TY - JOUR AU - Timpka, Toomas PY - 2024/5/24 TI - Time for Medicine and Public Health to Leave Platform X JO - JMIR Med Educ SP - e53810 VL - 10 KW - internet KW - social media KW - medical informatics KW - knowledge translation KW - digital technology KW - clinical decision support KW - health services research KW - public health KW - digital health KW - perspective KW - medicine UR - https://mededu.jmir.org/2024/1/e53810 UR - http://dx.doi.org/10.2196/53810 ID - info:doi/10.2196/53810 ER - TY - JOUR AU - Thiesmeier, Robert AU - Orsini, Nicola PY - 2024/4/15 TI - Rolling the DICE (Design, Interpret, Compute, Estimate): Interactive Learning of Biostatistics With Simulations JO - JMIR Med Educ SP - e52679 VL - 10 KW - learning statistics KW - Monte Carlo simulation KW - simulation-based learning KW - survival analysis KW - Weibull UR - https://mededu.jmir.org/2024/1/e52679 UR - http://dx.doi.org/10.2196/52679 UR - http://www.ncbi.nlm.nih.gov/pubmed/38619866 ID - info:doi/10.2196/52679 ER - TY - JOUR AU - Fulton-Ward, Taylor AU - Bain, Robert AU - Khoury, G. Emma AU - Keshwara, M. Sumirat AU - Joseph, S. Prince Josiah AU - Selby, Peter AU - Millward, P. Christopher PY - 2023/9/11 TI - Benefits of Mentoring in Oncology Education for Mentors and Mentees: Pre-Post Interventional Study of the British Oncology Network for Undergraduate Societies' National Oncology Mentorship Scheme JO - JMIR Med Educ SP - e48263 VL - 9 KW - mentoring KW - medical education KW - oncology KW - medical student KW - teaching KW - undergraduate KW - graduate KW - student KW - cancer KW - mentor KW - mentee KW - mentors KW - mentees N2 - Background: Formal education of oncology is lacking in many undergraduate medical curricula. Mentoring schemes can expose participants to specific areas of medicine and may address the shortfalls in oncology education. Few mentoring schemes have been designed within the United Kingdom, especially within oncology. There is a need to understand reasons for mentor and mentee participation in such schemes and to identify ways to minimize barriers to engagement. Objective: This study identifies motivations for participation in an oncology mentoring scheme and its benefits and limitations to both the mentee and the mentor. Methods: The British Oncology Network for Undergraduate Societies launched a National Oncology Mentorship Scheme (NOMS) on September 1, 2021. Mentees (medical student or foundation doctor) were paired with mentors (specialty registrar or consultant), for 6 months of mentoring. In total, 86 mentors and 112 mentees were recruited to the scheme. The mentees and mentors were asked to meet at least 3 times during this period and suggestions were provided on the content of mentoring. Mentees and mentors were invited to complete a prescheme questionnaire, exploring motivations for involvement in the scheme, current experiences within oncology, and knowledge and interests in the field. At the end of the scheme, mentors and mentees were asked to complete a postscheme questionnaire exploring experiences and benefits or limitations of participation. Paired analysis was performed using the Wilcoxon signed-rank test. For free text data, content analysis was applied to summarize the main themes in the data. Results: Of the 66 (59%) mentees who completed the prescheme questionnaire, 41 (62%) were clinical, 21 (32%) preclinical medical students, and the remainder were junior doctors. For mentees, networking was the primary reason for joining the scheme (n=25, 38%). Mentees ranked experience of oncology at medical school at 3 on 10 (IQR 2-5). In this, 46 (53%) mentors completed the prescheme questionnaire, 35 (76%) were registrar level, and the remainder were consultant level (n=11). The most common reason for mentor participation was to increase awareness and interest in the field (n=29, 63%). Of those who completed the prescheme questionnaire, 23 (35%) mentees and 25 (54%) mentors completed the postscheme questionnaire. Knowledge in all areas of oncology assessed significantly increased during the scheme (P<.001). Most mentees (n=21, 91%) and mentors (n=18, 72%) felt they had benefited from the scheme. Mentees cited gaining insights into oncology as most beneficial; and mentors, opportunities to develop professionally. Whilst mentees did not report any barriers to participating in the scheme, mentors stated lack of time as the greatest barrier to mentoring. Conclusions: British Oncology Network for Undergraduate Societies? NOMS is expanding and is beneficial for mentees through increasing knowledge, providing exposure, and career advice in oncology. Mentors benefit from improving their mentoring skills and personal satisfaction. UR - https://mededu.jmir.org/2023/1/e48263 UR - http://dx.doi.org/10.2196/48263 UR - http://www.ncbi.nlm.nih.gov/pubmed/37695662 ID - info:doi/10.2196/48263 ER - TY - JOUR AU - Shaikh, Ahmed AU - Bhatia, Abhishek AU - Yadav, Ghanshyam AU - Hora, Shashwat AU - Won, Chung AU - Shankar, Mark AU - Heerboth, Aaron AU - Vemulapalli, Prakash AU - Navalkar, Paresh AU - Oswal, Kunal AU - Heaton, Clay AU - Saunik, Sujata AU - Khanna, Tarun AU - Balsari, Satchit PY - 2022/1/10 TI - Applying Human-Centered Design Principles to Digital Syndromic Surveillance at a Mass Gathering in India: Viewpoint JO - J Med Internet Res SP - e27952 VL - 24 IS - 1 KW - mHealth KW - design KW - human centered design KW - intervention KW - syndromic surveillance KW - digital health UR - https://www.jmir.org/2022/1/e27952 UR - http://dx.doi.org/10.2196/27952 UR - http://www.ncbi.nlm.nih.gov/pubmed/35006088 ID - info:doi/10.2196/27952 ER - TY - JOUR AU - Zombre, David AU - Kortenaar, Jean-Luc AU - Zareef, Farhana AU - Doumbia, Moussa AU - Doumbia, Sekou AU - Haidara, Fadima AU - McLaughlin, Katie AU - Sow, Samba AU - Bhutta, A. Zulfiqar AU - Bassani, G. Diego PY - 2021/12/10 TI - Combined Clinical Audits and Low-Dose, High-frequency, In-service Training of Health Care Providers and Community Health Workers to Improve Maternal and Newborn Health in Mali: Protocol for a Pragmatic Cluster Randomized Trial JO - JMIR Res Protoc SP - e28644 VL - 10 IS - 12 KW - perinatal mortality KW - low dose high frequency training KW - maternal and newborn health outcomes KW - Mali N2 - Background: Although most births in Mali occur in health facilities, a substantial number of newborns still die during delivery and within the first 7 days of life, mainly because of existing training deficiencies and the challenges of maintaining intrapartum and postpartum care skills. Objective: This trial aims to assess the effectiveness and cost-effectiveness of an intervention combining clinical audits and low-dose, high-frequency (LDHF) in-service training of health care providers and community health workers to reduce perinatal mortality. Methods: The study is a three-arm cluster randomized controlled trial in the Koulikoro region in Mali. The units of randomization are each of 84 primary care facilities. Each trial arm will include 28 facilities. The facilities in the first intervention arm will receive support in implementing mortality and morbidity audits, followed by one-day LDHF training biweekly, for 6 months. The health workers in the second intervention arm (28 facilities) will receive a refresher course in maternal neonatal and child health (MNCH) for 10 days in a classroom setting, in addition to mortality and morbidity audits and LDHF hands-on training for 6 months. The control arm, also with 28 facilities, will consist solely of the standard MNCH refresher training delivered in a classroom setting. The main outcomes are perinatal deaths in the intervention arms compared with those in the control arm. A final sample of approximately 600 deliveries per cluster was expected for a total of 30,000 newborns over 14 months. Data sources included both routine health records and follow-up household surveys of all women who recently gave birth in the study facility 7 days postdelivery. Data collection tools will capture perinatal deaths, complications, and adverse events, as well as the status of the newborn during the perinatal period. A full economic evaluation will be conducted to determine the incremental cost-effectiveness of each of the case-based focused LDHF hands-on training strategies in comparison to MNCH refresher training in a classroom setting. Results: The trial is complete. The recruitment began on July 15, 2019, and data collection began on July 23, 2019, and was completed in November 2020. Data cleaning or analyses began at the time of submission of the protocol. Conclusions: The results will provide policy makers and practitioners with crucial information on the impact of different health care provider training modalities on maternal and newborn health outcomes and how to successfully implement these strategies in resource-limited settings. Trial Registration: ClinicalTrials.gov NCT03656237; https://clinicaltrials.gov/ct2/show/NCT03656237 International Registered Report Identifier (IRRID): DERR1-10.2196/28644 UR - https://www.researchprotocols.org/2021/12/e28644 UR - http://dx.doi.org/10.2196/28644 UR - http://www.ncbi.nlm.nih.gov/pubmed/34889776 ID - info:doi/10.2196/28644 ER - TY - JOUR AU - Abd Rahman, Anita AU - Abdul Manaf, Rosliza AU - Lim, Ying Poh AU - Suppiah, Subapriya AU - Juni, Hanafiah Muhammad PY - 2021/8/13 TI - Developing a Risk Governance Framework on Radiological Emergency, Preparedness, and Response for Emergency Responders: Protocol for a Mixed Methods Study JO - JMIR Res Protoc SP - e25877 VL - 10 IS - 8 KW - emergency KW - preparedness KW - radiological KW - risk governance KW - risk practices N2 - Background: Risk governance involves processes and mechanisms to understand how risk decisions are taken and executed. This concept has gained a reputation over time as being essential for emerging comprehensive management that defines the success of an organization. While guiding documents that explain the