Postgraduate medical journal
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This study aims to develop an accurate and simplified scoring system based on the national early warning score (NEWS) to predict the mortality of intensive care unit (ICU) patients. ⋯ MNEWS is a simple and accurate scoring system for evaluating the severity and predicting the outcomes of ICU patients.
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Portfolios are increasingly commonplace in postgraduate medical education. However, poor understanding of and variations in their content, quality, and structure have hindered their use across different settings, thus dampening their efficacy. ⋯ Portfolios allow for better appreciation and assessments of knowledge, skills, and attitudes in time-, learner-, and context-specific competencies through the establishment of smaller micro-competencies and micro-credentialling. Organized into three broad stages-development, implementation, and improvement-a six-step framework for optimizing and instituting portfolios in postgraduate medical education is offered.
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There are limited Foundation Programme posts with rotations in paediatrics. Many junior paediatric trainees therefore start their neonatal jobs, including a mandatory 6-month tertiary neonatal placement during Level 1 training, without prior experience. The aim of this project was to improve trainees' confidence in the practical aspects of neonatal medicine prior to their first neonatal jobs. A virtual course was delivered to paediatric trainees, on the core principles of neonatal intensive care medicine. Trainees' confidence levels in different domains of neonatology were assessed with pre- and postcourse questionnaires, showing a significant improvement in confidence following the course. Trainees' qualitative feedback was also overwhelmingly positive. Overall, there is evidently a desire for supplemental neonatal education for paediatric trainees. The long-term plan to address this is to build upon this course with a transition to face-to-face lectures paired with skills workshops for paediatric trainees in London. ⋯ What is already known on this topic: What this study adds: How this study might affect research, practice, or policy.
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Postoperative recovery, as a window to observe perioperative treatment effect and patient prognosis, is a common outcome indicator in clinical research and has attracted more and more attention of surgeons and anaesthesiologists. Postoperative recovery is a subjective, multidimensional, long-term, complex process, so it is unreasonable to only use objective indicators to explain it. ⋯ We also found that it is urgently necessary to perform further researches and develop a scale that can serve as the gold universal standard to evaluate postoperative recovery. In addition, with the rapid development of intelligent equipment, the establishment and validation of electronic scales is also an interesting direction.