References to personal experiences and scientific evidence during medical multi-disciplinary team meetings

2011 ◽  
Vol 30 (4) ◽  
pp. 455-466 ◽  
Author(s):  
Oscar Frykholm ◽  
Kristina Groth
2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Gowda ◽  
Z Chia ◽  
T Fonseka ◽  
K Smith ◽  
S Williams

Abstract Introduction Every day in our surgical department; prior to our quality improvement project, Junior Doctors spent on average 3.26 clinical hours maintaining 5 surgical inpatient lists of different specialities with accessibility of lists rated as “neutral” based on a 5-point scale from difficult to easy. Our hospital previously had lists stored locally on designated computers causing recurrent difficulties in accessing and editing these lists. Method We used surveys sent to clinicians to collect data. Cycle 1: Surgical Assessment Units list on Microsoft Teams Cycle 2: Addition of surgical specialities and wards lists onto Microsoft Teams. Cycle 3 (current): expand the use of Microsoft Teams to other specialities. Results Utilising technology led to a 25% reduction in time spent on maintaining inpatient lists, to 2.46 hours a day, and an improvement in the accessibility of lists to “easy”. Across a year, this saves over 220 hours clinician hours which can be used towards patient care and training. Furthermore, use of Microsoft Teams has improved communication and patient care, in the form of virtual regional Multi-Disciplinary Team meetings and research projects. Conclusions Microsoft Teams is currently free to all NHS organisations in England so there is potential for these efficiency savings to be replicated nationwide.


2011 ◽  
Vol 30 (4) ◽  
pp. 467-471 ◽  
Author(s):  
Tracy Goolam-Hossen ◽  
Chris Metcalfe ◽  
Alison Cameron ◽  
Brett Rocos ◽  
Stephen Falk ◽  
...  

2007 ◽  
Vol 205 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Carlos Moreno-Sanz ◽  
Ana Pascual-Pedreño ◽  
Joaquin S. Picazo-Yeste ◽  
Jose B. Seoane-Gonzalez

2014 ◽  
Vol 28 (12) ◽  
pp. 1237-1247 ◽  
Author(s):  
SF Tyson ◽  
L Burton ◽  
A McGovern

Objective: To explore how multi-disciplinary team meetings operate in stroke rehabilitation. Design: Non-participant observation of multi-disciplinary team meetings and semi-structured interviews with attending staff. Setting and participants: Twelve meetings were observed (at least one at each site) and 18 staff (one psychologist, one social worker; four nurses; four physiotherapists four occupational therapists, two speech and language therapists, one stroke co-ordinator and one stroke ward manager) were interviewed in eight in-patient stroke rehabilitation units. Results: Multi-disciplinary team meetings in stroke rehabilitation were complex, demanding and highly varied. A model emerged which identified the main inputs to influence conduct of the meetings were personal contributions of the members and structure and format of the meetings. These were mediated by the team climate and leadership skills of the chair. The desired outputs; clinical decisions and the attributes of apparently effective meetings were identified by the staff. A notable difference between the meetings that staff considered effective and those that were not, was their structure and format. Successful meetings tended to feature a set agenda, structured documentation; formal use of measurement tools; pre-meeting preparation and skilled chairing. These features were often absent in meetings perceived to be ineffective. Conclusions: The main features of operation of multi-disciplinary team meetings have been identified which will enable assessment tools and interventions to improve effectiveness to be developed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Laura Cortellazzo ◽  
Sara Bonesso ◽  
Fabrizio Gerli ◽  
Claudio Pizzi

Emotional and social competencies have been shown to be extremely desirable in young people for their successful entry into the labor market. Their development has been studied primarily as a result of formal training in the educational and work domains, whereas relatively little is known about the role played by extracurricular activities in promoting these types of competencies. Non-working personal experiences are often used as proxies to assess the emotional and social competencies of candidates in recruitment and selection phases. However, this inference is not based on clear scientific evidence. Drawing on experiential learning theory, this study investigated empirically the relationship between a range of extracurricular activities (volunteering, cultural activities, experience abroad, sport) and the competency portfolio of graduates. Data were collected from a sample of 324 graduates through a structured survey and a multi-rater assessment of their emotional and social competencies. The results of the Partial Least Square-Path Modeling in general provide support for the positive association between experiential extracurricular activities and emotional and social competencies, although not all relationships are supported. The present study contributes to advance in the understanding of the determinants of emotional and social competencies by examining their relationship with a broad range of extracurricular activities. Moreover, it discusses implications for higher education and human resource management.


