scholarly journals An 18-year Experience with an Innovative Geriatrics Training Model: Implications for the Workforce

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 762-763
Author(s):  
Cara O'Brien ◽  
Evan Henricks ◽  
Angela Beckert ◽  
Kathryn Denson ◽  
Edmund Duthie
Keyword(s):  
Training Programs ◽  
Geriatric Medicine ◽  
Training Model ◽  
Residency Education ◽  
Pass Rate ◽  
Completion Rates ◽  
Pass Rates ◽  
Fill Rate ◽  
Medical College ◽  
Primary Endpoints

Abstract Despite the growing population of older adults, the geriatrics workforce has not similarly expanded. The number of geriatrics fellows has declined by 14.3% from 2012-2017. Implementation of innovative training programs may improve this reality. In 2002, the Medical College of Wisconsin (MCW) created the first four-year combined medicine residency and geriatrics fellowship (Med-Ger). Similar programs are currently being developed. The aim of this study is to describe the outcomes of the MCW Med-Ger program. Primary endpoints: American Board of Internal Medicine (ABIM) pass rates, ABIM Geriatric Medicine Certification pass rates, fellowship completion rates, and geriatric-focused practice. Results: There was a Med-Ger program fill rate of 73.7% (n=38). There was equivalent ABIM pass rate of 100% between Med-Ger graduates (n=18) and traditional graduates (n=25). Med-Ger trainees were more likely to complete their geriatrics fellowship (94.4% vs. 88%) and practice in geriatric-focused careers (82.4% vs. 68.2%). These outcomes suggest the benefit of a combined program for training future geriatricians. The MCW Med-Ger fill rate exceeds the national geriatrics fellowship fill rate of under 50%. Additionally, graduates may be more likely to practice geriatric medicine. This may help address population needs for an increased geriatrics workforce. In 2020, the ACGME approved an Advancing Innovation in Residency Education (AIRE) Medicine-Geriatrics Integrated Residency and Fellowship national pilot program. Further investigation of why trainees choose Med-Ger training and are more likely to continue with careers in geriatrics is needed in order to replicate the success of the MCW Med-Ger program.

Application of Practice Oriented–Peer Review for Prosthodontics (PRO-PReP)—A Qualitative Study

2021 ◽  
pp. 009121742199014
Author(s):  
Varsha Murthy ◽  
KR Sethuraman ◽  
Sunayana Choudhury ◽  
R Shakila
Keyword(s):  
Peer Review ◽  
Communication Skills ◽  
Training Programs ◽  
Residency Education ◽  
Relationship Building ◽  
Self Reflection ◽  
Novel Concept ◽  
The Relationship ◽  
Difficult Situations ◽  
Balint Method

Objective Communication skills diminish with time and must be applied and updated frequently. Due to various professional constraints, the dentists may not be able to attend training programs to sharpen their skills. During patient interactions, dentists may face difficult situations which they may be unable to handle and, consequently, make them overreact. Therefore, there is a need to provide a platform to freely discuss their feelings, ideas, and take opinion from peers. Methods Training in communication skills customized for dealing with complete denture patients was conducted for the prosthodontic postgraduates. Based on feedback obtained, it was decided to have periodic meetings and the concept of Practice-Oriented–Peer Review for Prosthodontics (PrO-PReP) was introduced. This novel concept is a combination of the Relationship building, exploring Reactions, exploring Content, and Coaching (R2C2) model of residency education and the Balint method. The meetings were scheduled every one or two months based on the available caseload of the patients treated by the postgraduates. Results The thematic analysis of the postgraduates’ self-reflection during the sessions and the video recorded observations (assessed using the Kalamazoo scale) revealed that these sessions were effective in positively engaging the postgraduates to discuss their experiences, reflect on their performances, practice their newly gained skills, and learn from peer sharing. Conclusion The postgraduates felt that they have changed in their working style and were more confident to manage patients. They found such sessions very useful for being updated with the already-learned skills.

scholarly journals The Development of Competency-Based Training Model for Studio Operational Techniques About Problem Based Learning for Camera Operator Instructors

2021 ◽  
Vol 5 (7) ◽  
pp. 54-61
Author(s):  
Ezrian . ◽  
Nizwardi Jalinus ◽  
Jamaris Jamna
Keyword(s):  
Training Programs ◽  
Problem Based Learning ◽  
Training Model ◽  
Lesson Plans ◽  
Learning Design ◽  
Development Research ◽  
Research Product ◽  
Competency Based

