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portfolio in health training

Janine Margarita Dizon, Karen Grimmer, Shingai Machingaidze, Pam McLaren, Quinette Louw
BACKGROUND: Little is known about allied health (AH) clinical practice guideline (CPG) activity in South Africa, and particularly in relation to primary health care (PHC). This paper reports on a scoping study undertaken to establish a reference framework, from which a comprehensive maximum variation sample could be selected. This was required to underpin robust sampling for a qualitative study aimed at understanding South African primary care AH therapy CPG activities. This paper builds on findings from the South African Guidelines Evaluation (Project SAGE) Flagship grant...
October 10, 2016: Health Research Policy and Systems
Jean Frantz Lemoine, Anne Marie Desormeaux, Franck Monestime, Carl Renad Fayette, Luccene Desir, Abdel Nasser Direny, Sarah Carciunoiu, Lior Miller, Alaine Knipes, Patrick Lammie, Penelope Smith, Melissa Stockton, Lily Trofimovich, Kalpana Bhandari, Richard Reithinger, Kathryn Crowley, Eric Ottesen, Margaret Baker
Lymphatic filariasis (LF) and soil-transmitted helminths (STH) have been targeted since 2000 in Haiti, with a strong mass drug administration (MDA) program led by the Ministry of Public Health and Population and its collaborating international partners. By 2012, Haiti's neglected tropical disease (NTD) program had reached full national scale, and with such consistently good epidemiological coverage that it is now able to stop treatment for LF throughout almost all of the country. Essential to this success have been in the detail of how MDAs were implemented...
October 2016: PLoS Neglected Tropical Diseases
Cath Jackson, Lisa Dyson, Helen Bedford, Francine M Cheater, Louise Condon, Annie Crocker, Carol Emslie, Lana Ireland, Philippa Kemsley, Susan Kerr, Helen J Lewis, Julie Mytton, Karen Overend, Sarah Redsell, Zoe Richardson, Christine Shepherd, Lesley Smith
BACKGROUND: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. AIMS: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study...
September 2016: Health Technology Assessment: HTA
Bradford J Kim, Nakul P Valsangkar, Tiffany W Liang, Michael P Murphy, Teresa A Zimmers, Teresa M Bell, Mark G Davies, Leonidas G Koniaris
OBJECTIVE: Changing training paradigms in vascular surgery have been introduced to reduce overall training time. Herein, we sought to examine how shortened training for vascular surgeons may have influenced overall divisional academic productivity. METHODS: Faculty from the top 55 surgery departments were identified according to National Institutes of Health (NIH) funding. Academic metrics of 315 vascular surgery, 1132 general surgery, and 2,403 other surgical specialties faculty were examined using institutional websites, Scopus, and NIH Research Portfolio Online Reporting Tools from September 1, 2014 to January 31, 2015...
September 23, 2016: Annals of Vascular Surgery
L E Higham, W Ongeri, K Asena, M V Thrusfield
Livestock are of vital importance to the livelihoods of millions of people across the world, playing a pivotal role in income generation, employment, food security, transport and social cohesion. Access to quality animal-health services by livestock owners is critical to sustainable food-animal production; therefore, animal-health practitioners represent key stakeholders within the world food system. A mixed-method study was conducted in the Rift Valley of Kenya to characterise and compare existing private animal-health services and to explore perceptions of veterinary services amongst pastoralists and farmers...
September 10, 2016: Tropical Animal Health and Production
Sonja Marjanovic, Catherine A Lichten, Enora Robin, Sarah Parks, Emma Harte, Calum MacLure, Clare Walton, James Pickett
OBJECTIVES: To identify research support strategies likely to be effective for strengthening the UK's dementia research landscape and ensuring a sustainable and competitive workforce. DESIGN: Interviews and qualitative analysis; systematic internet search to track the careers of 1500 holders of UK doctoral degrees in dementia, awarded during 1970-2013, to examine retention in this research field and provide a proxy profile of the research workforce. SETTING AND PARTICIPANTS: 40 interviewees based in the UK, whose primary role is or has been in dementia research (34 individuals), health or social care (3) or research funding (3)...