2019 ◽  
Vol 7 ◽  
pp. 205031211987141 ◽  
Author(s):  
Jessica M Sales ◽  
Kaitlin Piper ◽  
Clara Riddick ◽  
Betelihem Getachew ◽  
Jonathan Colasanti ◽  
...  

Objective: This mixed-methods needs assessment study examined self-care practices among providers, staff, and administrators at an HIV clinic and identified barriers and facilitators to strengthening self-care services in this setting. Methods: Surveys (n = 31) and qualitative interviews (n = 23) were conducted with staff, providers, and administrators at a large, safety-net HIV clinic. Results: Surveys indicated an overall absence of formal self-care services including resources to manage stress, opportunities to debrief, and formal mechanisms to voice concerns. Based on interviews with staff and providers, deficiencies in self-care services included support for dealing with complex patients, formal mechanisms for feedback, and time for self-care. Administrators recognized the need for more support, acknowledged that opportunities for employees to voice concerns were lacking, and felt that implementing multi-disciplinary team meetings could improve morale and reduce stress and burnout. Conclusion: This assessment revealed a need to enhance self-care in safety-net HIV services. Adoption of trauma-informed care, which includes activities to strengthen self-care, could reduce workplace burnout.


Lung Cancer ◽  
2005 ◽  
Vol 49 ◽  
pp. S24 ◽  
Author(s):  
D. Gilligan ◽  
L. Goodrum ◽  
L. Magee ◽  
S. Harris

Author(s):  
Mario Vetri ◽  
Alessia Cataldi ◽  
Adriano Naselli ◽  
Annalisa Vetri

Gender Identity Dysphoria (GID) is a condition characterized by a strong and persistent identification with the opposite sex. These people consider themselves victims of a sort of biological accident: "a soul in a wrong body". There are numerous theories on the origin of transsexualism: genetic, hormonal and psychological causes have been hypothesized, but those currently most accredited are the neuroanatomical ones. The cornerstones of hormone conversion therapy (Gender Affirming Hormone Therapy, GAHT) are feminizing hormones for transgender women (MtFs) and virilizing for transgender males (FtMs). GID can be present among adolescents and older people. For adolescents is now accepted reversible treatment of puberty withdrawal with hormones that stops the progression of pubertal development in the biological direction not accepted; for elderly people is suggested GAHT in reduced doses. Physicians should consider and discuss with people with GID about fertility preservation, general and cancer risks. We present also data of 127 transsexual patients enrolled at the Garibaldi-Nesima Andrology Clinic in Catania (Italy) from 2003 to 2020. To optimize the conversion treatment with sex hormones, transsexuals require long-term follow-up. GAHT must be performed by a doctor who is familiar with these problems. Therefore, the “do-it-yourself” trend and the lack of medical and laboratory checks over time should be absolutely discouraged. Before proceeding with the surgical sex reassignment, it is recommended to refer to an endocrinologist and psychologist or psychiatrist for a period of 2-3 years. The transition surgical conclusion process must be practiced by a quality surgical team.


Author(s):  
Cordelia Menz ◽  
Birgit Spinath ◽  
Eva Seifried

Abstract. Previous research has found a high prevalence of some (educational) psychological misconceptions (i.e., incorrect but often popular assumptions that contradict results from psychological research) among (pre-service) teachers. However, the number of topics that have been investigated is limited. Additionally, knowing the sources of misconceptions might be helpful for rebutting them. Furthermore, anecdotal evidence has been found to be important for informing (pre-service) teachers' practice, but personal experiences also are among the main sources of misconceptions. Therefore, we hypothesized that pre-service teachers would predominantly view sources of anecdotal evidence as the origin of their educational psychological beliefs in general and the main source of their misconceptions in particular. In an online survey (with correlational and quasi-experimental elements) of N = 836 pre-service teachers, we found that educational psychological misconceptions were less prevalent than expected but that pre-service teachers indeed mainly based their beliefs on sources of anecdotal evidence (personal experiences and narratives from other people) and that these nonscientific sources turned out to be the main sources of their misconceptions (comparison with scientific sources: d = 0.19 and d = 0.23). Furthermore, referring more to sources of anecdotal than scientific evidence (research and lectures) was associated with undesirable aspects, that is, more misconceptions ( d = 0.21) and less reduction of misconception endorsement through empirical refutation-style information ( d = 0.30) but not with a lower judgment of the view that it is possible to examine educational psychological topics scientifically. In sum, our results indicate that basing one's beliefs more on sources of anecdotal than scientific evidence is associated with outcomes that stand in contrast to evidence-based education. Future research should investigate why pre-service teachers concentrate on sources of anecdotal evidence, how to make sources of scientific evidence more tempting, and whether counteracting misconceptions by showing the downside of nonscientific sources is effective.


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