%0 Journal Article
%~ PubMed
%A Burgess, Annette
%A Clark, Tyler
%A Chapman, Renata
%A Mellis, Craig
%T Senior medical students as peer examiners in an OSCE.
%B Medical Teacher
%D 2013
%C United Kingdom
%I Informa Healthcare
%V 35
%N 1
%P 58-62
%@ 1466-187X
%X 
%Z FOR Codes: 1302


%0 Journal Article
%~ PubMed
%A Patel, Minal R
%A Shah, Smita
%A Cabana, Michael D
%A Sawyer, Susan M
%A Toelle, Brett
%A Mellis, Craig
%A Jenkins, Christine
%A Brown, Randall W
%A Clark, Noreen M
%T Translation of an evidence-based asthma intervention: Physician Asthma Care Education (PACE) in the United States and Australia.
%B Primary Care Respiratory Journal
%D 2013
%C United Kingdom
%I General Practice Airways Group
%V 22
%N 1
%P 29-36
%@ 1475-1534
%X 
%Z FOR Codes: 1114 1117


%0 Journal Article
%~ PubMed
%A Chang, A B
%A Robertson, C F
%A Van Asperen, P P
%A Glasgow, N
%A Mellis, C M
%A Masters, I B
%A Teoh, L
%A Tjhung, I
%A Morris, P S
%A Petsky, H L
%A Willis, C
%A Landau, L I
%T A multi-centre study on chronic cough in children: burden and etiologies based on a standardized management pathway.
%B Chest
%D 2012
%C United States
%I American College of Chest Physicians
%V 142
%N 4
%P 943-950
%@ 0012-3692
%X Abstract BACKGROUND:While the burden of chronic cough in children has been documented, etiological factors across multiple settings and age have not been described. In children with chronic cough, we aimed to: (1) evaluate the burden and etiologies using a standard management pathway in various settings, and determine the influence of; (2a) age and setting on disease burden and etiologies and; (2b) etiology on disease burden. We hypothesized that the etiology, but not the burden, of chronic cough in children is dependent on the clinical setting and age. METHODS:From 5 major hospitals and 3 rural-remote clinics, 346 children (mean age 4.5-yrs) newly referred with chronic cough (>4-weeks) were prospectively managed in accordance with an evidence-based cough algorithm. We used a-priori definitions, time-frames and validated outcome measures (cough-specific quality of life (PC-QOL), a generic QOL (PedsQL) and cough diary). RESULTS:The burden of chronic cough (PC-QOL, cough duration) significantly differed between settings (p=0.014, 0.021 respectively), but was not influenced by age or etiology. PC-QOL and PedsQL did not correlate with age. The frequency of etiologies was significantly different in dissimilar settings (p=0.0001); 17.6% of children had a serious underlying diagnosis (bronchiectasis, aspiration, cystic fibrosis). Except for protracted bacterial bronchitis, the frequency of other common diagnoses (asthma, bronchiectasis, resolved without specific-diagnosis) was similar across age categories. CONCLUSION:The high burden of cough is independent of children''s age and etiology but dependent on clinical setting. Irrespective of setting and age, children with chronic cough should be carefully evaluated and child-specific evidence-based algorithms used.
%Z FOR Codes: 110203 111403


%0 Journal Article
%~ PubMed
%A Caldwell, Patrina Hy
%A Bennett, Trish
%A Mellis, Craig
%T Easy guide to searching for evidence for the busy clinician.
%B Journal of Paediatrics and Child Health
%D 2012
%C United Kingdom
%I Wiley-Blackwell Publishing Ltd.
%V 48
%N 12
%P 1095-1100
%@ 1034-4810
%X The busy clinician is constantly faced with clinical questions regarding patient care. It is easy to feel overwhelmed by the large amount of health information available electronically. This article offers one easy approach for searching the electronic database. It is intended for the busy clinician who is unsure how to conduct an electronic search. It provides guidance on where to search and how to search using the PICO search method. It also provides a list of useful resources to help clinicians critically appraise the articles found to determine its relevance.
%Z FOR Codes: 1114


%0 Journal Article
%~ PubMed
%A Enriquez, Annabelle
%A Chu, I-Wen
%A Mellis, Craig
%A Lin, Wan-Yu
%T Nebulised deoxyribonuclease for viral bronchiolitis in children younger than 24 months.
%B Cochrane Database of Systematic Reviews
%D 2012
%C United Kingdom
%I John Wiley & Sons Ltd.
%V 11
%N 
%P CD008395
%@ 1469-493X
%X 
%Z FOR Codes: 1103


