Prädiktoren der intra- und postpartalen Betreuungserfahrung: Schlüsseldimensionen einer guten Betreuung aus Sicht der Gebärenden und WöchnerinnenKatja Stahl
Background: Intra- and postpartum care experience is associated with short-, middle- and long-term perinatal outcomes. Evidence of women’s views on key dimensions of care quality in a German context is scarce. Aim: Analysis of factors influencing overall intra- and postpartum care experience in German hospitals. Methods: Secondary analysis of survey data of 9,597 women from 77 German hospitals. Logistic regression was performed for analysis of predictors of care experience; odds ratios with 99% confidence intervals...
Severe complications after mesh migration following abdominal hernial repair: report of two cases and review of literatureGiulia Manzini, Doris Henne-Bruns & Michael Kremer
Background: Migration of mesh after ventral and incisional hernia repair is a rare but well described complication. The aim of our work is to present two cases of mesh migration after incisional hernia repair and to review the current literature. Methods: We describe the two cases of mesh migration that occurred at our department. Additionally, we performed a systematic literature search. Results: In both cases we observed a mesh migration with formation of an entero-cutaneous...
Aim: To quantify the frequency of bacterial contamination of the injected contrast agent/saline solution by an automated contrast injection system, and to evaluate whether usage of a novel tube system can reduce it. Methods: For bacterial contamination quantification two identical automated piston pump MRI contrast injectors were used in combination with a standard tube system. 3–5 ml of the contrast agent/saline solution was collected from the system prior to its connection to the patients’ venous...
Strategies for rural areas: The development of and initial experiences with a training course for physicians from third countries to prepare them for medical practice in GermanyKarolin Hahn & Jost Steinhäuser
Aim: In Germany there is an increasing shortage of physicians, especially in rural areas. Strategies that make use of medical doctors from non-EU member states could effectively counteract this problem more rapidly than other strategies, including those that focus on education. Physicians from third countries must first demonstrate evidence of their professional qualifications on an exam. The failure rate in Schleswig-Holstein is approximately 50%. The specific aim of the 80-hour training course is to prepare...
We believe that medical lectures can be improved by considering techniques from comedy. Foremost, lecturers should educate their audiences. This works well, if lecturers have fun and entertain. In preparing the presentation, they should develop a storyline, try to surprise their audience, prepare to employ unexpected objects and carry out several test runs. During the presentation, lecturers should dare to use self-irony, appeal to students’ emotions, be factual and precise, serve the audience, keep it...
Introduction: The aim of the Objective Structured Clinical Examination (OSCE) is a standardized and fair assessment of clinical skills. Observing second clinical year medical students during a summative OSCE assessing a General Practice clerkship, we noticed that information exchange with peers led to a progressively faster and overly focused management of simulations. Therefore, we established a Multiple Scenario-OSCE (MS-OSCE) where all students had to manage the same chief complaint at a station but it’s underlying...
Minimum standards and development perspectives for the use of simulated patients – a position paper of the committee for simulated patients of the German Association for Medical EducationTim Peters, Michael Sommer, Angelika Hiroko Fritz, Angelika Kursch & Christian Thrien
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Simulated patients in medical education – a survey on the current status in Germany, Austria and SwitzerlandMichael Sommer, Angelika Hiroko Fritz, Christian Thrien, Angelika Kursch & Tim Peters
Objective: In German-speaking countries (Germany, Austria, Switzerland), simulated patients (SPs) have been a fixture for years and are used in teaching and examinations. As part of ongoing methodological standardization efforts and to support current and future faculty and curriculum developments, this exploratory study systematically investigates how and under what framework and conditions SPs are currently used in German-speaking countries. Methodology: The online questionnaire developed in cooperation with the Committee for Simulated Patients of the Society...
The teaching and learning environment of a primary care medical student clinical attachment (“Famulatur”) – a qualitative study on experiences of students and primary care physicians in GermanyKirsten Gottlob, Stefanie Joos & Hannah Haumann
Aim: Following changes in licensing regulations for doctors (“Approbationsordnung”) in 2012, a 4-week clinical attachment (“Famulatur”) in primary care is now mandatory for all medical students in Germany. To date, it has not been studied how the Famulatur in primary care is perceived by the learner or the teacher. The aim of this study was to explore the experiences of both medical students and primary care physicians (PCPs) with regard to the teaching and learning...
Student perception of the effect of problem familiarity on group discussion quality in a problem-based learning environmentMohamed Elhassan Abdalla & Mohamed Ahmed Eladl
Introduction: Problem-based learning (PBL) is a student-centred approach to learning using health problem scenarios to trigger the learning process. Several factors contribute to the role of the problem scenarios in stimulating student learning. One of those factors is the student’s familiarity and knowledge about the problem itself. This may affect the challenge and stimulate the student discussion in the tutorial group. No previous research studied the impact of reusing the case scenarios on the group...
Challenging cases during clinical clerkships beyond the domain of the “medical expert”: an analysis of students' case vignettesPatrik Bächli, Claudine Meindl-Fridez, Anja Nikola Weiss-Breckwoldt & Jan Breckwoldt
Background: During clinical clerkships students experience complex and challenging clinical situations related to problems beyond the domain of the “Medical Expert”. Workplace routine may leave little opportunity to reflect on these situations. The University of Zurich introduced a mandatory course directly after the clinical clerkship year (CCY) to work up these situations. Prior to the course each student submitted a vignette on a case he or she had perceived challenging during the CCY and which...
