Rural emergency care professionals are seen positively by both urban and rural healthcare professionals as potential supporters of using wiki-based reminders to promote best practices in trauma care. Interviews were conducted with 25 emergency physicians and 25 allied health professionals about their beliefs regarding wiki reminders. Rural professionals felt isolated from specialist advice and saw wikis as a way to access current best practices. Urban professionals believed rural colleagues would value wikis for ongoing education and keeping treatment guidelines in remote areas up to date. A future study will measure how these rural-specific beliefs impact intention to use wiki reminders.
This document presents a method for combining domain separation and adaptive active learning. It aims to efficiently label samples from a new target domain using available labeled data from a related source domain. The method first uses domain separation to identify informative regions of the target domain distinct from the source. It then applies adaptive active learning via breaking ties to iteratively select the most uncertain target samples for labeling. A TrAdaBoost algorithm is used to differentially reweight source and target samples as more target data is incorporated, in order to adapt the classifier to the target domain. The method is tested on QuickBird imagery of Zurich from different seasons, demonstrating a dataset shift. Results show the combined approach can effectively label samples for the target domain using minimal supervision
13e Journées de formation interdisciplinaire 2020: Atelier décision partagéePatrick Archambault
La prise de décision partagée (PDP) se définit comme un processus nécessitant la participation conjointe du patient
et de son médecin. Ce processus décisionnel doit reposer sur des données scientifiques éprouvées et mettre en
évidence les risques et les bénéfices de toutes les options disponibles, y compris celle de s’abstenir associée à une
observation prudente. Intégrer la PDP dans sa pratique clinique permet d’améliorer la qualité de sa pratique et
d’évaluer la pertinence d’un acte médical. Instruite par plus de 20 ans d’études et de programmes de formation dans
ce domaine, les conférenciers présenteront les étapes essentielles à la prise de décision, pour qu’à la fin de l’atelier
les participants puissent discerner les cas cliniques qui lui sont propices. Pendant l’atelier, les participants utiliseront
un outil d’aide à la décision et avec lequel ils seront tous interpellés à jouer un rôle fondé sur des cas cliniques issus
de la pratique médicale spécialisée (p. ex. : urgence, soins intensifs, pneumologie). D’autres outils d’aide à la décision
seront également présentés (p. ex. : recours à des antibiotiques, prescription de statines, traitement de l’asthme) et
la séance se terminera par une discussion réflexive.
This document summarizes recommendations from a panel discussion on engaging patients in emergency medicine (EM) research. The panel reviewed literature on patient engagement and conducted interviews with EM researchers. They recommend that EM researchers adopt patient engagement to improve research relevance and impact. Specifically, they recommend that the Canadian Association of Emergency Physicians (CAEP) create resources and guidelines to support patient engagement at all stages of research. This includes establishing a national patient council, training materials, and making patient engagement eligible for funding. The panel also provides best practices for the preparatory, execution and translation phases of research that engages patients.
Étude de la nomenclature utilisée pour classifier les outils de transfert des...Patrick Archambault
This poster explores the different taxonomies to classify knowledge tools. It also assessed the quantity of knowledge tools currently stored in WikiTrauma, a wiki used at the Centre intégré en santé et en services sociaux de Chaudière-Appalaches (n=1844).