%0 Journal Article
%A Chapman-Konarska, Renata
%A Mellis, Craig
%A Burgess, Annette
%A Black, Kirsten
%T Teaching professionalism in the medical program
%B International Journal of Clinical Skills
%D 2012
%C United Kingdom
%I SkillsClinic Limited
%V 6
%N 1
%P 3-6
%@ 1753-0431
%X 
%Z FOR Codes: 130209


%0 Journal Article
%~ PubMed
%A Burgess, Annette
%A Black, Kirsten
%A Chapman, Renata
%A Clark, Tyler
%A Roberts, Chris
%A Mellis, Craig
%T Teaching skills for students: our future educators.
%B The Clinical Teacher
%D 2012
%C United Kingdom
%I Wiley-Blackwell Publishing Ltd.
%V 9
%N 5
%P 312-316
%@ 1743-498X
%X 
%Z FOR Codes: 130209


%0 Journal Article
%~ PubMed
%A Burgess, Annette W
%A Ramsey-Stewart, George
%A May, James
%A Mellis, Craig
%T Team-based learning methods in teaching topographical anatomy by dissection.
%B ANZ Journal of Surgery
%D 2012
%C Australia
%I Wiley-Blackwell Publishing Asia
%V 82
%N 6
%P 457-460
%@ 1445-2197
%X Background:??? While the effectiveness of teaching human topographical anatomy by groups of medical students carrying out embalmed cadaver dissections has been recognized for centuries, the mechanisms by which this teaching is so effective have not been well described. Methods:??? In the recently reintroduced 7-week elective anatomy by whole body dissection course for senior medical students at Sydney Medical School, team-based learning (TBL) principles were used in the course design and implementation. In the 2011 course, 42 senior medical students participated. The effectiveness of TBL pedagogy was assessed by knowledge acquisition and retention and by administration of a questionnaire to evaluate the impact of the principles of this pedagogy. Results:??? The course produced a marked increase in topographical anatomical knowledge. The median pre-course assessment score was 9/20 (interquartile range 5) and the median post-course assessment score was 19.5/20 (interquartile range 1.75). The difference was statistically significant (P < 0.001). There was near universal agreement by students that five key principles of TBL (small groups, instructor selected allocation to groups, regular assessments, inter- and intra-group competitiveness, and prescribed out-of-class preparation), contributed to this knowledge acquisition. Conclusion:??? The application of TBL methodology to teaching human anatomy by dissection enables a large group of students to have small group experiences without a large number of teachers. It results in effective acquisition of topographical anatomical knowledge and appears to provide better acquisition of such knowledge than the previous methods of anatomy teaching to which these students had been exposed.
%Z FOR Codes: 110323


%0 Journal Article
%~ PubMed
%A Roydhouse, Jessica A
%A Shah, Smita
%A Toelle, Brett G
%A Sawyer, Susan M
%A Mellis, Craig M
%A Usherwood, Tim P
%A Edwards, Peter
%A Jenkins, Christine R
%T A snapshot of general practitioner attitudes, levels of confidence and self-reported paediatric asthma management practice.
%B Australian Journal of Primary Health
%D 2011
%C Australia
%I C S I R O Publishing
%V 17
%N 3
%P 288-293
%@ 1448-7527
%X The prevalence of asthma in Australia is high. Previous findings have suggested that asthma management, particularly in primary care, remains suboptimal and recent government initiatives to improve asthma management and encourage the use of written asthma action plans (WAAPs) in general practice have been implemented. We aimed to assess the attitudes, confidence and self-reported paediatric asthma management practices of a convenience sample of Australian general practitioners (GPs). A baseline questionnaire was administered to GPs as part of a randomised controlled trial. General practitioners (GPs) were recruited from two areas of greater metropolitan Sydney, NSW between 2006 and 2008. Invitations were sent to an estimated 1200 potentially eligible GPs. Of 150 (12.5%) GPs that enrolled, 122 (10.2%) completed the baseline questionnaire. Though 89% were aware of the Australian National Asthma Guidelines, less than 40% were familiar with guideline recommendations. While 85.2% had positive attitudes towards WAAPs, only 45.1% reported providing them frequently. For children with frequent symptoms, 90% agreed they should prescribe daily, inhaled corticosteroids (ICS), and 83% reported currently prescribing ICS to such patients. These findings indicate gaps between GP attitudes and behaviours and highlights opportunities for interventions to improve paediatric asthma management.
%Z FOR Codes: 111717


