Skip header and navigation

Refine By

5 records – page 1 of 1.

Undergraduate surgical training: variations in program objectives and curriculum implementation across Canada.

https://arctichealth.org/en/permalink/ahliterature170351
Source
Can J Surg. 2006 Feb;49(1):46-50
Publication Type
Article
Date
Feb-2006
Author
Shawn S Forbes
Peter G Fitzgerald
Daniel W Birch
Author Affiliation
Department of Surgery, McMaster University, Hamilton, Ont.
Source
Can J Surg. 2006 Feb;49(1):46-50
Date
Feb-2006
Language
English
Publication Type
Article
Keywords
Canada
Curriculum
Education, Medical, Undergraduate - organization & administration
General Surgery - education
Humans
Organizational Objectives
Program Evaluation - trends
Questionnaires
Abstract
Although nationally recognized learning objectives for undergraduate surgical education exist, the extent to which Canadian medical schools follow these guidelines has never been established.
We distributed a survey to all program directors and clinical-teaching-unit coordinators for undergraduate surgery at Canada's 16 medical schools, and subsequently assessed the perceived emphasis placed on learning objectives and student performance, and the impact of instructional tools and teaching locations.
Program directors in 15 medical schools responded to the survey. We identified a wide variation in the emphasis placed on basic learning objectives as well as specialty specific learning objectives. The length of rotations, methods of instruction and tools used to grade student performance also varied widely.
Our findings suggest significant variation in the design and implementation of undergraduate surgical education in Canada. This study may serve as a basis for reassessing learning objectives in Canadian undergraduate surgical education.
Notes
Cites: Can J Surg. 1999 Dec;42(6):451-610593247
Cites: Can J Surg. 2000 Aug;43(4):295-30010948691
Cites: Am J Surg. 1998 Jun;175(6):515-79645785
Cites: Am J Surg. 1997 Mar;173(3):231-39124633
Cites: Am J Surg. 1996 Oct;172(4):366-728873532
Cites: Am J Surg. 1988 Jul;156(1):38-433394891
Cites: Am Surg. 2003 Apr;69(4):280-6; discussion 28612716084
Cites: Teach Learn Med. 2001 Winter;13(1):21-611273375
Comment In: Can J Surg. 2010 Feb;53(1):E5-620100403
PubMed ID
16524143 View in PubMed
Less detail

Peritoneal dialysis: an evolving understanding.

https://arctichealth.org/en/permalink/ahliterature208585
Source
Semin Nephrol. 1997 May;17(3):226-38
Publication Type
Article
Date
May-1997
Author
F X McCusker
B P Teehan
Author Affiliation
Lankenau Hospital/Medical Research Center, Wynnewood, PA, USA.
Source
Semin Nephrol. 1997 May;17(3):226-38
Date
May-1997
Language
English
Publication Type
Article
Keywords
Canada
Humans
Kidney Failure, Chronic - therapy
Peritoneal Dialysis - methods - mortality - trends
Predictive value of tests
Program Evaluation - trends
Survival Rate
Treatment Outcome
United States
Abstract
Since continuous ambulatory peritoneal dialysis (PD) was introduced in 1978 by Popovich and Moncrief, the use of peritoneal dialysis as effective renal replacement therapy has expanded on an international level. Improvements in technology and technique have lessened the incidence of infectious complications, although strategies continue to evolve to improve technical success. As technical challenges have been met, increasing attention has been turned to PD dose. Retrospective studies have strongly suggested that patient outcome is related to the amount of toxin removal. Recently, prospective data confirm that morbidity and mortality are strongly associated with dialysis adequacy. The important contribution of residual renal function to total toxin clearance is now recognized and implies a need to adjust dialysis dose to maintain adequate clearance as residual renal function declines. Reasonable, yet arbitrary, targets for dialysis clearances can now be asserted as Kt/V of 2.0 per week and weekly creatinine clearance of 60 L/wk. These current guidelines indicate a need to individualize dialysis dose to achieve target clearances and improved outcome. Current data also indicate that malnutrition is highly prevalent in the PD population and is associated with poor clinical outcomes, including decreased survival. Deterioration in nutritional status begins before the initiation of dialysis, and it seems that worse nutritional status at the start of dialysis is a strong predicator of poor outcome. These findings suggest that earlier initiation of dialysis, before a significant decline in nutritional status occurs, is warranted to maintain good nutrition and optimize outcome.
PubMed ID
9165652 View in PubMed
Less detail

Ocular Genetics Program: multidisciplinary care of patients with ocular genetic eye disease.