2016: BMJ Open
L E Higham, W Ongeri, K Asena, M V Thrusfield
A mixed-method study was conducted in the Rift Valley of Kenya to characterise drug-dispensing practices amongst staff at animal health outlets and to explore perceptions of veterinary medicines amongst pastoralists and farmers. Forty structured questionnaires were administered to staff at animal health outlets, including franchise outlets of 'Sidai Africa Ltd.', and two focus group discussions were facilitated to explore the perceptions of local animal health services by a Maasai pastoralist group and a dairy farmer cooperative...
August 31, 2016: Tropical Animal Health and Production
Charles B Cairns, Kathy Bollinger, Joe G N Garcia
The University of Arizona Health Network (UAHN) was a modestly successful health care delivery organization with a vibrant academic portfolio and stable finances. By 2013, however, market forces, health care financing changes, and the burden of technology and informatics upgrades led to a compromised financial position at UAHN, a situation experienced by many academic medical centers. Concurrently, Banner Health had been interested in forming an academic partnership to enhance innovation, including the incorporation of new approaches into health care delivery, and to recruit high-quality providers to the organization...
August 30, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Evan S Fieldston, Jennifer A Jonas, Virginia A Lederman, Ashley J Zahm, Rui Xiao, Christina M DiMichele, Ellen Tracy, Katherine Kurbjun, Rebecca Tenney-Soeiro, Debra L Geiger, Annique Hogan, Michael Apkon
BACKGROUND: To develop the capacity for rapid-cycle improvement at the unit level, a large freestanding children's hospital designated 2 inpatient units with normal patient loads and workforce as pilot "Innovation Units" where frontline staff was trained to lead rigorous improvement portfolios. METHODS: Frontline staff received improvement training, and interdisciplinary teams brainstormed ideas for tests of change. Ideas were prioritized using an impact-effort evaluation and an assessment of how they aligned with high-level goals...
August 2016: Hospital Pediatrics
Robert M Califf
Patients, clinicians, and policymakers alike need access to high-quality scientific evidence in order to make informed choices about health and healthcare, but the current national clinical trials enterprise is not yet optimally configured for the efficient creation and dissemination of such evidence. However, new technologies and methods hold significant potential for accelerating the rate at which we are able to translate raw findings gathered from both patient care and clinical research into actionable knowledge...
October 2016: Clinical Trials: Journal of the Society for Clinical Trials
Mumtaz Patel, Steven Agius, Jack Wilkinson, Leena Patel, Paul Baker
CONTEXT: In the UK, supervised learning events (SLE) replaced traditional workplace-based assessments for foundation-year trainees in 2012. A key element of SLEs was to incorporate trainee reflection and assessor feedback in order to drive learning and identify training issues early. Few studies, however, have investigated the value of SLEs in predicting doctors in difficulty. This study aimed to identify principles that would inform understanding about how and why SLEs work or not in identifying doctors in difficulty (DiD)...
July 2016: Medical Education
Frederick P Ognibene, John I Gallin, Bruce J Baum, Richard G Wyatt, Michael M Gottesman
PURPOSE: Clinician-scientists are considered an endangered species for many reasons, including challenges with establishing and maintaining a career pipeline. Career outcomes from yearlong medical and dental students' research enrichment programs have not been well determined. Therefore, the authors assessed career and research outcome data from a cohort of participants in the National Institutes of Health (NIH) Clinical Research Training Program (CRTP). METHOD: The CRTP provided a yearlong mentored clinical or translational research opportunity for 340 medical and dental students...
May 24, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Jason Silvestre, Joseph M Abbatematteo, Joseph M Serletti, Benjamin Chang
BACKGROUND: Decreasing funding rates and increasing competition for National Institutes of Health research grants have prompted diverse interventions in various fields of biomedicine. Currently, the state of National Institutes of Health funding for plastic surgery research is poorly understood. The purpose of this study was to describe the portfolio of National Institutes of Health grants in academic plastic surgery. METHODS: Plastic surgery faculty at integrated and independent programs were queried individually in the National Institutes of Health RePORTER database for grants awarded in 2014...
