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1.
BMC Med Educ ; 24(1): 204, 2024 Feb 27.
Article in English | MEDLINE | ID: mdl-38413938

ABSTRACT

BACKGROUND: Since 2011, five educational and healthcare institutions have implemented a short interprofessional education (IPE) course to bring together undergraduates from five disciplines. To meet the logistical challenges of IPE implementation, more specifically, the large number of classrooms needed to gather students together and the need for human resources to guide learning activities, a face-to-face IPE course was redesigned into a blended (online and face-to-face collaborative learning activities) IPE course. In March 2023, 183 medical, 378 nursing, 46 radiologic technology, 69 physiotherapy, and 74 occupational therapy students participated in a one-day IPE blended course to learn interprofessional team functioning and dynamics, role clarification and responsibilities of other professions, and interprofessional communication skills. This study aimed to assess students' changes in attitudes towards IPE after being involved in a large-scale interprofessional blended learning course. METHODS: A before-after study was conducted using a French translation of the validated questionnaire "University of West of England Interprofessional Questionnaire" (UWE-IP questionnaire). Students' attitudes towards interprofessional (IP) relationships and IP learning were measured before and after the course. In March 2023, two hundred fifty-six students from five professions answered two subscales of the UWE-IP questionnaire before and after the course (response rate 34%). RESULTS: Students' attitudes towards IP relationships improved significantly after the course. The score on this subscale (min 8; max 24) changed from 11.18 (SD 2,67) before the course to 10,38 (SD 2,55) after the course, indicating a significant improvement in attitudes towards IP relationships (p < 0,001). More specifically, students had more positive attitudes on the item "I have a good understanding of the roles of different health and social care professionals." and the item "I feel that I am respected by people from other health and social care disciplines." after the course. A positive change in students' attitudes towards IP learning was observed, but the results were not significative. CONCLUSION: A face-to-face IPE course redesigned as a blended course helped overcome existing challenges to implementing an IPE course. The results suggest a blended IPE course improves students' attitudes towards interprofessionality.


Subject(s)
Students, Health Occupations , Humans , Interprofessional Relations , Interprofessional Education , Attitude of Health Personnel , Learning
2.
Rev Med Suisse ; 11(493): 2058, 2060-3, 2015 Nov 04.
Article in French | MEDLINE | ID: mdl-26685649

ABSTRACT

Communication between trainer and trainee plays a central role in teaching and learning in the clinical environment. There are various strategies to frame the dialogue between trainee and trainer. These strategies allow trainers to be more effective in their supervision, which is important in our busy clinical environment. Communication strategies are well adapted to both in- and out-patient settings, to both under- and postgraduate contexts. This article presents three strategies that we think are particularly useful. They are meant to give feedback, to ask questions and to present a case.


Subject(s)
Communication , Education, Medical, Graduate/methods , Education, Medical, Undergraduate/methods , Feedback , Humans , Learning , Teaching/methods
3.
Rev Med Suisse ; 11(458): 181-6, 2015 Jan 21.
Article in French | MEDLINE | ID: mdl-25831610

ABSTRACT

The year 2014 was rich in significant advances in all areas of internal medicine. Many of them have an impact on our daily practice and on the way we manage one problem or another. From the use of the ultrasound for the diagnosis of pneumonia to the choice of the site of venous access and the type of line, and the increasing complexity of choosing an oral anticoagulant agent, this selection offers to the readers a brief overview of the major advances. The chief residents in the Service of internal medicine of the Lausanne University hospital are pleased to share their readings.


Subject(s)
Internal Medicine/trends , Medical Staff, Hospital , Alzheimer Disease/drug therapy , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Anticoagulants/therapeutic use , Arterial Pressure/physiology , Catheterization, Central Venous , Diverticulitis/therapy , Emergency Service, Hospital , Hospitals, University , Humans , Hypertension/surgery , Idiopathic Pulmonary Fibrosis/drug therapy , Kidney/innervation , Pneumonia/diagnostic imaging , Pulmonary Embolism/diagnosis , Pyridones/therapeutic use , Shock, Septic/therapy , Sympathectomy/methods , Tumor Necrosis Factor-alpha/antagonists & inhibitors , Ultrasonography , Venous Thromboembolism/drug therapy , Vitamin B 12 Deficiency/etiology , Vitamin E/therapeutic use
4.
Rev Med Suisse ; 9(404): 2013-6, 2013 Oct 30.
Article in French | MEDLINE | ID: mdl-24313054

ABSTRACT

Every day, hospital doctors spend time at conducting ward rounds. Rounds are a core clinical activity during which doctors interact with patients, synthetise a whole set of informations and make many decisions. In addition, rounds can become a crucial teaching moment, when a trainee gets supervised by an attending physician. However, litterature on the topic of rounds is scarce. This paper summarizes the results of the few key studies focusing on ward rounds. The results are presented in four sections, each one being dedicated to one of the round stakeholders: the trainee or resident, the trainer, the patient and the nurse. An emphasis is put on ward rounds involving both a trainee and a trainer, since such rounds always mean striking a balance between care and teaching.