https://arctichealth.org/en/permalink/ahliterature161148
Source
Can J Ophthalmol. 2007 Oct;42(5):734-8
Publication Type
Article
Date
Oct-2007
Author
Yair Morad
Joanne Sutherland
Lisa DaSilva
Alissa Ulster
John Shik
Brenda Gallie
Elise Héon
Alex V Levin
Author Affiliation
Department of Ophthalmology and Vision Science, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Source
Can J Ophthalmol. 2007 Oct;42(5):734-8
Date
Oct-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Eye Diseases, Hereditary - genetics
Genetic Counseling - methods
Humans
Ontario
Ophthalmology - methods
Patient satisfaction
Pilot Projects
Primary Health Care - methods
Program Evaluation - trends
Questionnaires
Referral and Consultation
Abstract
Patients who suffer from ocular genetic diseases have special needs in terms of diagnosis and management of rare entities, low-vision needs, genetic counselling, and psychosocial adjustments that are usually not addressed by an ophthalmologist alone. The Ocular Genetics Program (OGP) at the Hospital for Sick Children, Toronto, was established in 1994 to provide comprehensive, multidisciplinary care of patients with inherited eye disorders. We now assess the benefits of such a program and of integrating research into the care of patients.
We report our experience in developing a multidisciplinary ocular genetics program and the results of a pilot patient satisfaction survey that involved 61 patients.
The OGP multidisciplinary aspects are described. Of the 61 patients surveyed, 98% stated that they were satisfied with the OGP; 93%-96% of patients were content with "one day of appointments", "understanding of eye problem", and "coordination of ancillary tests such as visual fields test, electrophysiology, and others"; and for 70%-86% of respondents "waiting time to get an appointment", "information received on current research", and "primary health care provider adequately informed" were satisfactory.
The OGP is a unique service in Canada, which strives to provide the comprehensive care needed by ocular genetic patients. High patient satisfaction is an indicator of the success of this approach. Long waiting times for appointments and application of laboratory research in clinical care remain challenging.
PubMed ID
17891201 View in PubMed
Less detail

The 2008 Canadian Hypertension Education Program recommendations for the management of hypertension: Part 1 - blood pressure measurement, diagnosis and assessment of risk.

https://arctichealth.org/en/permalink/ahliterature156767
Source
Can J Cardiol. 2008 Jun;24(6):455-63
Publication Type
Article
Date
Jun-2008
Author
Raj S Padwal
Brenda R Hemmelgarn
Nadia A Khan
Steven Grover
Finlay A McAlister
Donald W McKay
Thomas Wilson
Brian Penner
Ellen Burgess
Peter Bolli
Michael D Hill
Jeff Mahon
Martin G Myers
Carl Abbott
Ernesto L Schiffrin
George Honos
Karen Mann
Guy Tremblay
Alain Milot
Lyne Cloutier
Arun Chockalingam
Simon W Rabkin
Martin Dawes Dawes
Rhian M Touyz
Chaim Bell
Kevin D Burns
Marcel Ruzicka
Norman R C Campbell
Marcel Lebel
Sheldon W Tobe
Author Affiliation
Division of General Internal Medicine, University of Alberta, Edmonton, Canada. rpadwal@ualberta.ca
Source
Can J Cardiol. 2008 Jun;24(6):455-63
Date
Jun-2008
Language
English
Publication Type
Article
Keywords
Antihypertensive Agents - therapeutic use
Blood Pressure - physiology
Blood Pressure Determination - standards
Canada
Clinical Competence
Diagnosis, Differential
Education, Medical, Continuing - standards
Humans
Hypertension - diagnosis - drug therapy - physiopathology
Practice Guidelines as Topic
Program Evaluation - trends
Risk Assessment - methods
Abstract
To provide updated, evidence-based recommendations for the diagnosis and assessment of adults with hypertension.
The diagnosis of hypertension is dependent on appropriate blood pressure measurement, the timely assessment of serially elevated readings, degree of blood pressure elevation, method of measurement (office, ambulatory, home) and associated comorbidities. The presence of cardiovascular risk factors and target organ damage should be ascertained to assess global cardiovascular risk and determine the urgency, intensity and type of treatment required.
MEDLINE searches were conducted from November 2006 to October 2007 with the aid of a medical librarian. Reference lists were scanned, experts were contacted, and the personal files of authors and subgroup members were used to identify additional studies. Content and methodological experts assessed studies using prespecified, standardized evidence-based algorithms. Recommendations were based on evidence from peer-reviewed, full-text articles only.
Recommendations for blood pressure measurement, criteria for hypertension diagnosis and follow-up, assessment of global cardiovascular risk, diagnostic testing, diagnosis of renovascular and endocrine causes of hypertension, home and ambulatory monitoring, and the use of echocardiography in hypertensive individuals are outlined. Key messages in 2008 include continued emphasis on the expedited, accurate diagnosis of hypertension, the importance of global risk assessment and the need for ongoing monitoring of hypertensive patients to identify incident type 2 diabetes.
All recommendations were graded according to strength of the evidence and voted on by the 57 members of the Canadian Hypertension Education Program Evidence-Based Recommendations Task Force. All recommendations reported here received at least 70% consensus. These guidelines will continue to be updated annually.
Notes
Cites: Am Heart J. 2000 Feb;139(2 Pt 1):272-8110650300
Cites: Arch Intern Med. 2007 Nov 26;167(21):2296-30318039987
Cites: Clin Radiol. 2000 May;55(5):346-5310816399
Cites: Can J Cardiol. 2000 Sep;16(9):1094-10211021953
Cites: JAMA. 2001 Jul 11;286(2):180-711448281
Cites: Clin Sci (Lond). 2001 Dec;101(6):671-911724655
Cites: Stroke. 2002 Jul;33(7):1776-8112105351
Cites: Lancet. 2002 Dec 14;360(9349):1903-1312493255
Cites: Lancet. 2003 Apr 5;361(9364):1149-5812686036
Cites: Eur Heart J. 2003 Jun;24(11):987-100312788299
Cites: Lancet. 2003 Nov 29;362(9398):1776-714654312
Cites: Diabetes Care. 2004 Jan;27(1):247-5514693997
Cites: Hypertension. 2004 Jan;43(1):10-714638619
Cites: Hypertension. 2004 May;43(5):963-915037557
Cites: Lancet. 2004 Sep 11-17;364(9438):937-5215364185
Cites: Circulation. 1991 Jan;83(1):356-621984895
Cites: JAMA. 1996 May 22-29;275(20):1571-68622248
Cites: Arch Intern Med. 1996 Jul 8;156(13):1414-208678709
Cites: Arch Intern Med. 1998 Mar 23;158(6):655-629521231
Cites: Am J Cardiol. 2005 Jan 1;95(1):29-3515619390
Cites: Can J Cardiol. 2005 Jun;21(8):645-5616003448
Cites: Can J Cardiol. 2006 May 15;22(7):559-6416755310
Cites: Can J Cardiol. 2006 May 15;22(7):573-8116755312
Cites: Can J Cardiol. 2006 May 15;22(7):606-1316755316
Cites: Hypertension. 2006 Aug;48(2):219-2416801488
Cites: N Engl J Med. 2006 Oct 12;355(15):1551-6216980380
Cites: Arch Intern Med. 2006 Nov 13;166(20):2191-20117101936
Cites: Lancet. 2007 Jan 20;369(9557):201-717240286
Cites: AJR Am J Roentgenol. 2007 Mar;188(3):798-81117312071
Cites: Can J Cardiol. 2007 May 15;23(7):529-3817534459
Cites: Can J Cardiol. 2007 May 15;23(7):539-5017534460
Cites: J Hypertens. 2007 Jun;25(6):1311-717563546
Cites: Kidney Int. 2007 Aug;72(3):260-417507905
Cites: Hypertension. 2007 Sep;50(3):467-7317679652
Cites: N Engl J Med. 2000 Mar 30;342(13):905-1210738048
PubMed ID
18548142 View in PubMed
Less detail

