This document describes applying the 4C-ID model to teach medical students and residents how to evaluate patients for lung cancer surgery. It breaks the learning tasks into 4 classes based on the patient's health status and test results. Each task class provides supportive information, worked examples, and just-in-time information. The goal is to help learners determine if a patient is a surgical candidate by evaluating their cancer stage, anatomy, and pulmonary function test results. Additional testing may be required for borderline patients.
Recruitment, Selection and Placement of Personnel.pptxFreyJennyGragasin
M.A in Educational Management
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Recruitment, Selection and Placement of Personnel.pptxFreyJennyGragasin
M.A in Educational Management
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Job Vacancies, Creation of Board of Selection, Submitting of Pertinent Paper.
Interesting topics for research proposal on motivation without wasting time o...Chormvirak Moulsem
This bachelor thesis is focused on the relationship between intrinsic and extrinsic motivation and
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In earlier research on this topic conducted by Vroom (1964) was concluded that a positive
correlation between motivation and performance did not exist. However, later research proved
that it is indeed possible to motivate employees intrinsically and extrinsically to perform well. It
appears that when the organisation provides certain job characteristics, employees can be
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Problem based learning: Principles and Practice for Healthcare practitionersgrace lindsay
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Co-Chairs and Presenter Jessica Donington, MD, Jonathan D. Spicer, MD, PhD, FRCSC, and Patrick M. Forde, MD, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC/CC/AAPA activity titled “A Practical Guide for Making Multidisciplinary Decisions About Neoadjuvant and/or Adjuvant Immunotherapy in Resectable NSCLC.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/CC/AAPA information, and to apply for credit, please visit us at https://bit.ly/3MQVu5l. CME/MOC/CC/AAPA credit will be available until February 27, 2025.
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Interesting topics for research proposal on motivation without wasting time o...Chormvirak Moulsem
This bachelor thesis is focused on the relationship between intrinsic and extrinsic motivation and
employee performance. The thesis is a literature research and thus a review by the work of others.
In earlier research on this topic conducted by Vroom (1964) was concluded that a positive
correlation between motivation and performance did not exist. However, later research proved
that it is indeed possible to motivate employees intrinsically and extrinsically to perform well. It
appears that when the organisation provides certain job characteristics, employees can be
motivated to perform well in the organisation. And it also appeared that intrinsic factors have
more effect on the relationship than extrinsic factors.
Problem based learning: Principles and Practice for Healthcare practitionersgrace lindsay
This presentation is prepared for qualified nurses to provide an overview of problem based learning with examples of how they may use this approach in their teaching
Chair and Presenter, Brendon M. Stiles, MD, and Balazs Halmos, MD, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC activity titled “Building Multidisciplinary Partnerships to Facilitate Genomic Testing and Master the Integration of EGFR-Targeted Therapy in Resectable Stage I-III NSCLC.” For the full presentation, downloadable Practice Aids, and complete CME/MOC information, and to apply for credit, please visit us at https://bit.ly/3RkX3em. CME/MOC credit will be available until February 27, 2025.
Co-Chairs and Presenter Jessica Donington, MD, Jonathan D. Spicer, MD, PhD, FRCSC, and Patrick M. Forde, MD, prepared useful Practice Aids pertaining to NSCLC for this CME/MOC/CC/AAPA activity titled “A Practical Guide for Making Multidisciplinary Decisions About Neoadjuvant and/or Adjuvant Immunotherapy in Resectable NSCLC.” For the full presentation, downloadable Practice Aids, and complete CME/MOC/CC/AAPA information, and to apply for credit, please visit us at https://bit.ly/3MQVu5l. CME/MOC/CC/AAPA credit will be available until February 27, 2025.
