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Sandra Berivi, Antonio Grassi, Carla Russello, Antonio Palummieri
OBJECTIVES: In 2008, it was introduced by the Legislature legislation which provided the inclusion of Article 28, paragraph 1 of Legislative Decree. N. 81/2008, which stipulates for businesses and public authorities a duty to assess, among a variety of risks that could threaten the safety and health of workers (chemical, biological risk, etc) and also the work-related stress. The implementation of this decree is, therefore, specified as "work-related stress" as one of the subjects of mandatory assessment risks...
November 2017: Giornale Italiano di Medicina del Lavoro Ed Ergonomia
Lydia Aoun Barakat, Dana W Dunne, Jeanette M Tetrault, Sarita Soares, David Chia, Onyema E Ogbuagu, John P Moriarty, Stephen J Huot, Michael L Green
PROBLEM: HIV-infected patients are living longer and are at increased risk of comorbidities. A qualified physician workforce is needed to care for this growing HIV population. APPROACH: This report describes the first 5 years of the development and implementation of a novel 3-year HIV Training Track (HIV TT) within the Primary Care Residency Program from 2012 to 2017. It outlines the process of building the infrastructure of the HIV TT, describes the curriculum development based on HIV-specific Entrustable Professional Activities (EPA), and provides the results of the program evaluation in the 5 year period OUTCOMES:: The program enrolled a cohort of 11 trainees with 5 graduates...
June 12, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Nora Escribano, Javier Oscoz, David Galicia, Tommaso Cancellario, Concha Durán, Patricia Navarro, Arturo H Ariño
This dataset gathers information about the macroinvertatebrate samples and environmental variables collected on rivers of the Ebro River Basin (NE Iberian Peninsula), the second largest catchment in the Iberian Peninsula. The collection is composed of 1,776 sampling events carried out between 2005 and 2015 at more than 400 sampling sites. This dataset is part of a monitoring network set up by the Ebro Hydrographic Confederation, the official body entrusted with the care of the basin, to fulfill the requirements of the European Water Framework Directive...
June 5, 2018: Scientific Data
Sara K Kane, Diane E Lorant
OBJECTIVE: Measure variation in delivery room supervision provided by neonatologists using hypothetical scenarios and determine the factors used to guide entrustment decisions. STUDY DESIGN: A survey was distributed to members of the American Academy of Pediatrics Section on Perinatal Pediatrics. Neonatologists were presented with various newborn resuscitation scenarios and asked to choose the level of supervision they thought appropriate and grade factors on their importance in making entrustment decisions...
May 24, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Danielle C Sutzko, Anna E Boniakowski, Vahagn C Nikolian, Patrick E Georgoff, Niki Matusko, Juliet A Thompson-Burdine, Hadley I Stoll, Kaustubh A Prabhu, Rebecca M Minter, Gurjit Sandhu
OBJECTIVE: To determine the association between intraoperative entrustment and personality alignment. SUMMARY BACKGROUND DATA: For surgical residents, achieving operative autonomy has become increasingly difficult. The impact of faculty-resident operative interactions in accomplishing this goal is not well understood. We hypothesized that if operative dyads (faculty and resident) had personality alignment or congruency, then resident entrustment in the operating room would increase...
May 23, 2018: Annals of Surgery
Carla S Lupi, Allison R Ownby, Janet A Jokela, William B Cutrer, Angela K Thompson-Busch, Marina Catallozzi, James M Noble, Jonathan M Amiel
In 2015, the Association of American Medical Colleges implemented an inter-institutional pilot of the 13 core entrustable professional activities for entering residency (EPAs), activities that entering residents should be expected to perform with indirect supervision only. The pilot included a concept group on faculty development; this group previously offered a shared mental model focused largely on the development of faculty who devote their efforts to clinical teaching and assessment for learning and entrustment decision-making...
