Minimal Erythema Dose (MED) Testing

Ultraviolet radiation (UV) therapy is  sometimes used as a treatment for various common skin conditions, including  psoriasis, acne, and eczema. The ...

University of Pennsylvania 

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) defines a "handoff" as a contemporaneous, interactive process of passing patient-specific information from one caregiver to another for the purpose of ensuring the continuity and safety of patient care. The purpose of this study was to conduct a comprehensive investigation on the determinants of an effective handoff management system. Specifically, we sought to address the following null hypotheses: There is no difference before and after implementation of a new, low-cost, low-tech process for surgery patient handoffs in accuracy of information, completeness, clarity of exact time of patient transfer, and number of tasks appropriately handed off.

Simple standardized patient handoff system that increases accuracy and completeness.

La Commission mixte sur l&#39;Accreditation of Healthcare Organizations (JCAHO) d&eacute;finit un &laquo; transfert &raquo; comme un processus interactif contemporain passer d&#39;informations sp&eacute;cifiques &agrave; un patient d&#39;un soignant &agrave; l&#39;autre afin d&#39;assurer la continuit&eacute; et la s&eacute;curit&eacute; des soins aux patients. Le but de cette &eacute;tude &eacute;tait de mener une enqu&ecirc;te compl&egrave;te sur les d&eacute;terminants d&#39;un syst&egrave;me de gestion de transfert de travail efficace. Plus pr&eacute;cis&eacute;ment, nous avons cherch&eacute; &agrave; aborder les hypoth&egrave;ses nulles suivants : il n&#39;y a pas de diff&eacute;rence avant et apr&egrave;s la mise en &oelig;uvre d&#39;un processus nouveau, low-cost, Low-Tech pour les transferts de patients chirurgie dans l&#39;exactitude de l&#39;information, l&#39;exhaustivit&eacute;, clart&eacute; du moment exact du transfert des patients, et le nombre de t&acirc;ches correctement transmis.

Syst&egrave;me simple transfert de patients standardis&eacute;s qui augmente la pr&eacute;cision et l&#39;exhaustivit&eacute;.

La Commissione congiunta sull&#39;accreditamento del Healthcare organizzazioni (JCAHO) definisce un &quot;handoff&quot; come un processo interattivo, contemporaneo di passando informazioni specifiche del paziente da un caregiver a altra allo scopo di garantire la continuit&agrave; e la sicurezza di cura del paziente. Lo scopo di questo studio era quello di condurre un&#39;indagine completa sui determinanti di un sistema di gestione efficace dell&#39;handoff. In particolare, abbiamo cercato di affrontare le seguenti ipotesi null: non non c&#39;&egrave; nessuna differenza prima e dopo l&#39;implementazione di un processo nuovo, low-cost, Low-Tech per consegne paziente chirurgia nell&#39;accuratezza delle informazioni, completezza, chiarezza dell&#39;esatto tempo di trasferimento paziente e numero di attivit&agrave; opportunamente consegnato fuori.

Sistema semplice handoff paziente standardizzato che aumenta la precisione e completezza.

La Comisi&oacute;n conjunta de acreditaci&oacute;n de organizaciones a salud (JCAHO) define un &quot;handoff&quot; como un proceso interactivo, contempor&aacute;neo de transmitir informaci&oacute;n espec&iacute;fica del paciente de un cuidador a otro a fin de asegurar la continuidad y seguridad del cuidado del paciente. El prop&oacute;sito de este estudio fue realizar una investigaci&oacute;n exhaustiva sobre los determinantes de un sistema de gesti&oacute;n de la entrega efectiva. En concreto, buscamos abordar las siguientes hip&oacute;tesis nulas: no hay diferencias antes y despu&eacute;s de la implementaci&oacute;n de un proceso nuevo, bajo costo, baja tecnolog&iacute;a para las entregas paciente de cirug&iacute;a en la exactitud de la informaci&oacute;n, integridad, claridad de tiempo exacto de la transferencia de pacientes, y n&uacute;mero de tareas entregarlos adecuadamente.

Sistema simple entrega paciente estandarizado que aumenta la exactitud e integridad.

With time and cost constraints, implementing an effective, yet efficient, skills curriculum poses significant challenges. Our purpose is to describe a successful curriculum administrative structure that promoted faculty buy-in and accountability, learner responsibility, and acceptable resource usage.

Administrative considerations when implementing ACS/APDS Skills Curriculum.

Avec des contraintes de temps et de co&ucirc;ts, la mise en &oelig;uvre d&#39;un programme de comp&eacute;tences efficaces, mais efficace, pose des d&eacute;fis importants. Notre but est de d&eacute;crire une structure administrative curriculum r&eacute;ussie qui a promu la facult&eacute; de buy-in et reddition de comptes, responsabilit&eacute; de l&#39;apprenant et utilisation des ressources acceptable.

