scholarly journals Healthcare Students on Placements: a Cyclical Quality Method for Satisfaction Assessments

2020 ◽  
Vol 30 (4) ◽  
pp. 1427-1435
Author(s):  
Camille Boutillier ◽  
Luc Jeanrenaud ◽  
Jean-Luc Gilles ◽  
Laurence Bouche ◽  
Jocelyne Quillet Cotting

AbstractThe Lausanne University Hospital (CHUV, Switzerland) is a university hospital with more than 11,000 employees who perform clinical, research and teaching roles. It was ranked in March 2019 among the ten best hospitals in the world according to the magazine Newsweek. The education scheme of the CHUV includes the practical training of more than 1700 young people, in particular from the University of Applied Sciences and Arts of Western Switzerland (HES-SO). This research and development, carried out in collaboration with the University of Teacher Education of State of Vaud (UTE Vaud), has enabled the creation and implementation of a cyclical method for evaluating the satisfaction of HES-SO healthcare students at CHUV. The method created and tested—the Cycle of Construction and Quality Control for Satisfaction Evaluations (CCQCSE)—comprises nine stages: Issues, Analysis, Design, Items, Information, Collection, Processing, Feedback and Adjustment. It was designed with the help of a multidisciplinary team of healthcare professionals (CHUV) and experts in education sciences (UTE Vaud) as part of a master’s thesis (Kaeser 2018) directed by our research team. A 4-month pilot phase allowed more than 250 placement students’ satisfaction levels to be collected with respect to ten aspects of the practical training scheme, and provided diagnostic feedback. Identifying strengths and areas for improvement has significantly helped with the development of a quality policy for student training at the institution. CCQCSE is now considered as a robust method in line with the quality measures already in place at CHUV. In particular, it encouraged those responsible for the practical training to reflect on their mentoring practices. Beyond the context of CHUV and the mentoring of healthcare students on placements, the CCQCSE model could be transferred to other sectors in which training placements are offered, opening up new avenues of collaborative research.

Author(s):  
Maryna Lienkova ◽  
Irina Bulakh

The article considers and analyzes the existing in the world, but new for Ukraine, type of healthcare institutions - a university hospital, which today is an example of one of the largest and best university hospitals in Germany - the Medical Center of the University of Aachen. The planning and functional structure of the university hospital and special design approaches that contributed to its design and development are analyzed. The purpose of the article is to illustrate an innovative approach for our state to the organization of medical institutions and to emphasize the importance of their implementation in the domestic healthcare system. The research methodology is based on the systematization and analysis of data from various information sources, as well as on the method of sociological survey (analysis of reviews). The article considers the features of the structure of the University Hospital Aachen, namely the multidisciplinary treatment, research and student training, which are combined in one institution. According to hospital patients, the only drawback of this structure is the frequent long wait for visitors. This is probably due to the significant daily flow of patients of varying complexity and, consequently, the shortcomings of the managerial approach. However, at the same time, the hospital has many advantages, which were highlighted in the article.  


Afrika Focus ◽  
1990 ◽  
Vol 6 (1) ◽  
Author(s):  
André De Schaepdryver

The author describes the Project of Medical Cooperation between the Medical Faculties of the University of Ghent and the National University of Rwanda in Butare. The objectives of this project, which started in 1966, were the following: (l) to organize and dispense the theoretical education and practical training at the G.P.-level;(2) to structure the postgraduate education of alumni selected for higher education posts;(3) to take care of the postgraduate training of specialists;(4) to organize the continuing education of health personnel;(5) to promote and participate in medical research.The results of the Project were, in 1984: (1) at the level of health personnel: the education and training of 220 physicians, 19 university lecturers and 15 specialists; (2) at the level of the infrastructure: the building of the Medical Faculty facilities, the pediatric and medical policlinics and clinics, the community health service for adults; the adaptation of the gynecological-obstetrical policlinic and clinic and of the community health service for children; the founding of the Faculty library, secretariat and workshop, (3) at the research level: the founding and development of the University Center for Research on Traditional Pharmacopoeia and Medicine, aiming at: a) the valorization and integration of traditional medicine; b) the study of Rwandese medicinal plants; c) the local production of pharmaceutical preparations of plant origin and organic raw materials. The attention is drawn to the importance of the postgraduate education in Belgium, for periods of 5 years, of 25 Rwandese medical alumni, which resulted in 15 Ph.D. -theses and a nearly complete rwandization of the Faculty of Medicine and University Hospital in Butare. A pairing Agreement Butare-Ghent has taken the relief of the Project, insuring its continuity through visiting lecturers, and the coaching of trainees and of research projects in various fields of the local pathology. 