This development research is aimed to develop training procedures that can help participants implement the results of the training in their respective assignments. Validation is carried out by experts in education by providing a questionnaire to fill out. This method was chosen so that the validator can provide conclusions (invalid, less valid, quite valid, valid, and very valid) directly on each part of the research product which includes competency-based training guides, training programs, lesson plans, and problem-based learning design modules for studio operational instructor, camera operator subject.

scholarly journals Evaluation of a course to prepare international students for the United States Medical Licensing Examination step 2 clinical skills exam

2017 ◽  
Vol 14 ◽  
pp. 25 ◽  
Author(s):  
Rachel B. Levine ◽  
Andrew P. Levy ◽  
Robert Lubin ◽  
Sarah Halevi ◽  
Rebeca Rios ◽  
...  
Keyword(s):  
United States ◽  
Medical School ◽  
Clinical Skills ◽  
The United States ◽  
International Medical ◽  
Pass Rate ◽  
Pass Rates ◽  
Medical Licensing ◽  
Licensing Examination ◽  
Usmle Step

Purpose: United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency, and therefore must pass US licensing exams. We describe a 2-day United States Medical Licensing Examination (USMLE) step 2 clinical skills (CS) preparation course for students in the Technion American Medical School program (Haifa, Israel) between 2012 and 2016.Methods: Students completed pre- and post-course questionnaires. The paired t-test was used to measure students’ perceptions of knowledge, preparation, confidence, and competence in CS pre- and post-course. To test for differences by gender or country of birth, analysis of variance was used. We compared USMLE step 2 CS pass rates between the 5 years prior to the course and the 5 years during which the course was offered.Results: Ninety students took the course between 2012 and 2016. Course evaluations began in 2013. Seventy-three students agreed to participate in the evaluation, and 64 completed the pre- and post-course surveys. Of the 64 students, 58% were US-born and 53% were male. Students reported statistically significant improvements in confidence and competence in all areas. No differences were found by gender or country of origin. The average pass rate for the 5 years prior to the course was 82%, and the average pass rate for the 5 years of the course was 89%.Conclusion: A CS course delivered at an international medical school may help to close the gap between the pass rates of US and international medical graduates on a high-stakes licensing exam. More experience is needed to determine if this model is replicable.

The Importance of Continuing Education for Transplant Coordination Staff

2005 ◽  
Vol 15 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Ibrahim Tokalak ◽  
Remzi Emiroğlu ◽  
Hamdi Karakayali ◽  
Nevzat Bilgin ◽  
Mehmet Haberal
Keyword(s):  
Training Programs ◽  
Organ Procurement ◽  
Monitoring And Evaluation ◽  
Training Model ◽  
Further Education ◽  
Total Quality ◽  
University Hospitals ◽  
Continuous Quality ◽  
Service Training

Continuous quality improvement activities are necessary to achieve excellence at any institution. The Başkent University Hospitals have implemented continuous in-service training programs to improve all health services provided. Also, continuing medical education programs are being instituted in organ procurement and transplantation centers. In addition to receiving basic orientation and training upon hiring, transplant coordination staff complete forms that detail their current training status, further job training needed, and other courses of interest. The information is used to monitor skill levels, to determine the success of educational programs, and to identify further education that is needed. Our aim is to improve the quality of transplant coordination activities and increase organ donation at the hospitals in our network through effective monitoring and evaluation of continuous in-service training. These training programs enhance staff members' understanding of and participation in procedures related to transplantation and improves the total quality of the transplantation process. In the near future, this training model may be used to improve the donor hospital education program in Turkey.

The State of Chronic Pain Education in Geriatric Medicine Fellowship Training Programs: Results of a National Survey

2005 ◽  
Vol 53 (10) ◽  
pp. 1798-1805 ◽  
Author(s):  
Debra K. Weiner ◽  
Gregory H. Turner ◽  
John G. Hennon ◽  
Subashan Perera ◽  
Susanne Hartmann
Keyword(s):  
Chronic Pain ◽  
National Survey ◽  
Training Programs ◽  
Geriatric Medicine ◽  
Fellowship Training ◽  
The State ◽  
Pain Education

scholarly journals Proposed Model of Sustainable Construction Skills for Engineers in Chile