TCT 2012 research highlights: A slideshow presentationtheheart.org
TCT 2012 took place in Miami, FL, on October 22-26. Key trials and presentations at the sessions included: PFO Closure, RESPECT, PC Trial, FAME II, ADVANCE, TAVR, TRILOGY-ACS, Live cases, DESSOLVE I and II, SES PARTNER B, MASTER, Career Achievement Award, ADAPT-DES, STEMI-RADIAL and POST
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This is an overview of the adjuvant Tx of pancreatic CA. A Lecture that was given in the annual conference of NCI Egypt: 45 years against cancer in Egypt. Cairo, April, 2013
3. Goals and Objectives
• Determine if a patient is a candidate for
surgery for lung cancer
– Evaluate stage and determine if surgery is the best
option for the patient’s stage
– Evaluate anatomic resectability
– Evaluate pulmonary function tests (PFTs)
– Decide if additional testing is required
– Interpret additional testing if needed
4. Design Framework
Task Class 2 – healthy patient
Task Class 1 – straightforward
with staging or anatomic
healthy patient
reason not to operate
Task Class 3 – Severely limited Task Class 4 – the borderline
pulmonary function, won’t patient requiring additional
tolerate operation testing
Partial Task Practice Ready for Clinic
– calculating PFTs
5. Task Class 1
Supportive information
Task Class 1 – straightforward
healthy patient
Modeling example – worked
example showing all steps
and cognitive considerations
in patient evaluation
Just in Time information
Chart showing staging for lung cancer
PFT cutoffs for surgery
Detterbeck (2009)
6. Example Learning Task
Healthy 50 year 1 cm nodule in right PET positive only in
old man upper lobe nodule
PFT’s
FEV1 85% pred
DLCO 78% pred
7. Task Class 2
Supportive information Task Class 2 – healthy patient
with staging or anatomic
reason not to operate
Two worked examples
showing patients for whom
surgery is not the correct
treatment
Just in Time information Stereotactic Body Radiation Therapy
Stage
Stage
IA
IB
Surgery
Chart showing recommended
treatment by stage Stage
Stage
IIA Stage
IIB
IIIA
PFT cutoffs for surgery Stage Stage
IIIB IV
Chemotherapy +/- Radiation
8. Example Learning Task
Healthy 50 year 5 cm mass in left PET positive in mass
old man upper lobe and entire pleura
PFT’s
FEV1 85% pred
DLCO 78% pred
9. Task Class 3
Supportive information
Worked examples of Just in Time information
calculation of predicted
postoperative PFTs Equations for calculating
predicted postoperative PFTs
18 - # of segments to be resected
ppoFEV1 = FEV1 x
Task Class 3 – Severely limited 18
pulmonary function, won’t
tolerate operation
Partial Task Practice
– calculating PFTs
10. Partial Task Practice
Preoperative
lung function
COPD or
pulmonary
Amount fibrosis
of lung to Cutoff:
be taken ppoFEV1>40%
ppoDLCO>40%
Tumor
obstruction
Still
smoking?
11. Task Class 4
Supportive information
Guidelines for use of supportive testing
- Cardiopulmonary exercise test (CPET)
- Ventilation-perfusion scan (VQ)
Task Class 4 – the borderline
patient requiring additional
Just in Time information testing
Cutoff for VO2 max on CPET
How to adjust ppoFEV1 for VQ
12. Final Exam – The Clinic
78 year old woman
Shortness of breath
at two blocks
Still smoking ½ PPD
PFTs
FEV1 48% predicted
DLCO 47% predicted
13. References
• Detterbeck, F.C., Boffa, D.J., Tanoue, L.T. (2009). The new lung
cancer staging system. Chest, 136, 260-271
• van Merriënboer, J. J. G. (1997). Training Complex Cognitive
Skills: A Four-Component Instructional Design Model for
Technical Training. Englewood Cliffs, New Jersey: Educational
Technology Publications.
• van Merriënboer, J. J. G., Clark, R. E., de Croock, M. B. M.
(2002) Blueprints for complex learning: The 4C/ID-model.
Educational Technology, Research and Development, 50
(2);39-64.