September 2016: Plastic and Reconstructive Surgery
Stephen P Duquette, Nakul P Valsangkar, Rajiv Sood, Juan Socas, Teresa A Zimmers, Leonidas G Koniaris
UNLABELLED: The aim of this study was to evaluate the effect of different surgical training pathways on the academic performance of plastic surgical divisions. METHODS: Eighty-two academic parameters for 338 plastic surgeons (PS), 1737 general surgeons (GS), and 1689 specialist surgeons (SS) from the top 55 National Institutes of Health (NIH)-funded academic departments of surgery were examined using data gathered from websites, SCOPUS, and NIH Research Portfolio Online Reporting Tools...
February 2016: Plastic and Reconstructive Surgery. Global Open
Debra Nestel, Margaret Bearman, Peter Brooks, Dylan Campher, Kirsty Freeman, Jennene Greenhill, Brian Jolly, Leanne Rogers, Cobie Rudd, Cyle Sprick, Beverley Sutton, Jennifer Harlim, Marcus Watson
BACKGROUND: Simulation-based education (SBE) has seen a dramatic uptake in health professions education over the last decade. SBE offers learning opportunities that are difficult to access by other methods. Competent faculty is seen as key to high quality SBE. In 2011, in response to a significant national healthcare issue--the need to enhance the quality and scale of SBE--a group of Australian universities was commissioned to develop a national training program--Australian Simulation Educator and Technician Training (AusSETT) Program...
2016: BMC Medical Education
Anderson Spickard, Toufeeq Ahmed, Kimberly Lomis, Kevin Johnson, Bonnie Miller
PROBLEM: Many medical schools are modifying curricula to reflect the rapidly evolving health care environment, but schools struggle to provide the educational informatics technology (IT) support to make the necessary changes. Often a medical school's IT support for the education mission derives from isolated work units employing separate technologies that are not interoperable. INTERVENTION: We launched a redesigned, tightly integrated, and novel IT infrastructure to support a completely revamped curriculum at the Vanderbilt School of Medicine...
2016: Teaching and Learning in Medicine
Trevor Lambert, Fay Smith, Michael J Goldacre
OBJECTIVES: Doctors who graduated in the UK after 2005 have followed a restructured postgraduate training programme (Modernising Medical Careers) and have experienced the introduction of the European Working Time Regulation and e-portfolios. In this paper, we report the views of doctors who graduated in 2008 three years after graduation and compare these views with those expressed in year 1. DESIGN: Questionnaires about career intentions, destinations and views sent in 2011 to all medical graduates of 2008...
December 2015: JRSM Open
Robert Zachariae, Maja O'Connor, Berit Lassesen, Martin Olesen, Louise Binow Kjær, Marianne Thygesen, Anne Mette Mørcke
BACKGROUND: Patient-centered communication is a core competency in modern health care and associated with higher levels of patient satisfaction, improved patient health outcomes, and lower levels of burnout among physicians. The objective of the present study was to develop a questionnaire assessing medical student and physician self-efficacy in patient-centeredness (SEPCQ) and explore its psychometric properties. METHODS: A preliminary 88-item questionnaire (SEPCQ-88) was developed based on a review of the literature and medical student portfolios and completed by 448 medical students from Aarhus University...
2015: BMC Medical Education
Ibrahim Al-Alwan, Lubna Ansari Baig, Motasim Badri, Mohi Eldin Magzoub, Sarah Alyousif
OBJECTIVE: The purpose of the study was to assess the relationship between students' perception of course/block coordinators performance and attributes with students' assessment scores in respective courses. METHODS: This retrospective data based study was conducted at the College of Medicine, King Saud bin Abdulaziz University of Health Sciences (KSAU-HS). It was started in March 2013 and completed in June 2013 after the graduation of the fourth cohort. Exam score of 3(rd) and 4(th) cohort of students from the courses taught in the last two years of medical school were correlated with faculty and block evaluation done by the students...
March 2015: Pakistan Journal of Medical Sciences Quarterly
Mark T Harbinson, David Bell
BACKGROUND: Although the General Medical Council recommends that United Kingdom medical students are taught 'whole person medicine', spiritual care is variably recognised within the curriculum. Data on teaching delivery and attainment of learning outcomes is lacking. This study ascertained views of Faculty and students about spiritual care and how to teach and assess competence in delivering such care. METHODS: A questionnaire comprising 28 questions exploring attitudes to whole person medicine, spirituality and illness, and training of healthcare staff in providing spiritual care was designed using a five-point Likert scale...
2015: BMC Medical Education
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