Adaptation of DECISION+: a Training Program in Shared Decision Making on the ...Patrick Archambault
Poster presented at the 2016 Canadian Association of Emergency Physicians conference about the adaptation of the Decision+ program about using antibiotics for upper respiratory infections developed in primary care for the context of Emergency Medicine
This document presents a method for combining domain separation and adaptive active learning. It aims to efficiently label samples from a new target domain using available labeled data from a related source domain. The method first uses domain separation to identify informative regions of the target domain distinct from the source. It then applies adaptive active learning via breaking ties to iteratively select the most uncertain target samples for labeling. A TrAdaBoost algorithm is used to differentially reweight source and target samples as more target data is incorporated, in order to adapt the classifier to the target domain. The method is tested on QuickBird imagery of Zurich from different seasons, demonstrating a dataset shift. Results show the combined approach can effectively label samples for the target domain using minimal supervision
13e Journées de formation interdisciplinaire 2020: Atelier décision partagéePatrick Archambault
La prise de décision partagée (PDP) se définit comme un processus nécessitant la participation conjointe du patient
et de son médecin. Ce processus décisionnel doit reposer sur des données scientifiques éprouvées et mettre en
évidence les risques et les bénéfices de toutes les options disponibles, y compris celle de s’abstenir associée à une
observation prudente. Intégrer la PDP dans sa pratique clinique permet d’améliorer la qualité de sa pratique et
d’évaluer la pertinence d’un acte médical. Instruite par plus de 20 ans d’études et de programmes de formation dans
ce domaine, les conférenciers présenteront les étapes essentielles à la prise de décision, pour qu’à la fin de l’atelier
les participants puissent discerner les cas cliniques qui lui sont propices. Pendant l’atelier, les participants utiliseront
un outil d’aide à la décision et avec lequel ils seront tous interpellés à jouer un rôle fondé sur des cas cliniques issus
de la pratique médicale spécialisée (p. ex. : urgence, soins intensifs, pneumologie). D’autres outils d’aide à la décision
seront également présentés (p. ex. : recours à des antibiotiques, prescription de statines, traitement de l’asthme) et
la séance se terminera par une discussion réflexive.
This document summarizes recommendations from a panel discussion on engaging patients in emergency medicine (EM) research. The panel reviewed literature on patient engagement and conducted interviews with EM researchers. They recommend that EM researchers adopt patient engagement to improve research relevance and impact. Specifically, they recommend that the Canadian Association of Emergency Physicians (CAEP) create resources and guidelines to support patient engagement at all stages of research. This includes establishing a national patient council, training materials, and making patient engagement eligible for funding. The panel also provides best practices for the preparatory, execution and translation phases of research that engages patients.
Étude de la nomenclature utilisée pour classifier les outils de transfert des...Patrick Archambault
This poster explores the different taxonomies to classify knowledge tools. It also assessed the quantity of knowledge tools currently stored in WikiTrauma, a wiki used at the Centre intégré en santé et en services sociaux de Chaudière-Appalaches (n=1844).
Adaptation of DECISION+: a Training Program in Shared Decision Making on the ...Patrick Archambault
Poster presented at the 2016 Canadian Association of Emergency Physicians conference about the adaptation of the Decision+ program about using antibiotics for upper respiratory infections developed in primary care for the context of Emergency Medicine
In this session, I will review the literature on virtual communities of practice and wikis in emergency medicine. I will propose a new model for knowledge translation to link emergency physicians from across Canada in the creation of a novel open-source and free database of shared resources that can be reused and adapted to local contexts. Finally, I will provide a glimpse of a new era in knowledge translation in the era of the Semantic Web.
Learning Objectives
1- Learn how communities of practice and wikis can support clinical practice in emergency medicine
2- Learn how a database of open-source and free knowledge tools could support your ED
3- Learn about the evolution of knowledge translation in the era of the of the Semantic Web
Poster Medecine 2.0'13 London: Wiki Scoping Review published in JMIR: http://...Patrick Archambault
This document summarizes a scoping review of wikis and collaborative writing applications in healthcare. It found that while such tools present potential positive and negative effects for knowledge translation, little is known about how to address barriers to their implementation and foster contributions from healthcare stakeholders. Future research should include a formal systematic review of the effectiveness of these tools for knowledge translation and primary research to investigate barriers for different stakeholders. The review analyzed 111 studies on patterns of use, quality of information, and collaborative writing applications as knowledge translation.
Rural physicians in Quebec predominantly use social media amongst themselves, mainly email, for administrative purposes. They use social media cautiously to avoid impacting the patient-physician relationship, which they see social media as not well-suited for. Only 30% use social media, mainly email, with patients. While some physicians see value in practice guidelines for social media, others feel current professionalism standards suffice or are unsure if extra guidance is needed.