Afrika Focus ◽  
1990 ◽  
Vol 6 (1) ◽  
pp. 5-18
Author(s):  
André De Schaepdryver

Medical Development-Cooperation in Central Africa The author describes the Project of Medical Cooperation between the Medical Faculties of the University of Ghent and the National University of Rwanda in Butare. The objectives of this project, which started in 1966, were the following: (1) to organize and dispense the theoretical education and practical training at the G.P.-level; (2) to structure the postgraduate education of alumni selected for higher education posts; (3) to take care of the postgraduate training of specialists; (4) to organize the continuing education of health personnel; (5) to promote and participate in medical research. The results of the Project were, in 1984: (1) at the level of health personnel: the education and training of 220 physicians, 19 university lecturers and 15 specialists; (2) at the level of the infrastructure: the building of the Medical Faculty facilities, the pediatric and medical policlinics and clinics, the community health service for adults; the adaptation of the gynecological-obstetrical policlinic and clinic and of the community health service for children; the founding of the Faculty library, secretariat and workshop, (3) at the research level: the founding and development of the University Center for Research on Traditional Pharmacopoeia and Medicine, aiming at: a) the valorization and integration of traditional medicine; b) the study of Rwandese medicinal plants; c) the local production of pharmaceutical preparations of plant origin and organic raw materials. The attention is drawn to the importance of the postgraduate education in Belgium, for periods of 5 years, of 25 Rwandese medical alumni, which resulted in 15 Ph.D. -theses and a nearly complete rwandization of the Faculty of Medicine and University Hospital in Butare. A pairing Agreement Butare-Ghent has taken the relief of the Project, insuring its continuity through visiting lecturers, and the coaching of trainees and of research projects in various fields of the local pathology.


2019 ◽  
Vol 28 (5) ◽  
pp. 18-36 ◽  
Author(s):  
A. I. Chuchalin

A review of the literature on university faculty advanced training for research and teaching activities is presented. Based on the analysis of the experience of Russian and foreign universities, the principles for developing a modern faculty advanced training system at the university are set out responding to the challenges associated with the ongoing and expected changes in the content and technology of student training, primarily in the field of STEM. It is proposed to use the CDIO ++ approach for advanced training of faculty of various categories (professor, associate professor, assistant) to research and teaching activities in the conditions of division of labor when creating and implementing educational products at various stages of their life cycle. The distribution of academic staff potential is shown and an assessment of the resources of a program for faculty advanced training is given on the basis of the CDIO ++ approach for a hypothetical university with a given structure and established priorities for faculty members of various categories.


Author(s):  
Michaela Albl-Mikasa ◽  
Elisabeth Glatz ◽  
Gertrud Hofer ◽  
Marina Sleptsova

Our paper is based on the Swiss research project ‘Interpreting in Medical Settings: Roles, Requirements and Responsibility’, which was supported by a grant of the Swiss Commission for Technology and Innovation (KTI) and carried out by an interdisciplinary team comprising medical specialists from the University Hospital of Basel (Marina Sleptsova and colleagues) and interpreting studies/applied linguistics researchers from the Zurich University of Applied Sciences (ZHAW) (Gertrud Hofer and colleagues). It explores videotape transcriptions of 12 authentic interpreted conversations between German speaking doctors/medical staff and patients of Turkish or Albanian origin. The analysis finds that culture-specific expressions produced by the patients occur rarely and do not pose any interpreting problems. By contrast, phatic tokens and hedges play an important role in medical personnel’s presentation of their interactional, trust building, diagnostic and therapeutic intentions. Although these expressions are essential communication elements geared at building patients’ compliance and establishing doctors’ safeguards, they are rarely or inconsistently rendered by the interpreters. It is argued that, while medical interpreters may have plausible reasons not to render these expressions, they would still need to be made aware of the significance of such pragmatic aspects of communication in training courses and/or pre-encounter briefings. More generally, empirical research – similar to that on questioning style and questioning techniques – should focus more on the exploration of discourse markers, meta-discourse comments and rapport-building expressions of different types of utterance and discourse practices in healthcare interpreting settings.