use of risk management related to nuclear safety and security are available worldwide, few locally conducted studies have explained risk governance practices in areas where hazard usage is known, such as in radiological emergencies. Objective: This paper describes a protocol that was used to determine several factors that influence emergency responders? perceptions toward radiological risk practices and visualize the risk radiological framework for emergency preparedness and response. Methods: A mixed methods study with a convergent design was performed. A qualitative analysis was performed using a case study approach where 6 key informants were purposely sampled for in-depth interview, and a cross-sectional study involving a self-administered questionnaire was conducted among approximately 260 emergency respondents from national regulatory, research, and services organizations. NVivo (version 12, QSR International) was used to analyze the interview transcripts and emerging themes were identified through abductive coding. Simultaneously, multiple logistic regression analysis was used to determine significant predictors that form the equation model. Results: The study is still underway. Qualitative findings were based on transcript-coding that informed the relevant thematic analysis, while statistical analyses including multiple logistic regression analysis measured the adjusted odds ratio of significant variables for the equation model. The study is expected to conclude in late 2021. Conclusions: Important emerging themes and significant factors that are related to the emergency responders? perceptions regarding radiological governance practices were determined through the convergent design. This potentially facilitated the development of a plausible radiological risk governance framework. Furthermore, our results will provide key insights that can be used in future studies. International Registered Report Identifier (IRRID): DERR1-10.2196/25877 UR - https://www.researchprotocols.org/2021/8/e25877 UR - http://dx.doi.org/10.2196/25877 UR - http://www.ncbi.nlm.nih.gov/pubmed/34398793 ID - info:doi/10.2196/25877 ER - TY - JOUR AU - Al Nsour, Mohannad AU - Khader, Yousef AU - Al Serouri, Abdulwahed AU - Bashier, Haitham AU - Osman, Shahd PY - 2020/9/18 TI - Awareness and Preparedness of Field Epidemiology Training Program Graduates to Respond to COVID-19 in the Eastern Mediterranean Region: Cross-Sectional Study JO - JMIR Med Educ SP - e19047 VL - 6 IS - 1 KW - COVID-19 KW - infection KW - preparedness KW - awareness KW - Jordan KW - Yemen KW - Sudan N2 - Background: The Field Epidemiology Training Program (FETP) is a 2-year training program in applied epidemiology. FETP graduates have contributed significantly to improvements in surveillance systems, control of infectious diseases, and outbreak investigations in the Eastern Mediterranean Region (EMR). Objective: Considering the instrumental roles of FETP graduates during the coronavirus disease (COVID-19) crisis, this study aimed to assess their awareness and preparedness to respond to the COVID-19 pandemic in three EMR countries. Methods: An online survey was sent to FETP graduates in the EMR in March 2020. The FETP graduates were contacted by email and requested to fill out an online survey. Sufficient number of responses were received from only three countries?Jordan, Sudan, and Yemen. A few responses were received from other countries, and therefore, they were excluded from the analysis. The questionnaire comprised a series of questions pertaining to sociodemographic characteristics, knowledge of the epidemiology of COVID-19, and preparedness to respond to COVID-19. Results: This study included a total of 57 FETP graduates (20 from Jordan, 13 from Sudan, and 24 from Yemen). A total of 31 (54%) graduates had attended training on COVID-19, 29 (51%) were members of a rapid response team against COVID-19, and 54 (95%) had previous experience in response to disease outbreaks or health emergencies. The vast majority were aware of the main symptoms, mode of transmission, high-risk groups, and how to use personal protective equipment. A total of 46 (81%) respondents considered themselves well prepared for the COVID-19 outbreak, and 40 (70%) reported that they currently have a role in supporting the country?s efforts in the management of COVID-19 outbreak. Conclusions: The FETP graduates in Jordan, Sudan, and Yemen were fully aware of the epidemiology of COVID-19 and the safety measures required, and they are well positioned to investigate and respond to the COVID-19 pandemic. Therefore, they should be properly and efficiently utilized by the Ministries of Health to investigate and respond to the current COVID-19 crisis where the needs are vastly growing and access to outside experts is becoming limited. UR - http://mededu.jmir.org/2020/1/e19047/ UR - http://dx.doi.org/10.2196/19047 UR - http://www.ncbi.nlm.nih.gov/pubmed/32406852 ID - info:doi/10.2196/19047 ER -