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In our August 2016 Supervisor survey, one of the top needs many of you expressed was to keep up to date – both clinically and educationally.

With the conference season in Australia winding up, here’s a brief list of recently released guidelines, in case you may have missed them.

Clinical guidelines and related updates

The 9th edition of the RACGP “Red Book” Guideline for preventive activities in general practice was launched at GP16

http://www.racgp.org.au/your-practice/guidelines/redbook/

RACGP/Diabetes Australia Type 2 guidelines 2016-18

https://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/5d3298b2-abf3-487e-9d5e-0558566fc242.pdf

See also recent article by Weekes on the diabetes type 2 guidelines:

https://www.mja.com.au/journal/2016/205/7/diabetes-management-keeping-date

Heart Foundation Guideline for the diagnosis and management of hypertension 2016

https://heartfoundation.org.au/images/uploads/publications/PRO-167_Hypertension-guideline-2016_WEB.pdf

As well as an article by Gabb et al in MJA on the hypertension guidelines

https://www.mja.com.au/journal/2016/205/2/guideline-diagnosis-and-management-hypertension-adults-2016

doi: 10.5694/mja16.00526

The National Shingles Vaccination Program kicked off in November 2016

http://immunise.health.gov.au/internet/immunise/publishing.nsf/Content/IT0213.cnt

Cancer Council Australia has a guidelines wiki site to enable continuous update.

Access the wiki here:

http://wiki.cancer.org.au/australia/Guidelines

Here are guidelines on the Cancer Council Australia wiki that are either open for consultation or have had recent updates.

Melanoma guidelines – for consultation

http://wiki.cancer.org.au/australia/Guidelines:Melanoma?_ga=1.133185738.516224738.1477896721

Lung cancer prevention and diagnosis – for consultation

http://wiki.cancer.org.au/australia/Guidelines:Lung_cancer/Prevention_and_diagnosis?_ga=1.162366712.516224738.1477896721

National Cervical Screening Program – changes in 2017 DHA

http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/future-changes-cervical

ACRRM Clinical guidelines and amendments can be accessed here:

http://acrrm.org.au/rural-and-remote-medicine-resources/clinical-guidelines/clinical-guidelines-amendments

Recent education, training and research articles of interest

An article in BMJ designed to send a chill into readers is “The computer will assess you now”. The editor’s choice is subtitled “rise of the machines” with the title obviously no accident!

This paper describes a rather unsettling alliance between the NHS and the Google-owned company DeepMind (perhaps the next evolution following IBM’s DeepBlue – the computer that finally beat a reigning human chess master at a game of chess which they said could never be done). The purpose of this unholy alliance is to develop a range of diagnostic tools. For this, it will have access to patient records, which has raised alarm bells all over the place! Consultation is continuing. This story will be followed over the coming year…..I’ll be back…..Hal.

Read the paper in BMJ at:

http://www.bmj.com/content/355/bmj.i5680

What do I do? Developing a competency inventory for postgraduate (residency) program directors.

Lief et al have developed a competency inventory for postgraduate program directors that could be helpful in recruitment, orientation, review and performance improvement of academic medical educators.

The inventory describes 26 competencies across five domains: communication and relationship management, leadership, professionalism and management, environmental engagement and management skills and knowledge.

The authors believe that by measuring the performance of education leadership, those leaders will be ‘walking the walk’ and modeling the way for future leaders.

Read the paper in Medical Teacher at:

http://www.tandfonline.com/doi/abs/10.3109/0142159X.2016.1147532?journalCode=imte20

Connectivism:a knowledge learning theory for the digital age?

John Gerard Scott Goldie pens a fascinating paper on ‘connectivism’ and its application as a knowledge learning theory for the digital age.

He describes a list of things that educators can do to embrace connectivism in medical education and day to day practice including following blogs, web services, creating online communities using social media.

He concludes that connectivism is a lens through which the use of digital technologies in teaching and learning can be viewed but because no single theory will be able to explain learning in technologically enabled networks that there will still be an important role for educators in online network learning.

Yay for still needing educators!

Wonder if he’s talked to DeepMind lately……

Read the paper in Medical Teacher

http://www.tandfonline.com/doi/full/10.3109/0142159X.2016.1173661

Game theory and strategy in medical training

Blake and Carroll provide an interesting paper on the use of game theory and strategy in medical training. If you want to learn a bit about ‘the prisoner’s dilemma’ and its relationship to student study habits; ‘the stag hunt’ and motivation to teach and learn in the specialist/registrar relationship; ‘the ultimatum game’ and an academic researcher trying to negotiate a pay increase; and ‘the centipede game’ and registrar autonomy; then this is the paper for you!

The authors conclude that game theory provides some useful models for strategic interactions that commonly occur in medical training and practice.

Read the paper in Medical Education at:

http://onlinelibrary.wiley.com/doi/10.1111/medu.13116/abstract