Alberta's Rural Physician Action Plan: an integrated approach to education, recruitment and retention.

https://arctichealth.org/en/permalink/ahliterature206424
Source
CMAJ. 1998 Feb 10;158(3):351-5
Publication Type
Article
Date
Feb-10-1998
Author
D R Wilson
S C Woodhead-Lyons
D G Moores
Author Affiliation
Department of Public Health Sciences, University of Alberta, Edmonton.
Source
CMAJ. 1998 Feb 10;158(3):351-5
Date
Feb-10-1998
Language
English
Publication Type
Article
Keywords
Alberta
Education, Medical - organization & administration - statistics & numerical data
Health Plan Implementation - economics - organization & administration - trends
Humans
Internship and Residency - economics
Physician Incentive Plans - economics - trends
Program Evaluation - trends
Retrospective Studies
Rural Health Services - economics - organization & administration - statistics & numerical data
Abstract
This paper describes the development and characteristics of a comprehensive, integrated and sustained program for the education, recruitment and retention of physicians for rural practice in Alberta--the Rural Physician Action Plan. The participation of key stakeholders (including government, the provincial medical association, the licensing authority, faculties of medicine, practising rural physicians and regional health authorities) and a sustained program budget have been key organizational issues for success. Critical to the effectiveness of this program has been the focus on professional and lifestyle issues targeting 3 distinct groups: physicians in training, physicians in practice, and rural communities and health authorities. Substantial program funding since 1991-92 of up to $3 million per year has increased rural-based activities significantly. For example, 87% of medical students and 91% of residents in family medicine in Alberta now experience 4 weeks or more of rural practice. The authors believe that the historic issues and recent trends militating against recruitment and retention of rural physicians will continue unchecked without comprehensive and sustained approaches such as Alberta's Rural Physician Action Plan.
Notes
Cites: CMAJ. 1992 Sep 1;147(5):617-231521207
Cites: J Contin Educ Health Prof. 1990;10(3):237-4310124693
Comment In: CMAJ. 1998 May 19;158(10):1269; author reply 1269-709614816
Comment In: CMAJ. 1998 May 19;158(10):1269; author reply 1269-709614817
PubMed ID
9484262 View in PubMed
Less detail