Telementoring for remote simulation instructor training and faculty development using telesimulation

2020 ◽  
pp. bmjstel-2019-000512
Author(s):  
Isabel Theresia Gross ◽  
Travis Whitfill ◽  
Luize Auzina ◽  
Marc Auerbach ◽  
Reinis Balmaks
Keyword(s):  
Faculty Development ◽  
Feedback Form ◽  
High Quality ◽  
Instructor Training ◽  
Simulation Based ◽  
High Quality Medical Care ◽  
Student Version ◽  
The Usa ◽  
Over Time

IntroductionSimulation-based training is essential for high-quality medical care, but it requires access to equipment and expertise. Technology can facilitate connecting educators to training in simulation. We aimed to explore the use of remote simulation faculty development in Latvia using telesimulation and telementoring with an experienced debriefer located in the USA.MethodsThis was a prospective, simulation-based longitudinal study. Over the course of 16 months, a remote simulation instructor (RI) from the USA and a local instructor (LI) in Latvia cofacilitated with teleconferencing. Responsibility gradually transitioned from the RI to the LI. At the end of each session, students completed the Debriefing Assessment for Simulation in Healthcare (DASH) student version form (DASH-SV) and a general feedback form, and the LI completed the instructor version of the DASH form (DASH-IV). Outcome measures were the changes in DASH scores over time.ResultsA total of eight simulation sessions were cofacilitated of 16 months. As the role of the LI increased over time, the debrief quality measured with the DASH-IV did not change significantly (from 89 to 87), although the DASH-SV score decreased from a total median score of 89 (IQR 86–98) to 80 (IQR 78–85) (p=0.005).ConclusionIn this study, telementoring with telesimulations resulted in high-quality debriefing. The quality—perceived by the students—was higher with the involvement of the remote instructor and declined during the transition to the LI. This concept requires further investigation and could potentially build local simulation expertise promoting sustainability of high-quality simulation.

scholarly journals Dynamic Signaling with Dropout Risk

2016 ◽  
Vol 8 (1) ◽  
pp. 57-82 ◽  
Author(s):  
Francesc Dilmé ◽  
Fei Li
Keyword(s):  
Time Varying ◽  
High Quality ◽  
Indivisible Good ◽  
Initial Belief ◽  
Costly Delay ◽  
Over Time

We study the role of dropout risk in dynamic signaling. A seller privately knows the quality of an indivisible good and decides when to trade. In each period, he may draw a dropout shock that forces him to trade immediately. To avoid costly delay, the seller with a low-quality good voluntarily pools with early dropouts, implying that the expected quality of the good increases over time. We characterize the time-varying equilibrium trading dynamics. It is demonstrated that the maximum equilibrium delay of trade is decreasing in the initial belief that the good is of high quality. (JEL C73, D82, D83)

scholarly journals Bridging the gap between geographic concept and the data we have: The case of labor markets in the USA

2020 ◽  
Vol 52 (7) ◽  
pp. 1395-1414
Author(s):  
Christopher S Fowler ◽  
Leif Jensen
Keyword(s):  
Labor Market ◽  
Labor Markets ◽  
Research Question ◽  
High Quality ◽  
Regional Bias ◽  
Regional Variations ◽  
Research Outcomes ◽  
The Usa ◽  
Over Time

A broad literature has made it clear that geographic units must be selected with care or they are likely to introduce error and uncertainty into results. Nevertheless, researchers often use data “off the shelf” with the implicit assumptions that their observations are consistent with the geographical concept relevant for their research question, and that they are of uniformly high quality in capturing this geographic identity. In this paper, we consider the geographical concept of “labor market” and offer a template for both clarifying its meaning for research and testing the suitability of extant labor-market delineations. We establish a set of metrics for comparing the quality of existing labor-market delineations with respect to the diverse meanings that researchers apply to the concept. Using the fit metrics established here, researchers can explore how delineations vary geographically, how they vary over time, and how this variation may shape research outcomes. Our assessment is that the quality of the extant delineations is relatively high overall. However, we find that different delineations vary significantly in the types of labor markets they represent, and that regional variations in fit within any given delineation may introduce noise or regional bias that merits consideration in any analysis conducted with these units. More broadly, the kinds of metrics we propose here have applicability for many other geographic entities where boundaries and scale can be only imperfectly defined.

