scholarly journals Lessons Learned: Nephrology Training Program Adaptation in the Time of COVID

Author(s):  
Nisha Bansal ◽  
Yoshio N. Hall ◽  
Kamalanathan K. Sambandam ◽  
Amanda K. Leonberg-Yoo
Author(s):  
Gemma Baltazar

This case study describes the considerations, challenges, and lessons learned in developing this online course, which is the foundation of an overall risk management training program for the Firm. Risk management is a very broad, deep, and complex topic which impacts the practice of law in many different ways. Recognizing that it is in meaningful discussions where learning most likely takes place, the project team’s challenge was to design an e-learning course that allows sufficient interactivity to engage the learner and stimulate thinking around issues they encounter in whatever legal area, and at whatever level they practice.


2019 ◽  
Vol 6 ◽  
pp. 238212051983455 ◽  
Author(s):  
Damian Flanders ◽  
Athina Pirpiris ◽  
Niall Corcoran ◽  
Robert Forsyth ◽  
Richard Grills

Objectives: To re-assess the perceived benefit and relevance of simulation sessions to Victorian urology trainees and to identify areas for potential improvement. Subjects and methods: All trainees attending skills training sessions between 2011 and 2016 were asked to complete a structured questionnaire at the completion of the session. The questionnaire included 11 topic areas ranging from the year of surgical training to degree of usefulness of the session, including several sections for free-text response to offer more detailed feedback. Sessions were examined both individually and collectively to assess end-user satisfaction with the structure and content of the program. Results: In total, 24 individual skills sessions were held over the 6-year period, with a total of 355 attendees. Of these, 331 attendees completed the majority of the questionnaire, a response rate of over 93%. Overall 88% of the surveyed attendees stated that they had both the support of their supervising consultant and the flexibility of workload to attend the session; 90% of trainees felt that there was adequate reading material provided prior to the skills session, an improvement from 76% in the previous study period; and 97% of those surveyed felt that the existing session structure was appropriate and the same proportion found the sessions both useful and interesting, compared with just 63% in the previous study period. Analysis of individual topics demonstrates some variability in outcome measures, but for nearly every assessed parameter, greater than 90% of participants agreed that the session fulfilled the expected criteria. New topics developed since the 2011 analysis, including renal transplant and vascular repair, also had high levels of satisfaction. The practical models used have been refined and achieved higher scores than those in the previous assessment period. Conclusion: The urology skills-based training program has been well received by the surveyed trainees and is now embedded and accepted as part of the Victorian training program. The format of the sessions has matured and the overall rating, both individually and collectively, was high. There has been a clear increase in satisfaction across most areas assessed when compared with previous feedback. Despite this, there remain areas that can be improved, such as the amount and quality of available equipment and the inclusion of video demonstrations of operative techniques.


Author(s):  
Anthony Hechanova

The United Arab Emirates (UAE) is a developing affluent nation. The leaders of the UAE announced the pursuit of peaceful nuclear power in 2008 and by the end of the following year established its Nuclear Energy Program Implementing Organization (the Emirates Nuclear Energy Corporation (ENEC)), Federal Authority for Nuclear Regulation (FANR), and ordered four APR-1400 pressurized water reactors from the Korean Electric Power Company (KEPCO). Nuclear Engineering programs were initiated soon afterwards at Khalifa University for graduate students and the University of Sharjah for undergraduate students. The technical workforce including nuclear power plant local operators and chemistry and radiation protection personnel was established by ENEC and the Institute of Applied Technology as an inaugural program of Abu Dhabi Polytechnic (AD Poly) in 2011. This paper describes the development of the dual education and training program at AD Poly, the experience of the initial cohorts who conducted their training at the APR-1400 units at the Shin Kori Nuclear Power Plant in Korea, and the current program between the AD Poly Abu Dhabi campus and the new Barakah Nuclear Power Plant based on lessons learned from the earlier years.


