Evaluation of a European-wide survey on paediatric endoscopy training

ObjectiveTo evaluate quality of paediatric endoscopy training of Young members of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN).MethodsAn online questionnaire designed by the Young ESPGHAN Committee was sent to 125 Young ESPGHAN members between February 2014 and September 2015. The questionnaire comprised 32 questions addressing some general information of the participants and the structure of their paediatric gastroenterology, hepatology and nutrition programmes; procedural volume and terminal ileal intubation (TII) rate; supervision, assessments, participation in endoscopy courses and simulator training; and satisfaction with endoscopy training and self-perceived competency.ResultsOf 68 participants, 48 (71%) were enrolled in an official training programme. All alumni (n=31) were trained in endoscopy. They completed a median of 200 oesophagogastroduodenoscopies (OGDs) and 75 ileocolonoscopies (ICs) with a TII rate of >90% in 43%. There is a significant difference in numbers of ICs between the TII rate groups >90%, 50%–90% and <50% (median 150 vs 38 vs 55) (p<0.001). 11 alumni (35%) followed the ESPGHAN Syllabus during training. 25 alumni (81%) attended basic skills endoscopy courses and 19 (61%) experienced simulator training. 71% of the alumni were ‘(very) satisfied’ with their diagnostic OGD, while 52% were ‘(very) satisfied’ with their IC training. The alumni felt safe to independently perform OGDs in 84% and ICs in 71% after their training.ConclusionsDespite reaching the suggested procedural endoscopy volumes, a rather low TII rate of >90% calls for end-of-training certifications based on the achievement of milestones of competency.

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Survey of faculty development in four Israeli medical schools: clinical faculty development is inadequate and clinical teaching is undervalued in Israeli faculties of medicine

Israel Journal of Health Policy Research ◽

10.1186/s13584-021-00438-0 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Simon Nothman ◽

Michael Kaffman ◽

Rachel Nave ◽

Moshe Y. Flugelman

Keyword(s):

Medical Students ◽

Faculty Development ◽

Clinical Teaching ◽

Relative Number ◽

Medical Schools ◽

Educational Training ◽

Online Questionnaire ◽

Clinical Teachers ◽

Significant Difference

Abstract Background Teaching medical students is a central part of being a doctor, and is essential for the training of the next generation of physicians and for maintaining the quality of medicine. Our research reviews the training that physicians in Israel receive as teachers of clinical clerkships, and their thoughts regarding teaching students. The importance of faculty development cannot be overstated, for securing quality medicine and physician empowerment. Methods This study was based on a survey conducted among physicians teaching at Israeli medical schools. The survey was conducted using an online questionnaire sent to clinical teachers according to lists received from the teaching units of the faculties, department heads, and other clinical teachers. Participation in the study was anonymous. Findings Of 433 invited physicians, 245 (56%) from three departments (internal medicine, paediatrics, obstetrics and gynaecology) of four faculties of medicine in Israel, out of five total, completed the questionnaire. Only 35% of the physicians reported having received training for their role as teachers, most of these participated in a short course of up to 2 days. There were significant differences between the Technion and the other schools. Technion teachers without academic appointment had higher rates of pedagogic training. The same was true in regard to Technion teachers, either residents or young specialist. Significant gaps were reported between the content covered in the training and the topics the doctors felt they would want to learn. The clinicians who participated in the survey expressed that clinical teaching was less valued and more poorly remunerated than research, and that improved compensation and perceived appreciation would likely improve the quality of clinical teaching. Conclusions Of the one-third of the physicians surveyed who had received some training in clinical teaching, the training was perceived as inadequate and not aligned with their needs. There was a significant difference in rates of pedagogic training between the Technion and other medical schools. In addition, most clinical teachers surveyed felt that teaching students is inadequately valued. Due to its focus on just three disciplines, and higher relative number participants from the Technion faculty of medicine, our survey may not fully represent the activities of the faculties of medicine in Israel. Nevertheless, given the importance of clinical teaching of medical students, our findings argue for increasing faculty development and educational training of physicians in clinical settings, for recognizing the importance of teaching in academic and professional promotion processes.

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An analysis of auditors’ perceptions towards artificial intelligence and its contribution to audit quality

Accounting ◽

10.5267/j.ac.2021.2.009 ◽

2021 ◽

pp. 755-762 ◽

Cited By ~ 1

Author(s):

Ibrahim Albawwat ◽

Yaser Al Frijat

Keyword(s):

Artificial Intelligence ◽

Audit Quality ◽

Descriptive Study ◽

Ease Of Use ◽

Perceived Ease Of Use ◽

Audit Process ◽

Online Questionnaire ◽

Audit Firms ◽

Significant Difference

Artificial intelligence (AI) systems have significantly changed the audit process; nevertheless, the AI revolution opponents view this growth as a step-back as many auditors will fail to adapt to this new environment and will drop behind. Our descriptive study examines the perceived ease of use, usefulness, and contribution to the audit quality of different AI’s types. To address local audit firms concerns about their readiness to use AI systems in auditing processes and to advance auditing research, we examine whether perceived ease of use, usefulness, and contribution to audit quality vary by AI systems type (Assisted, Augmented, and Autonomous). An online questionnaire was used to collect data from 124 auditors representing local audit firms in Jordan. Our results indicate that auditors perceive Assisted and Augmented AI systems as ease of use in auditing while perceiving Autonomous AI systems as complicated to use. Besides, Auditors are underestimating Autonomous AI systems’ capabilities and perceived it as not useful for auditing. The results also reveal a significant difference between the perceived contribution to audit quality by the three AI systems types. This study contributes to the existing literature on AI and auditing by developing and testing a measure for AI systems’ perceived contribution to audit quality. This study also provides empirical evidence on how Jordan local firms auditors perceive AI use in auditing.

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First Inventory of Access and Quality of Metabolic Surgery Across Europe

Obesity Surgery ◽

10.1007/s11695-021-05633-1 ◽

2021 ◽

Author(s):

Piriyah Sinclair ◽

Guy H. E. J. Vijgen ◽

Edo O. Aarts ◽

Yves Van Nieuwenhove ◽

Almantas Maleckas

Keyword(s):

Plastic Surgery ◽

Quality Indicators ◽

Metabolic Surgery ◽

Body Contouring ◽

Training Programme ◽

Online Questionnaire ◽

Eligibility Criteria ◽

Team Members ◽

Access And Quality

Abstract Introduction Europe consists of 51 independent countries. Variation in healthcare regulations results in differing challenges faced by patients and professionals. This study aimed to gain more insight into the accessibility, patient pathway and quality indicators of metabolic and body contouring surgery. Methods and Materials Expert representatives in the metabolic field from all 51 countries were sent an electronic self-administered online questionnaire on their data and experiences from the previous year exploring accessibility to and quality indicators for metabolic surgery and plastic surgery after weight loss. Results Forty-five responses were collected. Sixty-eight percent of countries had eligibility criteria for metabolic surgery; 59% adhered to the guidelines. Forty-six percent had reimbursement criteria for metabolic surgery. Forty-one percent had eligibility criteria for plastic surgery and 31% reimbursement criteria. Average tariffs for a metabolic procedure varied € 800 to 16,000. MDTs were mandated in 78%, with team members varying significantly. Referral practices differed. In 45%, metabolic surgery is performed by pure metabolic surgeons, whilst re-operations were performed by a metabolic surgeon in 28%. A metabolic training programme was available in 23%. Access to metabolic surgery was rated poor to very poor in 33%. Thirty-five percent had a bariatric registry. Procedure numbers and numbers of hospitals performing metabolic surgery varied significantly. Twenty-four percent of countries required a minimum procedure number for metabolic centres, which varied from 25 to 200 procedures. Conclusion There are myriad differences between European countries in terms of accessibility to and quality indicators of metabolic surgery. Lack of funding, education and structure fuels this disparity. Criteria should be standardised across Europe with clear guidelines. Graphical abstract

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Knowledgeof Dermatology Residents on the COVID-19 Pandemic: A Cross-Sectional Study

Journal of Clinical Research in Dermatology ◽

10.15226/2378-1726/7/4/001124 ◽

2020 ◽

Vol 7 (4) ◽

pp. 1-8

Author(s):

Fadil Mohammad ◽

Ahmad Alhaj ◽

Ali Al Ajimi ◽

Abdulhadi Jfri ◽

Elzibeth O’Brien ◽

...

