ICCH 2011--Agenda-setting in Routine Ambulatory Encounters: Zackary Berger
Background: Although studies have demonstrated that physicians often fail to elicit the full spectrum of patient concerns, few studies have described the ways in which physicians elicit concerns and the extent to which they set an explicit agenda.
Methods: We performed a qualitative analysis of audio recorded, transcribed routine patient-provider encounters from the Enhancing Communication and HIV Outcomes (ECHO) Study. We developed themes related to whether and how providers elicit patient concerns and then set an agenda for the visit. We developed a coding scheme that we applied to a random selection of 2 encounters per provider (33 providers, 66 encounters total).
Findings: In 41/66 encounters, providers opened the visit with a general question (“How are you doing?”). Seven visits opened with a leading question (“Everything’s okay?”) and 1 with the provider explicitly asking which concerns s/the patient wanted to discuss. Patients more often responded to these opening questions with brief positive statements (“Fine”, n=30) than with actual concerns (n=14). In 12 encounters (18%), the provider continued to elicit concerns until the patient stated that s/he had no further concerns (probe to exhaustion). In 30 encounters, there was no agenda statement. When an agenda statement was made, it most often (n=20) centered on physicians’ priorities. Rarely, there was an agenda statement made by the patient (n=3) or one that was collaboratively negotiated (n=3). In 53% of encounters (n=35), patients brought up new concerns later in their visit.
Implications: Providers frequently use generic opening questions that may not be effective in eliciting patients’ concerns, and then do not continue to elicit further concerns. Negotiation of the visit agenda is rare, and new concerns continue to arise later in most encounters. Providers need further training to more effectively invest in the beginning of each encounter.
Word Count 293
KEY WORDS HIV - communication - decision-making preferences
ICCH 2011--Agenda-setting in Routine Ambulatory Encounters: Zackary Berger
Background: Although studies have demonstrated that physicians often fail to elicit the full spectrum of patient concerns, few studies have described the ways in which physicians elicit concerns and the extent to which they set an explicit agenda.
Methods: We performed a qualitative analysis of audio recorded, transcribed routine patient-provider encounters from the Enhancing Communication and HIV Outcomes (ECHO) Study. We developed themes related to whether and how providers elicit patient concerns and then set an agenda for the visit. We developed a coding scheme that we applied to a random selection of 2 encounters per provider (33 providers, 66 encounters total).
Findings: In 41/66 encounters, providers opened the visit with a general question (“How are you doing?”). Seven visits opened with a leading question (“Everything’s okay?”) and 1 with the provider explicitly asking which concerns s/the patient wanted to discuss. Patients more often responded to these opening questions with brief positive statements (“Fine”, n=30) than with actual concerns (n=14). In 12 encounters (18%), the provider continued to elicit concerns until the patient stated that s/he had no further concerns (probe to exhaustion). In 30 encounters, there was no agenda statement. When an agenda statement was made, it most often (n=20) centered on physicians’ priorities. Rarely, there was an agenda statement made by the patient (n=3) or one that was collaboratively negotiated (n=3). In 53% of encounters (n=35), patients brought up new concerns later in their visit.
Implications: Providers frequently use generic opening questions that may not be effective in eliciting patients’ concerns, and then do not continue to elicit further concerns. Negotiation of the visit agenda is rare, and new concerns continue to arise later in most encounters. Providers need further training to more effectively invest in the beginning of each encounter.
Word Count 293
KEY WORDS HIV - communication - decision-making preferences
A system to match the route of access to being the most appropriate for patients - using the most appropriate mode of consultation to resolve the patient's problem.
A system to match the route of access to being the most appropriate for patients - using the most appropriate mode of consultation to resolve the patient's problem.
Connect more with peers and practice: Pecha Kucha sessionsJisc
Chair: Russell Symmons, account manager, Jisc.
With contributions from:
Phillipa Wood, CPD coordinator, Network Training Services
Simon Wood, e-learning officer, Cardiff University
Jamie Finch, international librarian and academic services librarian (CSM), Cardiff Metropolitan University
Rachel Arnold, quality development director, ACT Training Ltd
We’ll be taking a Pecha Kucha inspired approach to our peers and practitioner plenary.
This session will use a simple, image-based presentation format, with inputs from local peers and practitioners who will focus on how, with Jisc’s support, they are making the most of digital, and giving you an opportunity to learn from their best practice.
Connect more in Wales, Thursday 7 July 2016
Collaboration through technology: moving from possibility to practice - Tim B...Jisc
Led by Tim Boundy, applications and video development team manager, Jisc.
