Evaluation Dun Programme Denseignement De Quatre Gestes Durgence Par La Simulation Pour Les Internes De Pediatrie De 1ere Et 2eme Annees

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Evaluation d'un programme d'enseignement de quatre gestes d'urgence par la simulation pour les internes de pédiatrie de 1ère et 2ème années

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Author : Jonathan Desmontils
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (946 download)

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Book Synopsis Evaluation d'un programme d'enseignement de quatre gestes d'urgence par la simulation pour les internes de pédiatrie de 1ère et 2ème années by : Jonathan Desmontils

Download or read book Evaluation d'un programme d'enseignement de quatre gestes d'urgence par la simulation pour les internes de pédiatrie de 1ère et 2ème années written by Jonathan Desmontils and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : Les internes sont souvent les premiers intervenants sur les situations d'urgence. Cependant, la majorité d'entre eux manquent d'expérience et d'entrainement, surtout en pédiatrie. Dans les pays anglo saxons, la formation des gestes d'urgence par la simulation est devenue obligatoire. En France, il n'y a pas de programme standardisé ni d'outil d'évaluation validé et répandus. Notre étude a comme objectifs de développer un programme de simulation d'enseignement de 4 gestes d'urgence pédiatrique et d'évaluer sa faisabilité, sa validité ainsi que la persistance des compétences dans le temps et en situation d'urgence. Matériel et Méthode : Nous avons conduit une étude prospective, interventionnelle, bi centrique entre les Hôpitaux universitaires de Nice et Nancy, entre les mois de novembre 2013 et novembre 2014. Trente-cinq internes des deux premières années de pédiatrie ont été inclus dans notre programme de simulation. Ils étaient évalués au début de l'étude (M0) puis 1, 3, 6 et 12 mois (M1, M3, M6, M12) sur la pratique de 4 gestes : la libération des voies aériennes supérieures et la ventilation, l'intubation, la pose d'un cathéter intra-osseux et la pratique d'un massage cardiaque. A 12 mois, les gestes étaient évalués dans un contexte de scénario d'arrêt cardiaque. Une évaluation des connaissances théoriques était réalisée au début de l'étude et à 6 mois. Résultats : Entre M0 et M6, on note une amélioration significative des scores théoriques ainsi que des scores pratiques: 8.49 contre 15.91 pour la ventilation ; 5.26 contre 17.79 pour le cathéter intra-osseux ; 6.64 contre 13.33 pour l'intubation ; 11.03 contre 16.52 pour le massage cardiaque, avec des coefficients de corrélation de Spearman significatifs pour chaque geste. A 12 mois, les scores pratiques restent élevés et ne sont pas altérés par les conditions de stress.

Pocket Book for Simulation Debriefing in Healthcare

Author : Denis Oriot
Publisher : Springer
ISBN 13 : 3319598821
Total Pages : 117 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Pocket Book for Simulation Debriefing in Healthcare by : Denis Oriot

Download or read book Pocket Book for Simulation Debriefing in Healthcare written by Denis Oriot and published by Springer. This book was released on 2017-09-25 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a concise manual on debriefing techniques in a clinical educational context. It presents the most popular debriefing techniques and, hence, can be used as a reference manual by educators to help them achieve their intended debriefing objectives. The overarching objective of debriefing is to promote reflection and improve patient safety awareness at an individual and a team level. This book provides clear explanations of what constitutes a valuable and effective debriefing, and presents the various approaches that can be used and how debriefing differs from feedback. It includes key recommendations on aspects that directly or indirectly impact debriefing with different populations of learners such as students or qualified healthcare professionals of various levels of seniority. This book can also be used as a survival guide for both simulation educators and clinicians during debriefings. It includes several useful sections explaining the different phases of a debriefing session, which help learners develop and consolidate their knowledge, and identify potential knowledge or performance gaps and near misses. The underlying philosophy of this book is to also promote profound respect for the trainee by using a non-offensive debriefing approach. Debriefing facilitators will appreciate the several key sentences that will help them lead and engage their learners in the various phases of expressing their emotions and analyzing their experience and actions.