Wikis and Collaborative Writing Applications in Health Care: Preliminary Resu...Patrick Archambault
This document summarizes the results of a scoping review on the use of wikis and collaborative writing applications in healthcare. The review identified 88 studies that evaluated barriers, facilitators and impacts of using these applications. Most studies involved genetics/genomics wikis and examined perceived benefits like knowledge sharing and drawbacks like a lack of authoritative content. The review provides insight into how collaborative technologies are being applied and perceived in healthcare settings.
In this session, I will review the literature on virtual communities of practice and wikis in emergency medicine. I will propose a new model for knowledge translation to link emergency physicians from across Canada in the creation of a novel open-source and free database of shared resources that can be reused and adapted to local contexts. Finally, I will provide a glimpse of a new era in knowledge translation in the era of the Semantic Web.
Learning Objectives
1- Learn how communities of practice and wikis can support clinical practice in emergency medicine
2- Learn how a database of open-source and free knowledge tools could support your ED
3- Learn about the evolution of knowledge translation in the era of the of the Semantic Web
Poster Medecine 2.0'13 London: Wiki Scoping Review published in JMIR: http://...Patrick Archambault
This document summarizes a scoping review of wikis and collaborative writing applications in healthcare. It found that while such tools present potential positive and negative effects for knowledge translation, little is known about how to address barriers to their implementation and foster contributions from healthcare stakeholders. Future research should include a formal systematic review of the effectiveness of these tools for knowledge translation and primary research to investigate barriers for different stakeholders. The review analyzed 111 studies on patterns of use, quality of information, and collaborative writing applications as knowledge translation.
Rural physicians in Quebec predominantly use social media amongst themselves, mainly email, for administrative purposes. They use social media cautiously to avoid impacting the patient-physician relationship, which they see social media as not well-suited for. Only 30% use social media, mainly email, with patients. While some physicians see value in practice guidelines for social media, others feel current professionalism standards suffice or are unsure if extra guidance is needed.
Wikis and Collaborative Writing Applications in Health Care: Preliminary Resu...Patrick Archambault
This document summarizes the results of a scoping review on the use of wikis and collaborative writing applications in healthcare. The review identified 88 studies that evaluated barriers, facilitators and impacts of using these applications. Most studies involved genetics/genomics wikis and examined perceived benefits like knowledge sharing and drawbacks like a lack of authoritative content. The review provides insight into how collaborative technologies are being applied and perceived in healthcare settings.
Wikis and Collaborative Writing Applications in Health Care: Preliminary Resu...
Rural
1. Rural
Emergency
Care
Professionals
Are
Perceived
as
PosiBve
Referents
for
the
Use
of
Wiki-‐based
Titre duBest
PracBces
in
Trauma
Care
document
Reminders
to
Promote
Auteurs
Simon
Rioux 1;
Patrick
Michel
Archambault1,2,;
Andrea
Bilodeau1,5;
Marie-‐Pierre
Gagnon4,5;
Karine
Aubin1,5;
Richard
Fleet1,2;
Catherine
Nadeau1;
André
Lavoie3;
Jean
Lapointe1,6;
Julien
Poitras 1,2,3;
France
Légaré2,4
1Centre
de
santé
et
de
services
sociaux
Alphonse-‐Desjardins
(Centre
hospitalier
affilié
universitaire
de
Lévis),
Lévis,
QC,
Canada,
2Département
de
médecine
familiale
et
de
médecine
d’urgence,
Faculté
de
médecine,
Université
Laval,
Quebec,
QC,
Canada,
3Traumatologie
–
Urgence
–
Soins
intensifs,
Centre
de
recherche
FRQS
du
CHA
universitaire
de
Québec,
Quebec,
QC,
Canada,
4Centre
de
recherche
du
Centre
hospitalier
universitaire
de
Québec
(CRCHUQ),
Quebec,
QC,
Canada,
5Faculté
des
sciences
infirmières,
Université
Laval,
Quebec,
QC,
Canada,
6Instut
naonal
d’excellence
en
santé
et
services
sociaux,
Montreal,
QC,
Canada
Ø EP’s
perceived
referents
Background
Results
Ø EP’s
parBcipaBon
flow
diagram
Ø AHP’s
parBcipaBon
flow
diagram
Ø Wikis
are
knowledge
translaon
tools
that
could
help
rural
emergency
care
professionals
implement
best
pracces
in
Eligible
(n=61)
Eligible
(n=445)
acute
care.
