Recent observations suggest that many physicians do not consider the bedside cardiac examination as a valuable tool in patient care. Internists, hospitalists, emergency department physicians, cardiologists, physician assistants, and nurse practitioners were interviewed to ascertain their current practice in completing the cardiac examination. In addition, we surveyed patients in a cardiology pr...

OBJECTIVES The aim of curriculum reform in medical education is to improve students' clinical and communication skills. However, there are contradicting results regarding the effectiveness of such reforms. METHODS A study of internal medicine students was carried out using a static group design. The experimental group consisted of 77 students participating in 7 sessions of communication train...

In Germany, medical students need six years before they are allowed to work as medical doctors or before they begin their specialist training. The first two years are mostly devoted to basic training (e.g. anatomy, biochemistry, physiology). During the clinical years, only a limited time is devoted to psychiatry. In a compulsory psychiatry course, students learn the basics of diagnosis and ther...

The 2020 COVID-19 pandemic has severely disrupted paediatric undergraduate bedside clinical training. Facing an uncertain future, we need to be able adapt the variable effects of on During severe conditions, no training is possible, while limited possible during less conditions. We propose a learning and teaching model for beyond facilitate in order maximise students’ acquisition competencies.

Introduction: Advances in sensor technology afford innovative approaches to reducing falls in acute hospital care, however its clinical and cost-effectiveness has not been evaluated in a RCT. Method: Pragmatic, parallel-arm, randomised controlled trial of bed and bedside chair pressure sensors (intervention group) compared to standard care (control group) to reduce inpatient falls in high risk ...

BACKGROUND During haemodialysis, anticoagulants are required to prevent clotting in the extracorporeal circuit. Low-molecular weight heparins (LMWH) are frequently used because of the ease of a single injection at the start of dialysis. Disadvantages of LMWH include the lack of a reliable bedside assay for measuring their anticoagulant effect. METHODS We investigated a bedside test for LMWH a...

BACKGROUND Being exposed to good teachers has been shown to enhance students' knowledge and their clinical performance, but little is known about the underlying psychological mechanisms that provide the basis for being an excellent medical teacher. Self-Determination Theory (SDT) postulates that more self-regulated types of motivation are associated with higher performance. Social Cognitive The...

introduction : although many protocols are available in the field of the prehospital medical care (pmc), there is still a notable gap between protocol based directions and applied clinical practice. this study measures the rate of protocol adherence in pmc provided for patients with chest pain and loss of consciousness (loc). method : in this cross-sectional study, 10 educated research assistan...

background and purpose: inserting a nasogastric tube, though a common clinical procedure with widespread use for critically ill patients, can produce unexpected complications so that tube misplacement into the lungs is a potential complication with serious consequences. the reliability of common bedside methods to differentiate between pulmonary and gastric placement has not been acceptable. th...