With contribution from Bethan Owen-Hughes, project coordinator - Sgiliaith, Grwp Llandrillo Menai.
This session will explore the potential that technology can bring to all forms of collaboration, and consider the difference that it has made to some local organisations and their practices.
Connect more in Wales, Thursday 7 July 2016
Ponencia de Alejandro Pérez (INDRA) que participó en la Mesa: LA PERSPECTIVA EMPRESARIAL 2. Cómo llegar más lejos las alianzas estratégicas. Moderador: Fernando Tomás (IDOM).
Dentro de las I Jornadas Smart Cities Zaragoza celebradas el 4 de junio de 2013 en Zaragoza
Lecture Capture - Student and Staff benefits. - Louise Robsontelshef
Part of the Encore: Enhancing Teaching and learning with Lecture Capture presentations.
Encore, the new name for Lecture Capture at the University, is a service that will be expanded and improved for the forthcoming term, further increasing consistency and accessibility for students through availability of recorded lectures. This session sees Louise Robson (Biomedical Science) give an overview of the journey she has taken with lecture capture at her department, the vital role it has played in her learning and teaching, and the benefits it has brought her students. James Slack and Laura McNally (CiCS) will give overviews of the system and how it works, and details of some advanced features (including classroom engagement). There will also be chance to ask the presenters both pedagogical and technical questions about lecture capture and its implementation at The University of Sheffield.
This presentation described the experience of the University of South Carolina School of Medicine's Rehabilitation Counseling program in implementing an SBIRT curriculum in an interdisciplinary setting.
How to Reduce Readmissions by Changing Patient EducationChuck Jones
The challenge is no longer finding the perfect medication but rather convincing the patient to take their medication as prescribed. It's no longer providing discharge instructions but educating the patient so they understand the need to follow through on behavior change to avoid repeating habits that brought them to the hospital in the first place.
Context matters in the practice of interpreting but too often the complexities and implications of context are not adequately defined in interpreter training. Instead, learning about the many and varied contexts that interpreters are called into is left to on-the-job experience.
Over the last twenty years, Robyn Dean and Robert Pollard have offered practitioners, educators, and trainers ways to identify and talk about the interpreting context and how to more effectively prepare interpreters for working in those contexts. Much of that work has been devoted to the contexts of medical and mental health.
This presentation explains how medical interpreting educators can help to not only define context but teach it and assess practitioners’ ability to understand and apply it in professional practice. As medical education has worked to improve the clinical skills of providers so too should medical interpreter education. This can happen by bringing interpreter practitioners incrementally closer to the medical contexts, that is to improve and assess their clinical skills.
Engaging service users and healthcare staff in quality improvement: a practic...MS Trust
This presentation by Glenn Robert from the National Nursing Research Unit and King's College London looks at what experience based co-design is, and why do it.
It was presented at the MS Trust Annual Conference in November 2014.
At the end of the session patient/family champions as well as health authorities will leave armed with best practices, resources and ideas on how to open the door for patient/family engagement with health authorities and how to make the most of the time together.
Safalta Digital marketing institute in Noida, provide complete applications that encompass a huge range of virtual advertising and marketing additives, which includes search engine optimization, virtual communication advertising, pay-per-click on marketing, content material advertising, internet analytics, and greater. These university courses are designed for students who possess a comprehensive understanding of virtual marketing strategies and attributes.Safalta Digital Marketing Institute in Noida is a first choice for young individuals or students who are looking to start their careers in the field of digital advertising. The institute gives specialized courses designed and certification.
for beginners, providing thorough training in areas such as SEO, digital communication marketing, and PPC training in Noida. After finishing the program, students receive the certifications recognised by top different universitie, setting a strong foundation for a successful career in digital marketing.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
Exploiting Artificial Intelligence for Empowering Researchers and Faculty,
International FDP on Fundamentals of Research in Social Sciences
at Integral University, Lucknow, 06.06.2024
By Dr. Vinod Kumar Kanvaria
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
2. • Teaching undergraduate and
postgraduate courses in a range of
healthcare-based subject areas
• Emphasis on clinical skills
• Need to understand the patient as
Background
8. Students Say…
Knowing there would
be questions after
meant I had to
properly watch the
films, which was
good for me to do
I think my empathy
has improved now I didn’t realise how
illness can affect all
parts of somebody's
life, and their
family’s life too
It’s like a bridge
between being a
professional and
being caring
It made me realise
that illness can hit
anyone and impact
on everyone’s life