%0 Journal Article
%~ PubMed
%A Van Asperen, Peter P
%A Mellis, Craig M
%A Sly, Peter D
%A Robertson, Colin F
%T Evidence-based asthma management in children - what's new?
%B Medical Journal of Australia
%D 2011
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd
%V 194
%N 8
%P 383-384
%@ 1326-5377
%X The Thoracic Society of Australia and New Zealand has updated its guidelines on corticosteroid use in childhood asthma.
%Z FOR Codes: 111403 110203


%0 Journal Article
%~ PubMed
%A Shah, Smita
%A Sawyer, Susan M
%A Toelle, Brett G
%A Mellis, Craig M
%A Peat, Jennifer K
%A Lagleva, Marivic
%A Usherwood, Timothy P
%A Jenkins, Christine R
%T Improving paediatric asthma outcomes in primary health care: a randomised controlled trial.
%B Medical Journal of Australia
%D 2011
%C Australia
%I Australasian Medical Publishing Company Pty. Ltd.
%V 195
%N 7
%P 405-409
%@ 0025-729X
%X To evaluate the effectiveness of the Practitioner Asthma Communication and Education (PACE) Australia program, an innovative communication and paediatric asthma management program for general practitioners.
%Z FOR Codes: 111717 110399


%0 Journal Article
%~ Isi
%A Chang, A. B.
%A Robertson, C. F.
%A van Asperen, P. P.
%A Glasgow, N. J.
%A Masters, I. B.
%A Mellis, C. M.
%A Landau, L. I.
%A Teoh, L.
%A Morris, P. S.
%T Can a management pathway for chronic cough in children improve clinical outcomes: protocol for a multicentre evaluation
%B Trials
%D 2010
%C United Kingdom
%I BioMed Central Ltd.
%V 11
%N 
%P 103
%@ 1745-6215
%X 
%Z FOR Codes: 111403


%0 Journal Article
%~ PubMed
%A Toelle, Brett G
%A Ng, Kitty K W
%A Crisafulli, Daniele
%A Belousova, Elena G
%A Almqvist, Catarina
%A Webb, Karen
%A Tovey, Euan R
%A Kemp, Andrew S
%A Mellis, Craig M
%A Leeder, Stephen R
%A Marks, Guy B
%A , Childhood Asthma Prevention Team
%T Eight-year outcomes of the Childhood Asthma Prevention Study.
%B The Journal of allergy and clinical immunology
%D 2010
%C United States
%I Mosby, Inc.
%V 126
%N 2
%P 388-9, 389.e1-3
%@ 1097-6825
%X 
%Z FOR Codes: 1103


%0 Journal Article
%~ PubMed
%A Chang, Anne B
%A Landau, Lou I
%A van Asperen, Peter P
%A Masters, I Brent
%A Mellis, Craig M
%T The plea for rigorous studies on cough in children.
%B Chest
%D 2010
%C United States
%I American College of Chest Physicians
%V 137
%N 3
%P 741
%@ 0012-3692
%X 
%Z FOR Codes: 110203 111403


%0 Journal Article
%~ PubMed
%A Mellis, Craig
%T Benefits of budesonide or nedocromil for mild to moderate asthma in children were not sustained after discontinuation.
%B Evidence-based medicine
%D 2009
%C United Kingdom
%I BMJ
%V 14
%N 6
%P 175
%@ 1473-6810
%X 
%Z FOR Codes: 110399


%0 Journal Article
%~ PubMed
%A Mellis, Craig
%T Respiratory noises: how useful are they clinically?
%B Pediatric Clinics of North America
%D 2009
%C United States
%I WB Saunders Co.
%V 56
%N 1
%P 1-17
%@ 0031-3955
%X Although clinicians place considerable weight on the identification of the various forms of noisy breathing, there are serious questions regarding both the accuracy (validity) and the reliability (repeatability) of these noises. To avoid diagnostic errors, clinicians need to consider the whole constellation of symptoms and signs, and not focus on the specific "type" of noise. Given the high error rate with "parent-reported wheeze" there is a need to reexamine the extensive literature on the epidemiology of wheeze in infants and young children, because parent-reported wheeze is unconfirmed by a clinician. It is obvious we need more high-quality research evidence to derive better evidence on the clinical utility of these noises, and their natural history.
%Z FOR Codes: 1114 606 1116


%0 Journal Article
%~ PubMed
%A Stockler, Martin R
%A March, Lyn
%A Lindley, Richard I
%A Mellis, Craig
%T Students' PEARLS: successfully incorporating evidence-based medicine in medical students' clinical attachments.
%B Evidence-based Medicine
%D 2009
%C United Kingdom
%I BMJ Group
%V 14
%N 4
%P 98-99
%@ 1473-6810
%X 
%Z FOR Codes: 110399 80702


