scholarly journals CAEP 2015 Academic Symposium: Current State and Recommendations to Achieve Adequate and Sustainable Funding for Emergency Medicine Academic Units

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S10-S17 ◽  
Author(s):  
Eddy S. Lang ◽  
Jennifer D. Artz ◽  
Ryan D. Wilkie ◽  
Ian G. Stiell ◽  
Claude Topping ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Leadership Development ◽  
Financial Stability ◽  
Multiple Stakeholders ◽  
Academic Mission ◽  
Professional Experiences ◽  
Shared Experiences ◽  
Current State ◽  
Canadian Association ◽  
Academic Units

AbstractObjectivesTo describe the current state of academic emergency medicine (EM) funding in Canada and develop recommendations to grow and establish sustainable funding.MethodsA panel of eight leaders from different EM academic units was assembled. Using mixed methods (including a literature review, sharing of professional experiences, a survey of current EM academic heads, and data previously collected from an environmental scan), 10 recommendations were drafted and presented at an academic symposium. Attendee feedback was incorporated, and the second set of draft recommendations was further distributed to the Canadian Association Emergency Physicians (CAEP) Academic Section for additional comments before being finalized.ResultsRecommendations were developed around the funding challenges identified and solutions developed by academic EM university-based units across Canada. A strategic plan was seen as integral to achieving strong funding of an EM unit, especially when it aligned with departmental and institutional priorities. A business plan, although occasionally overlooked, was deemed an important component for planning and sustaining the academic mission. A number of recommendations surrounding philanthropy consisted of creating partnerships with existing foundations and engaging multiple stakeholders and communities. Synergy between academic and clinical EM departments was also viewed as an opportunity to ensure integration of common missions. Education and networking for current and future leaders were also viewed as invaluable to ensure that opportunities are optimized through strong leadership development and shared experiences to further the EM academic missions across the country.ConclusionsThese recommendations were designed to improve the financial circumstances for many Canadian EM units. There is a considerable wealth of resources that can contribute to financial stability for an academic unit, and an annual networking meeting and continuing education on these issues will facilitate more rapid implementation of these recommendations.

scholarly journals CAEP 2015 Academic Symposium: Recommendations for University Governance and Administration for Emergency Medicine

CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S18-S25 ◽  
Author(s):  
David Petrie ◽  
Anil Chopra ◽  
Alecs Chochinov ◽  
Jennifer D. Artz ◽  
Michael Schull ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Good Governance ◽  
Local Environment ◽  
Essential Elements ◽  
Current Status ◽  
Emergency Physicians ◽  
Canadian Association ◽  
Academic Units ◽  
Research And Education ◽  
Exceptional Patient

AbstractObjective1) To identify the strengths and challenges of governance structures in academic emergency medicine (EM), and 2) to make recommendations on principles and approaches that may guide improvements.MethodsOver the course of 9 months, eight established EM leaders met by teleconference, reviewed the literature, and discussed their findings and experiences to arrive at recommendations on governance in academic units of EM. The results and recommendations were presented at the annual Canadian Association of Emergency Physicians (CAEP) Academic Symposium, where attendees provided feedback. The updated recommendations were subsequently distributed to the CAEP Academic Section for further input, and the final recommendations were decided by consensus.ResultsThe panel identified four governance areas of interest: 1) the elements of governance; 2) the relationships between emergency physicians and academic units of EM, and between the academic units of EM and faculty of medicine; 3) current status of governance in Canadian academic units of EM; and 4) essential elements of good governance. Six recommendations were developed around three themes, including 1) the importance of good governance; 2) the purposes of an academic unit of EM; and 3) essential elements for better governance for academic units of EM. Recommendations included identifying the importance of good governance, recognizing the need to adapt to the different models depending on the local environment; seeking full departmental status, provided it is mutually beneficial to EM and the faculty of medicine (and health authority); using a consultation service to learn from the experience of other academic units of EM; and establishing an annual forum for EM leaders.ConclusionAlthough governance of academic EM is complex, there are ways to iteratively improve the mission of academic units of EM: providing exceptional patient care through research and education. Although there is no one-size-fits-all guide, there are practical recommended steps for academic units of EM to consider.

