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2021

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Full-Text Articles in Medicine and Health Sciences

Assessing The Educational Quality Of Training Videos For Collection Of A Nasopharyngeal Swab, Evan M. Ryan, Matthew T. Solverson, Dallin N. Christensen, Kristy J. Carlson, Kaeli K. Samson, Samuel K. Pate, Jayme R. Dowdall, Christie A. Barnes Dec 2021

Assessing The Educational Quality Of Training Videos For Collection Of A Nasopharyngeal Swab, Evan M. Ryan, Matthew T. Solverson, Dallin N. Christensen, Kristy J. Carlson, Kaeli K. Samson, Samuel K. Pate, Jayme R. Dowdall, Christie A. Barnes

Graduate Medical Education Research Journal

Introduction: The SARS-CoV-2 pandemic has forced healthcare systems to disseminate their training materials quickly and broadly, including instruction on identifying cases of infection through correct nasopharyngeal swabbing. Incorrect nasopharyngeal swabbing technique leads to substandard sampling, patient discomfort, and increased risk of complications. We set out to evaluate the quality of educational videos on the nasopharyngeal swab procedure.

Methods: Using video search engines, videos on nasopharyngeal swabbing were identified and distributed to two reviewers. The quality of videos was assessed using a scoring system that examined indications, contraindications, personal protective equipment use, swab depth, swab angle, and audiovisual quality. Descriptive statistics …


A Consideration Of Transpersonal Research Methods For Studying Yoga And Mindfulness In Schools, Bethany Butzer Dec 2021

A Consideration Of Transpersonal Research Methods For Studying Yoga And Mindfulness In Schools, Bethany Butzer

International Journal of Transpersonal Studies

Over the past decade, interest in yoga and mindfulness in schools has grown tremendously, with preliminary research suggesting that these interventions may have a variety of positive effects on youth. However, some quantitative studies of school-based yoga and mindfulness have reported null and/or counterintuitive effects, such as increases in perceived stress, negative affect and psychological symptoms. In addition, some mixed-methods studies that combined quantitative and qualitative approaches have found inconsistent results, with the quantitative outcomes failing to show statistical significance, while students report benefits of yoga and mindfulness in qualitative interviews/focus groups. These inconsistent findings suggest that the field of …


Overview: From The Desk Of The Guest Editor, Tonya Huber Nov 2021

Overview: From The Desk Of The Guest Editor, Tonya Huber

Journal of Multicultural Affairs

Overview from the Guest Editor on this special issue on the impacts of Covid-19 in educational settings. One theme explored in the contents of this issue is the powerlessness many educators felt as the editors set out to hear, comprehend, represent, and amplify their experiences. Other themes include: appreciation and empathy, focusing on what matters, and new ways of teaching with technology.


Intermediate Care Technicians-A Novel Workforce For Veterans Affairs Geriatric Emergency Departments, Kristina T. Snell, Thomas Edes, Colleen M. Mcquown Nov 2021

Intermediate Care Technicians-A Novel Workforce For Veterans Affairs Geriatric Emergency Departments, Kristina T. Snell, Thomas Edes, Colleen M. Mcquown

Journal of Geriatric Emergency Medicine

No abstract provided.


Long-Term Effects Of In Utero Exposure To “The Year Without A Summer”, Hamid Noghanibehambari, Farzaneh Noghani, Nahid Tavassoli, Mostafa Toranji Nov 2021

Long-Term Effects Of In Utero Exposure To “The Year Without A Summer”, Hamid Noghanibehambari, Farzaneh Noghani, Nahid Tavassoli, Mostafa Toranji

Economic and Business Review

This paper uses the aftermath of the great Tambora eruption in 1815 as a natural experiment to explore the long-term effects of a nutritional shock during prenatal development. The volcanic explosion of Tambora formed substantial ash columns which hampered sunlight, cooled down the surface temperature, reduced the length of the growing season, and led to a severe harvest failure during summer and winter of 1816 in Europe and northeastern states of America. US decennial census 1850 provides evidence that cohorts in utero during the climate anomaly revealed lower literacy rates, lower labor force participation rates, a fewer number of own …


Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz Oct 2021

Association Between Educational Level And Knowledge On Transmission Of Hiv/Aids In Adolescent Women In Peru-Endes 2019, Nathalie Amado-Cornejo, Consuelo Luna-Muñoz

Revista de la Facultad de Medicina Humana

Introduction: Knowledge about the transmission of HIV in adolescent women is important due to the great risk of contracting said infection. Objectives: To determine the association between the educational level and knowledge about the transmission of HIV in female adolescents according to the ENDES year 2019. Methods: Quantitative, observational, retrospective, cross-sectional and analytical study based on the public availability data of the ENDES 2019. Results: Of the 4 668 women in the age range of 15 to 19 years. 30.6% had adequate knowledge about HIV and 69.4% had inadequate knowledge. No association was found between educational level and level of …


Barriers To Recruitment Of Racial Minorities Into Stem, Kayla Reidenbach, Nana Dadzie Oct 2021

Barriers To Recruitment Of Racial Minorities Into Stem, Kayla Reidenbach, Nana Dadzie

The Journal of Purdue Undergraduate Research

This research will help inform future practices in promoting STEM and healthcare professions to diverse populations in the U.S., which can lead to an enhanced representation in the field to better serve the diverse populations in the country.


Zero Balancing: Conscious Touch And Transformation Book Review, Misty L. Rhoads Oct 2021

Zero Balancing: Conscious Touch And Transformation Book Review, Misty L. Rhoads

Journal of Transformative Touch

Zero Balancing: Conscious Touch and Transformation by pioneering transformative touch practitioner and teacher James McCormick is a profound and engaging textbook that teaches readers a multi-layered approach to working with the body, mind, and spirit through skilled, conscious touch.


Perceptions And Nursing Demands And Experiences In The Midst Of An International Crisis (Pandemic): A Qualitative Study Of Nurse Educators’ Experiences, Lorelli Nowell, Swati Dhingra, Kimberley Andrews, Jennifer Jackson Oct 2021

Perceptions And Nursing Demands And Experiences In The Midst Of An International Crisis (Pandemic): A Qualitative Study Of Nurse Educators’ Experiences, Lorelli Nowell, Swati Dhingra, Kimberley Andrews, Jennifer Jackson

Quality Advancement in Nursing Education - Avancées en formation infirmière

The COVID-19 pandemic caused widespread disruption to nurse educators’ work, both within higher educational institutions and in clinical practice learning environments. In this study, we explored the experiences of nurse educators in academic and clinical settings during COVID-19 and the impact the pandemic has had on their work. We conducted semi-structured interviews with 15 nurse educators from six different countries and used thematic analysis to gain a comprehensive understanding of nurse educators experiences during the pandemic. The participants’ experiences were classified into stages that reflected the intensity of the pandemic and resulted in four themes: (a) the calm before the …


Medical Schools Ignore The Nature Of Consciousness At Great Cost, Anoop Kumar Jul 2021

Medical Schools Ignore The Nature Of Consciousness At Great Cost, Anoop Kumar

Journal of Wellness

The essential question of the relationship between consciousness and matter is ignored in medical school curricula, leading to a machine-like view of the human being that contributes to physician burnout and intellectual dissatisfaction. The evidence suggesting that the brain may not be the seat of consciousness is generally ignored to preserve the worldview of the primacy of matter. By investigating new frameworks detailing the nature of consciousness at different levels of hierarchy, we can bring intellectual rigor to a once opaque subject that supports a fundamental reality about our experience: We are human beings, not only human bodies.


Black And White Health Disparities: Racial Bias In American Healthcare, Yasmeen Almomani Jul 2021

Black And White Health Disparities: Racial Bias In American Healthcare, Yasmeen Almomani

Bridges: An Undergraduate Journal of Contemporary Connections

This paper explores the historical implications of race in American society that have led to implicit racism in the healthcare system. Racial bias in healthcare against Black people is a factor in the health disparities between Black and white people in America, such as the gap in life expectancy, infant death, and maternal mortality. Black people are more likely to report racial discrimination from healthcare providers, which is a reason for the decreased quality of care received. The past justifications of slavery, the Tuskegee syphilis study, and the medical experimentations on Black women are horrifying but were considered acceptable in …