%0 Book Section
%A Mellis, Craig
%T Cough and fever
%B Forfar and Arneil's Textbook of Pediatrics
%D 2008
%C United Kingdom
%I Churchill Livingstone
%V 
%N 
%P 1193-1193
%@ 9780443103964
%E McIntosh, Neil
%E Helms, Peter
%E Smyth, Rosalind
%E Logan, Stuart
%X 
%Z FOR Codes: 111403 110203


%0 Book Section
%A Mellis, Craig
%T Fever and increased respiratory rate
%B Forfar and Arneil's Textbook of Pediatrics
%D 2008
%C United Kingdom
%I Churchill Livingstone
%V 
%N 
%P 1192-1193
%@ 9780443103964
%E McIntosh, Neil
%E Helms, Peter
%E Smyth, Rosalind
%E Logan, Stuart
%X 
%Z FOR Codes: 111403 110202


%0 Book Section
%A Mellis, Craig
%T Noisy breathing
%B Forfar and Arneil's Textbook of Pediatrics
%D 2008
%C United Kingdom
%I Churchill Livingstone
%V 
%N 
%P 1194-1194
%@ 978-0-443-10396-4
%E McIntosh, Neil
%E Helms, Peter
%E Smyth, Rosalind
%E Logan, Stuart
%X 
%Z FOR Codes: 111403 110203


%0 Journal Article
%~ PubMed
%A Mellis, Craig M
%T Optimizing training: what clinicians have to offer and how to deliver it.
%B Paediatric respiratory reviews
%D 2008
%C United Kingdom
%I WB Saunders Co. Ltd.
%V 9
%N 2
%P 105-12; quiz 112-3
%@ 1526-0542
%X Since experienced clinicians spend a substantial proportion of their time teaching and supervising trainees, a working knowledge of adult learning is of value. This knowledge will not only make you a more effective teacher, but will be of benefit to you when you are learning new information. There are a number of important issues to keep in mind when teaching your adult trainees. For example, recognize the short attention span of adult learners (10-15 min only!); keep your teaching and learning in context (i.e. clinically relevant); set clear, achievable learning objectives; give regular, constructive feedback to your trainees; and be aware your trainees will have different learning styles and no single teaching method is best for all. Assessment of your trainees needs to cover many different domains, including; knowledge, clinical competence, communication skills (written and verbal), procedural skills, teamwork and professionalism. Clearly, multiple methods of assessment will be essential. Further, a number of observers will be required to improve the validity of these assessment activities.
%Z FOR Codes: 110399


%0 Journal Article
%~ PubMed
%A Williams, K
%A Helmer, M
%A Duncan, G W
%A Peat, J K
%A Mellis, C M
%T Perinatal and maternal risk factors for autism spectrum disorders in New South Wales, Australia.
%B Child: care, health and development
%D 2008
%C United Kingdom
%I Wiley-Blackwell
%V 34
%N 2
%P 249-256
%@ 1365-2214
%X BACKGROUND: This study was commenced in 1999 with the aim of examining risk factors for autism using established population-based data for comparison. METHODS: Cases were ascertained using active surveillance and compared with birth data. Results: Four risk factors were found to be significantly associated with autism using binary logistic regression analysis; being male [adjusted odds ratio (OR) 4.7, 95% confidence interval (CI) 3.2-7.0], being born prematurely (adjusted OR 2.2, 95% CI 1.5-3.5), having maternal age >/=35 years (adjusted OR 1.7, 95% CI 1.2-2.4) and having a mother born outside Australia (adjusted OR 1.4, 95% CI 1.0-1.9). For analysis completed for pregnancies, rather than live births, multiple birth was also a significant risk factor for one or more children of the pregnancy to be affected by autism (adjusted OR 2.5, 95% CI 1.1-5.5). There was a statistically significant trend towards increasing risk with increasing risk factor ''dose'' for gestational age (P = 0.019), multiple birth (P = 0.016) and maternal age (P < 0.001). For mother''s country of birth the group with the highest risk were children of mother''s born in south-east or north-east Asia. There was a non-significant trend towards a higher proportion of children with developmental disability having risk factors. CONCLUSION: Replication of risk factors from previous studies and a significant risk factor ''dose'' effect add to growing evidence that maternal and perinatal factors are low magnitude risk factors for autism. The association between developmental disability and autism risk factors warrants further examination.
%Z FOR Codes: 111401 110311