scholarly journals The future of emergency medicine in Canada: submission from CAEP to the Romanow Commission. Part 2

CJEM ◽  
2002 ◽  
Vol 4 (06) ◽  
pp. 431-438 ◽  
Author(s):  
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Health Care System ◽  
Public Health Care ◽  
State Of Emergency ◽  
Emergency Department Overcrowding ◽  
Current State ◽  
Canadian Association ◽  
The Future ◽  
Care System

In April 2001, the Commission on the Future of Health Care in Canada was established. The Honorable Roy Romanow was given the mandate to “inquire into and undertake dialogue with Canadians on the future of Canada’s public health care system” and “to develop recommendations that will ensure the long-term sustainability of a high quality, universally accessible, publicly administered health care system, for all Canadians.” The Canadian Association of Emergency Physicians (CAEP) recognized an obligation to share in this public dialogue, to communicate the current state of emergency medicine, and to identify the components necessary to achieve excellence in emergency care. The CAEP Advocacy Committee was asked to develop a document that would educate and enlighten the Commissioner. Basic themes were identified, and authors from across the country were invited to write brief, factual essays with achievable recommendations. The resulting series of essays was presented on April 30, 2002, at the Health Care Commission’s open public hearing in Calgary, Alberta. This article, part 2 of a 2-part series, includes discussions on Emergency Department Overcrowding, Human Resources Issues in Emergency Medicine, Standardization of Care and Clinical Practice Guidelines, Informatics and the Electronic Health Record, and Research in Emergency Medicine.

scholarly journals CAEP 2014 Academic Symposium: “How to make research succeed in your department: Promoting excellence in Canadian emergency medicine resident research”

CJEM ◽  
2015 ◽  
Vol 17 (5) ◽  
pp. 591-599 ◽  
Author(s):  
Lisa A. Calder ◽  
Riyad B. Abu-Laban ◽  
Jennifer D. Artz ◽  
Shelley McLeod ◽  
Barbara Blackie ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Online Survey ◽  
Resident Research ◽  
Emergency Medicine Resident ◽  
Medicine Resident ◽  
Current State ◽  
Canadian Association ◽  
Marked Variability ◽  
Almost All ◽  
Residency Program Directors

AbstractObjectivesTo characterize the current state of Canadian emergency medicine (EM) resident research and develop recommendations to promote excellence in this area.MethodsWe performed a systematic review of MEDLINE, Embase, and ERIC using search terms relevant to EM resident research. We conducted an online survey of EM residency program directors from the Royal College of Physicians and Surgeons of Canada (RCPSC) and College of Family Physicians of Canada (CFPC). An expert panel reviewed these data, presented recommendations at the Canadian Association of Emergency Physicians 2014 Academic Symposium, and refined them based on feedback received.ResultsOf 654 potentially relevant citations, 35 articles were included. These were categorized into four themes: 1) expectations and requirements, 2) training and assessment, 3) infrastructure and support, and 4) dissemination. We received 31 responses from all 31 RCPSC-EM and CFPC-EM programs. The majority of EM programs reported requiring a resident scholarly project; however, we found wide-ranging expectations for the type of resident research performed and how results were disseminated, as well as the degree of completion expected. Although 93% of RCPSC-EM programs reported providing formal training on how to conduct research, only 53% of CFPC-EM programs reported doing so. Almost all programs (94%) reported having infrastructure in place to support resident research, but the nature of support was highly variable. Finally, there was marked variability regarding the number of resident-published abstracts and manuscripts.ConclusionsBased on the literature, our national survey, and discussions with stakeholders, we offer 14 recommendations encompassing goals, expectations, training, assessment, infrastructure, and dissemination in order to improve Canadian EM resident research.

scholarly journals Recommendations for patient engagement in patient-oriented emergency medicine research

CJEM ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 435-442 ◽  
Author(s):  
Patrick M. Archambault ◽  
Colleen McGavin ◽  
Katie N. Dainty ◽  
Shelley L. McLeod ◽  
Christian Vaillancourt ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Literature Review ◽  
Patient Engagement ◽  
Qualitative Interviews ◽  
Future Research ◽  
Translation Strategies ◽  
Medicine Research ◽  
Canadian Association ◽  
Knowledge Translation Strategies ◽  
National Patient

AbstractObjectiveTo make pragmatic recommendations on best practices for the engagement of patients in emergency medicine (EM) research.MethodsWe created a panel of expert Canadian EM researchers, physicians, and a patient partner to develop our recommendations. We used mixed methods consisting of 1) a literature review; 2) a survey of Canadian EM researchers; 3) qualitative interviews with key informants; and 4) feedback during the 2017 Canadian Association of Emergency Physicians (CAEP) Academic Symposium.ResultsWe synthesized our literature review into categories including identification and engagement, patients’ roles, perceived benefits, harms, and barriers to patient engagement; 40/75 (53% response rate) invited researchers completed our survey. Among respondents, 58% had engaged patients in research, and 83% intended to engage patients in future research. However, 95% stated that they need further guidance to engage patients. Our qualitative interviews revealed barriers to patient engagement, including the need for training and patient partner recruitment.Our panel recommends 1) an overarching positive recommendation to support patient engagement in EM research; 2) seven policy-level recommendations for CAEP to support the creation of a national patient council, to develop, adopt and adapt training material, guidelines, and tools for patient engagement, and to support increased patient engagement in EM research; and 3) nine pragmatic recommendations about engaging patients in the preparatory, execution, and translational phases of EM research.ConclusionPatient engagement can improve EM research by helping researchers select meaningful outcomes, increase social acceptability of studies, and design knowledge translation strategies that target patients’ needs.

scholarly journals Interdisciplinary Crisis Resource Management Training: How Do Otolaryngology Residents Compare? A Survey Study

OTO Open ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 2473974X1877040 ◽  
Author(s):  
Carol Nhan ◽  
Meredith Young ◽  
Ilana Bank ◽  
Peter Nugus ◽  
Rachel Fisher ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Resource Management ◽  
Management Training ◽  
Pediatric Emergency ◽  
Interdisciplinary Teams ◽  
Survey Study ◽  
Crisis Resource Management ◽  
Pediatric Emergency Medicine ◽  
Current State ◽  
Acute Airway Obstruction

Objective Emergent medical crises, such as acute airway obstruction, are often managed by interdisciplinary teams. However, resident training in crisis resource management traditionally occurs in silos. Our objective was to compare the current state of interdisciplinary crisis resource management (IDCRM) training of otolaryngology residents with other disciplines. Methods A survey study examining (1) the frequency with which residents are involved in interdisciplinary crises, (2) the current state of interdisciplinary training, and (3) the desired training was conducted targeting Canadian residents in the following disciplines: otolaryngology, anesthesiology, emergency medicine, general surgery, obstetrics and gynecology, internal medicine, pediatric emergency medicine, and pediatric/neonatal intensive care. Results A total of 474 surveys were completed (response rate, 12%). On average, residents were involved in 13 interdisciplinary crises per year. Only 8% of otolaryngology residents had access to IDCRM training, as opposed to 66% of anesthesiology residents. Otolaryngology residents reported receiving an average of 0.3 hours per year of interdisciplinary training, as compared with 5.4 hours per year for pediatric emergency medicine residents. Ninety-six percent of residents desired more IDCRM training, with 95% reporting a preference for simulation-based training. Discussion Residents reported participating in crises managed by interdisciplinary teams. There is strong interest in IDCRM and crisis resource management training; however, it is not uniformly available across Canadian residency programs. Despite their pivotal role in managing critical emergencies such as acute airway obstruction, otolaryngology residents received the least training. Implication IDCRM should be explicitly taught since it reflects reality and may positively affect patient outcomes.

scholarly journals Women in oncology pharmacy leadership: A white paper

2019 ◽  
Vol 26 (1) ◽  
pp. 175-186
Author(s):  
Alexandra Shillingburg ◽  
Laura B Michaud ◽  
Rowena Schwartz ◽  
Jaime Anderson ◽  
David W Henry ◽  
...  
Keyword(s):  
Leadership Development ◽  
White Paper ◽  
Gender Disparity ◽  
Professional Organizations ◽  
Leadership Roles ◽  
Leadership Positions ◽  
Call To Action ◽  
Current State ◽  
Key Issues ◽  
Development Committee