Thickening Fat

Author : May Friedman
Publisher : Routledge
ISBN 13 : 0429017634
Total Pages : 360 pages
Book Rating : 4.4/5 (29 download)

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Book Synopsis Thickening Fat by : May Friedman

Download or read book Thickening Fat written by May Friedman and published by Routledge. This book was released on 2019-08-30 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thickening Fat: Fat Bodies, Intersectionality, and Social Justice seeks to explore the multiple, variable, and embodied experiences of fat oppression and fat activisms. Moving beyond an analysis of fat oppression as singular, this book will aim to unpack the volatility of fat—the mutability of fat embodiments as they correlate with other embodied subjectivities, and the threshold where fat begins to be reviled, celebrated, or amended. In addition, Thickening Fat explores the full range of intersectional and liminal analyses that push beyond the simple addition of two or more subjectivities, looking instead at the complex alchemy of layered and unstable markers of difference and privilege. Cognizant that the concept of intersectionality has been filled out in a plurality of ways, Thickening Fat poses critical questions around how to render analysis of fatness intersectional and to thicken up intersectionality, where intersectionality is attenuated to the shifting and composite and material dimensions to identity, rather than reduced to an “add difference and stir” approach. The chapters in this collection ask what happens when we operationalize intersectionality in fat scholarship and politics, and we position difference at the centre and start of inquiry.

Imaging of Kidney Cancer

Author : Ali Guermazi
Publisher : Springer Science & Business Media
ISBN 13 : 9783540211297
Total Pages : 472 pages
Book Rating : 4.2/5 (112 download)

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Book Synopsis Imaging of Kidney Cancer by : Ali Guermazi

Download or read book Imaging of Kidney Cancer written by Ali Guermazi and published by Springer Science & Business Media. This book was released on 2005-10-05 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is one of the first books to deal specifically with diagnostic imaging of the entire spectrum of kidney cancers. Both new and conventional imaging modalities are fully considered. After an introductory chapter on the histopathological classification of kidney cancers, the advantages and disadvantages of the various imaging modalities used in the diagnosis and assessment of disease extension are documented. Subsequent chapters offer an exhaustive description of the radiological features of the different histological subtypes of kidney cancer, with radiological and histological illustrations and tables. The latest innovations in interventional and minimally invasive procedures are also well covered. The book benefits from carefully chosen and technically excellent images. Each of the 24 chapters is written by an internationally acclaimed expert, making this book the most current and complete treatment of the subject available. It should be of great interest to radiologists, oncologists, and urologists.

Paediatric Asthma

Author : Kai-Håkon Carlsen
Publisher : European Respiratory Society
ISBN 13 : 1849840202
Total Pages : 246 pages
Book Rating : 4.8/5 (498 download)

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Book Synopsis Paediatric Asthma by : Kai-Håkon Carlsen

Download or read book Paediatric Asthma written by Kai-Håkon Carlsen and published by European Respiratory Society. This book was released on 2012-06-01 with total page 246 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asthma is a disease of many faces and is frequently seen in children. This Monograph covers all aspects of paediatric asthma, across all ages, from birth through to the start of adulthood. It considers diagnostic problems in relation to the many phenotypes of asthma, covers the treatment of both mild-to-moderate and severe asthma, and discusses asthma exacerbations as well as exercise-induced asthma. The issue also provides an update on the pathophysiology of asthma, the role of bacterial and viral infections, and the impact of environmental factors, allergy, genetics and epigenetics. Finally,

Transcatheter Embolization and Therapy

Author : David Kessel
Publisher : Springer Science & Business Media
ISBN 13 : 184800897X
Total Pages : 489 pages
Book Rating : 4.8/5 (48 download)

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Book Synopsis Transcatheter Embolization and Therapy by : David Kessel