Ø Ligle
is
known
about
the
rural-‐specific
beliefs
that
could
Contacted
by
e-‐mail
(n=55)
Contacted
by
e-‐mail
(n=39)
influence
the
use
of
wikis.
Declined
parcipaon
(n=7)
Declined
parcipaon
(n=2)
Objecves
No
response
(n=23)
No
response
(n=12)
Ø To
idenfy
the
rural-‐specific
beliefs
of
emergency
physicians
Completed
the
interview
(n=25)
Completed
the
interview
(n=25)
(EPs)
and
allied
health
professionals
(AHPs)
working
in
rural
and
urban
hospitals
about
using
a
wiki-‐based
reminder
that
Ø ParBcipants’
sociodemographic
characterisBcs
promotes
best
pracces
in
trauma.
EP
AHP
Variables
Methods
(n=25)
(n=25)
Ø This
project
is
part
of
a
bigger
project
(Healthcare
n
(%)
Ø AHP’s
salient
beliefs
professionals’
beliefs
about
using
wiki-‐based
reminders
to
Men
23
(92)
7
(28)
promote
best
pracces
in
trauma
care,
Archambault
et
al.,
J
Women
2
(8)
18
(72)
Med
Internet
Res,
2012;14(2):e49)
Nurses
15
(60)
Ø Drawing
on
the
theory
of
planned
behavior,
semistructured
Respiratory
therapists
N/A
7
(28)
interviews
were
conducted
on
25
EPs
and
25
AHPs
Pharmacists
3
(12)
purposefully
selected
from
a
level
I,
level
II
and
a
level
III
trauma
center.
Primary
trauma
centre
10
(40)
10
(40)
Ø The
level
III
trauma
center
was
located
in
a
rural
area
as
Secondary
trauma
centre
10
(40)
10
(40)
defined
by
Stascs
Canada.
Terary
trauma
centre
(rural)
5
(20)
5
(20)
Ø Parcipants
viewed
a
video
showing
a
clinician
using
a
wiki-‐
Previous
use
of
any
wiki
20
(80)
15
(60%)
based
reminder,
and
then
were
interviewed
about
what
they
Median
(IQR25-‐75)
saw
as
advantages,
disadvantages,
barriers,
and
facilitators
to
Age
38
(35-‐49)
35
(29-‐44)
their
use
of
the
reminder,
and
how
they
felt
important
Years
of
experience
11
(6-‐23)
11
(9-‐18)
referents
would
perceive
their
use
of
the
reminder.
Ø Two
reviewers
independently
analyzed
the
content
of
the
Ø EP’s
salient
beliefs
Ø AHP’s
perceived
referents
interview
transcripts
and,
for
this
project,
idenfied
the
beliefs
that
were
specific
to
rural
emergency
medicine.
Conclusion
Ø Professionals
working
in
isolated
rural
seongs
are
perceived
by
urban
and
rural
professionals
alike
as
favorable
to
the
use
of
wiki-‐based
reminders.
Ø A
quesonnaire
will
be
developed
to
measure
the
importance
of
the
rural-‐specific
determinants
to
EPs’
and
AHPs’
intenon
to
use
the
wiki-‐based
reminder
that
were
idenfied
in
this
study.
Email:
simon.rioux27@gmail.com
h5p://www.medecineurgence.ca