Gender disparity exists in leadership roles within healthcare. While the majority of the healthcare workforce is comprised of women, significantly fewer women occupy leadership positions, particularly at executive and board levels. As the field of oncology pharmacy continues to rapidly expand and evolve, an assessment of the current state of women in oncology pharmacy leadership roles is vital to the growth and development of the profession. In the fall of 2017, the Hematology/Oncology Pharmacy Association (HOPA) hosted a summit to explore leadership issues facing women in oncology pharmacy which have the potential to affect our membership and our profession. This meeting included invited participants from across the fields of oncology and pharmacy and was part of HOPA’s strategic leadership initiative developed through the work of the HOPA Leadership Development Committee in 2016. This promotes a primary goal of HOPA, which is to support oncology pharmacists as they assume leadership roles within their practices and within healthcare to assure oncology pharmacy is integrated into cancer care. The purpose of this white paper is to (1) summarize key issues that were identified through a membership survey; (2) review ongoing efforts to address the needs of female oncology pharmacists in leadership development; (3) serve as a call to action for individuals and professional organizations to assist with and disseminate these efforts and highlight available resources, and (4) to provide practical steps to meet the needs of individuals, training programs, and institutions/employers.

International Practice Of Development And Implementation Of Deposit Policy

2021 ◽  
Vol 03 (02) ◽  
pp. 1-10
Author(s):  
Bekhzodjon Usmonovich Shermukhamedov ◽  
Keyword(s):  
Information Systems ◽  
Policy Implementation ◽  
Commercial Banks ◽  
Financial Stability ◽  
Best Practice ◽  
Current State ◽  
Factors Influencing ◽  
Systemic Development ◽  
Practical Recommendations

The current state of the deposit policy of commercial banks of our country was analyzed in this article. During the analysis the peculiarities of systemic development of factors influencing on the process of deposit policy implementation were investigated. Also the conditions and opportunities of using of information systems and other directions of international best practice for improving the deposit policy of commercial banks were assessed. Based on the total conclusions on the organization of the system of targeted using of instruments for the development of deposit policy of commercial banks, scientific proposals and practical recommendations were developed to increase the level of capitalization and deposit base of commercial banks, to direct the strategy and tactics of deposit activity of commercial banks to strengthen their financial stability and reliability.

Leadership Development: Current State and Needs for Pediatric Hospital Medicine Fellows

2021 ◽  
Author(s):  
Walter R. Wickremasinghe ◽  
Carmin Powell ◽  
Whitney Chadwick ◽  
Rebecca Blankenburg ◽  
S. Jean Emans ◽  
...  
Keyword(s):  
Leadership Development ◽  
Hospital Medicine ◽  
Pediatric Hospital ◽  
Current State

Market Challenges, Risks, and Policy

2018 ◽  
pp. 163-188
Author(s):  
Adam Christopher Wood
Keyword(s):  
Economic Policy ◽  
Fiscal Policy ◽  
Financial Stability ◽  
International Perspective ◽  
Policy Decisions ◽  
Wall Street ◽  
Current State ◽  
The Government ◽  
Monetary And Fiscal Policy

This chapter first examines what caused the need to regain global stability after the financial crisis. The author provides a brief refresher of how the market crash in 2008, and subsequent Great Recession, was initially fueled while honing in on the allocation of “the fuel” coupled with the repeals of bicentennial-long legislation and the associated dangers of these economic policy changes. Notations from Nobel laureates and interagency economists from the IMF and World Bank aid in identifying the consequences of these policy decisions while simultaneously illustrating the enhanced risk within a variety of markets. Next, the author discusses the current state and relative stability of the financial markets, economic policy, and the risks associated therein. Lastly, this chapter provides recommendations for the future of monetary and fiscal policy, globalization, and what the government (and Wall Street) must consider should they seek to attain long-term financial stability from an international perspective. Monetary and fiscal policy decisions implemented and in-progress by the Federal Reserve are fastidiously examined throughout this chapter.

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