Subject(s)
Medical Staff, Hospital/organization & administration , Patient Care Team/organization & administration , Teaching Rounds/organization & administration , Humans , Internship and Residency/organization & administration , Medical Staff, Hospital/education , Patient Care/methods
5.
Rev Med Suisse ; 8(326): 254-8, 2012 Feb 01.
Article in French | MEDLINE | ID: mdl-22364073

ABSTRACT

The year 2011 was full of significant advances in all areas of medicine. Whether small or large issues, they all have an impact on daily practice in general internal medicine. For example, intravenous administration of diuretics in heart failure shows no benefit. But double dose may improve symptoms faster. Direct Xa inhibitors are emerging as alternative to anti-vitamin K. beta-blockers reduce overall mortality in COPD and do not worsen lung function significantly. Each year, the chief residents from the Department of internal medicine at the University hospital of Lausanne meet to share their readings. Twelve new therapeutic considerations of 2011 are reviewed here.


Subject(s)
Internal Medicine/trends , Internship and Residency , Hospitals, University , Humans , Switzerland
7.
Scand J Rheumatol ; 37(4): 306-9, 2008.
Article in English | MEDLINE | ID: mdl-18612932

ABSTRACT

We report the case of a patient receiving subcutaneous methotrexate (MTX) treatment for rheumatoid arthritis (RA) who developed a complex pattern of neurological and pulmonary symptoms. Fluctuant dysarthria, magnetic gait, weakness and dysmetria of the lower limbs, as well as symptoms and signs consistent with a diagnosis of pneumonitis started within 6 weeks of initiating MTX treatment and slowly resolved after its discontinuation. This case highlights the fact that even the relatively low doses of MTX in the therapy of RA can produce neurotoxicity, which can become manifest in a broad range of symptoms.


Subject(s)
Arthritis, Rheumatoid/drug therapy , Immunosuppressive Agents/adverse effects , Methotrexate/adverse effects , Neurotoxicity Syndromes/etiology , Pneumonia/chemically induced , Aged, 80 and over , Female , Humans , Immunosuppressive Agents/administration & dosage , Injections, Subcutaneous , Methotrexate/administration & dosage
8.
Rev Med Suisse ; 4(142): 273-4, 276-8, 2008 Jan 30.
Article in French | MEDLINE | ID: mdl-18383935

ABSTRACT

In 2007, several international studies brought useful information for the daily work of internists in hospital settings. This summary is of course subjective but reflects the interests and questions of the chief residents of the Department of internal medicine who wrote this article like an original trip in medical literature. This trip will allow you to review some aspects of important fields such as heart failure, diabetes, endocarditis, COPD, and quality of care. Besides the growing diversity of the fields covered by internal medicine, these various topics underline also the uncertainty internists have to face in a practice directed towards evidence.


Subject(s)
Internal Medicine , Medical Staff, Hospital , Accidental Falls/prevention & control , Aged , Albuterol/analogs & derivatives , Albuterol/therapeutic use , Anemia/drug therapy , Anticoagulants/therapeutic use , Antidiuretic Hormone Receptor Antagonists , Atrial Fibrillation/etiology , Attitude of Health Personnel , Benzazepines/therapeutic use , Bronchitis, Chronic/drug therapy , Bronchodilator Agents/therapeutic use , Cardiac Pacing, Artificial/methods , Diabetes Mellitus/etiology , Endocarditis, Bacterial/prevention & control , Erythropoietin/therapeutic use , Heart Failure/drug therapy , Heparin/therapeutic use , Humans , Interprofessional Relations , Myocardial Infarction/complications , Myocardial Infarction/drug therapy , Recombinant Proteins , Risk Management , Rosiglitazone , Salmeterol Xinafoate , Thiazolidinediones/therapeutic use , Thromboembolism/prevention & control , Tolvaptan , Vasodilator Agents/therapeutic use , Ventricular Dysfunction, Left/therapy , Workload
9.
Swiss Med Wkly ; 136(43-44): 703-8, 2006 Oct 28.
Article in English | MEDLINE | ID: mdl-17183433

ABSTRACT

BACKGROUND: Transferring patients with ST-elevation myocardial infarction (STEMI) for primary percutaneous coronary intervention (PCI) from a community hospital to a PCI centre has been evaluated in randomised trials and shown to be safe and effective. A prolonged transfer time may restrict the benefit of this strategy. AIM: We sought to assess 1) safety of transfer from Neuchâtel to Berne, 2) time intervals of patients transferred either directly from on-site or after evaluation in the local emergency room, and 3) clinical long-term outcome. METHODS AND RESULTS: 42 patients with STEMI eligible for reperfusion therapy were prospectively included between January 2003 and June 2004. Twenty patients (48%, group 1) were directly transferred to the PCI centre from on-site. Twenty-two were transferred after initial treatment in the local emergency room: 11 patients (26%, group 2) presented spontaneously at the hospital and 11 patients (26%, group 3) were admitted by the rescue team. No major complication occurred during transport. Median transport time was 33 minutes. Median time from first healthcare contact to balloon consisted of 131 minutes in group 1, 158 minutes in group 2 and 174 minutes in group 3. The overall rate of Major Adverse Cardiac Events (MACE) at 6 months amounted to 9.5%. CONCLUSIONS: Transfer for primary PCI of our patients with acute STEMI was safe. Direct transfer from on-site to the PCI centre reduced the time of ischaemia. The overall MACE rate was low.


Subject(s)
Angioplasty, Balloon, Coronary , Myocardial Infarction/therapy , Outcome Assessment, Health Care , Transportation of Patients , Aged , Electrocardiography , Female , Hospitals, Community , Hospitals, University , Humans , Male , Middle Aged , Prospective Studies , Safety , Switzerland , Time Factors
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