Decision making in pediatric oncology can look different to the ethicist and clinician. Popular ethical theories argue that clinicians should not make decisions for patients, but rather provide information so patients their own decisions. However, this theory does always reflect clinical reality. We present a new model of decision reconciles apparent discrepancy. first distinguish decisional priority from authority. The person (parent, child, or clinician) who identifies preferred choice...

Hope is important to patients, yet physicians are sometimes unsure how promote hope in the face of life-threatening illness.Hope medicine two kinds: specific (hope for outcomes) and generalized (a nonspecific sense hopefulness). At time diagnosis a life-ending condition, goal long life dashed, there may be no medically plausible outcome that patient feels worth wishing for. Yet physician nonetheless maintain an open-ended hopefulness compatible with physician's obligation truthful; this can...

Pediatric hematologist/oncologists lead in a variety of roles and settings: at the bedside, private or academic practice, laboratory, wider society. Whether their leadership is result innate ability, technical expertise, educational experience, patients, colleagues, centers, communities turn to physicians for leadership. But where do these learn this complex skill? Physicians acquire skills, but mainly through interaction with role models hit miss fashion. This article provides theoretical...

Problem: Neonatal Intensive Care Unit (NICU) clinicians must frequently relay difficult news to patient families, and the need for formal training NICU trainees develop this skill has been established. Although previous studies have shown improved trainee self-efficacy comfort in handling conversations after communication training, it remains unclear whether these interventions lead objectively assessed short-term long-term performance. Intervention: A simulation-based intervention...

Journal Article Problem-Solving Strategies in Dementia Patient-Caregiver Dyads Get access John C. Cavanaugh, PhD, PhD 2Department of Psychology, Bowling Green State UniversityBowling Green, OH 43403 Search for other works by this author on: Oxford Academic PubMed Google Scholar Nancy Jo Dunn, Doug Mowery, BA, BA Cathy Feller, George Niederehe, 3Mental Disorders the Aging Research Branch, NIMHRoom 11C-03, 5600 Fishers Lane, Rockville, MD 20857 Ernest Frugé, 4Private PracticeHouston, TX Darci...

OPEN ACCESSJanuary 19, 2010Best Intentions: Using the Implicit Associations Test to Promote Reflection About Personal Bias Anne Gill, DrPH, Britta Thompson, PhD, Cayla Teal, Rachel Shada, MHR, Ernest Fruge, Gracielia Villarreal, MD, Cindy Patton, MS, Paul Haidet, MPH DrPH Baylor College of Medicine , PhD MHR MD MS https://doi.org/10.15766/mep_2374-8265.7792 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstract Introduction: This exercise is a small-group discussion...

Abstract Background Diversity is necessary for the survival and success of both biological social systems including societies. There a lack diversity, particularly proportion women minorities in leadership positions, within medicine [Leadley. AAMC 2009. Steinecke Terrell. Acad Med 2010;85:236–245]. In 2009 group ASPHO members recognized need to support career advancement minority members. This article reports results survey designed characterize comparative pathway experience Procedure A...

Attendance to follow-up care after completion of cancer treatment is an understudied area. We examined demographic, clinical, and socioeconomic predictors by pediatric patients at a large center in 442 newly diagnosed using multivariable logistic regression analyses. Patients who did not return clinic for least 1000 days were considered lost follow-up. Two hundred forty-two (54.8%) lost. In analyses, the following variables independent being follow-up: with surgery alone (odds ratio...

Background and objectivesAlthough 80% of pediatric cancer cases occur in low-and middle-income countries, specialists the field hematology oncology (PHO) are scarce, which is a major reason for dismal survival rates children with blood disorders sub-Saharan Africa (SSA) compared that high-income countries (HICs).Traditional models specialty training SSA physicians (eg, those residency or fellowship HICs) inevitably result brain drain from SSA.Moreover, content context HICs often irrelevant...

Summary WISC and WISC-R subtest IQ scores were compared in two samples of juveniles referred to a large metropolitan juvenile probation department (Ns # 180 185, respectively). The equated for age, sex, race, grade level. Significant differences found on six the 10 subtests. There also significant between Verbal, Performance, Full Scale scores. In each case score was lower than with exception Arithmetic subtest. We conclude from these data that delinquents significantly WISC. Psychologists...

A workshop at the 2008 ASPHO Annual Meeting functioned as first step in a systematic needs assessment of particular challenges to satisfaction and success middle senior phases career development for pediatric hematologist/oncologists (PHOs). The 61 members who attended were randomly distributed small discussion groups based on self-identified stage. Groups completed challenge forms each issue identified pertinent their own stage professional development. total 71 with useable data generated...

OPEN ACCESSSeptember 17, 2009Reflective Practice & Leadership in Medicine Medical Education (Out of Print) Ernest Frugé, PhD, Jan Drutz, MD, Marc Horowitz, MD PhD Baylor College , https://doi.org/10.15766/mep_2374-8265.3182 SectionsAboutAbstract ToolsDownload Citations ShareFacebookTwitterEmail AbstractAbstractThis resource is a comprehensive website aimed to help medical educators prepare physicians and allied health professionals for the leadership dimensions their roles. Specifically,...

The majority of childhood cancer survivors do not follow-up for long-term risk-based screening recurrent illness and treatment late effects, despite a high prevalence secondary morbidities. primary aim this study was to investigate factors that influence survivorship care, from the perspectives providers, patients, caregivers.A semistructured interview designed elicit stakeholder on facilitate or impede routine clinic visits after completion therapy. Results were analyzed using qualitative...

We present the case of a girl aged 17 years and 10 months who has strong family history long QT syndrome genetic testing confirming diagnosis in patient also. She was initially medically treated with β-blocker therapy; however, after suffering 1 episode syncope during exertion, she underwent placement an implantable cardioverter defibrillator. Since then, never had syncope. However, few before this presentation, experienced shocks on multiple occasions without any underlying arrhythmias....

Introduction Guiding patients and their families through threat tragedy is an essential skill for physicians. Educational opportunities to acquire this crucial expertise during medical training are limited. We describe a workshop design employing simulation team-based reflection enhance pediatric residents' confidence in delivering life-altering news. Methods Three hundred seventy-six residents participated annual 2.75-hour from 2011 2018. For each session, 24 28 were randomly assigned...

Case Competition (UF GHCC), established in 2014, supports the idea that multidisciplinary collaboration will drive innovative solutions to global health issues.Inspired by competition hosted annually Emory University, students were invited participate as teams develop a solution trending issue, identified and developed case

29 Background: First-year pediatric hematology-oncology fellows frequently must deliver difficult news to patients and families, possibly with little prior experience. Training in this area is often via didactic lectures by “trial error”. This can lead significant discomfort on the part of potentially increased distress families if information poorly communicated. Standardized patient (SP) encounters provide a safe environment for practice effective compassionate communication skills. SPs...