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References 1 Knowles M Self Directed Learning Chicago Follett; 1975 2 Kolb DA Experiential Learning Experience as the Source of Learning and Development Upper Saddle River, NJ Prentice Hall; 1984 3 In[.]

e1 References Knowles M Self-Directed Learning Chicago: Follett; 1975 Kolb DA Experiential Learning: Experience as the Source of Learning and Development Upper Saddle River, NJ: Prentice-Hall; 1984 Institute for Healthcare Improvement Plan-Do-Study-Act Worksheet Available at: http://www.ihi.org/resources/Pages/Tools/ PlanDoStudyActWorksheet.aspx Dreyfus SE, Dreyfus HL A five stage model of the mental activities involved in direct skill acquisition (Air Force Office of Scientific Research under contract F49620-79-C-0063), Berkeley, CA: University of California; 1980 Available at: https://apps.dtic.mil/dtic/tr/ fulltext/u2/a084551.pdf Carraccio CL, Benson BJ, Nixon LJ, Derstine PL From the educational bench to the clinical bedside: translating the dreyfus developmental model to the learning of clinical skills Acad Med 2008;83: 761-767 O’Brien G What are the principles of adult learning? Available at: www.southernhealth.org.au/meu/articles/adult-learning.htm Collins J Education techniques for lifelong learning principles of adult learning Radiographics 2004;24(5):1483-1489 Zemke R, Zemke S 30 things we know for sure about adult learning Innovation Abstracts VI (8), March 9, 1984 Available at: http://www.muskegoncc.edu/include/CTL%20DOCS/XXIX_No4.pdf Mazmanian P, Davis D Continuing medical education and the physician as a learner: guide to the evidence JAMA 2002;288(9): 1057-1060 10 Accreditation Council for Graduate Medical Education Common Program Requirements: General Competencies Available at: http:// www.acgme.org/outcome/comp/GeneralCompetenciesStandards21307.pdf 11 Accreditation Council for Graduate Medical Education Common Program Requirements (Fellowship) Available at: https://www.acgme org/Portals/0/PFAssets/ProgramRequirements/CPRFellowship2019.pdf 12 Dormon T, Angood PB, Angus DC, et al Guidelines for critical care medicine training and continuing medical education Crit Care Med 2004;32(1):263-272 13 Nasca TJ, Day SH, Amis Jr ES ACGME Duty Hour Task Force The new recommendations on duty hours from the ACGME Task Force N Engl J Med 2010 8;363(2):2e3 14 Asch DA, Parker RM The libby zion case N Engl J Med 1988;318: 771-775 15 Ulmer C, Wolman DM, Johns MME, eds Resident Duty Hours: Enhancing Sleep, Supervision, and Safety Washington, DC: National Academies Press; 2009 16 Starmer AJ, Spector ND, Srivastava R, et al Changes in medical errors after implementation of a handoff program N Engl J Med 2014;371:1803-1812 17 Bilmoria KY, Chung JW, Hedges LV, et al National cluster-randomized trial of duty-hour flexibility in surgical training N Engl J Med 2016 25;374(8):713-727 18 Silber JH, Bellini LM, Shea JA, et al Patient safety outcomes under flexible and standard resident duty-hour rules N Engl J Med March 7, 2019;380(10):905-914 19 Accreditation Council for Graduate Medical Education Common Program Requirements Available at: http://www.acgme.org/Portals/ 0/PDFs/Nasca-Community/Section-VI-Memo-3-10-17 pdf?ver52017-03-10-083926-603 20 Lurie S, Mooney C, Lyness J Measurement of the general competencies of the Accreditation Council for Graduate Medical Education: a systematic review Acad Med 2009;84(3):301-309 21 Nasca TJ, Philibert I, Brigham T, Flynn TC The next graduate medical education accreditation system – rationale and benefits N Engl J Med 2012;366(11):1051-1056 22 Ten Cate O Entrustability of professional activities and competency-based training Med Educ 2005;39:1176-1177 23 Ten Cate O, Hart D, Ankel F, et al Entrustment Decision Making in Clinical Training Acad Med 2016;91(2):191-198 24 American Board of Pediatrics, entrustable professional activities for subspecialties Available at: www.abp.org/subspecialty-epas 25 Mink RB, Schwartz A, Herman BE, et al Validity of level of supervision scales for assessing pediatric fellows on common pediatric subspecialty entrustable professional activities Acad Med 2018; 93(2):283-291 26 Carraccio C, Englander R, Gilhooly J, et al Building a framework of entrustable professional activities, supported by competencies and milestones to bridge the educational continuum Acad Med 2017; 92(3):324-330 27 McCann L, Naden G, Child S Doctors as teacher: what they think? N Z Med J 2009;122(1292):16-22 28 d’Apollonia S, Abrami PC Navigating student ratings of instruction Am Psychol 