RESUMO
Recent advances in imaging technology have created new opportunities for medical imaging to improve health care in resource-restricted countries around the world. Radiology residents are increasingly interested in global health and imaging outreach, yet infrastructure and opportunities for international outreach are limited. With the recent change in the ABR exam schedule, residents now have more flexibility in the fourth year of training to pursue elective interests, including participation in global health projects. Creating a formalized global health imaging curriculum will improve the quality, quantity, and overall impact of initiatives undertaken by residents and their training programs. A curriculum is proposed that provides content, opportunities for global health project development, and established metrics for effective evaluation and assessment. Four components considered integral to a global health imaging curriculum are described: (1) global and public health education; (2) targeted travel medicine education; (3) basic imaging proficiency; and (4) practice attitudes and accountability. Methods are presented of differentiating curricula to increase applicability across the spectrum of training programs that vary in available resources. A blueprint is presented for formalizing a global health curriculum or elective rotation within a program, as well as a resource for residents, radiologists, and organizations to make a meaningful impact on global health.
Assuntos
Currículo , Educação de Pós-Graduação em Medicina/organização & administração , Saúde Global , Internato e Residência , Modelos Educacionais , Radiologia/educação , Competência Clínica , Diagnóstico por Imagem , Avaliação Educacional , HumanosAssuntos
Neoplasias da Mama/diagnóstico por imagem , Detecção Precoce de Câncer/estatística & dados numéricos , Mamografia/estatística & dados numéricos , Área Carente de Assistência Médica , Cooperação do Paciente/estatística & dados numéricos , Atenção Primária à Saúde/normas , Idoso , Idoso de 80 Anos ou mais , Instituições de Assistência Ambulatorial/normas , Instituições de Assistência Ambulatorial/estatística & dados numéricos , Atitude Frente a Saúde , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/prevenção & controle , Chile/epidemiologia , Detecção Precoce de Câncer/normas , Feminino , Fidelidade a Diretrizes/estatística & dados numéricos , Hospitais Privados/estatística & dados numéricos , Humanos , Mamografia/normas , Pessoa de Meia-Idade , Prevalência , Atenção Primária à Saúde/estatística & dados numéricosRESUMO
Repetitive behavior has been increasingly reported in Parkinson's disease (PD) patients. This study evaluates the effect of Deep Brain Stimulation (DBS) treatment on existing repetitive behavior in three PD patients who underwent unilateral STN DBS surgery at the University of Florida Movement Disorders Center. No significant change in repetitive behavior was noted acutely post-surgery; however, all cases were participating less in their repetitive behavior over time. In this series, DBS surgery seemed to have no acute effect on repetitive behavior. It is difficult to ascertain whether DBS improves repetitive behavior chronically because of confounding factors in our three cases.