Symphony of healthcare: Teamwork in medicine

Miao, Julia H.; Miao, Kathleen H.

doi:10.36834/cmej.71178

Cited by 4 publications

(3 citation statements)

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“…Also, classification of patients according to the degree of suspicion according to their CT findings and hospitalization of patients at different floors until the result of RT‐PCR may provide additional benefits in terms of isolation. In our study, atypical appearance was found in small rates in the RT‐PCR positive group (2.5% for R1 and 2.8% for R2) and is consistent with the values found in the literature 16 , 20–22 . In the RT‐PCR positive patient subgroup of our study, pneumonia was not observed in the chest CT at a considerably important rate (14.1% for R1 and 13.9% for R2).…”

Section: Discussionsupporting

confidence: 92%

Diagnosis of the coronavirus disease 2019 with chest computed tomography: A retrospective inter-observer agreement study between radiologists and clinicians

Çengel

Gürkan

Çalık

et al. 2020

Hong Kong Journal of Emergency Medicine

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Background: Effective triage and early detection are very important for the control and treatment of coronavirus disease 2019. For this purpose, reverse transcription polymerase chain reaction and chest computed tomography are used in emergency departments. Objective: The aim of the study was to examine the diagnostic performance of computed tomography and to compare the inter-observer agreement among radiologists and between clinicians, in a coronavirus disease 2019 pneumonia high-prevalence area. Methods: After exclusions, 534 patients were retrospectively included in this study. Reverse transcription polymerase chain reaction was considered as gold standard for diagnosis. All computed tomography images were independently reviewed by two radiologists who were blinded to reverse transcription polymerase chain reaction results and other clinical information. Each computed tomography scan was scored in four categories as typical, intermediate, atypical, and negative, regarding coronavirus disease 2019 pneumonia according to Radiological Society of North America guideline. As for the evaluation of the diagnostic performance, typical and intermediate appearances were accepted as positive for coronavirus disease 2019. In addition, the computed tomography scans were scored by two clinicians as coronavirus disease 2019 positive and negative. Results: The study group included 534 patients after the exclusion criteria. As a result of the repeated reverse transcription polymerase chain reaction tests, 396 (74%) patients were diagnosed with coronavirus disease 2019, 138 (26%) patients had a negative result and were evaluated as a control group. When the reverse transcription polymerase chain reaction results were referenced as the gold standard; the accuracy rates of radiologists and clinicians (R1, R2, C1, and C2) in the diagnosis of coronavirus disease 2019 were 78%, 79%, 73%, and 71%, their sensitivity rates were 83%, 83%, 74%, and 75%, and the negative predictive values were 57%, 58%, 49%, and 46%, respectively. Inter-observer agreements among the reviewers ranged from good to excellent. Conclusions: Radiological Society of North America guideline related to coronavirus disease 2019 has excellent inter-observer agreement among chest radiologists. In this study, radiologists and clinicians have presented similar and good diagnostic performances in the evaluation of coronavirus disease 2019–suspected patients with chest computed tomography in high-epidemic area.

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Section: Discussionsupporting

confidence: 92%

Diagnosis of the coronavirus disease 2019 with chest computed tomography: A retrospective inter-observer agreement study between radiologists and clinicians

Çengel

Gürkan

Çalık

et al. 2020

Hong Kong Journal of Emergency Medicine

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“…Through a symphony of teamwork, medical students with diverse backgrounds, interests, and skills channel their energy to integrate their passions to elevate local and global community health in any way they can. Gathered together, medical students mirror an orchestra as various communities with their unique individual skills come together to collaborate, share, aid those in need [12]. Many medical student-led initiatives have included medical outreach for those who are underserved and socioeconomically disadvantaged [13][14][15].…”

Section: Challenges and Solutions: Web-based Student-led Initiatives In Community Outreach And Patient Care During The Covid-19 Pandemicmentioning

confidence: 99%

Adapting Medical Education Initiatives Through Team-Based e-Learning, Telemedicine Objective Structured Clinical Exams, and Student-Led Community Outreach During the COVID-19 Pandemic

Miao¹

2021

JMIR Med Educ

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Although the COVID-19 pandemic has quickly prompted medical schools and students around the world to transition from their traditional classrooms to web-based learning, the global crisis has inspired the development of innovative e-learning solutions that use existing technology and other web-based tools to continue nurturing the education of medical students while ensuring the public health and safety of both students and faculty members alike. Through the perspective of medical students, we share how the COVID-19 pandemic has impacted and transformed small team–based learning in medical education; changed objective structured clinical exam evaluations and the practice of clinical skills through telemedicine; and nurtured nationwide, web-based, student-led initiatives for community outreach, telehealth, and medical services.

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“…Julia Miao and Kathleen Miao presented their artwork in “Symphony of healthcare: Teamwork in medicine.” 42 Their image, Organs in Orchestra , portrayed various organs and the diverse experiences in medicine.…”

Section: Imagesmentioning

confidence: 99%

This is a valuable editorial on assertiveness!

D’Eon

2020

Can. Med. Ed. J

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Symphony of healthcare: Teamwork in medicine

Cited by 4 publications

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Diagnosis of the coronavirus disease 2019 with chest computed tomography: A retrospective inter-observer agreement study between radiologists and clinicians

Diagnosis of the coronavirus disease 2019 with chest computed tomography: A retrospective inter-observer agreement study between radiologists and clinicians

Adapting Medical Education Initiatives Through Team-Based e-Learning, Telemedicine Objective Structured Clinical Exams, and Student-Led Community Outreach During the COVID-19 Pandemic

This is a valuable editorial on assertiveness!

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