Keyword(s):

Geographic Location ◽

Knowledge Score ◽

Cross Sectional Study ◽

General Information ◽

P Value ◽

Online Questionnaire ◽

Cross Sectional ◽

Gcc Countries ◽

Significant Difference ◽

The Mean

Background: A novel coronavirus disease (COVID-19) has spread throughout the world leading to a global pandemic. As a result, all healthcare workers have been profoundly affected. Objectives: The goal of our study is to identify the level of knowledge and the effect of COVID-19 on dermatology residents. Methods: A cross-sectional analysis in which 77 dermatology residents from three Gulf Cooperation Council (GCC) countries and Canada completed an online questionnaire-based survey. The questionnaire consisted of four sections: one general information about the resident and three on knowledge, safety measures and impact of COVID-19, with a total of 26 questions. The questionnaire was scored out of 10 with those above the mean considered as having satisfactory knowledge. Results: The mean (SD) knowledge score was 6.25 (1.6). There was a statistically significant difference noted between the GCC countries and Canada in terms of the knowledge score (p-value=0.035). Only 14% of dermatology residents felt competent in managing COVID-19 patients. Seventy percent felt that the pandemic has negatively affected their dermatology training. Conclusion: Dermatology residents demonstrated a difference in knowledge score in relation to the geographic location of the program. Almost 46% of residents illustrated a satisfactory knowledge score about COVID-19. Only a small percentage of residents are confident in treating COVID-19 patients. Subsequently, the need for improved education of residents regarding COVID-19 before redeployment is warranted.

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SP2.2.16Hospital compound level endoscopy training quality performance: scoping the spectrum

British Journal of Surgery ◽

10.1093/bjs/znab361.051 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Catherine Eley ◽

Christopher Brown ◽

Neil Hawkes ◽

Richard Egan ◽

Wyn Lewis

Keyword(s):

Training Programme ◽

Advisory Group ◽

Polyp Detection ◽

Quality Performance ◽

Endoscopy Training ◽

Important Variation ◽

Polyp Detection Rate ◽

Training Quality ◽

Unit Performance

Abstract Aims This study aimed to assess the quality of endoscopy training in a single UK Statutory Educational Body (SEB), related to individual hospitals,compared with the Joint Advisory Group on Gastrointestinal Endoscopy Training (JETS) certification standards. Methods Training procedures numbering 28,928 recorded by 211 consecutive cross-specialty trainee endoscopists registered with JETS in18 hospitals during 2019were analysed. Data included trainer and trainee numbers, training list frequency, procedures, Direct Observation of Procedural Skills (DOPS) completion and Key Performance Indicators (KPI). Results Annual median training procedures per hospital were 1395 (interquartile range (IQR) 465-2365). Median (IQR) trainers and trainees per unit were 11 (6-18) and 12 (7-16) respectively (ratio 0.8 (0.7-1.3)). Annual training list frequency per trainee was 13 (10-17), 35.0% short of JAG standard (n = 20, p = 0.001, effect size -0.56), and median points per adjusted training list were 11 (5-18). Median DOPS completion per trainee and trainer were 3 (1-6) and 4 (1-7) respectively; completing 0.2 DOPS (0.1-0.4) per list and amounting to 6 (2-12) per 200 procedures: less than half of the JAG standard (p < 0.001, -0.61). Median KPI for OGD: J Manoeuvre 94% (90-96), D2 intubation was 93% (91-96); and for Colonoscopy: Caecal intubation 82% (72-90), and Polyp Detection Rate 25% (18-34). Compound hospital training quality score varied 3-fold, the highest performing hospital scoring 26; compared to the poorest performing scoring 9: median 17 (14-20). Conclusion Important variation in endoscopy unit performance were apparent with compound hospital training quality varying almost 3-fold. Trainees, Training Programme Directors alike, should be aware of such data when planning educational programmes to focus, optimise the quality of endoscopic training.

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Psychological Impact and Sleep Quality in the COVID-19 Pandemic in Brazil, Colombia and Portugal

Duazary ◽

10.21676/2389783x.4074 ◽

2021 ◽

Vol 18 (2) ◽

pp. 120-130

Author(s):

Ubaldo Enrique Rodríguez-De Avila ◽

Fabíola Rodrigues-De França ◽

Maria de Fátima Jesus Simões

Keyword(s):

Sleep Quality ◽

Psychological Impact ◽

Poor Quality ◽

South American ◽

Quality Of Sleep ◽

Online Questionnaire ◽

Significant Difference ◽

The Difference ◽

Good Sleep

The objective of the study was to evaluate, through an online questionnaire, aspects related to levels of anxiety, suicidal thoughts and quality of sleep during the COVID-19 pandemic period in three countries. With 988 participants from Colombia, Brazil and Portugal. 2.1% of the subjects presented mild anxiety, 85.5% moderate levels, 12% ranged from moderate to severe and 0.3% had an extreme level of anxiety. Suicidal thinking was found at the 57% level; 31.1% moderate, 9.7% marked severe, and 2.2% extreme. Regarding sleep, 14% had good sleep quality, 53.5% poor quality and 32.5% possible sleep disorders. The difference between the values of anxiety and suicidal ideation between countries was not significant. However, there is a significant difference between the distribution of sleep quality values between countries. The differences are mainly between adolescents (<22 years) and other ages. Colombia differs from Brazil and Portugal in terms of quality of sleep. In addition to the health problems brought by the Covid-19 pandemic, this study showed that the adolescent population is more vulnerable to the psychological impacts and quality of sleep in countries of the South American continent.

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Time Course of Simulator Sickness in Asian Military Pilots

Aerospace Medicine and Human Performance ◽

10.3357/amhp.5674.2020 ◽

2020 ◽

Vol 91 (11) ◽

pp. 892-896

Author(s):

Janine En Qi Loi ◽

Magdalene Li Ling Lee ◽

Benjamin Boon Chuan Tan ◽

Brian See

Keyword(s):

Air Force ◽

Time Course ◽

Simulator Training ◽

Simulator Sickness ◽

Time Points ◽

True Prevalence ◽

Subjective Scale ◽

Significant Difference ◽

Simulator Sickness Questionnaire ◽

Military Pilots

INTRODUCTION: This study sought to determine the incidence, severity, and time-course of simulator sickness (SS) among Asian military pilots following flight simulator training.METHODS: A survey was conducted on Republic of Singapore Air Force pilots undergoing simulator training. Each subject completed a questionnaire immediately after (0H), and at the 3-h (3H) and 6-h (6H) marks. The questionnaire included the simulator sickness questionnaire (SSQ) and a subjective scale to rate their confidence to fly.RESULTS: In this study, 258 pilots with a median age of 31.50 yr (range, 2155 yr) and mean age of 32.61 6.56 yr participated. The prevalence of SS was 48.1% at 0H, 30.8% at 3H, and 16.4% at 6H. Based on a threshold of an SSQ score >10, the prevalence of operationally significant SS was 33.3% at 0H, 13.2% at 3H, and 8.1% at 6H. The most frequent symptoms were fatigue (38.1%), eye strain (29.0%), and fullness of head (19.9%). There was no significant difference in mean scores between rotary and fixed wing pilots. Older, more experienced pilots had greater scores at 0H, but this association did not persist. A correlation was found between SSQ score and self-reported confidence.DISCUSSION: To our knowledge, this study is the first to report the prevalence of operationally significant SS in Asian military pilots over serial time points. Most pilots with SS are able to subjectively judge their fitness to fly. Sensitivity analysis suggests the true prevalence of SS symptoms at 3H and 6H to be closer to 23.8% and 12.0%, respectively.Loi JEQ, Lee MLL, Tan BBC, See B. Time course of simulator sickness in Asian military pilots. Aerosp Med Hum Perform. 2020; 91(11):892896.