VASA ◽  
2004 ◽  
Vol 33 (2) ◽  
pp. 78-81 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Jeanneret ◽  
Labs ◽  
Jäger

Background: Haemostatic puncture closure devices for rapid and effective hemostasis after arterial catheterisation are a comfortable alternative to manual compression. Implanting a collagen plug against the vessel wall may become responsible for other kind of vascular injuries i.e. thrombotic or stenotic lesions and peripheral embolisation. The aim of this paper is to report our clinically relevant vascular complications after Angio-Seal® and to discuss the results in the light of the current literature. Patients and methods: We report the symptomatic vascular complications in 17 of 7376 patients undergoing diagnostic or therapeutic catheterisation between May 2000 and March 2003 at the University Hospital Basel. Results: Most patients presented with ischaemic symptoms, arterial stenoses or occlusions and thrombotic lesions (n = 14), whereas pseudoaneurysms were extremely rare (n = 3). Most patients with ischaemic lesions underwent vascular surgery and all patients with a pseudoaneurysm were successfully treated by ultrasound-guided compression. Conclusions: Severe vascular complications after Angio-Seal® are rare, consistent with the current literature. There may be a shift from pseudoaneurysms to ischaemic lesions.


1993 ◽  
Vol 32 (05) ◽  
pp. 365-372 ◽  
Author(s):  
T. Timmeis ◽  
J. H. van Bemmel ◽  
E. M. van Mulligen

AbstractResults are presented of the user evaluation of an integrated medical workstation for support of clinical research. Twenty-seven users were recruited from medical and scientific staff of the University Hospital Dijkzigt, the Faculty of Medicine of the Erasmus University Rotterdam, and from other Dutch medical institutions; and all were given a written, self-contained tutorial. Subsequently, an experiment was done in which six clinical data analysis problems had to be solved and an evaluation form was filled out. The aim of this user evaluation was to obtain insight in the benefits of integration for support of clinical data analysis for clinicians and biomedical researchers. The problems were divided into two sets, with gradually more complex problems. In the first set users were guided in a stepwise fashion to solve the problems. In the second set each stepwise problem had an open counterpart. During the evaluation, the workstation continuously recorded the user’s actions. From these results significant differences became apparent between clinicians and non-clinicians for the correctness (means 54% and 81%, respectively, p = 0.04), completeness (means 64% and 88%, respectively, p = 0.01), and number of problems solved (means 67% and 90%, respectively, p = 0.02). These differences were absent for the stepwise problems. Physicians tend to skip more problems than biomedical researchers. No statistically significant differences were found between users with and without clinical data analysis experience, for correctness (means 74% and 72%, respectively, p = 0.95), and completeness (means 82% and 79%, respectively, p = 0.40). It appeared that various clinical research problems can be solved easily with support of the workstation; the results of this experiment can be used as guidance for the development of the successor of this prototype workstation and serve as a reference for the assessment of next versions.


1995 ◽  
Vol 34 (01/02) ◽  
pp. 75-78 ◽  
Author(s):  
R. D. Appel ◽  
O. Golaz ◽  
Ch. Pasquali ◽  
J.-C. Sanchez ◽  
A. Bairoch ◽  
...  

Abstract:The sharing of knowledge worldwide using hypermedia facilities and fast communication protocols (i.e., Mosaic and World Wide Web) provides a growth capacity with tremendous versatility and efficacy. The example of ExPASy, a molecular biology server developed at the University Hospital of Geneva, is striking. ExPASy provides hypermedia facilities to browse through several up-to-date biological and medical databases around the world and to link information from protein maps to genome information and diseases. Its extensive access is open through World Wide Web. Its concept could be extended to patient data including texts, laboratory data, relevant literature findings, sounds, images and movies. A new hypermedia culture is spreading very rapidly where the international fast transmission of documents is the central element. It is part of the emerging new “information society”.


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