What’s the headline on your mind right now? How reflection guides simulation-based faculty development in a master class

2018 ◽  
Vol 4 (3) ◽  
pp. 126-132 ◽  
Author(s):  
Michaela Kolbe ◽  
Jenny W Rudolph
Keyword(s):  
Faculty Development ◽  
Learning Process ◽  
Subjective Experience ◽  
Self Regulation ◽  
Multiple Perspectives ◽  
Quality Feedback ◽  
Simulation Based ◽  
Improved Performance ◽  
Education Science

IntroductionThe demand for highly skilled simulation-based healthcare educators (SBEs) is growing. SBEs charged with developing other SBEs need to be able to model and conduct high-quality feedback conversations and ‘debrief the debriefing’. Direct, non-threatening feedback is one of the strongest predictors of improved performance in health professions education. However, it is a difficult skill to develop. Developing SBEs who can coach and support other SBEs is an important part of the faculty development pipeline. Yet we know little about how they get better at skilled feedback and the ability to reflect on it. There is scant evidence about their thoughts, feelings and dilemmas about this advanced learning process. To address this gap, we examined advanced SBE’s subjective experience as they grappled with challenges in a 4-day advanced SBE course. Their reflections will help target faculty development efforts.MethodsUsing a repeated, identical free-writing task, we asked “What is the headline for what is on your mind right now?”ResultsA five-theme mosaic of self-guiding reflections emerged: (1) metacognitions about one’s learning process, (2) evaluations of sessions or tools, (3) notes to self, (4) anticipations of applying the new skills in the future, and (5) tolerating the tension between pleasant and unpleasant emotions.ConclusionsThe results extend simulation-based education science by advocating the motivational role of noting inconsistencies between one’s intention and impact and the central role of self-regulation, emotion, and experiencing feedback and debriefing from multiple perspectives for improving advanced skills of SBEs. Recommendations for faculty development are discussed.

scholarly journals Obesity and Multimorbidity in the USA: National Health and Nutrition Examination Surveys 2005-2014

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 616-617
Author(s):  
David Lynch ◽  
Curtis Petersen ◽  
Hillary Spangler ◽  
Anna Kahkoska ◽  
John Batsis
Keyword(s):  
Older Adults ◽  
National Health ◽  
Survey Design ◽  
The United States ◽  
Obesity Prevalence ◽  
Health And Nutrition ◽  
The Us ◽  
The Usa ◽  
Over Time

Abstract Declining mortality rates and an aging population have contributed to increasing rates of multimorbidity (≥2 chronic conditions) in the United States. Obesity is an important risk factor for the development of chronic diseases. We evaluated the association between obesity and multimorbidity, and how the prevalence of concomitant obesity has changed over time. We used data from 8,883 individuals aged ≥60 years with data on body mass index (BMI) and self-reported comorbidities from the National Health and Nutrition Examination Surveys 2005-2014. Logistic regression was used to quantify the association between BMI categories (<18.5, 18.5-24.9, 25-29.9, ≥30 kg/m2) and multimorbidity (yes/no). Change in proportions of obesity coexisting with multimorbidity by year was tested through linear regression. All analysis used NHANES survey design and weighting to be representative of the US population. The overall proportion of individuals with concomitant multimorbidity and obesity was 75%. As compared to a normal BMI (18.5-24.9 kg/m2), older adults with obesity (BMI ≥30 kg/m2) had higher odds of multimorbidity (OR 1.78, 95% CI 1.49,2.12). Persons with obesity had higher odds of decline in physical (1.41 [1.06,1.88]), basic (1.56 [1.13,2.15]), and instrumental activities of daily living (OR 1.58 [1.03,2.40]). The proportion of individuals with obesity and multimorbidity increased over time, but did not reach significance (β = 0.008, p=0.051). These results emphasize the role of obesity as a contributing factor to the burden of multimorbidity among older adults and underscore the importance of identifying and addressing obesity and multimorbidity via interventions to decrease obesity prevalence.

Survey-based Research on Science and Religion: A Review and Critique

2019 ◽  
pp. 25-54
Author(s):  
Jonathan P. Hill
Keyword(s):  
Religious Identity ◽  
Science And Religion ◽  
Human Origins ◽  
Religion And Science ◽  
High Quality ◽  
The Public ◽  
The Usa ◽  
Trends Over Time ◽  
The Relationship ◽  
Over Time

This chapter evaluates survey measures, primarily from the USA, on science, religion and beliefs about human origins. The bulk of the chapter offers a compilation of measures used in high quality, representative surveys. This scope is limited to the two most central types of items: those measuring beliefs about the relationship between science and religion and those measuring beliefs about evolution and human origins. Measures are analysed for trends over time and disaggregated by key measures of religious identity, practice, and belief. The chapter concludes with several critiques and considerations for improving survey-based analysis of science and belief. These critiques include a call for measures to be more carefully calibrated to how the public reflects on these issues. They also encourage the development of new measures on morality, progress, teleology (for both religion and science). Likewise, they argue that measures of social context (friends, family, congregations), and group identity and dynamics are often missed by conventional measures. Finally, the conclusion calls for careful attention to domains of conflict outside of human origins along with the development of techniques to avoid unintentionally priming conflict between religion and science.