2018 ◽  
Vol 10 (9) ◽  
pp. 3093 ◽  
Author(s):  
Hugo Valdés ◽  
Christian Correa ◽  
Felipe Mellado
Keyword(s):  
Conceptual Model ◽  
Training Programs ◽  
Construction Materials ◽  
Training Model ◽  
Facility Management ◽  
Sustainable Construction ◽  
Sustainable Evaluation ◽  
Survey Interviews ◽  
Global Skills ◽  
Engineering Training

The training of engineers in sustainable construction (SC) is becoming increasingly studied, since sustainable construction not only improves the quality of life of people, but also provides comprehensive solutions to the environmental problems we face today and thus takes care of the needs of future generations. This research is in line with the National Strategy for Sustainable Construction (NSSC) from the Chilean Government. One of the NSSC challenges is the training of engineers capable of adapting to the SC requirements. Although the competences in sustainability for the training of engineers has been discussed in other researchs, it has not been specifically in sustainable construction and it have not been grouped in a model that considers their degree of importance. The purpose of this article is to present a conceptual model can be used to design and evaluate engineering training programs in SC. The methodology to establish the skills and the proposed training model consists of three stages: Theoretical Phase, Methodological Phase and Validation Phase (surveys and interviews). 113 professionals who performed activities related to SC answered the survey. Interviews were conducted with five experts in training in different SC aspects. Three global skills are identified as: Sustainable Evaluation, Sustainable Construction Certification, and Sustainable Facility Management. In addition, the degree of importance of skills associated with these global skills was identified and assessed. There are five skills necessary for the future engineer, among them, two stand out: teamwork (collaborative) and ethics. Finally, the order of importance of the topics in SC is: energy, environment comfort, water, waste, and construction materials. A future investigation is recommended to apply the proposed conceptual model to current engineering training programs, both national and international.

Assessing Curriculum Efficiency Through Monte Carlo Simulation

2018 ◽  
Vol 22 (4) ◽  
pp. 597-610
Author(s):  
David Torres ◽  
Jorge Crichigno ◽  
Carmella Sanchez
Keyword(s):  
Monte Carlo Simulation ◽  
Monte Carlo ◽  
Frequency Distribution ◽  
Relative Frequency ◽  
Monte Carlo Algorithm ◽  
Pass Rate ◽  
Random Numbers ◽  
Pass Rates ◽  
Low Pass ◽  
Relative Frequency Distribution

A Monte Carlo algorithm is designed to predict the average time to graduate by enrolling virtual students in a degree plan. The algorithm can be used to improve graduation rates by identifying bottlenecks in a degree plan (e.g., low pass rate courses and prerequisites). Random numbers are used to determine whether students pass or fail classes by comparing them to institutional pass rates. Courses cannot be taken unless prerequisites and corequisites are satisfied. The output of the algorithm generates a relative frequency distribution which plots the number of students who graduate by semester. Pass rates of courses can be changed to determine the courses that have the greatest impact on the time to graduate. Prerequisites can also be removed to determine whether certain prerequisites significantly affect the time to graduate.

Benefits of Mock Oral Examinations in a Multi-institutional Consortium for Board Certification in General Surgery Training

2009 ◽  
Vol 75 (9) ◽  
pp. 817-821 ◽  
Author(s):  
Gokulakkrishna Subhas ◽  
Stephen Yoo ◽  
Yeon-Jeen Chang ◽  
David Peiper ◽  
Mark J. Frikker ◽  
...  
Keyword(s):  
Real Life ◽  
Oral Examination ◽  
Pass Rate ◽  
Teaching Hospitals ◽  
Pass Rates ◽  
Oral Examinations ◽  
The Many ◽  
Certifying Examination ◽  
The Cost ◽  
American Board Of Surgery

The Southeast Michigan Center for Medical Education (SEMCME) is a consortium of teaching hospitals in the Greater Detroit metropolitan area. SEMCME pools its resources for several educational means, including mock oral board examinations. The educational and cost benefits to mock oral examinations on a multi-institutional basis in preparation for the American Board of Surgery (ABS) certifying examination were analyzed. Ten-year multi-institution data from the mock oral examinations were correlated with ABS certifying examination pass rates. Mock oral examination scores were available for 107 of 147 graduates, which included 12 candidates who failed their certifying examination on the first attempt (pass rate = 89%). Four of 31 examinees who had a low score (4.9 or less) in their mock oral exams failed their certifying examination in their first attempt. The cost of running the mock examination was low (approximately $35/resident for 50 residents). When graduates from the last 10 years were surveyed, the majority of respondents believed that the mock oral examination helped in their success and with their preparation for the certifying examination. Thus, the many benefits of administering the examination with the resources of a consortium of hospitals result in the accurate reproduction of real-life testing conditions with reasonable overall costs per resident.

