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PubMed1986

Programmed training of visual discriminations: a comparison of techniques.

The efficiency of three discrimination training procedures was compared for mentally handicapped children trained on a shape discrimination presented via a microcomputer. Each of three groups received one of the following training procedures; graded stimulus fading; graded prompt fading, a procedure approximating behavior modification prompting techniques; trial-and-error training. The stimulus fading and graded prompting procedures were equivalent in terms of the number of steps and criteria for fading. Results showed the two programmed techniques did not differ significantly, but both were significantly superior to trial-and-error learning in terms of number of children reaching criterion, number of trials to criterion, and number of errors. The training procedures were continued for subjects from each of the three groups for an additional two problems, followed by a trial-and-error test problem. Over the additional training problems the pattern of differences between the groups in number of errors remained significant, however differences between the groups in number of trials to criterion decreased. There were no significant differences in any of the measures on the trial-and-error test problem. Results are discussed in relation to the literature on errorless learning techniques, and the implications for applied training procedures are elucidated.

Adolescent↗
PubMed2004

The effect of a literacy training program on family medicine residents.

BACKGROUND AND OBJECTIVES: Pediatric literacy promotion programs carried out in the primary care setting, such as Reach Out and Read (ROR), have been associated with improved language skills for preschool children. Primary care physicians have frequent contact with young families and may be well situated for a literacy promotion program for both children and adults. We examined whether introducing ROR and an adult literacy intervention improves family medicine residents' literacy knowledge, attitudes, and practices. METHODS: We conducted a single group pretest/posttest evaluation design study of residents in a family medicine residency program serving low-income families. Residents completed self-administered questionnaires assessing literacy knowledge, attitudes, and practice. Then, through educational conferences, precepting, and ROR, residents were trained to assess and counsel patients about literacy. The same questionnaire was readministered 8 months later. RESULTS: All 24 (100%) residents completed both the pre- and post-intervention questionnaires. Literacy knowledge mean scores increased from 74.5% to 83.1%. After the intervention, residents reported a greater sense of comfort in counseling about childhood and adult literacy. After the intervention, a greater proportion of residents reported usually or always asking about literacy milestones (30.2% to 79.2%) and parent-child reading (65.2% to 97.8%) during well-child visits. CONCLUSIONS: A family literacy promotion program improved family medicine residents' self-reported literacy knowledge, attitudes, and practices. Such interventions can be incorporated into the education of family medicine residents with meaningful results.

Adult↗
PubMed2001

The role of multimedia interactive programs in training for laparoscopic procedures.

BACKGROUND: The application of minimally invasive techniques to the performance of abdominal surgery by general surgeons has been perhaps the greatest advance in the history of general surgery. The safe adoption of many of these procedures, however, has been hampered by significant obstacles, mainly due to the problem of providing adequate training for surgeons. Outside of animal and cadaver labs, most training has been didactic in nature, and adoption rates after completion of these courses are discouraging. Multimedia interactive training has been used in a number of high-tech industries with great success. A >60% improvement in the learning curve after multimedia interactive training, as compared to traditional didactic training, has been reported. Multimedia interactive training programs for surgeons that use content and input from multiple experts in laparoscopic procedures have now been developed. METHODS: Residents from a general surgery residency program who used these programs were asked to rate their effectiveness in increasing their knowledge and comfort level prior to their participation in a real procedure as the primary surgeon or first assistant. A comparison to other traditional training techniques was also made. Eleven residents completed 41 programs designed to teach one of five different laparoscopic procedures-cholecystectomy, fundoplication, appendectomy, colon resection, or hernia repair. RESULTS: On a scale of 1 to 10, with 10 being the highest, the residents reported that the multimedia interactive training programs raised their knowledge level of the procedure from 6.0 to 8.7 (+2.7 point value increase after using the multimedia interactive program). The programs increased their comfort level when actually called on to perform or assist with the procedure from 5.3 to 8.1 (+2.8 point value increase after using the multimedia interactive program). In comparing the value of training methods for learning laparoscopic procedures, the residents rated text, lectures, videos, and animal labs at 4.7, 5.1, 6.0 and 7.3, respectively. By comparison, the residents rated the multimedia interactive training program at 8.8. CONCLUSION: The use of multimedia interactive training programs in addition to current laparoscopic training courses may help to increase the safe adoption of laparoscopic procedures. These programs may be a beneficial adjunct to residency training programs.

Adult↗
PubMed2005

[Evaluation of a continuous training program at Bichat hospital for in-hospital cardiac arrest resuscitation].

UNLABELLED: Management of in-hospital cardiac arrest is now considered as a hospital quality indicator. Such management actually requires training health care workers (HCWs) for basic life support (BLS). OBJECTIVE: To assess the usefulness and efficacy of a short mandatory BLS training course amongst general ward HCWs in a 1,200 bed teaching hospital. STUDY DESIGN: The in-hospital medical emergency team (MET) established a 45-min BLS training course comprising 10 goals for basic CPR and preparing for the arrival of the MET. Assessment was based on satisfaction questionnaires, cross-sectional evaluation of knowledge and skills of HCWs before and 1 year after the start of the training course. Efficacy of BLS performed on ward was assessed by the MET on scene. RESULTS: One year after, 68 training sessions had been fulfilled and 522 HCWs had been trained (46.27% of total HCWs). HCWs were satisfied with the teaching course. Instant retention of objectives was over 90%. Cross-sectional surveys showed an improvement of BLS knowledge and skills. The knowledge of initial clinical assessment remained low. Knowledge and skills were significantly higher amongst HCWs who had been trained than amongst those who had not. Unfortunately, general ward BLS performance showed no improvement. CONCLUSION: Short mandatory training courses are stimulating and well appreciated amongst HCWs. Although basic knowledge and skills improve dramatically, no improvement of on-scene BLS performance occurs.

