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Johannessen, Tonje Rambøll
(2023).
Anvendelse av troponin på legevakt for å utelukke akutt hjerteinfakt: OUT-ACS-studien (One-hoUr Troponin in a low-prevalence population of Acute Coronary Syndrome).
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Emilsson, Louise; Brænd, Anja Maria Lyche; Dahli, Mina; Johannessen, Tonje Rambøll & Skonnord, Trygve
(2023).
Designing a new elective subject for third-year medical students on navigating medical guidelines.
Vis sammendrag
Background:
Understanding how to navigate medical guidelines is an essential skill for future doctors. Recent emphasis has been placed on the importance of prioritization and time management when implementing guidelines into clinical practice. However, traditional medical education is offered topic by topic, with less emphasis given to patient-centred care, grading of recommendations and sometimes conflicting guidelines.
Methods:
Our objective was to develop a two-week elective subject titled "The Medical Profession: Navigating Medical Guidelines" for third-year medical students in Oslo. Through an intensive application of the nominal group technique (NGT), a group of five experienced primary care physicians and teachers collaborated during a two-day session to design the subject and its curriculum.
Initially, we had concerns about the complexity of this topic for students at the third-year level due to their limited clinical experience. To assess the subject, the examination was designed to include an individual reflection note and a group presentation. Out of 16 students, 14 consented to having their reflection notes used for educational research purposes.
Results:
The NGT process led to development of a subject with interactive lectures, group and plenary discussions, as well as a clinical rotation day. Key topics included research guidelines, sensible choices and sustainability, patient-centered care, medical uncertainty, multi-morbidity, and navigating conflicting guidelines. A longitudinal patient-case video presentation accompanied the teaching with increasing complexity each day. Students were divided into two groups for the clinical rotation day at out-of-hour emergency care and nursing home facilities. Two teachers were present each day of the course to facilitate skill development and discussions. Students provided positive feedback, appreciating the reflection on their future professional roles.
Conclusion(s):
The NGT process proved effective in creating an elective subject well-received by both teachers and students. We encourage others to consider using similar models when designing new curricula.
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Emilsson, Louise; Brænd, Anja Maria Lyche; Johannessen, Tonje Rambøll; Dahli, Mina & Skonnord, Trygve
(2023).
Development of a new elective subject for third-year students on navigating medical guidelines.
-
Johannessen, Tonje Rambøll; Halvorsen, Sigrun; Atar, Dan; Munkhaugen, John; Nore, Anne Kathrine & Wisløff, Torbjørn
[Vis alle 7 forfattere av denne artikkelen]
(2021).
Cost-minimization analysis of acute myocardial infarction
rule-out in low-risk patients: emergency primary care versus hospital.
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Johannessen, Tonje Rambøll; Halvorsen, Sigrun; Atar, Dan; Munkhaugen, John; Nore, Anne Kathrine & Wisløff, Torbjørn
[Vis alle 7 forfattere av denne artikkelen]
(2021).
Cost-minimisation analysis of acute myocardial infarction rule-out in low-risk patients: primary care emergency setting versus hospital setting.
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Johannessen, Tonje R.; Atar, Dan; Vallersnes, Odd Martin; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Halvorsen, Sigrun
(2020).
A single high-sensitivity cardiac troponin T compared to the HEART score for a rapid rule-out of acute myocardial infarction at a prehospital emergency clinic .
European Heart Journal.
ISSN 0195-668X.
41.
doi:
10.1093/ehjci/ehaa946.1680.
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Johannessen, Tonje R.; Atar, Dan; Vallersnes, Odd Martin; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Halvorsen, Sigrun
(2020).
A single high-sensitivity cardiac troponin T compared to the HEART score for a rapid rule-out of acute myocardial infarction at a prehospital emergency clinic .
-
Johannessen, Tonje R.; Vallersnes, Odd Martin; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu; Atar, Dan & Halvorsen, Sigrun
(2020).
Fast prehospital rule-out using a high-sensitivity cardiac Troponin T assay in a low-prevalence population for Acute Coronary Syndrome (The OUT-ACS study).
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Johannessen, Tonje R.; Vallersnes, Odd Martin; Halvorsen, Sigrun; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Atar, Dan
(2019).
Prehospital assessment of the One-hoUr rule-in/rule-out algorithm using a high-sensitivity cardiac Troponin T assay in a low-prevalence population for Acute Coronary Syndrome (OUT-ACS)
(Abstract presentation)
.
European Heart Journal.
ISSN 0195-668X.
40.
doi:
10.1093/eurheartj/ehz745.0062.
-
Johannessen, Tonje R.; Vallersnes, Odd Martin; Mdala, Ibrahimu; Larstorp, Anne Cecilie Kjeldsen; Atar, Dan & Halvorsen, Sigrun
(2019).
Prehospital assessment of the One-hoUr rule-in/rule-out algorithm using a high-sensitivity cardiac Troponin T assay in a low-prevalence population for Acute Coronary Syndrome (OUT-ACS study).
-
Johannessen, Tonje R.; Vallersnes, Odd Martin; Halvorsen, Sigrun; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Atar, Dan
(2019).
OUT-ACS studien: Anvendelse av 0/1-times algoritme for høysensitiv hjertespesifikk Troponin-T for avklaring av NSTEMI på Observasjonsposten ved Legevakten i Oslo.
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Johannessen, Tonje R.; Vallersnes, Odd Martin; Halvorsen, Sigrun; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Atar, Dan
(2019).
Prehospital assessment of the One-hoUr rule-in/rule-out algorithm using a high-sensitivity cardiac Troponin T assay in a low-prevalence population for Acute Coronary Syndrome (OUT-ACS)
(Abstract presentation)
.
-
Johannessen, Tonje R.; Vallersnes, Odd Martin; Halvorsen, Sigrun; Larstorp, Anne Cecilie Kjeldsen; Mdala, Ibrahimu & Atar, Dan
(2019).
Prehospital assessment of the One-hoUr rule-in/rule-out algorithm using a high-sensitivity cardiac Troponin T assay in a low-prevalence population for Acute Coronary Syndrome (OUT-ACS)
(Poster og vitenskaplig foredrag)
.
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Johannessen, Tonje R.
(2018).
OUT-ACS-studien: One-hoUr Troponin in a low-prevalence population for Acute Coronary Syndrome.
-
Johannessen, Tonje Rambøll
(2022).
Ruling out acute myocardial infarction in emergency primary care: The OUT-ACS study (One-hoUr Troponin in a low-prevalence population of Acute Coronary Syndrome).
Universitetet i Oslo.
ISSN 978-82-348-0107-5.