Download or read book Transcatheter Embolization and Therapy written by David Kessel and published by Springer Science & Business Media. This book was released on 2010-06-09 with total page 489 pages. Available in PDF, EPUB and Kindle. Book excerpt: Lee and Watkinson's Techniques in Interventional Radiology series of handbooks describes in detail the various interventional radiology procedures and therapies that are in current practice. The series covers procedures in angioplasty and stenting, transcatheter embolization and therapy, biopsy and drainage, and ablation. Forthcoming are volumes on pediatric interventional radiology and neurointerventional radiology. Each book is laid out in bullet point format, so that the desired information can be located quickly and easily. Interventional radiologists at all stages, from trainees through to specialists, will find this book a valuable asset for their practice. Transcatheter Embolisation and Therapy approaches the procedure in two ways . Section I systematically describes the techniques of transcatheter embolization and addresses the issues surrounding embolization procedures. Section II presents specific organ systems and pathologies that undergo embolization therapy. Dr. David Kessel is a Consultant Radiologist at the Leeds Teaching Hospitals, UK, and Dr. Charles Ray, Jr. is Professor of Radiology and Co-Director of Research at the University of Colorado Denver Health Sciences Center, USA.

Diagnostic and Interventional Radiology in Liver Transplantation

Author : E. Bücheler
Publisher : Springer Science & Business Media
ISBN 13 : 3642559557
Total Pages : 328 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Diagnostic and Interventional Radiology in Liver Transplantation by : E. Bücheler

Download or read book Diagnostic and Interventional Radiology in Liver Transplantation written by E. Bücheler and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume on liver transplantation is unique in the range of its coverage. Following introductory chapters on surgical and radiological anatomy, separate sections are devoted to organ donors and to adult and pediatric recipients. Surgical indications and techniques, the role of radiological modalities, and the treatment of complications are all fully discussed and illustrated.

Spiral CT of the Abdomen

Author : F. Terrier
Publisher : Springer Science & Business Media
ISBN 13 : 3642569765
Total Pages : 534 pages
Book Rating : 4.6/5 (425 download)

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Book Synopsis Spiral CT of the Abdomen by : F. Terrier

Download or read book Spiral CT of the Abdomen written by F. Terrier and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 534 pages. Available in PDF, EPUB and Kindle. Book excerpt: The advent of spiral CT has led to a major breakthrough in abdominal imaging. This richly illustrated volume, written by US and European experts in the field, provides technical information on the modality and considers in depth the key pathologies of each abdominal organ system in which spiral CT has resulted in major diagnostic improvements.

The Explicitation Interview

Author : Pierre Vermersch
Publisher : Explicitation Interview
ISBN 13 : 9781090169259
Total Pages : 170 pages
Book Rating : 4.1/5 (692 download)

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Book Synopsis The Explicitation Interview by : Pierre Vermersch

Download or read book The Explicitation Interview written by Pierre Vermersch and published by Explicitation Interview. This book was released on 2007-07 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book was first published in French in 1994. It has been a training support to numerous researchers as well as practitioners, such as teachers, health workers, personal or sport trainers. Since then, it has constantly been republished and a glossary has been added in 1998. This version is the first complete edition of the book in English. The main idea of this new interview technique is to help a teacher, a supervisor or a researcher to guide the student, the practitioner or the subject to give a fine retrospective description of an action. As it is only the subject that has access to this mental or physical action, the goal is to help the subject with the verbalization, putting the implicit knowledge of this action in words. Yet, to achieve this verbalization, we need guidance, because we don't know how to give such a description ourselves. If we leave the interviewee without guidance, he risks remaining in the implicit, speaking in a general way, or in an incomplete or imprecise way, commenting instead of describing. The explicit and precise description we aim is the opposite of the implicit, meaning a fine, detailed and complete way of putting the action in words. The final aim is to elucidate what the subject did to seek his goal

Magnetic Nanoparticles in Human Health and Medicine

Author : Costica Caizer
Publisher : John Wiley & Sons
ISBN 13 : 1119754747
Total Pages : 512 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Magnetic Nanoparticles in Human Health and Medicine by : Costica Caizer