May 22, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Daniel J Schnobrich, Benji K Mathews, Bernard E Trappey, Brian K Muthyala, Andrew P J Olson
BACKGROUND: Internal medicine physicians and trainees are increasingly using, and seeking training in, diagnostic point of care ultrasound (POCUS). Numerous internal medicine training programs have described their curricula, but little has been written about how learners should be assessed, supervised, and allowed to progress toward independent practice, yet these practices are imperative for safe and effective use. Entrustable professional activities (EPAs) offer a practical method to assess observable units of professional work and make supervision decisions...
May 23, 2018: Medical Teacher
Jianwei Niu, He Geng, Yijing Zhang, Xiaoping Du
Operator trust in automation is a crucial factor influencing its use and operational performance. However, the relationship between automation trust and performance remains poorly understood and requires further investigation. The objective of this paper is to explore the difference in trust and performance on automation-aided spacecraft rendezvous and docking (RVD) between the novice and the expert and to investigate the relationship between automation trust and performance as well. We employed a two-factor mixed design, with training skill (novice and expert) and automation mode (manual RVD and automation aided RVD) serving as the two factors...
September 2018: Applied Ergonomics
B Pateron, R Marianowski, P-J Monteyrol, V Couloigner, M Akkari, F Chalumeau, P Fayoux, N Leboulanger, P Franco, M Mondain
OBJECTIVE: The authors present the guidelines of the French Society of ENT and Head & Neck Surgery (SFORL) on the role of the ENT physician in childhood obstructive sleep apnea-hypopnea syndrome (OSAHS). This section of the guidelines concerns the roles of the various medical and surgical treatment options. METHOD: A multidisciplinary work-group was entrusted with a review of the scientific literature on the topic. Based on the retrieved articles and the group members' own experience, guidelines were drawn up, then read over by a reading group independent of the work-group...
May 3, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
Nils Johansson, Hervé Corvellec
This paper presents an analysis of European and Swedish national and municipal waste prevention plans to determine their capability of preventing the generation of waste. An analysis of the stated objectives in these waste prevention plans and the measures they propose to realize them exposes six problematic features: (1) These plans ignore what drives waste generation, such as consumption, and (2) rely as much on conventional waste management goals as they do on goals with the aim of preventing the generation of waste at the source...
April 30, 2018: Waste Management
Lawrence J Cohen, Vera S Donnenberg, Peter H Wiernik, William C Newman, Nduka Amankulor
In recent years, health care has been increasingly delivered by interprofessional teams in the inpatient, outpatient, and transition-of-care arenas. For many reasons, effective communication between patient-centered care teams and patients is critically important in order to optimize care, ensure patient safety, and prevent medical and medication misadventures. In rapid-paced, high-stress medical environments, it is especially important to carefully evaluate the causes of all misadventures in a manner that avoids assigning blame and identifies the root causes and, through team activity, leads to development of remedies that reduce the likelihood of future misadventures...
May 3, 2018: Journal of Clinical Pharmacology
Giuliano Grignaschi, Veronica Redaelli, Fabio Luzi, Massenzio Fornasier
The coming into force of the 2010/63/EU (Directive of the European Parliament and of the Council of 22 September 2010) Standard, regarding the protection of animals used for scientific purposes, has made it mandatory for all establishments breeding, supplying, and using said animals to have an Animal Welfare Body (AWB). The establishment of a body such as the AWB represents a strong innovation compared to previous regulations (Dir. 86/609/CEE). Building from the key concept of the 3 Rs, European Community legislators acknowledged that the effective safeguard of animal welfare depends in large part on the professional skills of personnel in charge of their care and use...
2018: Frontiers in Physiology
Ylva Holzhausen, Asja Maaz, Anna Renz, Josefin Bosch, Harm Peters
No abstract text is available yet for this article.
May 2, 2018: BMC Medical Education
Chantal C M A Duijn, Lisanne S Welink, Harold G J Bok, Olle T J Ten Cate
INTRODUCTION: Clinical training programs increasingly use entrustable professional activities (EPAs) as focus of assessment. However, questions remain about which information should ground decisions to trust learners. This qualitative study aimed to identify decision variables in the workplace that clinical teachers find relevant in the elaboration of the entrustment decision processes. The findings can substantiate entrustment decision-making in the clinical workplace. METHODS: Focus groups were conducted with medical and veterinary clinical teachers, using the structured consensus method of the Nominal Group Technique to generate decision variables...