%0 Book Section
%A Mellis, Craig
%T Pertussis
%B Forfar and Arneil's Textbook of Pediatrics
%D 2008
%C United Kingdom
%I Churchill Livingstone
%V 
%N 
%P 1241-1242
%@ 9780443103964
%E McIntosh, Neil
%E Helms, Peter
%E Smyth, Rosalind
%E Logan, Stuart
%X 
%Z FOR Codes: 111403 110203


%0 Journal Article
%~ PubMed
%A Mellis, Craig
%T Review: symptom-based action plans reduce acute care visits more than peak flow-based plans in children with asthma.
%B Evidence-based medicine
%D 2008
%C United Kingdom
%I BMJ Group
%V 13
%N 4
%P 122
%@ 1473-6810
%X 
%Z FOR Codes: 110305 111403 110203


%0 Book Section
%A Mellis, Craig
%T Rhinitis
%B Forfar and Arneil's Textbook of Pediatrics
%D 2008
%C United Kingdom
%I Churchill Livingstone
%V 
%N 
%P 1193-1194
%@ 9780443103964
%E McIntosh, Neil
%E Helms, Peter
%E Smyth, Rosalind
%E Logan, Stuart
%X 
%Z FOR Codes: 111403 110203


%0 Journal Article
%~ PubMed
%A Marks, Guy B
%A Abramson, Michael J
%A Jenkins, Christine R
%A Kenny, Peter
%A Mellis, Craig M
%A Ruffin, Richard E
%A Stosic, Rod
%A Toelle, Brett G
%A Wilson, David H
%A Xuan, Wei
%T Asthma management and outcomes in Australia: a nation-wide telephone interview survey.
%B Respirology
%D 2007
%C Australia
%I Blackwell Publishing Asia
%V 12
%N 2
%P 212-219
%@ 1323-7799
%X BACKGROUND AND OBJECTIVE: Asthma is a high-burden disease for which effective treatment is available. In Australia, there has been a public health campaign directed at increasing the implementation of effective management with the aim of improving asthma outcomes. The aim of this study was to assess the burden of asthma and describe current asthma management in Australia. METHODS: A computer-assisted telephone interview survey was conducted in 2003/04 among randomly selected participants. Current asthma was defined as self-reported asthma, confirmed by doctor, which was still present and/or associated with symptoms in the last 12 months. RESULTS: From 46,855 eligible telephone numbers dialled there were 14,271 (30.5%) responses to the screening questionnaire. Among 1734 respondents with current asthma, 1205 (69.5%) completed the detailed questionnaire. Among these, 24.2% of adults and 14.3% children had symptoms during the day or night on most days; 11.3% of adults and 6.0% of children avoided exercise because of asthma symptoms during exercise and 19.4% of adults and 29.7% of children had sought urgent medical care because of an exacerbation of asthma during the preceding year. Among adults with asthma, only 35.6% with daily symptoms and 41.4% with symptoms on most days were taking inhaled steroids. Only 31.1% of adults with daily symptoms had a written asthma action plan. CONCLUSION: Compared with similar international studies, this study revealed a lower prevalence of frequent asthma symptoms and a higher prevalence of use of inhaled steroids among people with asthma. However, there remains ample scope for improvement in management of patients with frequent symptoms.
%Z FOR Codes: 110203


%0 Journal Article
%~ PubMed
%A Williams, Katrina
%A Tuck, Marshall
%A Helmer, Megan
%A Bartak, Lawrence
%A Mellis, Craig
%A Peat, Jennifer K
%A , the Autism Spectrum Disorder Steering Group
%T Diagnostic labelling of autism spectrum disorders in NSW.
%B Journal of paediatrics and child health
%D 2007
%C Via Bradano 3/C, Rom
%I Pensiero Scientifico Editor
%V 44
%N 0
%P 108-13
%@ 1440-1754
%X To describe the use of diagnostic labels by clinicians for children with autism spectrum disorders (ASD) and calculate the label-specific and overall agreement between diagnostic labels and Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) diagnoses provided by the same clinician.
%Z FOR Codes: 111403


%0 Journal Article
%~ PubMed
%A Mellis, Craig
%T Reducing infant exposure to food and dust mite allergens reduced the incidence of asthma and allergy at age 8 years.
%B Evidence-based medicine
%D 2007
%C United Kingdom
%I BMJ Publishing Group
%V 12
%N 4
%P 117
%@ 1473-6810
%X 
%Z FOR Codes: