932 Delivering Excellence in Orthopaedic Training - A Five Year Qualitative Study of Characteristics Valued by Trainees Voting for Trainer of The Year

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Ali ◽  
R Wharton ◽  
L Li ◽  
J Waterman
Keyword(s):  
Thematic Analysis ◽  
Qualitative Data ◽  
Training Programme ◽  
Educational Goals ◽  
Systematic Analysis ◽  
North West ◽  
The North ◽  
Orthopaedic Training ◽  
Training Opportunities ◽  
Insight Into

Abstract Background Previous studies have described attributes of successful trainers. Dean et al’s (2017) systematic analysis found 12 commonly cited positive characteristics in medical literature. This paper and Nisar et al’s (2011) study which had a more exhaustive list of desirable qualities in surgical trainers formed the basis of our thematic analysis to identify trainer characteristics/behaviours valued by trainees on an orthopaedic training programme. Method We evaluated qualitative data from votes on the North West Thames rotation for Trainer of the Year over a 5-year period (2016-2020). We applied thematic analysis to identify 15 characteristics commonly cited by trainees in their nominations and logged how frequently each characteristic was raised. Results The five most popular qualities possessed by nominees are 1) prioritisation of training needs and endeavouring to create more training opportunities for trainees 2) being a source of support 3) willingness to allow trainees to operate 4) setting and facilitating the achievement of educational goals/targets 5) providing appropriate levels of supervision. All 15 valued characteristics and their frequency of mention are listed in the table presented. Conclusions To the best of our knowledge this is the only study which focuses exclusively on desirable qualities orthopaedic specialist trainees’ value in their trainers. ‘Advocating for trainees’ is a valued quality, also highlighted in ASIT’s 2018 analysis of the Silver Scalpel Award nominations, which is not otherwise well described in the literature. We hope our work will allow aspiring orthopaedic trainers insight into what trainee’s value most in a surgical mentor.

Social capital’s role in the development of volunteer-led cooperatives

2015 ◽  
Vol 11 (1) ◽  
pp. 4-23 ◽  
Author(s):  
Adam Richards ◽  
John Reed
Keyword(s):  
Social Capital ◽  
Qualitative Data ◽  
Third Sector ◽  
Economic Capital ◽  
Content Type ◽  
North West ◽  
Stakeholder Groups ◽  
The North ◽  
Third Sector Organisations ◽  
Capital Development

Purpose – The purpose of this study is to evaluate how social capital is developed in a third sector organisation based in the north-west of England, a small food cooperative run by volunteers. Social capital comprises the bonds, bridges and linkages that hold together societal members, and it can be considered to be a precursor of economic capital. Design/methodology/approach – Qualitative data were collected through interviews with key informants, observations and documents. Data were analysed using either a template or a thematic analysis to identify aspects of social capital development. Findings – A model of the interactions between and within the three main stakeholder groups involved in the cooperative is presented. This model shows how these interactions can develop social capital, and it discusses how potential deficits in social capital can occur. Research limitations/implications – The findings have practical and theoretical implications, in that they may better equip third-sector organisations to understand how social capital is developed. Originality/value – This is one of few practical studies of social capital development in a social enterprise and provides valuable insights into the processes by which this is done.

scholarly journals Supporting general adult psychiatry higher trainees to develop research competencies: a training improvement project

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S131-S132
Author(s):  
Annalie Clark ◽  
John Stevens ◽  
Sarah Abd El Sayed
Keyword(s):  
Evidence Based Medicine ◽  
Baseline Survey ◽  
Evidence Based ◽  
North West ◽  
The North ◽  
Research Competencies ◽  
Adult Psychiatry ◽  
Based Medicine ◽  
Training Opportunities ◽  
Research Studies

AimsEvidence shows that research-active trusts have better clinical patient outcomes. Psychiatric trainees are required to develop knowledge and skills in research techniques and critical appraisal to enable them to practice evidence-based medicine and be research-active clinicians. This project aimed to evaluate and improve the support for developing research competencies available to general adult psychiatry higher trainees (HT) in the North-West of England.MethodGeneral Adult HT in the North–West of England completed a baseline survey in November 2019 to ascertain trainee's experience of research training provision. The following interventions were implemented to address this feedback:A trainee research handbook was produced, containing exemplar activies for developing research competencies and available training opportunities, supervisors and active research studies.The trainee research representative circulated research and training opportunities between November 2019 – August 2020.Research representatives held a trainee Question and Answer session in September 2020.All General Adult HT were asked to complete an electronic survey in November 2020 to evaluate the effect of these interventions.Result18 General Adult HT completed the baseline survey in November 2019. 29.4% of trainees thought they received enough information on research competencies and 88.9% wanted more written guidance. 38.9% of trainees knew who to contact about research within their NHS Trust and 33.3% were aware of current research studies. Identified challenges for meeting research competencies included lack of time, difficulty identifying a mentor and topic and accessibility of projects.20 General Adult HT completed the repeat survey in November 2020. 50% of trainees wanted to be actively involved in research and 35% wanted to develop evidence-based medicine skills. A minority of trainees aimed to complete only the minimum ARCP requirements. All trainees thought the handbook was a useful resource for meeting research competencies and would recommend it to other trainees. In trainees who received the handbook, 94.7% thought they had received adequate support on meeting research competencies and 94.7% knew who to contact about research in their trust. 68.4% of trainees would like further written guidance on meeting research competencies. Trainees highlighted ongoing practical difficulties with engaging with research and concern about lacking required skills for research.ConclusionTrainees are motivated to engage with research on various different levels, not purely for ARCP purposes. Simple interventions can help trainees feel adequately supported with meeting research competencies. Further work to support trainee involvement in research and improve trainee confidence in engaging with research is required.

scholarly journals P97 Implementation of a regional trainee-led leadership and management programme for rheumatology trainees

Rheumatology ◽  
2020 ◽  
Vol 59 (Supplement_2) ◽  
Author(s):  
Rosalind Benson ◽  
Charlotte Sharp ◽  
Elizabeth Macphie
Keyword(s):  
Training Programme ◽  
Learning Objectives ◽  
Free Text ◽  
Leadership And Management ◽  
North West ◽  
The North ◽  
Regional Collaboration ◽  
Conflict Situations ◽  
Speciality Training ◽  
Long Term Impact

Abstract Background We identified a lack of formal learning opportunities provided by Health Education England North West (HEE (NW)) to achieve the many leadership and management requirements stipulated by the Joint Royal College of Physicians’ Training Board Speciality Training (ST) rheumatology curriculum. This gap was highlighted through discussion at the HEE (NW) Specialty Training Committee by trainee representatives and regional Training Programme Directors (TPD), in 2017. Furthermore, the merger of two pre-existing Deaneries (Mersey and NW) into the NW Local Education and Training Board (LETB) created a pressing need to develop a network across the region. Methods Two regional ST representatives engaged with trainees across the new LETB through formal surveys and informal conversations regarding training to address this. Specialty trainees (STRs) elected a bi-annual half-day session in conjunction with an existing clinical regional event, the North West Rheumatology Club (NWRC). Sessions have covered a range of topics (Table 1) and provide an opportunity for networking across the deaneries. Learning objectives are mapped against ST curriculum. HEE (NW) TPDs support the programme, facilitating study leave. Meeting costs are supported by the NWRC. Trainees shape future sessions submitting topic ideas and have autonomy over content and speakers. Formal anonymous sessional feedback uses a Likert scale evaluating whether learning objectives have been met and quality of session delivery. Now entering its third year the scheme is well-established, with succession planning in place. Results With feedback response rates of 85% (mean across 4 sessions), median scores are 5 (IQR 4.9-5) for meeting learning objectives and 5 (IQR 5-5) for session delivery. Free text feedback is overwhelmingly positive. Six months after sessions trainees reported ‘feeling more encouraged to raise concerns’, ‘being more proactive in whistleblowing‘, ‘having a better understanding of conflict situations’, and ‘better awareness of reasons for difference in individual behaviours’. Conclusion Filling unmet training needs in leadership and management through trainee-led sessions provides an excellent learning opportunity for STRs both attending and leading the events, and facilitates cross-regional collaboration. This programme demonstrates the role of stakeholders to inform programme design successfully, showing excellent long-term impact in an important and previously underserved curriculum requirement. Disclosures R. Benson None. C. Sharp None. E. Macphie Grants/research support; EM is the Secretary of the North West Rheumatology Club; meetings are supported by an unrestricted educational grant from UCB.

scholarly journals Evaluation of the district health management fellowship training programme: a case study in Iran

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020603 ◽  
Author(s):  
Kamal Gholipour ◽  
Jafar Sadegh Tabrizi ◽  
Mostafa Farahbakhsh ◽  
Shabnam Iezadi ◽  
Akbar Ghiasi ◽  
...  
Keyword(s):  
Health Management ◽  
Training Programme ◽  
Fellowship Training ◽  
District Health ◽  
Self Assessment ◽  
North West ◽  
The North ◽  
Post Test ◽  
Training Courses ◽  
Health Managers

ObjectiveTo evaluate the district health management fellowship training programme in the north-west of Iran.Data sources/study settingThe programme was introduced to build the managerial capacity of district health managers in Iran. Eighty-nine heads of units in the province’s health centre, district health managers and the health deputies of the district health centres in the north-west provinces of Iran had registered for the district health management fellowship training programme in Tabriz in 2015–2016.Study designThis was an educational evaluation study to evaluate training courses to measure participants' reactions and learning and, to a lesser extent, application of training to their job and the organisational impact.Data collection/extraction methodsValid and reliable questionnaires were used to assess learning techniques and views towards the fellowship, and self-assessment of health managers’ knowledge and skills. Also, pretest and post-test examinations were conducted in each course and a portfolio was provided to the trainees to be completed in their work settings.Principal findingsAbout 63% of the participants were medical doctors and 42.3% of them had over 20 years of experience. Learning by practice (scored 18.37 out of 20) and access to publications (17.27) were the most useful methods of training in health planning and management from the participants’ perspective. Moreover, meeting peers from other districts and the academic credibility of teachers were the most important features of the current programme. Based on the managers’ self-assessment, they were most skilful in quality improvement, managing, planning and evaluation of the district. The results of the post-test analysis on data collected from district health managers showed the highest scores in managing the district (77 out of 100) and planning and evaluation (69) of the courses.ConclusionThe results of this study indicated that training courses, methods and improvement in managers' knowledge about the health system and the skills necessary to manage their organisation were acceptable.

The ‘blessed turf’: cholera and popular panic in Ireland, June 1832

1983 ◽  
Vol 23 (91) ◽  
pp. 214-232 ◽  
Author(s):  
S.J. Connolly
Keyword(s):  
Historical Records ◽  
The South ◽  
North West ◽  
The North ◽  
Holy Water ◽  
Entire Country ◽  
Insight Into

On 11 June 1832 Humphrey O’Sullivan, a schoolteacher living in Callan, County Kilkenny, made the following entry in his diary: The lower classes of the Irish are a credulous people. Some practical joker sent a fool out with a small piece of charred stick, or some other bit of kindling, which had been extinguished in Easter-water, or holy water, and told him to divide it into four parts, and give it to four persons in four houses, telling them that the cholera would kill them unless each one of them did the same thing. By this means 16 persons, and 64, and 256, and 1,024, and 4,096 etc., etc., got this fire, until the entire country was a laughing stock for protestants.O’Sullivan did not exaggerate. The events which he described were part of a remarkable popular panic which in the space of six days swept across the greater part of Ireland, from County Wexford in the south-east to County Donegal in the north-west, and from County Cork to the outskirts of Dublin city. It was an episode regarded by some contemporary observers with amused condescension, by others with deep alarm. For the modern historian it offers a brief but vivid insight into the mental world of a section of the catholic population in pre-Famine Ireland, and an opportunity to document in detail features of that mental world which are rarely reflected in conventional historical records.

Catastrophic ice sheet break-up surrounding Baffin Bay coincident with the Younger Dryas and the Oldest Dryas/ Bølling-Allerød interstadial

2021 ◽  
Author(s):  
Emma Ownsworth ◽  
David Selby ◽  
Jeremy Lloyd ◽  
Sönke Szidat
Keyword(s):  
Ice Sheets ◽  
Ice Sheet ◽  
Younger Dryas ◽  
Sediment Provenance ◽  
Sediment Delivery ◽  
Baffin Bay ◽  
North West ◽  
The North ◽  
Break Up ◽  
Insight Into

<div> <p>The advance and retreat of the Greenland, Innuitian and Laurentide ice sheets (GIS, IIS, LIS) which surrounded Baffin Bay (West of Greenland) have been studied using numerous methods to gain insight into past ice sheet and ice stream dynamics. However, the exact timings, movements and relationships to climate events are still somewhat debated. Utilising osmium isotopes (<sup>187</sup>Os/<sup>188</sup>Os) as part of a multi-proxy strategy coupled with absolute age models, an enhanced understanding of the palaeoceanography and palaeoglaciology of this region for last ~40 kyrs is presented.</p> </div><div> <p>Carbonate-enriched layers recorded in many cores across Baffin Bay (Baffin Bay detrital carbonate - BBDC) are thought to be sourced from Palaeozoic carbonate rich rocks in the north/north-west of the bay which were covered by the IIS and LIS. Age modelling indicates that core JR175 records BBDC 0 and BBDC 1. Coincident with the BBDC events, hydrogenous <sup>187</sup>Os/<sup>188</sup>Os compositions abruptly become more radiogenic. This suggests that alongside the carbonate delivery from the north of the bay, there is also a radiogenic Os source. Radiogenic Os derives from typically older, continental inputs, such as the Archean/Proterozoic terrains of western Greenland and Baffin Island. The seemingly sudden nature (within 1000 years) of the increase in <sup>187</sup>Os/<sup>188</sup>Os would suggest a catastrophic ice sheet break-up and a period of increased iceberg discharge, or a sudden advance of the glacier outlets closer to the core site from the GIS and/or LIS.These events are also coincident with the Younger Dryas (~12.8 ka BP) and the end of the Oldest Dryas/ beginning of the Bølling–Allerød interstadial (~14.7 ka BP).</p> </div><div> <p>During periods of low carbonate enrichment, the <sup>187</sup>Os/<sup>188</sup>Os values are less radiogenic. We invoke this to be a baseline during lower continental erosion periods and/or iceberg delivery, and more influence of oceanic Os from the Atlantic. Indeed, during the last 10 kyrs, <sup>187</sup>Os/<sup>188</sup>Os values gradually decrease to compositions similar to the present day North Atlantic Ocean (~1.0).  This could represent increased mixing of marine Atlantic waters into Baffin Bay and/or a decrease in sediment delivery from all ice sheets representing the gradual retreat of the ice sheets through the Holocene.</p> </div><div> <p>In summary our data provide further insight into ice sheet advance, retreat, and sediment provenance within Baffin Bay during the past 40 kyrs, suggesting asynchronous behaviour of the surrounding ice sheets during theYounger Dryas and the end of the Oldest Dryas/ beginning of the Bølling–Allerød interstadial.</p> </div>

‘The North-west Passage, or voyage finished’: a polar play and musical entertainment

Polar Record ◽  
1982 ◽  
Vol 21 (131) ◽  
pp. 95-115 ◽  
Author(s):  
Daniel Claustre
Keyword(s):  
Full Text ◽  
High Arctic ◽  
Not Given ◽  
North West ◽  
The North ◽  
Original Manuscript ◽  
Polar Research Institute ◽  
Return Home ◽  
Board Ship ◽  
Insight Into

Among the collections of the Scott Polar Research Institute is the manuscript of the New Georgia Gazette, a newspaper completed on board ship during William Edward Parry's first expedition in search of a North-west Passage, 1819–20. The expedition stimulated much interest at home partly for its achievement in discovering half of the North-west Passage, and for its novelty as the first expedition deliberately to spend a winter in high Arctic latitudes. It is thus no great surprise that, after the expedition's return home, a printed version of the Gazette was published, for it provides a vivid insight into life on board ship during that unprecedented Arctic winter. However, at the back of the original manuscript of the newspaper is a play written during the expedition under the title, The North-west Passage, or voyage finished, which was not included in the publication. The reason for its exclusion is not given, but it cannot have been due entirely to the dissatisfaction of Parry, who was happy enough to refer to it in his narrative of the expedition (Parry, 1824, p 127), or to its lack of success, since it was most favourably reviewed at the time of its performance. Nor was the play ever entirely forgotten. In Jules Verne's novel, Les aventures du Capitaine Halteras (1861, part 2, p 426) Dr Clawbonny comments ‘Parry composa lui-meme pour les fetes de Noel une comedie tout a fait en situation; elle eut un immense succes et était intitulee Le Passage du Nord-Ouest ou la Fin du Voyag’. Paul-Emile Victor (1968, p 223) also mentions the play's existence, but it was only very recently that this full text of the play was rediscovered at the back of the original Gazette.The manuscript of the play is neatly handwritten in an unknown hand and occupies 19 pages measuring about 20×32 cm.

