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Medical competence is a hot topic surrounded by much controversy about how to define competency, how to teach it, and how to measure it. While some debate the pros and cons of competence-based medical education and others explain how to achieve various competencies, the authors of the seven chapters in The Question of Competence offer something very different. They critique the very notion of competence itself and attend to how it has shaped what we pay attention to-and what we ignore-in the education and assessment of medical trainees. Two leading figures in the field of medical education, Brian D. Hodges and Lorelei Lingard, draw together colleagues from the United States, Canada, and the Netherlands to explore competency from different perspectives, in order to spark thoughtful discussion and debate on the subject. The critical analyses included in the book's chapters cover the role of emotion, the implications of teamwork, interprofessional frameworks, the construction of expertise, new directions for assessment, models of self-regulation, and the concept of mindful practice. The authors juxtapose the idea of competence with other highly valued ideas in medical education such as emotion, cognition and teamwork, drawing new insights about their intersections and implications for one another.
Clinical competence. --- Competency-based education. --- Medical education. --- Medical personnel --- Competency training --- OBE (Education) --- Outcome-based education --- Outcomes-based education --- Performance-based education --- Clinical skills --- Competence, Clinical --- Skills, Clinical --- Education --- Professional education --- Medical care
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One way to significantly improve the delivery of health care is to teach the health professionals who provide care to work together, to communicate with each other across professional boundaries, and to start to think and act like a team that has the patient at its center. The team-based care movement is at the heart of major changes in medical education and will become an element in the new accreditation standards. Through its Centre for Interprofessional Education, the pioneering approach in this area taken by the University of Toronto has attracted international attention. The role of the Centre for IPE, a formal partnership between the University of Toronto and the Toronto Academic Health Sciences Network, is to create a hub for the university and the many teaching hospitals where all core parties can be actively engaged in redesigning this new model of health care. In Creating the Health Care Team of the Future, Sioban Nelson, Maria Tassone, and Brian D. Hodges give a brief background of the Toronto Model and provide a step-by-step guide to developing an IPE program.
Interprofessional relations --- Health care teams --- Medicine --- Cooperation --- Professions --- Health teams --- Medical care teams --- Patient care teams --- Team work in medicine --- Teamwork in medicine --- Medical cooperation --- Medical personnel --- Health Workforce --- Training of --- Study and teaching (Continuing education)
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How Patients Think At age twenty-one, Chloë Atkins began suffering from a mysterious illness, the symptoms of which rapidly worsened. Paralyzed for months at a time, she frequently required intubation and life support. She eventually became quadriplegic, dependent both on a wheelchair and on health professionals who refused to believe there was anything physically wrong with her. When test after test returned inconclusive results, Atkins's doctors pronounced her symptoms psychosomatic. Atkins was told not only that she was going to die but also that this was her own fault; they concluded she was so emotionally deranged that she was willing her own death. My Imaginary Illness is the compelling story of Atkins's decades-long battle with a disease deemed imaginary, her frustration with a succession of doctors and diagnoses, her immersion in the world of psychotherapy, and her excruciating physical and emotional journey back to wellness. As both a political theorist and patient, Atkins provides a narrative critique of contemporary medicine and its problematic handling of uncertainty and of symptoms that are not easily diagnosed or known. She convincingly illustrates that medicine's belief in evidence-based practice does not mean that individual doctors are capable of objectivity, nor that the presence of biomedical ethics invokes ethical practices in hospitals and clinics. A foreword by Bonnie Blair O'Connor, who teaches medical students how to listen to patients, and a clinical commentary by Dr. Brian David Hodges, a professor of psychiatry, enrich the book's narrative with practical guidance for medical practitioners and patients alike.
Somatoform Disorders --- Diagnostic Errors --- Myasthenia Gravis --- Diagnosis --- Somatization disorder --- Myasthenia gravis --- Neuromuscular diseases --- Misdiagnosis --- Medical errors --- Disorders, Somatoform --- Functional somatic symptoms --- Somatic symptoms, Functional --- Psychology, Pathological --- Diseases --- Examinations, Medical (Diagnosis) --- Medical diagnosis --- Medical examinations (Diagnosis) --- Medical tests (Diagnosis) --- Clinical medicine --- Prognosis --- Symptoms --- Briquet's syndrome --- Somatization --- Somatoform disorders --- psychology --- diagnosis --- Social aspects. --- Diagnosis. --- Errors --- Testing --- Somatic symptom disorder
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"New technologies are transforming healthcare work and changing how patients interact with healthcare providers. As artificial intelligence systems, robotics, and data analytics become more sophisticated, some clinical tasks will become obsolete and others will be reconfigured. While it is not possible to predict these developments precisely, it is important to understand their inevitability and to prepare for the changes that lie ahead. Without Compassion, There Is No Healthcare argues that compassion must be upheld as the bedrock and guiding purpose of healthcare work. Emerging technologies have the potential to subvert this purpose but also to enable and expand it, creating new conduits for compassionate care. Cultivating these benefits and guarding against potential threats will require vigilance and determination from healthcare providers, educators, leaders, patients, and advocates. The contributors to this book show the way forward, bringing a diverse range of expertise to confront these challenges. Avoiding platitudes and simple dichotomies, they examine what compassion in healthcare means and how it can be practised, now and in the uncertain future. Without Compassion, There Is No Healthcare is a call to action. Drawing together a decade of evidence and insight generated by a community of leading scholars and practitioners committed to promoting compassionate care, it offers steady principles and practices to steer the way through times of technological change."--
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"The Fifth Edition of the highly praised Practical Guide for Medical Teachers provides a bridge between the theoretical aspects of medical education and the delivery of enthusiastic and effective teaching in basic science and clinical medicine. Healthcare professionals are committed teachers and this book is an essential guide to help them maximise their performance. This highly regarded book recognises the importance of educational skills in the delivery of quality teaching in medicine. The contents offer valuable insights into all important aspects of medical education today. A leading educationalist from the USA joins the book's editorial team. The continual emergence of new topics is recognised in this new edition with nine new chapters: The role of patients as teachers and assessors; Medical humanities; Decision-making; Alternative medicine; Global awareness; Education at a time of ubiquitous information; Programmative assessment; Student engagement; and Social accountability. An enlarged group of authors from more than 15 countries provides both an international perspective and a multi-professional approach to topics of interest to all healthcare teachers. -- Publisher.
Médecine --- Enseignement médical. --- Professeurs de médecine. --- Medicine --- Medical teaching personnel --- Education, Medical. --- Étude et enseignement. --- Study and teaching --- Medical students --- Medical education --- Education, Medical --- Teaching --- Academic Training --- Educational Technics --- Educational Techniques --- Pedagogy --- Teaching Methods --- Technics, Educational --- Techniques, Educational --- Training Activities --- Training Technics --- Training Techniques --- Activities, Training --- Educational Technic --- Educational Technique --- Method, Teaching --- Methods, Teaching --- Pedagogies --- Teaching Method --- Technic, Educational --- Technic, Training --- Technics, Training --- Technique, Educational --- Technique, Training --- Techniques, Training --- Training Activity --- Training Technic --- Training Technique --- Training, Academic --- Education --- Medical personnel --- Professional education --- Health occupations students --- Health Workforce --- Training of --- methods --- Activity, Training --- Médecine --- Enseignement médical. --- Professeurs de médecine. --- Étude et enseignement.
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