Consid&eacute;rations administratives lors de l&#39;impl&eacute;mentation des programme de comp&eacute;tences de ACS/APDS.

Northwestern Center for Advanced Surgical Education (N-CASE).

Nord-Ouest, Center for Advanced Education chirurgicale (N-CASE).

Centro nord-occidentale per formazione chirurgica avanzata (N-CASE).

Centro Noroeste para la educaci&oacute;n quir&uacute;rgica avanzada (N-CASE).

Laparoscopic common bile duct exploration (LCBDE) is an effective, single-stage treatment for choledocholithiasis. However, LCBDE requires specific cognitive and technical skills, is infrequently performed by residents, and currently lacks suitable training and assessment modalities outside of the operating room. To address this gap in training, a simulator model for transcystic and transcholedochal LCBDE was developed and evaluated.

Development and evaluation of a laparoscopic common bile duct exploration simulator and procedural rating scale.

Exploration laparoscopique du chol&eacute;doque (LCBDE) est un traitement efficace, mono-&eacute;tag&eacute; pour lithiase chol&eacute;docienne. Cependant, LCBDE exige des comp&eacute;tences cognitives et techniques sp&eacute;cifiques, est rarement effectu&eacute;e par les habitants et ne dispose pas actuellement des modalit&eacute;s de formation et d&#39;&eacute;valuation adapt&eacute;es &agrave; l&#39;ext&eacute;rieur de la salle d&#39;op&eacute;ration. Pour combler cette lacune dans la formation, un mod&egrave;le de simulateur pour transcystic et transcholedochal LCBDE a &eacute;t&eacute; con&ccedil;u et &eacute;valu&eacute;.

D&eacute;veloppement et &eacute;valuation d&#39;un simulateur d&#39;exploration laparoscopique du chol&eacute;doque et l&#39;&eacute;chelle de cotation de la proc&eacute;dure.

Esplorazione laparoscopica dotto biliare comune (LCBDE) &egrave; un trattamento efficacia, monostadio per Coledocolitiasi. Tuttavia, LCBDE richiede specifiche competenze tecniche e conoscitive, &egrave; raramente eseguita dai residenti e manca attualmente le modalit&agrave; di formazione e valutazione adatte di fuori della sala operatoria. Per risolvere questa lacuna nella formazione, un modello di simulatore per transcistica e transcholedochal LCBDE &egrave; stato sviluppato e valutato.

Sviluppo e valutazione di un simulatore di esplorazione laparoscopica coledoco e procedurali a scala di valutazione.

Precedenti studi hanno paragonato l&#39;utilit&agrave; dell&#39;insegnamento associates versus formatori manichino per l&#39;apprendimento delle competenze di esame fisico. Po &#39; di lavoro &egrave; stato fatto per valutare l&#39;utilit&agrave; dei formatori manichino prima dell&#39;interazione degli studenti con insegnamento associates.

Uso della simulazione basata su manichino per diminuire l&#39;ansia degli studenti prima di interagire con i soci maschii insegnamento.

Previous studies have compared the usefulness of teaching associates versus mannequin trainers for learning physical exam skills. Little work has been done to assess the usefulness of mannequin trainers prior to students' interaction with teaching associates.

Use of mannequin-based simulation to decrease student anxiety prior to interacting with male teaching associates.

Des &eacute;tudes ant&eacute;rieures ont compar&eacute; l&#39;utilit&eacute; d&#39;enseignement associ&eacute;s par rapport aux formateurs de mannequin pour l&#39;apprentissage des comp&eacute;tences de l&#39;examen physique. Peu de travail a &eacute;t&eacute; fait pour &eacute;valuer l&#39;utilit&eacute; des formateurs mannequin avant interaction &eacute;tudiants avec enseignement associates.

Utilisation de la simulation ax&eacute;e sur le mannequin pour diminuer l&#39;anxi&eacute;t&eacute; d&#39;&eacute;tudiant avant d&#39;interagir avec l&#39;enseignement masculin associates.

Le but de cette &eacute;tude &eacute;tait de comparer les cotes de la facult&eacute; entre direct par rapport aux performances r&eacute;sidents enregistr&eacute;es et des professeurs par rapport aux cotes des entra&icirc;neurs comp&eacute;tences de performances r&eacute;sidents enregistr&eacute;es.

Entra&icirc;neurs de comp&eacute;tences peuvent &ecirc;tre utilis&eacute;s pour &eacute;valuer la performance des r&eacute;sidents dans le laboratoire de comp&eacute;tences ?

Lo scopo di questo studio era di confrontare rating facolt&agrave; tra dal vivo contro video-registrato residente spettacoli e facolt&agrave; versus rating allenatori abilit&agrave; delle video-registrato residente performance.