Knowledge And Beliefs Of Adolescents About Acne: Baseline And Post-Intervention Assessments Using An Interactive Educational Tool, Mohammed Mehanna, May Saab Apr 2021

Knowledge And Beliefs Of Adolescents About Acne: Baseline And Post-Intervention Assessments Using An Interactive Educational Tool, Mohammed Mehanna, May Saab

BAU Journal - Health and Wellbeing

Acne vulgaris is a common inflammatory skin condition affecting teenagers around the globe. Lack of knowledge and false beliefs about acne are factors contributing to non-adherence to acne treatment that would result in treatment failure. Since acne is a highly prevalent skin condition in Lebanon, educating Lebanese adolescents about acne is vital to achieve a better treatment outcome. The aim of the present study is to assess the baseline knowledge of a sample of Lebanese adolescents using a self-administered questionnaire, and increase the level through an educational intervention (interactive audio-visual presentation). The knowledge score was assessed before and after the …


Perceptions Of Infusion Pump Alarms Among Experienced Nurses Versus Novice Nurses, Priyanka Panta Apr 2021

Perceptions Of Infusion Pump Alarms Among Experienced Nurses Versus Novice Nurses, Priyanka Panta

Merge

In nursing, infusion pumps are used daily to provide critical medications, fluids, and nutrition to patients. The alarm signals on these pumps can alert nurses to potential issues with the infusion, but some of these alarms are not clinically significant. In this study, the student researcher determined whether there was a statistically significant difference in the perceptions of infusion pump alarms among experienced and novice nurses. The student researcher hypothesized the novice nurses would have a higher perception of infusion pump alarms. The student researcher had the education department at a rural hospital in the southeastern United States distribute an …


Reconciling Taking The "Indian" Out Of The Nurse, Andrea Kennedy, Danielle H. Bourque, Domonique E. Bourque, Samantha Cardinal, R. Lisa Bourque Bearskin Apr 2021

Reconciling Taking The "Indian" Out Of The Nurse, Andrea Kennedy, Danielle H. Bourque, Domonique E. Bourque, Samantha Cardinal, R. Lisa Bourque Bearskin

Quality Advancement in Nursing Education - Avancées en formation infirmière

Currently, we are faced with an important equity gap and opportunity for nursing in higher education related to Indigenous Peoples and health. While Westernized higher education often marginalizes Indigenous Peoples, there is an important opportunity to respectfully engage with Indigenous Knowledges. Furthermore, broadening perspectives beyond a dominant Westernized worldview has the potential to advance higher education for Indigenous and non-Indigenous learners alike. We are concerned that ongoing assimilation of Indigenous learners poses a profound risk of social injustice that is contrary to the aim of higher education. In our effort to reconcile nursing education in this context, we offer this …


Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris Apr 2021

Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris

JADARA

Healthcare altruism and dysconscious healthism are terms proposed to recognize the barriers to healthcare access faced by not only individuals with hearing loss but also all minority populations. The implications of an integrated healthcare model to provide services to individuals who are d/Deaf, hard of hearing, or DeafBlind (D/HH/DB) are explored. Unique insights are then offered regarding existing barriers to healthcare access and the next steps.


Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez Mar 2021

Characteristics Of The Mentor In Surgery And Its Contribution In The Education Of The Future, Alberto Córdova-Aguilar, Lucy Cedillo Ramírez

Revista de la Facultad de Medicina Humana

Mentoring in surgery is the art of guiding a future surgeon toward specific academic and professional goals that are likely to determine career success. This mentoring requires a solid mentor-resident relationship and a mentor with certain characteristics such as: research productivity, understanding of pedagogy and the application of educational technology. The mentor in surgery is in charge of properly channeling the resident's various clinical-surgical experiences to achieve meaningful learning; likewise, experience and motivation are the main characteristics of a good mentor. The availability of the mentor is essential to foster a solid mentor-resident relationship, in order to achieve the academic …


Perspectives On The Professional Communication Profile And Needs Of Emerging Occupational Therapists Of The Millennial Generation: A Comparison Study, Ryan E. Whitney, Margaret L. Morris, Jessica Harney Jan 2021

