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The authors sought to explore how a curriculum that uses a patient experience simulation followed by reflection can lead to clinical empathy in learners and whether this experience leads to behavioral change. Further, in response to critiques of common pragmatic approaches to clinical empathy teaching in which empathy is operationalized and taught through formal trainings and checklists, the study aimed to contribute insights regarding how clinical empathy may best be taught to health profession students.  相似文献   
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Due to its haptic and interactive nature, virtual anatomy provides an opportunity for small-group learning, enabling students to develop their group work skills before they graduate. However, there is currently little practical guidance supported by pedagogic principles detailing how to incorporate it into curricula. Anatomy educators at the University of Plymouth conducted action research aiming to capture students' overall perceptions of the virtual anatomy platform Anatomage. Questioning the benefits and challenges students face while interacting with Anatomage prompted the creation of evidence-based interventions to be later evaluated. Although a plethora of themes were identified, this report specifically examines those relating to group work. Thematic analysis of initial focus group data found group size and group dynamics impacted students' experience with the platform. Following the implementation of interventions to resolve these issues, a questionnaire and second series of focus groups were conducted to determine whether they were successful. Additional subthemes found from these data included facilitation, social pressure, peer learning and working with friends. This study contributed to the improvement of small group learning and integration of virtual anatomy into curricula based on student and staff feedback. As such, these data support the development of effective group working skills which are fundamental for healthcare professionals and widely recognized by regulators such as the General Medical Council and Health and Care Professions Council. In this report, the authors provide practical advice informed by pedagogy and principles from management and psychology to provide a multidisciplinary perspective.  相似文献   
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In the context of Indigenous languages, archival science in Australia continues to move from a theoretical framework of considering record subjects as third parties to a ‘participants model’. In a participants model framework record subjects are considered co-creators and custodians of the intellectual property of the record. However, the shift from theory to practice is still an under-described challenge currently facing archival professionals. This article reports on an experience of applying guidelines developed by First Languages Australia (FLA) and National and State Libraries of Australasia (NSLA) aimed at enhancing the rights of Indigenous Australians over records that contain Indigenous language material. A team of researchers from the State Library of New South Wales (SLNSW) Indigenous Services branch and Western Sydney University engaged with four Indigenous language groups to evaluate records containing Indigenous language material held at the SLNSW. On viewing the archival records of Indigenous language material members of community groups expressed a diversity of opinions and suggestions. This feedback was grouped by the authors into the following themes: painful remembrance of the provenance of the archival record, evaluations of the value of the documents, custodianship and use of the language material, and access to the SLNSW records. The authors found that participants in the study substantially shaped the process of implementing the protocols.  相似文献   
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Subjective memory complaints are one of the major concerns of the elderly and remain a challenging area in gerontology. There are previous studies that identify different factors affecting subjective memory complaints. However, an extended model that correlates life-space on subjective memory complaints remains a blank spot. The objective of this study is to investigate the role of life-space, social activity and depression on subjective memory complaints among the selective group of Filipino elderly in the community. To test the factors affecting subjective memory complaints, a structural equation modeling was employed among all parameters. One hundred eighty-nine Filipino elderly aged 60 years and above located in Parañaque City, Makati City and Malabon City were given a multiaspect questionnaire consisting of a robotfoto, Life-Space Assessment (LSA), Research and Development (RAND) Social Health Battery, Geriatric Depression Scale (GDS), and Subjective Memory Questionnaire (SMQ). Results revealed that life-space and social activity inversely affect depression while subjective memory complaints are directly affected by depression. New pathways emerged suggesting the interrelationship between life-space and social activity. Additionally, social activity directly affects subjective memory complaints. This study provides a confirmation of the impact of the factors affecting subjective memory complaints. Incorporation of these factors into the existing practice can help the health care providers in optimizing the quality of care rendered and quality of life of the elderly.  相似文献   
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Improving emergency department (ED) care for older adults is a critical issue in emergency medicine. Institutions throughout the United States and Canada have recognized the growing need for a workforce of emergency physician (EP) leaders focused on clinical innovation, education, and research and have developed specialized fellowship training in geriatric emergency medicine (GEM). We describe here the overview, structure, and curricula of these fellowships as well as successes and challenges they have encountered. Seven GEM fellowships are active in the United States and Canada, with five offering postresidency training only, one offering fellowship training during residency only, and one offering both. The backbone of the curriculum for all fellowships is the achievement of core competencies in various aspects of GEM, and each includes clinical rotations, teaching, and a research project. Evaluation strategies and feedback have allowed for significant curricular changes as well as customization of the fellowship experience for individual fellows. Key successes include an improved collaborative relationship with geriatrics faculty that has led to additional initiatives and projects and former fellows already becoming regional and national leaders in GEM. The most critical challenges have been ensuring adequate funding and recruiting new fellows each year who are interested in this clinical area. We believe that interest in GEM fellowships will grow and that opportunities exist to combine GEM fellowship training with a focus in research, administration, or health policy to create unique new types of highly impactful specialized training. Future research may include exploring former fellows’ postfellowship experiences, careers, accomplishments, and contributions to GEM to better understand the impact of GEM fellowships.  相似文献   
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This study examined the association of gestational diabetes mellitus (GDM), prenatal, and postnatal maternal depressive symptoms with externalizing, internalizing, and autism spectrum problems on the Preschool Child Behavior Checklist in 2379 children aged 4.12 ± 0.60 (48% female; 47% White, 32% Black, 15% Mixed Race, 4% Asian, <2% American Indian/Alaskan Native, <2% Native Hawaiian; 23% Hispanic). Data were collected from the NIH Environmental influences on Child Health Outcomes (ECHO) Program from 2009-2021. GDM, prenatal, and postnatal maternal depressive symptoms were each associated with increased child externalizing and internalizing problems. GDM was associated with increased autism behaviors only among children exposed to perinatal maternal depressive symptoms above the median level. Stratified analyses revealed a relation between GDM and child outcomes in males only.  相似文献   
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