ORCID Profile
0000-0002-3567-3796
Current Organisations
University of British Columbia
,
The University of Auckland
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Publisher: Wiley
Date: 16-05-2021
DOI: 10.1002/AET2.10601
Abstract: Free Open‐Access Medical education (FOAM) use among residents continues to rise. However, it often lacks quality assurance processes and residents receive little guidance on quality assessment. The Academic Life in Emergency Medicine Approved Instructional Resources tool (AAT) was created for FOAM appraisal by and for expert educators and has demonstrated validity in this context. It has yet to be evaluated in other populations. We assessed the AAT’s usability in a erse population of practicing emergency medicine (EM) physicians, residents, and medical students solicited feedback and developed a revised tool. As part of the Medical Education Translational Resources: Impact and Quality (METRIQ) study, we recruited medical students, EM residents, and EM attendings to evaluate five FOAM posts with the AAT and provide quantitative and qualitative feedback via an online survey. Two independent analysts performed a qualitative thematic analysis with discrepancies resolved through discussion and negotiated consensus. This analysis informed development of an initial revised AAT, which was then further refined after pilot testing among the author group. The final tool was reassessed for reliability. Of 330 recruited international participants, 309 completed all ratings. The Best Evidence in Emergency Medicine (BEEM) score was the component most frequently reported as difficult to use. Several themes emerged from the qualitative analysis: for ease of use—understandable, logically structured, concise, and aligned with educational value. Limitations include deviation from questionnaire best practices, validity concerns, and challenges assessing evidence‐based medicine. Themes supporting its use include evaluative utility and usability. The author group pilot tested the initial revised AAT, revealing a total score average measure intraclass correlation coefficient (ICC) of moderate reliability (ICC = 0.68, 95% confidence interval [CI] = 0 to 0.962). The final AAT’s average measure ICC was 0.88 (95% CI = 0.77 to 0.95). We developed the final revised AAT from usability feedback. The new score has significantly increased usability, but will need to be reassessed for reliability in a broad population.
Publisher: Springer Science and Business Media LLC
Date: 30-01-2021
Publisher: Elsevier BV
Date: 2018
DOI: 10.1053/J.SEMTCVS.2018.07.015
Abstract: As women represent <5% of practicing cardiothoracic (CT) surgeons, networking and mentorship is pivotal to support the growth of women in this field. With widespread use of social media in the healthcare domain, its role in enhancing mentorship for CT surgeons who lack access to same-sex mentors remains unknown. Methods: A 35-item survey investigating CT trainee and surgeon social media use was designed using online survey software and distributed via social media and email. Responses were analyzed using descriptive statistics. One hundred fifty-six respondents who completed the survey reported careers in surgery, among whom 27 (17.3%) were in CT surgery. Despite expressing value for the role of same-sex mentorship in their careers more than those in other surgical specialties (P = 0.044), respondents in CT surgery were more likely to lack exposure to same-sex mentors at their own institution (P = 0.028). Compared to other surgical specialties, CT surgery respondents more frequently engaged with mentors of the same sex by viewing social media sites (P = 0.041) to discuss topics regarding surviving a career in the field (P = 0.049) and promotion of scholarship opportunities (P < 0.001). CT surgery respondents reported a trend towards a greater likelihood of using social media to build a network of same-sex mentorship compared to other surgical specialties (P = 0.077). Conclusions: Social media serves as a valuable tool to enhance the networking and mentorship of surgeons, particularly for women in CT surgery who may lack exposure to same-sex mentors at their own institution. Longitudinal studies surrounding the effectiveness of mentorship by social media are warranted.