Improvement of patient orientation and patient safety in health care – from competency-based and interprofessional medical education to cross-sector careJana Jünger & Eckhard Nagel
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Aim: Due to the political demand for the integration of interprofessional (IP) learning into the undergraduate education of health professionals, teachers now have to create and perform IP courses. The IP and thus heterogeneous learning groups pose a special challenge. The presented project aimed at designing a workshop training to support teachers to reflect on heterogeneous learning cultures and to prepare for IP teaching. Methods: The workshop concept was developed in using the Plan-Do-Check-Act (PDCA)...
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Zielsetzung: Die subjektive Refraktion wird typischerweise durch Sehzeichenprojektion am Phoropter bestimmt. Bereits in den 80er Jahren des vergangen Jahrhunderts wurde eine qualiative Bestimmung von Hyperopie oder Myopie durch sog. Speckle-Muster durchgeführt. Speckle-Muster treten auf, wenn ein[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Fragestellung: Der korneale Astigmatismus ist die Grundlage für Berechnung und Auswahl torischer Linsen. Wie veränderlich ist der korneale Astigmatismus mit dem Lebensalter? Methodik: Wir haben automatische Keratometrien (Zeiss IOLMaster V5) von 30840 Patienten ausgewertet (Querschnitt).[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Real-world data from treatment of neovascular AMD (nAMD) patients: an interims-analysis of health care parameters captured within the non interventional PACIFIC studyChristos Haritoglou, Kristina Markova, Matthias Iwersen, Ulrike Michel, Erik Beeke, Martin Scheffler, Stephan Dunker & Focke Ziemssen
Purpose: Health care for nAMD patients is still a challenge for treating ophthalmological centers. This interim analysis of the non-interventional PACIFIC study will describe health-care parameters such as treatment regimens, diagnostic methods, health insurance status and treatment adherence of nAMD[for full text, please go to the a.m. URL]
Excimer Laser Treatment combined with Riboflavin Ultraviolet-A Collagen Crosslinking in Keratoconus: A Literature ReviewMona Ezzeldin, Filip Filev, Johannes Menzel-Severing, Gerd Geerling, Andreas Frings & Bruce Allan
Purpose: To review the clinical outcome of keratoconus patients after Excimer Laser treatment with combined riboflavin UV-A collagen-crosslinking (CXL). Methods: Following a literature review of studies published in PubMed between 2012 and 2018, peer-reviewed English-written studies were evaluated[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Eine 40-jährige Patientin stellte sich mit zunehmender Visusreduktion mit parazentralen Gesichtsfeldausfällen am linken Auge vor, die erstmals 3 Wochen vor der Vorstellung in der Klinik auftraten. Nach Zusammenschau aller klinischen und apparativen Untersuchungen wurde die Diagnose einer[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Understanding Optical Coherence Tomography (OCT) is Crucial in the Diagnosis of Adult-Onset Foveomacular Vitelliform Dystrophy (AOFVD)!Mina Abdelmseih
Purpose: Adult-onset vitelliform dystrophy (AOFVD) is a rare genetic macular dystrophy that usually results in slowly progressive Painless loss of vision. The Purpose of this case study is to present a unique case of Adult-onset vitelliform dystrophy leading to unilateral central scotoma after excluding[for full text, please go to the a.m. URL]
Zielsetzung: Ozurdex® ist ein intravitreales Implantat von 700mcg Dexamethason, das für die Behandlung eines Makulaödems infolge eines retinalen Venenverschlusses, einer nicht infektösen posterioren Uveitis und einer diabetischen Makulopathie zugelassen ist. Erhöhung des Augeninnendruckes[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Purpose: Macular hemorrhage is a consequence for well-known grounds. The identification of the cause is essential for further management. The Purpose of this case study is to present a unique case of idiopathic macular hemorrhage leading to unilateral central scotoma after excluding the conventional[for full text, please go to the a.m. URL]
Analyse der zentralen Foveadicke (CFT) nach Katarakt-Operation mit bzw. ohne adjuvante topische Nepafenac-Therapie bei Diabetikern ohne Retinopathie. Eine prospektive randomisierte KontrollstudieOliver Vij, Fritz Olbrich, Sabrina Lucaß & Werner Jerke
Zielsetzung: Beurteilung der Wirksamkeit von topischem Nepafenac 0,1% AT anhand der Analyse funktioneller und morphologischer Parameter (central foveal thickness via OCT; BCVA) bezüglich der Prophylaxe des zystoiden Makulaödems bzw. Beeinflussung der CFT nach Katarakt-OP bei Diabetikern[zum vollständigen Text gelangen Sie über die oben angegebene URL]
Purpose: Although rarely, ophthalmic surgeons have a necessity to remove an IOL from the eye. This happens in case of implant rejection (chronic iridocyclitis and parsplanitis, including systemic diseases), need for IOL exchange in case of IOL opacification or refractive error. Tre removed IOL is moved[for full text, please go to the a.m. URL]
Purpose: Prompt initiation of treatment is the primary predictor for improved outcomes in Age-related Macular Degeneration (AMD). Home testing using computerized systems could allow patients to independently and objectively monitor disease and prevent vision deterioration in between appointments. This[for full text, please go to the a.m. URL]