eighty percent of the nurses and physicians from the Neurology and Neurosurgery wards attended the educational sessions. Both nurses and physicians significantly improved their knowledge after the implementation (+9 percentage-points). Other indicators were not modified by the intervention. CONCLUSION: A single interactive intervention improved both nurses' and physicians' knowledge on delirium. Sustained and repeated interventions are probably needed to demonstrate changes in clinical practice.
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A transcript of the Condition of the State of Iowa speech by Governor Larrabee delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Shaw delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Cummins delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Cummins delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Kendall delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Hammill delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Turner delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Herring delivered at the State Capitol.
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A transcript of the Condition of the State of Iowa speech by Governor Herring delivered at the State Capitol.