Download or read book Magnetic Nanoparticles in Human Health and Medicine written by Costica Caizer and published by John Wiley & Sons. This book was released on 2021-09-08 with total page 512 pages. Available in PDF, EPUB and Kindle. Book excerpt: Magnetic Nanoparticles in Human Health and Medicine Explores the application of magnetic nanoparticles in drug delivery, magnetic resonance imaging, and alternative cancer therapy Magnetic Nanoparticles in Human Health and Medicine addresses recent progress in improving diagnosis by magnetic resonance imaging (MRI) and using non-invasive and non-toxic magnetic nanoparticles for targeted drug delivery and magnetic hyperthermia. Focusing on cancer diagnosis and alternative therapy, the book covers both fundamental principles and advanced theoretical and experimental research on the magnetic properties, biocompatibilization, biofunctionalization, and application of magnetic nanoparticles in nanobiotechnology and nanomedicine. Chapters written by a panel of international specialists in the field of magnetic nanoparticles and their applications in biomedicine cover magnetic hyperthermia (MHT), MRI contrast agents, biomedical imaging, modeling and simulation, nanobiotechnology, toxicity issues, and more. Readers are provided with accurate information on the use of magnetic nanoparticles in diagnosis, drug delivery, and alternative cancer therapeutics—featuring discussion of current problems, proposed solutions, and future research directions. Topics include current applications of magnetic iron oxide nanoparticles in nanomedicine and alternative cancer therapy: drug delivery, magnetic resonance imaging, superparamagnetic hyperthermia as alternative cancer therapy, magnetic hyperthermia in clinical trials, and simulating the physics of magnetic particle heating for cancer therapy. This comprehensive volume: Covers both general research on magnetic nanoparticles in medicine and specific applications in cancer therapeutics Discusses the use of magnetic nanoparticles in alternative cancer therapy by magnetic and superparamagnetic hyperthermia Explores targeted medication delivery using magnetic nanoparticles as a future replacement of conventional techniques Reviews the use of MRI with magnetic nanoparticles to increase the diagnostic accuracy of medical imaging Magnetic Nanoparticles in Human Health and Medicine is a valuable resource for researchers in the fields of nanomagnetism, magnetic nanoparticles, nanobiomaterials, nanobioengineering, biopharmaceuticals nanobiotechnologies, nanomedicine, and biopharmaceuticals, particularly those focused on alternative cancer diagnosis and therapeutics.

Quality of Life Through Quality of Information

Author : European Federation for Medical Informatics
Publisher : IOS Press
ISBN 13 : 1614991014
Total Pages : 1284 pages
Book Rating : 4.6/5 (149 download)

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Book Synopsis Quality of Life Through Quality of Information by : European Federation for Medical Informatics

Download or read book Quality of Life Through Quality of Information written by European Federation for Medical Informatics and published by IOS Press. This book was released on 2012-08-16 with total page 1284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical informatics and electronic healthcare have many benefits to offer in terms of quality of life for patients, healthcare personnel, citizens and society in general. But evidence-based medicine needs quality information if it is to lead to quality of health and thus to quality of life. This book presents the full papers accepted for presentation at the MIE2012 conference, held in Pisa, Italy, in August 2012. The theme of the 2012 conference is ‘Quality of Life through Quality of Information’. As always, the conference provides a unique platform for the exchange of ideas and experiences among the actors and stakeholders of ICT supported healthcare. The book incorporates contributions related to the latest achievements in biomedical and health informatics in terms of major challenges such as interoperability, collaboration, coordination and patient-oriented healthcare at the most appropriate level of care. It also offers new perspectives for the future of biomedical and health Informatics, critical appraisal of strategies for user involvement, insights for design, deployment and the sustainable use of electronic health records, standards, social software, citizen centred e-health, and new challenges in rehabilitation and social care informatics. The topics presented are interdisciplinary in nature and will be of interest to a variety of professionals; physicians, nurses and other allied health providers, health informaticians, engineers, academics and representatives from industry and consultancy in the various fields.

