Перегляд вихідного коду сторінки The Income Generating Effectiveness In MG-132

Results Just over half (56%) of residents described their knowledge of HVCCC as ��good�� or ��very good�� prior to the program; this figure increased to 94% by July 2014. Most residents (88%) indicated that the act of writing the case  facilitated their reflection on medical practice. Residents subsequently shared their HVCCC cases with each other. Most (94%) residents also cited reading other residents�� cases as helping them understand HVCCC principles; a quarter (25%) of residents indicated that sharing cases had significantly increased their understanding. Over a third (37%) of residents indicated that the HVCCC program would significantly influence their practice whereas another 56% indicated that it would ��somewhat�� influence practice. The potential benefits of HVCCC [http://www.selleckchem.com/products/byl719.html Alpelisib datasheet] education can be offset by an established predisposition toward defensive  medicine. Three-quarters (75%) of residents reported that the two ��defensive�� cases influenced their feelings about HVCCC practice. More than two-thirds (69%) felt that such defensive cases inevitably lead to a defensive stance in practice. Of particular relevance, more residents reported that they were more likely to hear about defensive cases from their faculty (37%) than cases demonstrating HVCCC principles (19%). Reflecting on the relationship between defensive medicine and HVCCC practice, 94% of residents felt that defensive medicine would dampen the practice of HVCCC principles. Discussion The goal of the study was to understand the mindset and the knowledge of HVCCC practices prevalent in residents of a community hospital. Our study results have the potential to represent the education that residents are receiving in a community-based university-affiliated hospital and this can ultimately serve as a reference to modify Graduate Medical Education (GME) training. Although the  sample size of the participants/residents was small, one can argue that most of the teaching that the residents received was personalized, and furthermore the structure of residency programs in community hospitals across the country is almost similar. We anticipate that the barriers for HVCCC practices obtained in the results will likely be similar to those found in the larger health care systems as the practice of clinical medicine is essentially similar. Our findings underscore the power of the anecdote �C the case report �C in graduate medical education. By reflecting upon actual patients and their own experiences, residents were able to deepen their understanding HVCCC. This is not surprising; cognitive psychologists have documented the power of autobiographical memories: people are much better at recalling events that they have personally experienced rather than those they learned about second hand (9).