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Antecedents And Outcomes Of Qwl Among Employees In Banks

Restaurant Business ◽

10.26643/rb.v118i7.7241 ◽

2019 ◽

Vol 118 (7) ◽

pp. 1-19

Author(s):

Geethanjali N ◽

Parveen Roja M ◽

Lavanya D

Keyword(s):

Organizational Climate ◽

Job Stress ◽

Work Life ◽

Working Environment ◽

Quality Of Work Life ◽

Quality Of Work ◽

Significant Difference ◽

Service Productivity ◽

The Impact

Quality of work life is the major factor to be considered in working environment of any organization. The performance of employees and the organization lies on the ability of the employees based on working environment. The QWL leads to better working environment which improves the performance of organization. The present study has made an attempt to find the level of factors causing QWL and the impact of outcome of QWL in banks. Since the profile of the banks may be associated with the level of outcomes of QWL, the present study has made an attempt to examine it with the help of one way analysis of variance and t-test. The included outcomes of QWL are job satisfaction, job stress, organizational climate, organizational commitment, employees retention behaviour, service quality employees and service productivity of employees. The highly associated determinants of QWL and the significant difference among the PUSBs and PRSBs have been noticed. The significantly associating important profiles of the banks regarding the existence of outcome of QWL are identified.

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THE QUALITY OF PUBLIC HOSPITALS IN CAN THO CITY, 2016

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2018.6.10 ◽

2018 ◽

Vol 8 (6) ◽

pp. 76-81

Author(s):

Chu Cao Minh ◽

Thang Vo Van ◽

Dat Nguyen Tan ◽

Hung Vo Thanh

Keyword(s):

Hospital Medicine ◽

Secondary Data ◽

Quality Criterion ◽

Quality Criteria ◽

Public Hospitals ◽

Ministry Of Health ◽

Cross Sectional ◽

Significant Difference ◽

Can Tho City

Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho

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Restaging of patients with lymphoma

Nuklearmedizin ◽

10.3413/nukmed-0114 ◽

2008 ◽

Vol 47 (01) ◽

pp. 37-42 ◽

Cited By ~ 12

Author(s):

T. Pfluger ◽

V. Schneider ◽

M. Hacker ◽

N. Bröckel ◽

D. Morhard ◽

...

Keyword(s):

Low Dose ◽

Non Hodgkin Lymphoma ◽

Contrast Enhanced ◽

Pet Ct ◽

Significant Difference ◽

18F Fdg ◽

Sensitivity Specificity ◽

Fdg Pet Ct

SummaryAim: Assessment of the clinical benefit of i.v. contrast enhanced diagnostic CT (CE-CT) compared to low dose CT with 20 mAs (LD-CT) without contrast medium in combined [18F]-FDG PET/CT examinations in restaging of patients with lymphoma. Patients, methods: 45 patients with non-Hodgkin lymphoma (n = 35) and Hodgkin's disease (n = 10) were included into this study. PET, LD-CT and CECT were analyzed separately as well as side-by-side. Lymphoma involvement was evaluated separately for seven regions. Indeterminate diagnoses were accepted whenever there was a discrepancy between PET and CT findings. Results for combined reading were calculated by rating indeterminate diagnoses according the suggestions of either CT or PET. Each patient had a clinical follow-up evaluation for >6 months. Results: Region-based evaluation suggested a sensitivity/specificity of 66/93% for LD-CT, 87%/91% for CE-CT, 95%/96% for PET, 94%/99% for PET/LD-CT and 96%/99% for PET/CE-CT. The data for PET/CT were obtained by rating indeterminate results according to the suggestions of PET, which turned out to be superior to CT. Lymphoma staging was changed in two patients using PET/ CE-CT as compared to PET/LD-CT. Conclusion: Overall, there was no significant difference between PET/LD-CT and PET/CE-CT. However, PET/CE-CT yielded a more precise lesion delineation than PET/LD-CT. This was due to the improved image quality of CE-CT and might lead to a more accurate investigation of lymphoma.

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