Caterpillar Club Survivor

Author : Ross Smith Stagg
Publisher :
ISBN 13 : 9780646477770
Total Pages : 124 pages
Book Rating : 4.4/5 (777 download)

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Book Synopsis Caterpillar Club Survivor by : Ross Smith Stagg

Download or read book Caterpillar Club Survivor written by Ross Smith Stagg and published by . This book was released on 2007 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spitfire pilot Ross Smith Stagg was one of 33 Allied airmen to defend Darwin against Japanese invasion on May 2, 1943. As one of 14 pilots shot down or experience mechanical failure in the ensuing battle, he parachuted into the sea 18 km from land, 100 km southwest of Darwin in the Fogg Bay area. He reached the shore in a dinghy. For the next 15 days he trudged through inhospitable country in a futile attempt to return to Strauss airbase. What should have been a few days walk turned into his worst possible nightmare as he stumbled aimlessly through mosquito and crocodile infested swamps. "It was almost six days I'd been without sleep, apart from a short period of unconsciousness and those few moments before I fell out of that tree," he said. " I became demented by the cavalcade of mosquitoes and hallucinating badly". His experience was only to worsen - he waded halfway across a tidal river to be confronted by a large saltie. Darwin historian John Haslett help Stagg map the original route by retracing his steps, even managing to relocate an American Kittyhawk Stagg found crashed in the middle of nowhere.

Uterine Artery Embolization and Gynecologic Embolotherapy

Author : James B. Spies
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781745321
Total Pages : 186 pages
Book Rating : 4.7/5 (453 download)

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Book Synopsis Uterine Artery Embolization and Gynecologic Embolotherapy by : James B. Spies

Download or read book Uterine Artery Embolization and Gynecologic Embolotherapy written by James B. Spies and published by Lippincott Williams & Wilkins. This book was released on 2005 with total page 186 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by interventional radiologists and gynecologists, this volume is the first comprehensive reference on uterine artery embolization, a minimally invasive procedure for treating uterine fibroids. The first section provides a thorough understanding of uterine fibroids, pelvic anatomy, gynecologic evaluation of patients with fibroids, and pelvic and uterine imaging. The second section guides practitioners step by step through the embolization procedure, including patient selection and preparation, peri-procedural patient management, technique, choice of embolics, and pitfalls. Chapters discuss therapeutic outcomes, management of complications, and pregnancy after uterine artery embolization. The book also includes chapters on uterine embolization for obstetrical and gynecologic hemorrhage.

Public Health and Informatics

Author : J. Mantas
Publisher : IOS Press
ISBN 13 : 1643681850
Total Pages : 1184 pages
Book Rating : 4.6/5 (436 download)

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Book Synopsis Public Health and Informatics by : J. Mantas

Download or read book Public Health and Informatics written by J. Mantas and published by IOS Press. This book was released on 2021-07 with total page 1184 pages. Available in PDF, EPUB and Kindle. Book excerpt: For several years now, both eHealth applications and digitalization have been seen as fundamental to the new era of health informatics and public health. The current pandemic situation has also highlighted the importance of medical informatics for the scientific process of evidence-based reasoning and decision making at all levels of healthcare. This book presents the accepted full papers, short papers, and poster papers delivered as part of the 31st Medical Informatics in Europe Conference (MIE 2021), held virtually from 29-31 May 2021. MIE 2021 was originally due to be held in Athens, Greece, but due to the continuing pandemic situation, the conference was held as a virtual event. The 261 papers included here are grouped into 7 chapters: biomedical data, tools and methods; supporting care delivery; health and prevention; precision medicine and public health; human factors and citizen centered digital health; ethics, legal and societal aspects; and posters. Providing a state-of-the-art overview of medical informatics from around the world, the book will be of interest to all those working with eHealth applications and digitalization to improve the delivery of healthcare today.

Formation par simulation: validation de grilles d'évaluation de quatre gestes d'urgence chez l'enfant

Author : Camille Faudeux
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (947 download)

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Book Synopsis Formation par simulation: validation de grilles d'évaluation de quatre gestes d'urgence chez l'enfant by : Camille Faudeux