Gli allenatori delle competenze possono essere utilizzati per valutare il rendimento residente presso il laboratorio di abilit&agrave;?

The purpose of this study was to compare faculty ratings between live versus video-recorded resident performances and faculty versus skills coaches' ratings of video-recorded resident performances.

Can skills coaches be used to assess resident performance in the skills laboratory?

The American Board of Surgery has recently started requiring completion of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) fundamentals of laparoscopic surgery (FLS) program for board certification in general surgery. Although most SAGES Testing Centers utilize nonsurgeons as FLS proctors, the effectiveness of using nonsurgeons as FLS proctors has not been evaluated.

Fundamentals of laparoscopic surgery (FLS) manual skills assessment: surgeon vs nonsurgeon raters.

American Board of Surgery ha recentemente iniziato che richiedono il completamento della societ&agrave; di American gastrointestinale e fondamenti Endoscopic Surgeons (SAGES) di chirurgia laparoscopica (FLS) programma per la certificazione del bordo in generale chirurgia. Anche se la maggior parte dei saggi Testing Centers utilizzano nonsurgeons come Proctor FLS, non &egrave; stata valutata l&#39;efficacia dell&#39;utilizzo di nonsurgeons come FLS Proctor.

Fondamenti di valutazione di abilit&agrave; manuale di chirurgia laparoscopica (FLS): valutatori di chirurgo vs nonsurgeon.

Le Conseil am&eacute;ricain de la chirurgie a r&eacute;cemment commenc&eacute; &agrave; exigeant l&#39;ach&egrave;vement de la soci&eacute;t&eacute; de American Gastrointestinal et fondements Endoscopic Surgeons (SAGES) de chirurgie laparoscopique (FLS) du programme d&#39;accr&eacute;ditation de la Commission en g&eacute;n&eacute;ral chirurgie. Bien que la plupart SAGES Testing Centers utiliser nonsurgeons comme surveillants FLS, l&#39;efficacit&eacute; de l&#39;utilisation des nonsurgeons comme surveillants FLS n&#39;a pas &eacute;t&eacute; &eacute;valu&eacute;e.

Fondements de l&#39;&eacute;valuation des habilet&eacute;s manuelles chirurgie laparoscopique (FLS): cotation de chirurgien vs nonsurgeon.

Thoracoscopic repair of esophageal atresia with tracheoesophageal fistula (EA/TEF) is a technically challenging surgical procedure. This congenital anomaly is rare; therefore, training opportunities for surgical trainees are limited. There are currently no validated simulation tools available to help train pediatric surgery trainees. The simulator that was developed is a low-cost, reusable model. It simulates the right side of a term neonate chest and contains a tissue block that has been surgically modified to replicate the anatomy of EA/TEF.

Design and development of a novel thoracoscopic tracheoesophageal fistula repair simulator.

R&eacute;paration thoracoscopique d&#39;atr&eacute;sie de le &oelig;sophage avec fistule trach&eacute;o-oesophagienne (EA/TEF) est une proc&eacute;dure chirurgicale techniquement difficile. Cette anomalie cong&eacute;nitale est rare ; par cons&eacute;quent, les possibilit&eacute;s de formation pour les stagiaires de la chirurgie sont limit&eacute;es. Il n&#39;y a actuellement aucun outil de simulation valid&eacute;e disponible pour aider &agrave; former les stagiaires de la chirurgie p&eacute;diatrique. Le simulateur d&eacute;velopp&eacute; est un mod&egrave;le low-cost et r&eacute;utilisable. Il simule le c&ocirc;t&eacute; droit d&#39;un coffre de nouveau-n&eacute; de terme et contient un bloc de tissu qui a &eacute;t&eacute; chirurgicalement modifi&eacute; pour reproduire l&#39;anatomie des EA/TEF.

Conception et d&eacute;veloppement d&#39;un simulateur de r&eacute;paration de la fistule trach&eacute;o-oesophagienne thoracoscopique roman.

Riparazione toracoscopica di atresia esofagea con fistola tracheo-esofagea (EA/TEF) &egrave; una procedura chirurgica tecnicamente impegnativa. Questa anomalia congenita &egrave; rara; Pertanto, le opportunit&agrave; di formazione per tirocinanti chirurgici sono limitate. Non ci sono attualmente disponibili a contribuire alla formazione di tirocinanti di chirurgia pediatrica di strumenti di simulazione convalidato. Il simulatore &egrave; stato sviluppato &egrave; un modello di basso costo, riutilizzabile. Esso simula il lato destro del petto di neonato a termine e contiene un blocco di tessuto che &egrave; stato modificato chirurgicamente per replicare l&#39;anatomia di EA/TEF.

Deborah Rooney

Department of Psychiatry

University of Pennsylvania

Minimal Erythema Dose (MED) Testing