Perspectives On The Professional Communication Profile And Needs Of Emerging Occupational Therapists Of The Millennial Generation: A Comparison Study, Ryan E. Whitney, Margaret L. Morris, Jessica Harney

The Open Journal of Occupational Therapy

Background: Millennials, born between 1982­ and 2000, became the largest share of the American workforce in 2015. As of 2014, 23.9% of American occupational therapists were under the age of 30. Positive traits ascribed to millennials include: highly educated, ambitious, confident, and optimistic. However, indicators of challenges for managing millennials emerge from media and anecdotal evidence, including stereotypes of disloyalty, entitlement, dependency, and casualness. Relevant for supporting professional development is a call to understand and enhance professional communication.

Method: This study analyzed how emerging millennial occupational therapists self-describe their professional communication profile and needs, compared to the perspective …


State Of The Journal: Clarifying Ojot Categories, Diane Powers Dirette Jan 2021

State Of The Journal: Clarifying Ojot Categories, Diane Powers Dirette

The Open Journal of Occupational Therapy

No abstract provided.


An Overview Of Virtual Communities Of Faculty Practice, Narjis Hyder, Amy Adcock, David Brown Jan 2021

An Overview Of Virtual Communities Of Faculty Practice, Narjis Hyder, Amy Adcock, David Brown

Journal of Educational Research and Practice

Virtual communities of faculty practice (CoP) provide support for and supplement the demanding doctoral curriculum with the purpose of assisting doctoral students through a holistic support system. This virtual community provides a positive private environment where faculty engage, share, and discuss current research questions or issues to encourage scholarship and collegiality. This scholarly essay presents an overview of faculty virtual CoPs in the context of mentoring online doctoral students. Attention is given to the definition of communities of practice, Wenger’s communities of practice model, producing and sustaining communities of practice, and incorporation of virtual CoPs at the doctoral level.


Using Experiential Learning To Enhance Student Outcomes In A Didactic Program In Dietetics Foodservice Management Course, Michael T. Holik, Scott Heinerichs, Jena Wood Jan 2021

Using Experiential Learning To Enhance Student Outcomes In A Didactic Program In Dietetics Foodservice Management Course, Michael T. Holik, Scott Heinerichs, Jena Wood

Internet Journal of Allied Health Sciences and Practice

Purpose: The purpose of this study was to describe student perceptions of their learning following experiential learning (EL) activities in a foodservice management course. Nutrition and dietetics education programs have a range of competencies students must learn and demonstrate throughout their curriculum. Learning styles differ amongst students and research has demonstrated they prefer to engage in EL (direct experience) activities to develop their knowledge. Foodservice management is one area of the curriculum that teaches students the basic functions of management; planning, organizing, directing, controlling, and staffing related to food, materials, facilities, and human resources. While this can be taught didactically, …


Self-Reflection And Its Relationship To Occupational Competence And Clinical Performance In Level Ii Fieldwork, Susan L. Iliff, Gaylene M. Tool, Patricia Bowyer, L. Diane Parham, Tina S. Fletcher, Wyona M. Freysteinson Jan 2021

Self-Reflection And Its Relationship To Occupational Competence And Clinical Performance In Level Ii Fieldwork, Susan L. Iliff, Gaylene M. Tool, Patricia Bowyer, L. Diane Parham, Tina S. Fletcher, Wyona M. Freysteinson

Internet Journal of Allied Health Sciences and Practice

Purpose: Reflective practitioners embody the ability to critique their own clinical thinking about the dilemmas that frequently arise in professional practice and everyday life. Conflicting evidence exists on whether or not self-reflective practices are effective in promoting academic, clinical, and personal success. This quantitative study investigated self-reflection as a predictor of increased occupational competence and clinical performance in Level II Fieldwork for entry-level Master's degree occupational therapy students. Method: The study used convenience sampling to recruit participants and data were collected via a demographic survey and self-assessment questionnaires. Multiple linear regression analyses were conducted to determine the extent to which …


Considerations In The Use Of Podcasts For Teaching And Learning In Occupational Therapy: A Scoping Study, Sarah Briand, Ingrid Malo-Leclerc, Michaël Beaudoin, Étienne Croisetière, Alexandre Tremblay, Mariane Côté-Boulanger, Annie Carrier Jan 2021