Download or read book Formation par simulation: validation de grilles d'évaluation de quatre gestes d'urgence chez l'enfant written by Camille Faudeux and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objectif: L'objectif de cette étude est d'étudier la fiabilité et la validité de quatre grilles d'évaluation objective des compétences techniques de quatre gestes d'urgence chez l'enfant (grilles RESCAPE) : la pose d'un cathéter intra-osseux (IO), la ventilation à l'insufflateur manuel (BMV), l'intubation trachéale (IT), et le massage cardiaque (CM). Matériel & méthode: Des items techniques en cotation binaire ont été conçus à partir de recommandations internationales, puis validés en multicentrique par 13 séniors experts via la méthode Delphi modifiée. Trente sujets répartis en 5 groupes de niveau : 6 étudiants en deuxième année de médecine, 6 externes, 6 internes de pédiatrie, 6 séniors non experts, 6 séniors experts ont été mis en situation sur mannequin basse-fidélité pour les quatre gestes. L'étude de la fiabilité a consisté en la comparaison des scores de chaque item donnés par deux évaluateurs, l'un en direct, et l'autre par retransmission vidéo. Pour l'étude de la validité des grilles, les scores médians obtenus par les cinq groupes de niveau ont été comparés. Résultats: La fiabilité de nos grilles est démontrée, avec un accord entre les deux évaluateurs parfait ou presque parfait pour 82,5 % des items. Les scores médians des groupes pour les quatre grilles augmentent de manière significative en fonction du niveau d'expertise. Conclusion: Nos grilles RESCAPE sont des outils fiables et valides. Elles pourront être intégrées à des programmes de formation par simulation afin d'en évaluer l'efficacité, ou pourront être utilisées dans l'évaluation des performances de professionnels.

The Changing Face of Health Care

Author : John Frederic Kilner
Publisher :
ISBN 13 : 9780853648642
Total Pages : 0 pages
Book Rating : 4.6/5 (486 download)

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Book Synopsis The Changing Face of Health Care by : John Frederic Kilner

Download or read book The Changing Face of Health Care written by John Frederic Kilner and published by . This book was released on 1998 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book opens with a look at people's actual experience of heath care today, from four different perspectives. Next, the volume addresses foundational questions, including the nature of medicine, nursing, and justice. Surveyed next are the changing economics of health care as well as the impact of these changes on such areas as mental health care, long-term care, health care for minorities, and legal malpractice. The dosing section of the book often several alternative models for health care funding and delivery that reflect Christian values.

Enseignement par la simulation de la prise en charge des urgences vitales de l'enfant pour les internes de pédiatrie

Author : Gaël Jean
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Enseignement par la simulation de la prise en charge des urgences vitales de l'enfant pour les internes de pédiatrie by : Gaël Jean

Download or read book Enseignement par la simulation de la prise en charge des urgences vitales de l'enfant pour les internes de pédiatrie written by Gaël Jean and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction : l'enseignement par la simulation a montré son efficacité dans la formation médicale, notamment pour la prise en charge des urgences vitales. Cette technique a été intégrée partiellement depuis plusieurs années dans la formation initiale des internes de pédiatrie de Bordeaux. Notre objectif est de proposer un programme d'enseignement par la simulation pour les internes de pédiatrie. Méthode : un état des lieux national sur l'enseignement par la simulation pour les internes de pédiatrie a été réalisé à l'aide d'un questionnaire. Les compétences des internes de pédiatrie dans la prise en charge des urgences vitales de l'enfant ont été évaluées par deux études : l'une a évalué les connaissances de la réanimation de base de l'arrêt cardiaque chez tous les internes de pédiatrie bordelais ; l'autre a évalué les capacités de team leader des internes en fin de cursus, lors d'une séance de simulation immersive. Résultats : l'ensemble des subdivisions françaises proposent une formation par la simulation aux internes de pédiatrie mais de grandes disparités persistent. Les connaissances des internes de pédiatrie bordelais dans la prise en charge initiale de l'arrêt cardio respiratoire sont insuffisantes. Les compétences techniques et non techniques en tant que team leader dans la prise en charge d'un arrêt cardio respiratoire intra-hospitalier étaient insuffisantes chez les internes de dernière année. Conclusion : en s'appuyant sur l'expérience des autres subdivisions et sur les besoins évalués, nous proposons un programme d'enseignement alliant formation théorique et pratique mêlant plusieurs types de simulation adaptés à chaque objectif d'apprentissage sur une durée de cinq ans.