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The programme has been implemented in Northumbria, England. Patients with confusion in the general hospital environment are more likely?to have negative health outcomes In total 48 health care professionals, representing 12 different professional groups, attended three courses. Findings suggest that the programme significantly increases confidence across six core domains towards managing the confused older patient (p?Alectinib U�Ctest). Furthermore, the course addresses negative attitudes and empowers staff to introduce relevant practice change. These results are pertinent given the findings of the Francis Inquiry, which identified significant care deficits within a culture of failing to practice in a patient-centred manner. As the core material focuses on learning about the patient, rather than the disease process, this programme may help address these gaps. Arguably our findings are of relevance to other innovators seeking to teach effectively in the hospital setting and improve patient care. ""The assessment of a practising physician's performance may be conducted for various reasons, including licensure. In response to a request Selleckchem Anticancer Compound Library from the College of Physicians and Surgeons of Manitoba (CPSM), the Division of Continuing Professional Development in the Faculty of Medicine, University of Manitoba, has established a practice-based assessment programme �C the Manitoba Practice Assessment Program (MPAP) �C as the College needed a method to evaluate the competence and performance of physicians on the conditional register. Using a multifaceted approach and CanMEDS as a guiding framework, a variety of practice-based assessment surveys and tools were developed and piloted. Because of the challenge of collating data, the MPAP Sitaxentan team needed a computerised solution to manage the data and assessment process. Over a 2�Cyear period, a customised web-based forms and information management system was designed, developed, tested and implemented. The secure and robust system allows the MPAP team to create assessment surveys and tools in which each item is mapped to Canadian Medical Education Directives for Specialists (CanMEDS) roles and competencies. Reports can be auto-generated, summarising a physician's performance on specific competencies and roles. Overall, the system allows the MPAP team to effectively manage all aspects of the assessment programme. Throughout all stages of design to implementation, a variety of lessons were learned that can be shared with those considering building their own customised web-based system. The key to success is active involvement in all stages of the process! ""Background:? Studies show that prehospital care is an important, yet often neglected part of the medical undergraduate curriculum.

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