Considerations In The Use Of Podcasts For Teaching And Learning In Occupational Therapy: A Scoping Study, Sarah Briand, Ingrid Malo-Leclerc, Michaël Beaudoin, Étienne Croisetière, Alexandre Tremblay, Mariane Côté-Boulanger, Annie Carrier

Journal of Occupational Therapy Education

Evidence-based practice integrates and supports the best interventions in clinical practice. However, a gap of about ten years may elapse between the production of evidence and integration of best practices in clinical settings. Some technologies, such as podcasting, have become increasingly popular and are emerging as an innovative teaching modality that can support knowledge acquisition and integration. This scoping study gathered and synthesized the information in the literature regarding the use of podcasts by occupational therapy clinicians and students as a means for teaching and learning evidence-based knowledge. A scoping study approach was used following the five stages defined by …


Using Metacognitive Training With Kinesiology Students, Christina Davlin-Pater, Leah S. Dunn, Roy Bower, William Cipolli, Sara Biddle Jan 2021

Using Metacognitive Training With Kinesiology Students, Christina Davlin-Pater, Leah S. Dunn, Roy Bower, William Cipolli, Sara Biddle

Journal of Occupational Therapy Education

As future healthcare practitioners, kinesiology students must become expert learners who choose strategies resulting in deep and durable learning. Metacognitive instruction goes beyond the use of study skills as it focuses on student reflection and evaluation of their learning success, and ultimately establishes effective learning skills, a requirement for professional practice. To examine if an intervention in a kinesiology course affected metacognitive awareness and use of metacognitive strategies, a quasi-experimental research design utilized a convenience sample of 89 upper division undergraduate occupational therapy students and master’s level athletic training students enrolled in kinesiology courses. Using an online survey including the …


An Audit Of The Use Of Simulation In Australian And New Zealand Physiotherapy Curricula, Tayne Ryall, Elisabeth Preston, Niruthikha Mahendran, Bernie Bissett Jan 2021

An Audit Of The Use Of Simulation In Australian And New Zealand Physiotherapy Curricula, Tayne Ryall, Elisabeth Preston, Niruthikha Mahendran, Bernie Bissett

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this exploratory research was to investigate the use of simulation in physiotherapy curricula across Australia and New Zealand. The key areas of focus were whether simulation was being used, the forms of simulation used for training and assessment, evidence for educational simulation practices, and the enablers and barriers to implementing simulation into the curricula. Method: All Australian and New Zealand Universities offering a physiotherapy degree were invited to participate in an electronic survey. As no pre-existing tool was available to answer the aims of the study, a custom designed survey was developed. The survey was pilot …


Implementation And Assessment Of A New Program Requirement To Promote Professional Development, Christina Davlin-Pater, Elisabeth Rosencrum Jan 2021

Implementation And Assessment Of A New Program Requirement To Promote Professional Development, Christina Davlin-Pater, Elisabeth Rosencrum

Internet Journal of Allied Health Sciences and Practice

Purpose: Requiring students to complete and record professional development type activities similar to the requirements of certified athletic trainers may help promote the values and behaviors associated with life-long learning in the evolving practice of athletic training, as well as prepare students more practically for the expectations of credential maintenance. We sought to design, implement, assess, and improve a new professional development program requirement in a professional-level athletic training program that closely mirrored the process and re-certification requirements for certified athletic trainers. Methods: a quasi-experimental mixed-methods approach was used. Data were collected over two consecutive years at a private …


Sexuality Within Occupational Therapy Education: Assessing Faculty And Student Perceived Competence, Reba R. Duran, Kristin A. Valdes Jan 2021

Sexuality Within Occupational Therapy Education: Assessing Faculty And Student Perceived Competence, Reba R. Duran, Kristin A. Valdes

Journal of Occupational Therapy Education

Sexuality is a valuable activity of daily living that contributes to an individual’s quality of life. Although sexuality can be addressed in occupational therapy practice, it is often overlooked due to a lack of time, comfort, and knowledge. For sexuality content to be fully incorporated into practice, it has been suggested that education will facilitate the inclusion of sexuality topics into occupational therapy practice. The purpose of this survey study was to assess occupational therapy faculty and students’ perceived competence with addressing sexuality, to determine the methods of sexuality education, and the time spent on the topic in occupational therapy …


