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Author: Joey El Khoury
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Objectif : Evaluer l'effet d'une formation clinique en pédiatrie sur l'approche des étudiants de médecine générale. Méthodes : Une étude de cohorte a été menée dans notre centre hospitalier universitaire "Notre Dame des secours". Tous les étudiants de 6ème année (27) ont reçu une formation clinique portant sur l'approche des patients en pédiatrie et l'examen physique pédiatrique. Les étudiants ont rempli un questionnaire dirigé sur les différentes aptitudes d'examen physique pédiatrique. Le même questionnaire a été rempli par les mêmes étudiants en médecine à la fin de leur rotation en pédiatrie. Le groupe contrôle étant un autre groupe d'étudiants n'ayant pas bénéficié d'une formation supplémentaire avant le stage (29) et qui ont rempli le même questionnaire en fin de leur rotation en pédiatrie. Résultats : En comparant les deux groupes, 19,6% et 39,3% des étudiants en 6ème année de médecine du groupe d'intervention ont ressenti que "si un enfant pleure, c'est de leur faute" (p = 0.023) et que "la mère de l'enfant a toujours raison jusqu'à preuve du contraire" (p =0.000) respectivement vs 7,1% et 14,3% dans le groupe des contrôles. En ce qui concerne le confort de l'enfant, le groupe d'intervention a appris que "si l'enfant est chatouilleux, ses propres mains peuvent être utilisées pour palper son abdomen" (p = 0.000). Les étudiants du groupe d'intervention ont appris que "l'utilisation des robes hospitalières" et "l'explication de toutes les étapes de l'examen physique à l'enfant" peut être un bon premier contact (p=0007). En outre, "laisser l'enfant en sous-vêtements" ou "demander aux parents de quitter la salle" (p=0,025) peut optimiser l'intimité. Les étudiants peuvent aussi observer "leur marche et leur état musculosquelettique" en cas de non-coopération (p=0.030), et enfin "laisser l'enfant jouer avec les outils médicaux" peut aider à gagner leur confiance (p=0,003). Conclusion : Nous concluons que notre formation clinique supplémentaire a amélioré certains aspects de l'examen physique pédiatrique. Une étude à une plus grande échelle devrait être menée pour mieux évaluer l'avantage de l'application d'un tel changement dans le cursus de l'internat.
Author: Joey El Khoury
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
Objectif : Evaluer l'effet d'une formation clinique en pédiatrie sur l'approche des étudiants de médecine générale. Méthodes : Une étude de cohorte a été menée dans notre centre hospitalier universitaire "Notre Dame des secours". Tous les étudiants de 6ème année (27) ont reçu une formation clinique portant sur l'approche des patients en pédiatrie et l'examen physique pédiatrique. Les étudiants ont rempli un questionnaire dirigé sur les différentes aptitudes d'examen physique pédiatrique. Le même questionnaire a été rempli par les mêmes étudiants en médecine à la fin de leur rotation en pédiatrie. Le groupe contrôle étant un autre groupe d'étudiants n'ayant pas bénéficié d'une formation supplémentaire avant le stage (29) et qui ont rempli le même questionnaire en fin de leur rotation en pédiatrie. Résultats : En comparant les deux groupes, 19,6% et 39,3% des étudiants en 6ème année de médecine du groupe d'intervention ont ressenti que "si un enfant pleure, c'est de leur faute" (p = 0.023) et que "la mère de l'enfant a toujours raison jusqu'à preuve du contraire" (p =0.000) respectivement vs 7,1% et 14,3% dans le groupe des contrôles. En ce qui concerne le confort de l'enfant, le groupe d'intervention a appris que "si l'enfant est chatouilleux, ses propres mains peuvent être utilisées pour palper son abdomen" (p = 0.000). Les étudiants du groupe d'intervention ont appris que "l'utilisation des robes hospitalières" et "l'explication de toutes les étapes de l'examen physique à l'enfant" peut être un bon premier contact (p=0007). En outre, "laisser l'enfant en sous-vêtements" ou "demander aux parents de quitter la salle" (p=0,025) peut optimiser l'intimité. Les étudiants peuvent aussi observer "leur marche et leur état musculosquelettique" en cas de non-coopération (p=0.030), et enfin "laisser l'enfant jouer avec les outils médicaux" peut aider à gagner leur confiance (p=0,003). Conclusion : Nous concluons que notre formation clinique supplémentaire a amélioré certains aspects de l'examen physique pédiatrique. Une étude à une plus grande échelle devrait être menée pour mieux évaluer l'avantage de l'application d'un tel changement dans le cursus de l'internat.
Author: Denis Oriot
Publisher: Springer
ISBN: 3319598821
Category : Education
Languages : en
Pages : 117
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This book is a concise manual on debriefing techniques in a clinical educational context. It presents the most popular debriefing techniques and, hence, can be used as a reference manual by educators to help them achieve their intended debriefing objectives. The overarching objective of debriefing is to promote reflection and improve patient safety awareness at an individual and a team level. This book provides clear explanations of what constitutes a valuable and effective debriefing, and presents the various approaches that can be used and how debriefing differs from feedback. It includes key recommendations on aspects that directly or indirectly impact debriefing with different populations of learners such as students or qualified healthcare professionals of various levels of seniority. This book can also be used as a survival guide for both simulation educators and clinicians during debriefings. It includes several useful sections explaining the different phases of a debriefing session, which help learners develop and consolidate their knowledge, and identify potential knowledge or performance gaps and near misses. The underlying philosophy of this book is to also promote profound respect for the trainee by using a non-offensive debriefing approach. Debriefing facilitators will appreciate the several key sentences that will help them lead and engage their learners in the various phases of expressing their emotions and analyzing their experience and actions.
Author: David HouŽto
Publisher: Lulu.com
ISBN: 1291761152
Category : Reference
Languages : fr
Pages : 327
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Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.
Author:
Publisher:
ISBN:
Category : Medicine
Languages : fr
Pages : 864
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Author: Laurence J. Kirmayer
Publisher: Springer Science & Business Media
ISBN: 1461476151
Category : Psychology
Languages : en
Pages : 365
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Book Description
Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.
Author: P. Wenzel Geissler
Publisher: Berghahn Books
ISBN: 085745093X
Category : Social Science
Languages : en
Pages : 508
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Book Description
Medical research has been central to biomedicine in Africa for over a century, and Africa, along with other tropical areas, has been crucial to the development of medical science. At present, study populations in Africa participate in an increasing number of medical research projects and clinical trials, run by both public institutions and private companies. Global debates about the politics and ethics of this research are growing and local concerns are prompting calls for social studies of the “trial communities” produced by this scientific work. Drawing on rich, ethnographic and historiographic material, this volume represents the emergent field of anthropological inquiry that links Africanist ethnography to recent concerns with science, the state, and the culture of late capitalism in Africa.
Author: Neil L. Schechter
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781726443
Category : Medical
Languages : en
Pages : 924
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Book Description
This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.
Author: Marie-Pascale Pomey
Publisher: Springer Nature
ISBN: 3030141012
Category : Medical
Languages : en
Pages : 317
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Book Description
Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318
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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Author: Harry Vincent Wann
Publisher:
ISBN:
Category : French language
Languages : en
Pages : 220
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