Labor and marriage market incorporation of individuals with an origin from Turkey in Sweden: A comparative perspective

2014 ◽  
Vol 51 ◽  
pp. 97-121 ◽  
Author(s):  
Aycan Çelikaksoy
Keyword(s):  
Middle Eastern ◽  
Marriage Market ◽  
Individual Characteristics ◽  
High Quality ◽  
Eu Member States ◽  
Economic Progress ◽  
Quality Register ◽  
Migrant Groups ◽  
Over Time

AbstractThis paper investigates the labor and marriage market incorporation of individuals originating from Turkey in comparison to other migrant groups in Sweden. Using high-quality register data from Statistics Sweden, the progress of and challenges facing this group are analyzed in comparison to their European and Middle Eastern counterparts, both over time and over generations. The descriptive results point to the economic progress of individuals from Turkey over time and over generations, especially in the case of native-born females. The results show that native-born individuals with an origin from Turkey are more likely to be employed as compared to their counterparts from the New 10 EU member states, Bulgaria and Romania, and the Middle East. However, those originating from Turkey are less likely to intermarry as compared to other groups. Further analyses indicate that individual characteristics are more important for native-born individuals, as compared to immigrants, in explaining the observed gaps in the labor market as well as the marriage market. However, the role of individual characteristics in explaining differences across groups varies by gender as well as by generation.

scholarly journals How Labour Made Neoliberalism

2016 ◽  
Vol 43 (4-5) ◽  
pp. 669-684 ◽  
Author(s):  
Elizabeth Humphrys ◽  
Damien Cahill
Keyword(s):  
Active Role ◽  
New Right ◽  
Social Democratic ◽  
Satisfactory Account ◽  
The Usa ◽  
Democratic Parties ◽  
Social Democratic Parties ◽  
Over Time

Critical explanations of neoliberalism regularly adhere to a dominant narrative as to the form and implementation of the neoliberal policy revolution, positing neoliberalism in its vanguard period as a project implemented by governments of the New Right, imposed coercively on civil society by state elites and only subsequently adopted by social democratic parties. In such accounts, labour is typically posited as the object and victim of neoliberalising processes. In contrast, this article focuses upon the active role of labour within the development of neoliberalism. The period of social democratic government in Australia (1983–1996) is used as a case study to illuminate labour’s active role in constructing neoliberalism. Indicative evidence from the USA and UK is then presented to argue that the agency of labour can usefully be ‘written in’ to the presently dominant narrative regarding the rise of neoliberalism to provide a more satisfactory account of its nature and resilience over time.

Role of laboratory studies in diagnostics of rare diseases. «Hair cellular leukemia»

2021 ◽  
pp. 66-69
Author(s):  
Tatyana Vladimirovna Krugova
Keyword(s):  
Laboratory Data ◽  
Laboratory Research ◽  
Laboratory Studies ◽  
Medical Decisions ◽  
High Quality ◽  
High Quality Medical Care ◽  
Choice Of Therapy ◽  
Quality Medical Care

Automation of laboratory production, formalization of processes and a phased quality control system ensure sufficient reliability of laboratory data, which is of great importance for the provision of high-quality medical care. For many people, laboratory research remains the invisible side of medicine. Nevertheless, 60–70 % of all medical decisions are made based on the results of clinical and laboratory studies, from the diagnosis to the choice of therapy and the determination of the prognosis.

scholarly journals Norovirus Seroprevalence among Adults in the United States: Analysis of NHANES Serum Specimens from 1999–2000 and 2003–2004

Viruses ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 179
Author(s):  
Amy E. Kirby ◽  
Yvonne Kienast ◽  
Wanzhe Zhu ◽  
Jerusha Barton ◽  
Emeli Anderson ◽  
...  
Keyword(s):  
New Orleans ◽  
The United States ◽  
High Burden ◽  
Population Immunity ◽  
The Usa ◽  
National Estimates ◽  
Nationally Representative ◽  
Norovirus Gii ◽  
Over Time

Norovirus is the most common cause of epidemic and endemic acute gastroenteritis. However, national estimates of the infection burden are challenging. This study used a nationally representative serum bank to estimate the seroprevalence to five norovirus genotypes including three GII variants: GI.1 Norwalk, GI.4, GII.3, GII.4 US95/96, GII.4 Farmington Hills, GII.4 New Orleans, and GIV.1 in the USA population (aged 16 to 49 years). Changes in seroprevalence to the three norovirus GII.4 variants between 1999 and 2000, as well as 2003 and 2004, were measured to examine the role of population immunity in the emergence of pandemic GII.4 noroviruses. The overall population-adjusted seroprevalence to any norovirus was 90.0% (1999 to 2000) and 95.9% (2003 to 2004). Seroprevalence was highest to GI.1 Norwalk, GII.3, and the three GII.4 noroviruses. Seroprevalence to GII.4 Farmington Hills increased significantly between the 1999 and 2000, as well as the 2003 and 2004, study cycles, consistent with the emergence of this pandemic strain. Seroprevalence to GII.4 New Orleans also increased over time, but to a lesser degree. Antibodies against the GIV.1 norovirus were consistently detected (population-adjusted seroprevalence 19.1% to 25.9%), with rates increasing with age. This study confirms the high burden of norovirus infection in US adults, with most adults having multiple norovirus infections over their lifetime.

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