scholarly journals Improving Completion Rates in Adult Education Through Social Responsibility

2016 ◽  
Vol 28 (1) ◽  
pp. 20-26 ◽  
Author(s):  
Bjarne Wahlgren ◽  
Kristina Mariager-Anderson
Keyword(s):  
Adult Education ◽  
Social Responsibility ◽  
Educational System ◽  
Training Programs ◽  
Drop Out ◽  
Completion Rates ◽  
Educational Culture ◽  
Drop Out Rates ◽  
Teachers Attitudes ◽  
Positive Effect

Dropout is a serious problem within education. This article reports on an intervention project, titled “New Roles for the Teacher—Increased Completion Rates Through Social Responsibility,” which sought to reduce nonattendance and drop-out rates in the Danish adult educational system by improving teachers’ competences. This goal was pursued by engaging teachers in training programs aimed at improving their relational competences. The data showed that these focused training programs have an effect on the educational culture at the colleges and on the teachers’ attitudes toward the importance of reducing drop-out rates. As a consequence, the teachers acted more consistently and purposefully to prevent dropout, and a positive effect of the intervention on drop-out rates was documented.

Comparison of Tobramycin Pharmacokinetics After Administration by Cris and a Traditional Intravenous Piggyback Infusion

1995 ◽  
Vol 29 (5) ◽  
pp. 465-469
Author(s):  
Vincent F Mauro ◽  
Lori R Jacobs ◽  
Laurie S Mauro ◽  
Rodger D MacArthur ◽  
Donald B White
Keyword(s):  
Maximum Concentration ◽  
Elimination Rate ◽  
Random Order ◽  
Open Label ◽  
Medical College ◽  
Primary Endpoints ◽  
Significant Difference ◽  
Secondary Endpoints ◽  
Open Label Trial ◽  
Infusion System

Objective: To compare the administration pharmacokinetics of a 30-minute intravenous piggyback (ivpb) infusion of tobramycin with those of controlled-release infusion system (CRIS) using a 20-mL vial at rates of 60 and 120 mL/h. Design: Randomized, controlled, crossover, prospective, open-label trial. Setting: Medical college-affiliated hospital. Participants: Eight healthy volunteer men between the ages of 22 and 24 years weighing between 60 and 90 kg. Interventions: Volunteers received, in random order, tobramycin sulfate 2 mg/kg iv on 3 occasions separated by 1 week. The drug was administered using a 50-mL ivpb infusion at 100 mL/h for 30 minutes, and with the CRIS using a 20-mL vial with flow rates of 60 mL/h for 1 hour (slow) and 120 mL/h for 1 hour (fast). Main Outcome Measures: Primary endpoints were area under the time–concentration curve (AUC), time to reach maximum concentration (tmax), and maximum concentration (Cmax). Secondary endpoints were elimination rate constant (ke), clearance (Cl), and half-life (t1/2). Results: Six volunteers successfully completed the trial. The tmax values observed following fast CRIS and ivpb were 28 ± 8 and 32 ± 4 minutes, respectively, and not significantly different from each other. Both occurred significantly earlier than the tmax associated with slow CRIS (44 ± 7 min). The Cmax values observed following ivpb (11.2 ± 1.5 mg/L) and slow CRIS (10.9 ± 0.9 mg/L) administration were not significantly different from each other, but both were significantly lower than that of fast CRIS (13.4 ± 1.5 mg/L). The AUCs of slow and fast CRIS were 29.8 ± 4.8 and 31.2 ± 3.8 mg/L•h, respectively, and were not significantly different from each other. The AUC of fast CRIS was significantly greater than that observed with ivpb (27.4 ± 4.3 mg/L•h). No significant difference in ke (fast CRIS 0.32 ± 0.03 h-1; slow CRIS 0.33 ± 0.04 h-1; ivpb 0.34 ± 0.0 h-1) was observed among any of the methods. Conclusions: CRIS administration of tobramycin resulted in higher AUCs than did ivpb administration. Compared with ivpb, fast CRIS resulted in a higher Cmax, but the tmax values of fast CRIS and ivpb administration were not statistically different. Compared with ivpb, slow CRIS resulted in a more delayed tmax, but the Cmax values of slow CRIS and ivpb were not statistically different.

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