Publisher: Springer Science and Business Media LLC
Date: 28-05-2020
Publisher: Informa UK Limited
Date: 09-07-2019
Publisher: Elsevier BV
Date: 12-2018
DOI: 10.1016/J.ANNEMERGMED.2018.05.003
Abstract: Online educational resources such as blogs are increasingly used for education by emergency medicine clinicians. The Social Media Index was developed to quantify their relative impact. The Medical Education Translational Resources: Indicators of Quality (METRIQ) study was conducted in part to determine the association between the Social Media Index score and quality as measured by gestalt and previously derived quality instruments. Ten blogs were randomly selected from a list of emergency medicine and critical care Web sites. The 2 most recent clinically oriented blog posts published on these blogs were evaluated with gestalt, the Academic Life in Emergency Medicine Approved Instructional Resources (ALiEM AIR) score, and the METRIQ-8 score. Volunteer raters (including medical students, emergency medicine residents, and emergency medicine attending physicians) were identified with a multimodal recruitment methodology. The Social Media Index was calculated in February 2016, November 2016, April 2017, and December 2017. Pearson's correlations were calculated between the Social Media Index and the average rater gestalt, ALiEM AIR score, and METRIQ-8 score. A total of 309 of 330 raters completed all ratings (93.6%). The Social Media Index correlated moderately to strongly with the mean rater gestalt ratings (range 0.69 to 0.76) and moderately with the mean rater ALiEM AIR score (range 0.55 to 0.61) and METRIQ-8 score (range 0.53 to 0.57) during the month of the blog post's selection and for 2 years after. The Social Media Index's correlation with multiple quality evaluation instruments over time supports the hypothesis that it is associated with overall Web site quality. It can play a role in guiding in iduals to high-quality resources that can be reviewed with critical appraisal techniques.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 11-2017
DOI: 10.1097/MAT.0000000000000599
Abstract: Graft dysfunction is the main cause of early mortality after heart transplantation. In cases of severe graft dysfunction, temporary mechanical circulatory support (TMCS) may be necessary. The aim of this systematic review was to examine the utilization and outcomes of TMCS in patients with graft dysfunction after heart transplantation. Electronic search was performed to identify all studies in the English literature assessing the use of TMCS for graft dysfunction. All identified articles were systematically assessed for inclusion and exclusion criteria. Of the 5,462 studies identified, 41 studies were included. Among the 11,555 patients undergoing heart transplantation, 695 (6.0%) required TMCS with patients most often supported using venoarterial extracorporeal membrane oxygenation (79.4%) followed by right ventricular assist devices (11.1%), biventricular assist devices (BiVADs) (7.5%), and left ventricular assist devices (LVADs) (2.0%). Patients supported by LVADs were more likely to be supported longer ( p = 0.003), have a higher death by cardiac event ( p = 0.013) and retransplantation rate ( p = 0.015). In contrast, patients supported with BiVAD and LVAD were more likely to be weaned off support ( p = 0.020). Overall, no significant difference was found in pooled 30 day survival ( p = 0.31), survival to discharge ( p = 0.19), and overall survival ( p = 0.51) between the subgroups. Temporary mechanical circulatory support is an effective modality to support patients with graft dysfunction after heart transplantation. Further studies are needed to establish the optimal threshold and strategy for TMCS and to augment cardiac recovery and long-term survival.
Publisher: Elsevier BV
Date: 11-2020
Publisher: Springer Science and Business Media LLC
Date: 25-11-2019
DOI: 10.1017/CEM.2019.427
Abstract: Podcasts are increasingly being used for medical education. A deeper understanding of usage patterns would inform both producers and researchers of medical podcasts. We aimed to determine how and why podcasts are used by emergency medicine and critical care clinicians. An international interprofessional s le (medical students, residents, physicians, nurses, physician assistants, and paramedics) was recruited through direct contact and a multimodal social media (Twitter and Facebook) c aign. Each participant completed a survey outlining how and why they utilize medical podcasts. Recruitment materials included an infographic and study website. 390 participants from 33 countries and 4 professions (medicine, nursing, paramedicine, physician assistant) completed the survey. Participants most frequently listened to medical podcasts to review new literature (75.8%), learn core material (75.1%), and refresh memory (71.8%). The majority (62.6%) were aware of the ability to listen at increased speeds, but most (76.9%) listened at 1.0 x (normal) speed. All but 25 (6.4%) participants concurrently performed other tasks while listening. Driving (72.3%), exercising (39.7%), and completing chores (39.2%) were the most common. A minority of participants used active learning techniques such as pausing, rewinding, and replaying segments of the podcast. Very few listened to podcasts multiple times. An international cohort of emergency clinicians use medical podcasts predominantly for learning. Their listening habits (rarely employing active learning strategies and frequently performing concurrent tasks) may not support this goal. Further exploration of the impact of these activities on learning from podcasts is warranted.
Publisher: Elsevier BV
Date: 11-2022
Publisher: Oxford University Press (OUP)
Date: 20-04-2023
DOI: 10.1093/BJS/ZNAD092
Abstract: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling reducing use of anaesthetic gases and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices reducing use of consumables and reducing the use of general anaesthesia. This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries.
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Jessica Luc.