Author(s):  
Biraj Subedi ◽  
Sherif M. Gaweesh ◽  
Guangchuan Yang ◽  
Mohamed M. Ahmed

The Wyoming Highway Patrol (WHP) investigates more than 7,000 vehicle crashes yearly, often as first-hand responders. They often drive at high speeds through difficult road/weather conditions and under enormous secondary workloads, leading to an increased risk of crash. Connected vehicle (CV) technology can communicate timely road and traveler information messages (TIMs) to troopers, which could significantly reduce the frequency, severity, or both, of these crashes. The majority of the troopers, however, might not be familiar with driving a CV. This paper developed a “first responder-specific” training program on safe interaction with the technology and an in-depth assessment of how these new technologies are perceived by the troopers. The training program contains an E-training module and a hands-on driving simulator training module. The E-training presents concept of various CV warnings and notifications, including forward collision warning (FCW), spot weather warnings, work zone warnings, and other TIMs. Two scenarios were developed to familiarize troopers to simulated driving, two single-alert scenarios to help mastering the two most important warnings (FCW and variable speed limit), and two multiple-alert scenarios to train the troopers to drive in a comprehensive connected environment. A quiz section in the E-training module and comprehensive pre- and post-training questionnaire surveys were performed to evaluate the effectiveness of the developed CV training program. According to the trainees from the WHP, the driving simulator provided impressively realistic real-life-like scenarios for the troopers to practice the CV warnings they learned during the E-training.


2013 ◽  
Vol 17 (9) ◽  
pp. 1725-1734 ◽  
Author(s):  
G. R. Lotrecchiano ◽  
P. L. McDonald ◽  
L. Lyons ◽  
T. Long ◽  
M. Zajicek-Farber

2016 ◽  
Vol 39 (1) ◽  
pp. 21-34
Author(s):  
Marjolein H. J. van de Pol ◽  
Joep Lagro ◽  
Elise L. Koopman ◽  
Marcel G. M. Olde Rikkert ◽  
Cornelia R. M. G. Fluit ◽  
...  

2007 ◽  
Vol 21 (5) ◽  
pp. 301-308 ◽  
Author(s):  
Mark J Dobrow ◽  
Mary Anne Cooper ◽  
Karen Gayman ◽  
Jason Pennington ◽  
Joanne Matthews ◽  
...  

Colorectal cancer is a significant health burden. Several screening options exist that can detect colorectal cancer at an early stage, leading to a more favourable prognosis. However, despite years of knowledge on best practice, screening rates are still very low in Canada, particularly in Ontario. The present paper reports on efforts to increase the flexible sigmoidoscopy screening capacity in Ontario by training nurses to perform this traditionally physician-performed procedure. Drawing on American, British and local experience, a professional regulatory framework was established, and training curriculum and assessment criteria were developed. Training was initiated at Princess Margaret Hospital and Sunnybrook and Women’s College Health Sciences Centre in Toronto, Ontario. (During the study, Sunnybrook and Women’s College Health Sciences Centre was deamalgamated into two separate hospitals: Women’s College Hospital and Sunnybrook Health Sciences Centre.) Six registered nurses participated in didactic, simulator and practical training. These nurses performed a total of 77 procedures in patients, 23 of whom had polyps detected and biopsied. Eight patients were advised to undergo colonoscopy because they had one or more neoplastic polyps. To date, six of these eight patients have undergone colonoscopy, one patient has moved out of the province and another patient is awaiting the procedure. Classifying the six patients according to the most advanced polyp histology, one patient had a negative colonoscopy (no polyps found), one patient’s polyps were hyperplastic, one had a tubular adenoma, two had advanced neoplasia (tubulovillous adenomas) and one had adenocarcinoma. All these lesions were excised completely at colonoscopy. Overall, many difficulties were anticipated and addressed in the development of the training program; ultimately, the project was affected most directly by challenges in encouraging family physicians to refer patients to the program. As health human resource strategies continue to evolve, it is believed that lessons learned from experience make an important contribution to the knowledge of how nontraditional health services can be organized and delivered.


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