June 2018: Perspectives on Medical Education
David R Taylor, Yoon Soo Park, Christopher A Smith, Jolanta Karpinski, William Coke, Ara Tekian
Background: Competency-based medical education has not advanced residency training as much as many observers expected. Some medical educators now advocate reorienting competency-based approaches to focus on a resident's ability to do authentic clinical work. Objective: To develop descriptions of clinical work for which internal medicine residents must gain proficiency to deliver meaningful patient care (for example, "Admit and manage a medical inpatient with a new acute problem")...
May 15, 2018: Annals of Internal Medicine
Ricardo J Bello, Meredith L Meyer, Damon S Cooney, Gedge D Rosson, Scott D Lifchez, Carisa M Cooney
BACKGROUND: Operative rating tools can enhance performance assessment in surgical training. However, assessments completed late may have questionable reliability. We evaluated the reliability of assessments according to evaluation time-to-completion. METHODS: We stratified assessments from MileMarker's™ Operative Entrustability Assessment by evaluation time-to-completion, using concordance correlation coefficient (CCC) between self-assessment and evaluator scores as a measure of reliability...
April 17, 2018: American Journal of Surgery
Jérôme Baudry
In 1791, the Loi relative aux découvertes utiles instituted a new patent system in France. Because patents were seen as the expression of the natural right of inventors, prior examination was abolished. However, only a few years after the law was passed, an unofficial examination was reinstated, and it was entrusted to the Comité Consultatif des Arts et Manufactures - a consultative body composed of prominent scientists. I analyze the political significance of the involvement of the savants in the patent system, and based on the archives of the Comité, I study the scope and practicalities of the examination process, paying close attention to the ways through which the savants of the Comité directly intervened in the writing and drawing of specifications...
April 1, 2018: History of Science; An Annual Review of Literature, Research and Teaching
Amanda Roze des Ordons, Adam Cheng, Jonathan Gaudet, James Downar, Jocelyn Lockyer
Background: Feedback conversations between preceptors and residents usually occur in closed settings. Little is known about how preceptors address the challenges posed by residents with different skill sets, performance levels, and personal contexts. Objective: This study explored the challenges that preceptors experienced and approaches taken in adapting feedback conversations to individual residents. Methods: In 2015, 18 preceptors participated in feedback simulations portraying residents with variations in skill, insight, confidence, and distress, followed by debriefing of the feedback conversation with a facilitator...
April 2018: Journal of Graduate Medical Education
D Duerschmied, J Brachmann, H Darius, N Frey, H A Katus, W Rottbauer, A Schäfer, H Thiele, C Bode, Uwe Zeymer
The number of patients with atrial fibrillation undergoing percutaneous coronary intervention (PCI) is increasing. Since these patients have a CHA2 DS2 -VASc score of 1 or higher, they should be treated with oral anticoagulation to prevent stroke. However, combination therapy with oral anticoagulation for prevention of embolic stroke and dual platelet inhibition for prevention of coronary thrombosis significantly increases bleeding complications. The optimal combination, intensity and duration of antithrombotic combination therapy is still not known...
July 2018: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
Stefanie S Sebok-Syer, Saad Chahine, Christopher J Watling, Mark Goldszmidt, Sayra Cristancho, Lorelei Lingard
INTRODUCTION: Our ability to assess independent trainee performance is a key element of competency-based medical education (CBME). In workplace-based clinical settings, however, the performance of a trainee can be deeply entangled with others on the team. This presents a fundamental challenge, given the need to assess and entrust trainees based on the evolution of their independent clinical performance. The purpose of this study, therefore, was to understand what faculty members and senior postgraduate trainees believe constitutes independent performance in a variety of clinical specialty contexts...
April 19, 2018: Medical Education
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