1997;52(11):1198-1208 29 Wilkerson L, Irby DM Strategies for improving teaching practices: a comprehensive approach to faculty development Acad Med 1998;73(4):387-396 30 Srinivasan M, Li ST, Meyers FJ, et al “Teaching as competency”: competencies for medical educators Acad Med 2011;86(10):12111220 31 Turner DA, Narayan AP, Whicker SA, Bookman J, McGann KA Do pediatric residents prefer interactive learning? Educational challenges in the duty hours era Med Teach 2011;33(6):494-496 32 Armstrong E & Parsa-Parsi R How can physicians’ learning styles drive educational planning? Acad Med 2005;80(7):680-684 33 Vaughn L, Baker R Do different pairings of teaching styles and learning styles make a difference? Preceptor and resident perceptions Teach Learn Med 2008;20(3):239-247 34 Rehder KJ, Cheifetz IM, Willson DF, Turner DA Pediatric Acute Lung Injury and Sepsis Investigators Network Perceptions of 24/7 in-hospital intensivist coverage on pediatric housestaff education Pediatrics 2014;133(1):88-95 35 Mazmanian P, Davis D Continuing medical education effect on clinical outcomes: effectiveness of continuing medical education: American College of Chest Physicians evidence-based education guidelines Chest 2009;135(3):549-555 36 Tainter CR, Wong NL, Bittner EA Innovative strategies in critical care education J Crit Care 2015;30(3):550-556 37 Chud gar SM, Cox CE, Que LG, et al Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the Intensive Care Unit? Crit Care Med 2009;37(1):49-60 38 Clay A, Que L, Petrusa E, et al Debriefing in the intensive care unit: a feedback tool to facilitate bedside teaching Crit Care Med 2007;35(3):738-754 39 Turner DA, Mink RB, Lee KJ, et al Education in Pediatric Intensive Care (EPIC) Investigators Are pediatric critical care medicine fellowships teaching and evaluating communication and professionalism? Pediatr Crit Care Med 2013;14(5):454-461 40 Reichsman F, Browning FE, Hinshaw JR Observations of undergraduate clinical teaching in action J Med Educ 1964;39:147-163 41 Collins GF, Cassie JM, Daggett CJ The role of the attending physician in clinical training J Med Educ 1979;53:429-431 42 ACGME Program Requirements for Graduate Medical Education in Pediatric Critical Care Medicine Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/323_PediatricCricitalCareMedicine_2019_TCC.pdf?ver52019-02-19141955-183 43 The American Board of Pediatrics Content Outline Pediatric Critical Care Medicine Subspecialty In-Training, Certification, and Maintenance of Certification (MOC) Examinations Available at: https:// www.abp.org/sites/abp/files/pdf/critical_care_content_outline.pdf 44 Guidelines for advanced training for physicians in critical care American College of Critical Care Medicine of the Society of Critical Care Medicine Crit Care Med 1997;25:1601-1607 e2 45 Engorn BM, Newth CJL, Klein MJ, et al Declining procedures by pediatric critical care medicine fellowship trainees Front Pediatr 2018;6:365 46 Gaba DM The future vision of simulation in health care Qual Saf Health Care 2004;13 (suppl 1):i2-10 47 Rosen KR The history of medical simulation J Crit Care 2008; 23:157-166 48 McBride ME, Beke DM, Fortenberry JD, et al Education and training in pediatric cardiac critical care World J Pediatr Congenit Heart Surg 2017;8(6):707-714 49 Rudolph JW, Simon R, Raemer DB, Eppich WJ Debriefing as formative assessment: closing performance gaps in medical education Acad Emerg Med 2008;15:1010-1016 50 Fanning RM, Gaba DM The role of debriefing in simulation-based learning Simulation in healthcare J Soc Simul Healthcare 2007; 2:115-125 51 Savoldelli GL, Naik VN, Park J, Joo HS, Chow R, Hamstra SJ Value of debriefing during simulated crisis management: oral versus video-assisted oral feedback Anesthesiol 2006;105:279-285 52 Cheng A, Hunt EA, Donoghue A, et al Examining pediatric resuscitation education using simulation and scripted debriefing: a multicenter randomized trial JAMA Pediatrics 2013;167:528-536 53 Cook DA, Hatala R, Brydges R, et al Technology-enhanced simulation for health professions education: a systematic review and metaanalysis JAMA 2011;306:978-988 54 Ottestad E, Boulet JR, Lighthall GK Evaluating the management of septic shock using patient simulation Crit Care Med 2007;35:769-775 55 Kim J, Neilipovitz D, Cardinal P, Chiu M, Clinch J A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: The University of Ottawa critical care medicine, high-fidelity simulation, and crisis resource management I study Crit Care Med 2006;34:2167-2174 56 Blackwood J, Duff JP, Nettel-Aguirre