A5053037728- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Radiology practices and education
- Coronary Interventions and Diagnostics
- Simulation-Based Education in Healthcare
- Interprofessional Education and Collaboration
- Cardiac Imaging and Diagnostics
- Peripheral Artery Disease Management
- Acute Myocardial Infarction Research
- Vascular Procedures and Complications
- Empathy and Medical Education
- Venous Thromboembolism Diagnosis and Management
- Patient Safety and Medication Errors
- Visual and Cognitive Learning Processes
- Antiplatelet Therapy and Cardiovascular Diseases
- Interpreting and Communication in Healthcare
- Cardiac, Anesthesia and Surgical Outcomes
- Ultrasound in Clinical Applications
- Aortic aneurysm repair treatments
- Cardiac Valve Diseases and Treatments
- Central Venous Catheters and Hemodialysis
- Artificial Intelligence in Healthcare and Education
- Cardiac Arrest and Resuscitation
- Health and Medical Research Impacts
- Medical Education and Admissions
McMaster University
2016-2025
Hamilton Health Sciences
2014-2024
Population Health Research Institute
2018-2024
Bridge University
2024
Mère et Enfant en Milieu Tropical
2024
Niagara Health System
2022-2023
Western University
2023
Hamilton General Hospital
2015-2023
Izmir Kâtip Çelebi University
2022
Society of Interventional Radiology
2022
Current methods of gene delivery for therapeutic angiogenesis are invasive, requiring either intraarterial or intramuscular administration. A noninvasive method has been developed using ultrasound-mediated destruction intravenously administered DNA-bearing carrier microbubbles during their microcirculatory transit. Here we show that chronic ischemia could be markedly improved by bearing vascular endothelial growth factor-165 (VEGF 165 ) plasmid DNA. Using a model severe hindlimb in rats,...
Importance A significant limitation of femoral artery access for cardiac interventions is the increased risk vascular complications and bleeding compared with radial access. Strategies to make safer are needed. Objective To determine whether routinely using ultrasonography guidance arterial coronary angiography/intervention reduces or complications. Design, Setting, Participants The Routine Ultrasound Guidance Vascular Access Cardiac Procedures (UNIVERSAL) randomized clinical trial a...
In patients with ST-segment elevation myocardial infarction (STEMI), early initiation of high-intensity statin therapy, regardless low-density lipoprotein (LDL) cholesterol levels, is the standard practice worldwide. Aims: We sought to determine effect a similar strategy, using proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor added statin, on LDL in acute STEMI.In randomised, double-blind trial we assigned 68 STEMI undergoing primary percutaneous coronary intervention (PCI)...
Context Checklists are commonly proposed tools to reduce error. However, when applied by experts, checklists have the potential increase cognitive load and result in ‘expertise reversal’. One solution is use verification stage, rather than initial interpretation stage of diagnostic decisions. This may avoid expertise reversal preserving experts’ approach. Whether checklist during decision making improves decisions unknown. Methods Fifteen experts interpreted 18 electrocardiograms (ECGs) four...
Abstract Context Assessment for and of learning in workplace settings is at the heart competency‐based medical education. In postgraduate education (PGME), entrustable professional activities (EPAs) entrustment scales are increasingly used to assess competence. However, educational impacts these assessment approaches remain unknown. Therefore, this study aimed explore trainee perceptions regarding EPAs on feedback processes clinical setting. Methods Four focus groups were conducted with...
Background Diagnostic errors unfortunately remain common. Electronic differential diagnostic support (EDS) systems may help, but it is unclear when and how they ought to be integrated into the process. Objective To explore much EDS improves accuracy, whether should used early or late in Setting 6 Canadian medical schools. A volunteer sample of 67 students, 62 residents internal medicine emergency medicine, 61 practising internists physicians were recruited May through June 2020. Intervention...
<p>Problem: Physical distancing restrictions during the COVID-19 pandemic led to transition from in-person online teaching for many medical educators. This report describes Virtual Resus Room (VRR)-a free, novel, open-access resource running collaborative simulations.</p> <p>Approach: The lead author created VRR in May 2020 give learners opportunity rehearse their crisis management skills by working as a team complete virtual tasks. uses Google Slides link participants...
Traditional approaches to marking short-answer questions face limitations in timeliness, scalability, inter-rater reliability, and faculty time costs. Harnessing generative artificial intelligence (AI) address some of these shortcomings is attractive. This study aims validate the use ChatGPT for evaluating assessments an undergraduate medical program. Ten from pre-clerkship curriculum were randomly chosen, each, six previously marked student answers collected. These sixty evaluated by July...
Whether ultrasound (US)-guided femoral access compared to without US guidance decreases site complications in patients receiving a vascular closure device (VCD) is unclear.
This study aims to explore the perspectives of standardized patients previously involved in equity-seeking healthcare training simulation activities better understand how stakeholders can engage and support delivery educational opportunities for professionals related equity, diversity, inclusivity.
Shortly following its release in November 2022, OpenAI’s ChatGPT gained notoriety the medical education community for ability to perform at or near passing threshold on United States Medical Licensing Examination (USMLE). Although there is an overwhelming amount of excitement surrounding artificial intelligence (AI) and potential revolutionize training, this commentary seeks explore both opportunities challenges posed by incorporating large language models (LLMs) such as into education. To...
Abstract The Impella LP 2.5 is a percutaneously implantable axial flow device designed to offer circulatory support for patients in cardiogenic shock during percutaneous coronary interventions (PCI). While most devices are associated with hemolysis, clinically relevant hemolysis this has not been reported. We report case of 66‐year‐old woman hemodynamic collapse an elective PCI who was successfully resuscitated device. She developed marked biochemical evidence intravascular hemolysis. This...
Using the theory of deliberate practice, a key component Ericsson's expertise development, this study aims to evaluate quality written feedback given learners.The authors created scoring system based on elements practice and used it assess provided residents in 205 mini-CEX encounter forms. Scores were assigned each entry for identification following: Task, performance gap action plan.The allowed reliable components that facilitate trainees. However, only one these was identified 70%...
Abstract Background Diagnostic intuition is a rapid, non-analytic, unconscious mode of reasoning. A small body evidence points to the ubiquity intuition, and its usefulness in generating diagnostic hypotheses ascertaining severity illness. Little known about how experienced physicians understand this phenomenon, they work with it clinical practice. Methods Descriptions perceive their use practice were elicited through interviews conducted 30 emergency, internal family medicine. Each...
OBJECTIVES ChatGPT is an artificial intelligence model that can interpret free-text prompts and return detailed, human-like responses across a wide domain of subjects. This study evaluated the extent threat posed by to validity short-answer assessment problems used examine pre-clerkship medical students in our undergraduate education program. METHODS Forty prior student assessments were retrieved stratified levels Bloom's Taxonomy. Thirty these submitted ChatGPT-3.5. For remaining 10...