The Development Of Theory- And Evidence-Based Educational Workshops For Occupational Therapists, Sungha Kim, Rebecca E. Gewurtz, Ilana Bayer, Nadine Larivière, Lori Letts Jan 2021

The Development Of Theory- And Evidence-Based Educational Workshops For Occupational Therapists, Sungha Kim, Rebecca E. Gewurtz, Ilana Bayer, Nadine Larivière, Lori Letts

Journal of Occupational Therapy Education

The Do-Live-Well (DLW) framework is a health promotion approach developed by Canadian occupational therapists (OTs). As the DLW framework is relatively new, it has not been widely adopted by OTs. In order to facilitate OTs to incorporate the DLW concepts in their practice, there should be more learning opportunities, and online and in-person workshops have been chosen to be a specific interest of this study. The purpose of this project was to develop theory- and evidence-based in-person and online educational workshops for OTs as a pre-implementation study to increase the knowledge of the DLW framework among OTs. In order to …


The Role Of Interprofessional Education In The Development Of Healthcare Professionals’ Team Skills, Katie Sniffen, Noor Al-Hammadi, Leslie Hinyard Jan 2021

The Role Of Interprofessional Education In The Development Of Healthcare Professionals’ Team Skills, Katie Sniffen, Noor Al-Hammadi, Leslie Hinyard

Internet Journal of Allied Health Sciences and Practice

Purpose: Interprofessional education (IPE) across the health professions learning continuum is suggested to prepare health professionals for interprofessional collaborative practice (IPCP) through development of necessary attitudes, knowledge, behaviors, and skills. The purpose of this study was to investigate the flow-on effects of previous IPE experiences across the learning continuum on existing IPCP skills and behaviors in healthcare professionals. Methods: A retrospective observational study design was used to survey a convenience sample of healthcare professionals working in IPCP clinics about their self-reported team and collaboration skills via the pre-existing Team Skills Scale (TSS) and Self-Assessed Collaborative Skills (SACS) tools. Additional survey …


Telehealth And Occupational Therapy Education, Angela Patterson, Diana R. Feldhacker, Bobbi S. Greiner, Marion Russell, Victoria Bergen Jan 2021

Telehealth And Occupational Therapy Education, Angela Patterson, Diana R. Feldhacker, Bobbi S. Greiner, Marion Russell, Victoria Bergen

Journal of Occupational Therapy Education

Accredited occupational therapy education programs are required to include telehealth technology in their curricula as outlined by the Accreditation Council for Occupational Therapy Education. An innovative Doctor of Occupational Therapy program piloted a telehealth module with first- and second-year students. Both dynamic lecture content and active learning lab exercises were created to advance student knowledge in the use of telehealth technology and to inform occupational therapy telehealth education. The teaching approaches in lecture and lab were assessed using a mixed methods approach. A quantitative pre and posttest assessment of student self-efficacy and knowledge was collected at three time points. At …


Cadaver Versus Simulator Based Arthroscopic Training In Shoulder Surgery, Gazi̇ Huri̇, Mert Ruşen Gülşen, Ece Belen Karmiş, Doğaç Karagüven Jan 2021

Cadaver Versus Simulator Based Arthroscopic Training In Shoulder Surgery, Gazi̇ Huri̇, Mert Ruşen Gülşen, Ece Belen Karmiş, Doğaç Karagüven

Turkish Journal of Medical Sciences

Introduction: There are few studies that compare the cadaver dissections with the medical simulators in means of talent improvement. Therefore, the aim of this study is to find out if using cadaver dissections is still the golden standard for surgical training or using the medical simulators in surgery could replace cadaver dissections. Materials and methods: The study is conducted during the European Orthopaedics & Traumatology Education Platform accredited Shoulder Club International Cadaver Course including a number of 34 orthopedics trainees. The participants were randomly divided into two groups to be trained with the simulator (Group 1) and on cadavers (Group …