A, Djogovic D, Joynt C Does teaching crisis resource management skills improve resuscitation performance in pediatric residents? Pediatr Crit Care Med 2014;15: e168-e174 57 van Schaik SM, Von Kohorn I, O’Sullivan P Pediatric resident confidence in resuscitation skills relates to mock code experience Clin Pediatr 2008;47:777-783 58 McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence Acad Med 2011;86:706-711 59 Johnson EM, Hamilton MF, Watson RS, et al An intensive, simulation-based communication course for Pediatric Critical Care Medicine Fellows Pediatr Crit Care Med 2017;18(8)e348-e355 60 Bateman LB, Tofil NM, White ML, et al Physician communication in pediatric end-of-life care: a simulation study Am J Hosp Palliat Care 2016;33(10):935-941 61 Wheeler DS, Geis G, Mack EH, LeMaster T, Patterson MD Highreliability emergency response teams in the hospital: improving quality and safety using in situ simulation training BMJ Qual Saf 2013;22:507-514 62 Weinstock PH, Kappus LJ, Garden A, Burns JP Simulation at the point of care: reduced-cost, in situ training via a mobile cart Pediatr Crit Care Med 2009;10:176-181 63 Gilfoyle E, Koot DA, Annear JC Improved clinical performance and teamwork of pediatric interprofessional resuscitation team with a simulation-based educational intervention Pediatr Crit Care Med 2017;18(2):e62-e69 64 Di Nardo M, David P, Stoppa F, et al The introduction of a highfidelity simulation program for training pediatric critical care personnel reduces the time to manage extracorporeal membrane oxygenation emergencies and improves teamwork J Thorac Dis 2018; 10(6):3409-3417 65 Howard SK, Gaba DM, Fish KJ, Yang G, Sarnquist FH Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents Aviation Space Environ Med 1992;63:763-770 66 Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations Pediatrics 2010;125:539-546 67 Allan CK, Thiagarajan RR, Beke D, et al Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams J Thor Cardiov Surg 2010;140:646-652 68 Nishisaki A, Nguyen J, Colborn S, et al Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit Pediatr Crit Care Med 2011;12:406-414 69 Accreditation Council for Continuing Medical Education Available at: http://www.accme.org/ 70 Oregon Medical Board Available at: http://www.oregon.gov/omb/ Pages/index.aspx 71 Davis DA, Mazmanian PE, Fordis M, et al Accuracy of physician self-assessment compared with observed measures of competence: a systematic review JAMA 2006;296:1094-1102 72 The American Board of Pediatrics https://www.abp.org 73 Pelgrim EAM, et al Quality of written narrative feedback and reflection in a modified mini-clinical evaluation exercise: an observational study BMC Med Educ 2012;12:97 74 SS Barnes, Kaul V, Kudchadkar SR Social media engagement and the critical care medicine community J Intensive Care Med 2018 e3 Abstract: Pediatric critical care medicine is a discipline dedicated to the care of the critically ill child, focusing on the sick child as a whole and including the impact of disease on all organ systems Becoming a master in our specialty hinges on lifelong learning, which is best accomplished using adult learning principles The mature clinician reflects on one’s daily medical experiences to place them in a larger context of previous encounters and critically evaluates one’s own performance, acknowledging both effective and ineffective aspects of patient care Key Words: adult learning, graduate medical education, maintenance of certification, continuing medical education SECTION II Pediatric Critical Care: Tools and Procedures 11 Essential Concepts in Clinical Trial Design and Statistical Analysis 76 12 Prediction of Short-Term Outcomes During Critical Illness in Children 82 13 Pediatric Critical Care Transport 89     14 Pediatric Vascular Access and Centeses 94 15 Ultrasonography in the Pediatric Intensive Care Unit  114   75 ... lifelong learning principles of adult learning Radiographics 2004;24(5):1483-1489 Zemke R, Zemke S 30 things we know for sure about adult learning Innovation Abstracts VI (8), March 9, 1984 Available... continuum Acad Med 2017; 92(3):324-330 27 McCann L, Naden G, Child S Doctors as teacher: what they think? N Z Med J 2009;122(1292):16-22 28 d’Apollonia S, Abrami PC Navigating student ratings of... program for interns: teamwork and quality of resuscitations Pediatrics 2010;125:539-546 67 Allan CK, Thiagarajan RR, Beke D, et al Simulation-based training delivered directly to the pediatric cardiac

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