scholarly journals E23 Framework for integration of research and clinical care in the 21st century: Looking forward in a new decade

2010 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
D.K. Podolsky ◽  
D.W. Hommes
Keyword(s):  
21St Century ◽  
Clinical Care

scholarly journals The technology specialist: a 21st century support role in clinical care

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Valerie A. Noel ◽  
Elizabeth Carpenter-Song ◽  
Stephanie C. Acquilano ◽  
John Torous ◽  
Robert E. Drake
Keyword(s):  
21St Century ◽  
Clinical Care ◽  
Technology Specialist

Clinical informatics: a workforce priority for 21st century healthcare

2011 ◽  
Vol 35 (2) ◽  
pp. 130 ◽  
Author(s):  
Susan E. Smith ◽  
Lesley E. Drake ◽  
Julie-Gai B. Harris ◽  
Kay Watson ◽  
Peter G. Pohlner
Keyword(s):  
Capacity Building ◽  
21St Century ◽  
Health Informatics ◽  
Service Management ◽  
Clinical Care ◽  
Critical Role ◽  
Care Quality ◽  
Clinical Informatics ◽  
Local Health ◽  
Local Health Service

This paper identifies the contribution of health and clinical informatics in the support of healthcare in the 21st century. Although little is known about the health and clinical informatics workforce, there is widespread recognition that the health informatics workforce will require significant expansion to support national eHealth work agendas. Workforce issues including discipline definition and self-identification, formal professionalisation, weaknesses in training and education, multidisciplinarity and interprofessional tensions, career structure, managerial support, and financial allocation play a critical role in facilitating or hindering the development of a workforce that is capable of realising the benefits to be gained from eHealth in general and clinical informatics in particular. As well as the national coordination of higher level policies, local support of training and allocation of sufficient position hours in appropriately defined roles by executive and clinical managers is essential to develop the health and clinical informatics workforce and achieve the anticipated results from evolving eHealth initiatives. What is known about the topic? Health informatics is considered an emerging profession. There are not enough Health Informaticians to support the eHealth agenda. What does this paper add? This paper considers the issues, barriers and facilitators of capacity building in the health informatics workforce with a special emphasis on Clinical Informaticians. The authors conclude that resources and awareness at the national, state and local health service levels is required to facilitate health and clinical informatics’ capacity building. What are the implications for practitioners? Recognition and support of the health and clinical informatics workforce is required to improve the appropriate implementation and use of Health Information Technology for clinical care, quality and service management.

scholarly journals reality of the donkey’s exploitation for the hide trade in Brazil: disease outbreaks and animal welfare compromised in rescued donkeys

2021 ◽  
Vol 58 ◽  
pp. e174674
Author(s):  
Lucas Santana da Fonseca ◽  
Aline Rocha Silva ◽  
Frederico Augusto Mazzocca Lopes Rodrigues ◽  
Sidnei Miyoshi Sakamoto ◽  
Vania de Fátima Plaza Nunes ◽  
...  
Keyword(s):  
International Trade ◽  
21St Century ◽  
Scientific Community ◽  
Health Management ◽  
Task Force ◽  
Clinical Care ◽  
Animal Health ◽  
Disease Outbreaks ◽  
Equine Herpesvirus ◽  
Equine Infectious Anemia

  About 800 donkeys that were confined in a restrictive area used in a manner comparable to a warehouse for receiving donkeys for slaughter were abandoned. After receiving reports of mistreatment, civilians acted to save the animals. A task force was organized that planned veterinary and zootechnical actions and activities for daily health management, feeding, and clinical care to attend to the abandoned donkeys. Positive cases were diagnosed for glanders, equine infectious anemia, equine herpesvirus, and equine babesiosis. The objective of this communication is to bring to the attention of the scientific community the interventions in the area of animal health and welfare, to address the episode of northeast donkeys that were victims of international trade. It is fundamental to change the approach related to the management of donkeys in Brazil, and appeal to the necessity to identify ethical and sustainable ways to incorporate donkeys in Brazil in the 21st century.    

Physician Scientists Of Yesterday, Today And Tomorrow

2021 ◽  
Vol 44 (3) ◽  
pp. E72-79
Author(s):  
Ryan H. Kirkpatrick ◽  
J. Gordon Boyd
Keyword(s):  
21St Century ◽  
Biomedical Research ◽  
Clinical Care ◽  
Research Teams ◽  
Current State ◽  
Historical Role ◽  
Physician Scientist ◽  
Scientific Fields ◽  
Physician Scientists

While the separate roles of physicians and scientists are well defined, the role of a physician scientist is broad and variable. In today’s society, physician scientists are seen as a hybrid between the two fields and they are, therefore, expected to be key to the translation of biomedical research into clinical care. This article offers a narrative review on physician scientists and endeavours to answer whether there is an ongoing need for physician scientists today. The historical role of physician scientists is discussed and compared with physician scientists of the 21st century. Fundamental differences and similarities between the separate roles of physicians and scientists are examined as well as the current state of bench to bedside research. Finally, the ability of 21st century physician scientists to impact their respective medical and scientific fields in comparison to non-physician scientists will be discussed. This paper speculates as to why numbers of physician scientists are dwindling and uses the COVID-19 pandemic as an example of rapid translational research. Ultimately, we suggest that physician scientists are important and may have the most impact on their field by working to connect bedside and bench rather than simply working separately in the bedside and bench. To do this, physician scientists may need to lead clinical research teams composed of individuals from diverse training backgrounds.

Confronting the grey zone after severe brain injury

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen
Keyword(s):  
Brain Injury ◽  
Ethical Issues ◽  
Vegetative State ◽  
Clinical Care ◽  
Grey Zone ◽  
Severe Brain Injury ◽  
New Methods ◽  
Legal Decision Making ◽  
Technological Developments ◽  
The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

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