Cardiopulmonary Resuscitation↗
PubMed1996

Impact of an oncology pharmacy residency training program on quality improvement initiatives in an oncology center.

The concept of quality care is something every patient expects, regardless of how they enter the health care system. The specialty-trained oncology pharmacy practitioner possesses many skills to offer the patient and other health care practitioners. Oncology pharmacy residency training involves specific types of learning situations and experiences, which will be critical for future roles the specialty resident may assume. Oncology practice is an area requiring a high level of care for patients, and highly skilled pharmacy practitioners are crucial for the care of these patients.

Antineoplastic Agents↗
PubMed1988

Assessment of a physical training program in patients with myocardial infarction in a tropical country.

Twenty-five myocardial infarction patients, included in a comprehensive cardiac rehabilitation programme, were studied in order to assess the physical training effects upon several physiological parameters in a country with a tropical climate. Training consisted of three-times weekly supervised sessions with running, under telemetric control, accomplished continuously, during thirty minutes at 120 m/min as mean speed. Symptom-limited exercise stress testing was initially performed and repeated after three months of training. 88% of patients showed an increase in physical working capacity, 84% in exercise time duration and 80% in the myocardial efficiency index at subsequent ergometries. A decrease of double product and submaximal heart rate was observed. Angina, ECG ischaemic alterations and arrhythmias during exercise in the first test disappeared or occurred with higher workload in the second ergometry. Mean resting acid concentration, 1.28 +/- 0.36 mmol/l, increased immediately after exercise to 2.03 +/- 0.58 mmol/l. The prescribed physical training programme showed satisfactory results and increased the patients' quality of life, even in a humid and moderately hot climate.

Cuba↗
PubMed1993

Proposed fellowship training program in pediatric emergency medicine for emergency medicine graduates.

Interest in pediatric emergency medicine has grown steadily during the past decade among pediatricians and emergency physicians. With the rapid proliferation of pediatric emergency medicine programs for pediatricians has come extensive and valuable experience with this type of fellowship education. As a result, the structure and scope of these programs have become increasingly well established. Because the number of pediatric emergency medicine fellowship programs for emergency physicians has yet to reach "critical mass," no similar de facto standards exist for these programs. The recent establishment of guidelines for pediatric emergency medicine subspecialty certification by the American Board of Emergency Medicine and the American Board of Pediatrics brings new importance to fostering such standards for the training for emergency physicians. To this end, we present a proposed pediatric emergency medicine fellowship program developed during a retreat that included physicians from an emergency medicine program and two pediatric hospitals. We also review some of the significant events that have occurred in the evolution of pediatric emergency care.

Algorithms↗
PubMed1992

Family handedness as a predictor of mental rotation ability among minority girls in a math-science training program.

Right-handed girls from nonright-handed families outperformed the other groups of minority adolescent girls enrolled in a science and technology program on a test of mental rotation ability. This target group excelled over right-handed girls with all right-handed relatives and nonright-handers. The pattern of group differences in mental rotation ability found here is consistent with those found for women with math-science training at the college level. The minority boys in the program outperformed the girls as a whole, but did not differ significantly from the right-handed girls with nonright-handed relatives. The present findings provide further support for the generality of Annett's genetic theory of handedness and brain organization, and for the interaction of genetic and environmental factors in accounting for individual differences in mental rotation ability.

Achievement↗
PubMed2000

Evaluation of safety orientation and training programs for reducing injuries in the plumbing and pipefitting industry.

Construction workers are at increased risk for fatal and non-fatal injuries. This study examined the effectiveness of employee orientation and training in reducing injuries among plumbers and pipefitters. We searched the Occupational Safety and Health Administration's "recordable" injury data and "documentable" safety and training records for six plumbing and pipefitting employers in northwestern Ohio. During the period 1996 to 1998, 133 injuries were recorded with the duration of 2,541,432 working hours. The most common types of injuries were cuts, lacerations, and abrasions. The majority of injuries resulted from workers being struck by objects. The injury rate was significantly higher for small companies and longer working hours. No difference was found between traveling and local workers. Seventy-five percent of workers received safety orientations on injury prevention. Among workers who received safety orientations, only 3.4% experienced injuries, compared with 11.1% of workers without orientations. Safety orientations were associated with a significant reduction in injuries (odds ratio, 0.23; 95% confidence interval, 0.15 to 0.35). Proper safety orientation and training could reduce the risks for occupational injuries in construction workers.

Accidents, Occupational↗
PubMed2003

Effects of an eight-week training program on upper-body power in women cross-country skiers.

A distinguishing feature of elite cross-country skiers is their superlative upper-body power (UBP). Recently, roller board training was shown to be superior for improving UBP in cross-country skiers; however, the newly developed wind machine had not yet been tested. The purpose of this study was to determine if wind machine training was as effective as roller board training at increasing UBP. Forty-four women cross-country skiers, age 23-59 years, were matched on initial UBP, measured in watts (W), and placed into 1 of 2 experimental groups (roller board or wind machine). All women underwent 8 weeks of UBP training. Although both groups improved significantly pre-post (p < 0.05) in UBP, t-tests indicated that there was no significant difference (p > 0.05) between the 2 groups' improvements (roller board, pre 74.5 +/- 30.9, post 95.9 +/- 29.8 W; wind machine, pre 74.5 +/- 33.5, post 99.3 +/- 34.3 W). Thus the wind machine was as effective at enhancing UBP as the roller board.

Adult↗