A state-wide survey of medical emergency management in dental practices: incidence of emergencies and training experience

2008 ◽  
Vol 25 (5) ◽  
pp. 296-300 ◽  
Author(s):  
M P Muller ◽  
M Hansel ◽  
S N Stehr ◽  
S Weber ◽  
T Koch
Author(s):  
Ayesha Tariq Niaz

Background: Medical emergencies are an unfortunate part of the dental practice, to which the dentist must have the required knowledge and means to counter them. In this study, we aimed to determine the nature and frequency of medical emergencies occurring in the dental offices of Karachi, Pakistan. We also aimed to ascertain the awareness and preparedness of dentists and their attitude towards training in management of these medical emergencies. Methods: In this study, 300 questionnaire forms were distributed to dentist at various colleges in Karachi city in the year 2015, out of which 244 complete and valid forms were received and used, giving a response rate of 81%. SPSS version 16.0 was used to compute and analyze the collected data. Results: Out of 244 respondents, 23% were males and 77% were females. Since, 83% of the dentist had faced a medical emergency at least once in their practice. Highest recorded medical emergency was found to be syncope (faints) being reported by 71% of the dentist. Most of the medical emergencies (89%) took place during an extraction procedure. 55% dentist claimed that they were prepared enough to manage an emergency. Irrespective of their perceived abilities, 100% showed keen interest in the field of improvement through continuing education in management of medical emergency. Conclusion: Medical emergencies are common in dental practice and a substantial proportion of dentists feel incompetent in handling such situations. This requires better medical emergency management courses and training in undergraduate dental programs as well as continued dental education and training.


Author(s):  
Nathan Boardman ◽  
Jack Munro-Berry ◽  
Judy McKimm

Research carried out in 2016 by the authors investigated the challenges that doctors in training experience around leadership and followership in the NHS. The study explored contemporary healthcare leadership culture and the role of followership from the perspective of early career doctors. It found that the leadership and followership challenges for these doctors in training were associated with issues of social and professional identity, communication, the medical hierarchy, and relationships with senior colleagues (support and trust). These challenges were exacerbated by the busy and turbulent clinical environment in which they worked. To cope with various clinical situations and forms of leadership, doctors in training engage in a range of different followership behaviours and strategies. The study raised implications for medical education and training and suggested that followership should be included as part of formal training in communication and team working skills. The importance of both leadership and followership in the delivery of safe and effective patient care has been brought sharply into focus by the COVID-19 pandemic. This article revisits these challenges in light of the pandemic and its impact on the experiences of doctors in training.


2019 ◽  
Vol 1 (1) ◽  
pp. 57-70
Author(s):  
Irza Setiawan

A leader must have a good competence to successfully bring the organization for its intended purpose. If a led organization is engaged in education field, of course a leader must also have a competence that qualified both skill, science, and experience in the field of education. However, related to that, it also found some problems about leadership, namely the leader is less exemplary discipline, less competent in the field, less provide guidance, less coordination and unable to make their own decisions. Based on the above things, this study aims to find out how the leadership in the field of basic education (DIKDAS) is, what factors affect the leadership in the field of basic education (DIKDAS), and what effort are being made to improve the leadership in the field of basic education (DIKDAS) at Dinas Pendidikan Balangan district. The location of research is at the office of Dinas Pendidikan Balangan district. The approach used is a qualitative approach with a qualitative description type. Data collection technique used are interviews, observation, and documentation. The source of data is amounted to 14 people. After the data collected, then analyzed through 3 stages, namely data editing, data presentation, and verification or drawing conclusion. The result of the research indicate that the leadership in the field of basic education (DIKDAS) has not been entirely good. This can be seen from the side of responsibility that is less independent as a leader and does not have the desire to excel. On the other hand, the leader in the field of basic education (DIKDAS) is considered to have capacity in the from of intelligence, speech and judgment ability. From the aspect of achievement is an appropriate bachelor degree and a quite estensive knowledge. From the aspect of responsibility is a quite good initiative, diligent, tenacious, and confident. From the aspect of participation, that is active, have high sociability, cooperative, and able to adjust. The factors that influence leadership are the expertise and employee loyalty to leader, education and training experience, and the leader’s intelligence. Then, the effort to improve the leadership is delegation of tasks to subordinates, the approach by the leadership to subordinates and training as well as discussion. The suggestions to improve the leadership in the field of basic education (DIKDAS) are the leaders need to be a motivator for subordinates, have the attitude of independence, one of them is able to make their own decisions that precarious, and have the desire to excel in order to spur achievement. Keywords : Leadhership, Education


Author(s):  
James Goldrick

This chapter by James Goldrick examines the creation of a sophisticated learning and training system for the anti-U-boat war, which is one of the most significant elements of the Atlantic campaign, critical to the effectiveness of the escort units of the RN and RCN. This system's development took place as both services were forced to adapt rapidly to profound changes in their operational environments. That development faced many challenges, not only from a scarcity of resources, but from the necessity to develop sufficient understanding of the problem. The "master-apprentice" culture of professionalization managed through long service would not serve under the pressure of the oceanic small-ship war. The effort had to be industrialized. Acceptable levels of collective efficiency only became possible when the right equipment and training assets, sufficiently – even if barely – experienced personnel, and proven tactical doctrine could be brought together to provide the necessary fidelity within the training experience. From the outset, this would always be a much more complex and resource-intensive operation than the straightforward working-up of individual units.


1999 ◽  
Vol 33 (2) ◽  
pp. 248-252 ◽  
Author(s):  
David M. Clarke

Objective: The aim of this study was to develop and trial a method of trainee evaluation of the supervision and training experience. Method: A questionnaire was developed and applied at the end of each of four 6-month clinical rotations. Results: The evaluation demonstrated areas of strength (punctuality and reliability, encouragement, educational value, clinical guidance) and weakness (journal club, clinical meetings). Many supervisors were not observing diagnostic or management interviews of trainees. Psychotherapy supervision received the highest ratings. Conclusions: Because of the privacy of supervision and the occasional nature of evaluations, reliability of scores cannot be demonstrated. However, within the context of a model of quality improvement, and supplemented by the education and supervision of supervisors, trainee evaluations can be useful in targeting specific areas of deficiency in training and supervision.


2020 ◽  
Vol 91 (3) ◽  
pp. 425-432
Author(s):  
Daniele Detanico ◽  
Rafael Lima Kons ◽  
David Hideyoshi Fukuda ◽  
Anderson Santiago Teixeira

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