Filial Obligations and Kin Support for Elderly People

1990 ◽  
Vol 10 (2) ◽  
pp. 151-175 ◽  
Author(s):  
Janet Finch ◽  
Jennifer Mason
Keyword(s):  
Elderly People ◽  
Qualitative Data ◽  
Family Obligations ◽  
North West ◽  
Elderly Parents ◽  
The North ◽  
Parents And Children ◽  
Filial Obligations ◽  
Kin Support ◽  
Sense Of Obligation

ABSTRACTThis article explores the nature of obligation and responsibility within kin groups, focusing particularly upon how far these underscore the assistance which may be offered by children to their elderly parents. Both quantitative and qualitative data, drawn from a study of family obligations in the north-west of England, are discussed. The authors argue that relationships between parents and children are founded on a sense of obligation up to a point, but assent for this is not universal and such obligations are seen as having definite limits. To understand how obligations operate in practice, it is necessary to focus upon the way in which support for elderly parents is a matter for negotiation in families, and to examine the principles which are incorporated into such negotiations.

scholarly journals Lower Palaeozoic geology of the western part of the North Greenland fold belt

1966 ◽  
Vol 11 ◽  
pp. 11-15
Author(s):  
P.R Dawes
Keyword(s):  
The Arctic ◽  
North Coast ◽  
Northern Coast ◽  
Fold Belt ◽  
North West ◽  
The North ◽  
Lower Palaeozoic ◽  
Inland Ice ◽  
Insight Into ◽  
North Greenland

In the summers 1965 and 1966 reconnaissance mapping of 10 000 km2 of the rarely visited north coast of North Greenland was carried out. In 1965 the investigations were restricted to Hall Land (fig. 3) with a view of obtaining an insight into the stratigraphy of the Ordovician-Silurian succession, while in 1966 work centred on Nyeboe Land and Hendrik Island with cursory exammation of the north-west coast of Wulff Land and the islands in Sherard Osborn Fjord. Both the unfolded rocks of the south towards the Inland Ice and the folded rocks of the northern coast bordering the Robeson Channel and the Arctic Ocean were studied and in the two summers a broad view of the western part of the North Greenland fold belt i. e. west of Peary Land, has been obained.

scholarly journals Amazonian Medicine and the Psychedelic Revival: Considering the “Dieta”

2021 ◽  
Vol 12 ◽  
Author(s):  
David M. O’Shaughnessy ◽  
Ilana Berlowitz
Keyword(s):  
Thematic Analysis ◽  
Interdisciplinary Research ◽  
Qualitative Data ◽  
Structured Interviews ◽  
Medical Practices ◽  
Theoretical Concepts ◽  
Personal Experiences ◽  
Research Programmes ◽  
San Martín ◽  
Insight Into

Background: In Peruvian Amazonian medicine, plant diets (dietas) are a fundamental and highly flexible technique with a variety of uses: from treating and preventing illness, to increasing strength and resilience, to rites of passage, to learning even medicine itself. Many of the plants used in diets are psychoactive; for example, one now well-known plant that can be dieted is Banisteriopsis caapi—the vine also used in the psychoactive brew ayahuasca. The use of ayahuasca has attracted increasing clinical attention towards Amazonian medicine in recent decades, and much work has focused on the potent DMT-containing ayahuasca brew, thus placing the tradition within the purview of psychedelic science.Aims: In comparison to ayahuasca, the properties of diets have been studied less often. Our work draws on data from Amazonian healers to examine plant diets as medical practices, while also considering their fit within the “set and setting framework” that is central to psychedelic research. We argue that the framework is not sufficiently broad for understanding diets, and thus the investigation aimed to expand the conceptual field of Amazonian medicine, particularly in the context of a renewed psychedelic science and its theoretical concepts.Design: We used qualitative data from interviews with Amazonian healers, applying a thematic analysis and contrasting findings with the available literature.Setting: Interviews were conducted in various locations in the San Martín province of Peru between 2015 and 2017.Participants: We selected and interviewed eight healers who had been extensively trained in traditional Amazonian medicine.Measures: Semi-structured interviews were used to gain insight into the healers’ personal experiences with plant diets.Conclusions: Diets are complex but understudied medical practices that should not be explained by reference to pharmacology or psychology only. Intercultural and interdisciplinary research programmes are called for in order to not only better understand plant diets, but traditional Amazonian medicine on the whole.

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