scholarly journals Evaluation of junior doctors’ knowledge of corneal donation and the new opt-out system in England

2021 ◽  
pp. postgradmedj-2021-140108
Author(s):  
Bhavesh P. Gopal ◽  
Owuraku Asiedu Titi-Lartey ◽  
Princeton Fernandes ◽  
Nur-Emel Noubani ◽  
Elizabeth Blatherwick ◽  
...  
Keyword(s):  
Junior Doctors ◽  
Opt Out ◽  
Corneal Donation

scholarly journals Evaluation of Junior Doctors’ Knowledge of Corneal Donation and the New Opt-Out System in England

2021 ◽  
Author(s):  
Bhavesh Gopal ◽  
Owuraku Asiedu Titi-Lartey ◽  
Princeton Fernandes ◽  
Nur-Emel Noubani ◽  
Elizabeth Blatherwick ◽  
...  
Keyword(s):  
Response Rate ◽  
Cross Sectional Study ◽  
Tissue Donation ◽  
Junior Doctors ◽  
Cross Sectional ◽  
East Midlands ◽  
Opt Out ◽  
Organ Tissue ◽  
Corneal Donation ◽  
The Uk

ABSTRACTObjectivesTo evaluate the knowledge of corneal donation and the new opt-out system among junior doctors in the East Midlands, UK.MethodsThis was a cross-sectional study performed during June-September 2020. A 26-item questionnaire-based survey was disseminated to all 340 junior doctors working in the East Midlands, UK. Relevant data, including participants’ background, knowledge of corneal donation and the new opt-out system introduced in England, were analysed.ResultsA total of 143 responses were received (response rate=42.1%). Nineteen (13.3%) junior doctors had previously discussed about corneal donation. The majority (100, 69.9%) of them perceived the importance of obtaining consent for corneal donation as junior doctors, but only 24 (16.8%) felt comfortable in discussing corneal donation. The knowledge of corneal donation was low, with a mean correct response rate of 33.3±20.8%. Only 28 (19.6%) doctors were aware of the 24-hour death-to-enucleation time limit. The majority (116, 81.1%) of doctors would consider certifying a death on the ward quicker if they knew it could potentially compromise the quality of corneas. Most (103, 72%) doctors were aware of the new opt-out system but only 56 (39.2%) doctors correctly stated that donation can only proceed with family consent.ConclusionJunior doctors working at the frontline services serve as valuable members in contributing to the process of obtaining consent for organ/tissue donation. Our study highlights the lack of knowledge of corneal donation and the opt-out system amongst junior doctors in the UK. Targeted postgraduate training during the induction process may potentially enhance the donation rate.

Europe moves

2011 ◽  
Vol 93 (2) ◽  
pp. 46-47
Author(s):  
John Black
Keyword(s):  
Adverse Effects ◽  
Working Time ◽  
Junior Doctors ◽  
Secretary Of State ◽  
Opt Out ◽  
European Working

It is now two years since the College began its campaign against the restrictions of the European Working Time Regulations (EWTR). In February 2009 I asked Alan Johnson, the Secretary of State for Health, for an opt-out for all the surgical specialties up to a maximum 65-hour week of work and on-call, a figure defined as optimum by our two trainee organisations (the Association of Surgeons in Training (ASiT) and the British Orthopaedic Trainees Association (BOTA)). My request was declined and in theory if not in practice all junior doctors in the NHS have worked a 48-hour week since August 2009. It is a matter of regret that all the adverse effects we predicted have come about.

“Collective Redress” in European Competition Law

2016 ◽  
Vol 14 (4) ◽  
pp. 388-414
Author(s):  
Alexandra P. Mikroulea
Keyword(s):  
Hybrid System ◽  
Competition Law ◽  
Mixed System ◽  
Basic Question ◽  
Effective Implementation ◽  
The United Kingdom ◽  
Collective Redress ◽  
Opt Out ◽  
Private Autonomy ◽  
European Competition Law

AbstractOpt-in or opt-out? That is the basic question to be answered. The decision to promote actions of “opt-in” type as opposed to those of the “opt-out” type, for the sake of private autonomy, does not ensure the effective application of european competition law. On the contrary, it may decrease the application’s intensity and effectiveness. Recent reforms among European state members such as in the United Kingdom, Belgium, the Netherlands, Denmark and Norway are powerful indications that the opt-out principle may result in the effective implementation of competition law. There is no doubt that a mixed system (hybrid system), providing the court with the power to decide in favour of either the opt-in or the opt-out system, will result in better implementation of competition law. At the present time there are two pending cases in England (Dorothy Gibson and Mastercard) for which the decision on opt-out or opt-in are highly anticipated. Should the court decide, in one or both of the cases, on an opt-out approach, this will bring a momentous reevaluation of the entire collective redress concept.

Unstandardizing Testing: Low-Scoring American Minority Students in the Crosshairs of Conservative Policymakers

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Sami Chedhli Nighaoui
Keyword(s):  
Critical Race Theory ◽  
Minority Students ◽  
Standardized Tests ◽  
Feedback Mechanism ◽  
Cultural Bias ◽  
Testing System ◽  
Quantitative Methodology ◽  
Race Theory ◽  
Cultural Backgrounds ◽  
Opt Out

That standardized tests do not accurately assess the true competencies of minority test takers is a widely shared claim among conservative educationists. The opt-out-of-testing community has lately grown unprecedentedly vocal in several states, questioning even more seriously the accountability of the testing system altogether. This paper adopts a Critical Race Theory perspective to investigate the conceptual underpinnings of conservative criticism as well as the interpretations made popular using quantitative methodology. The key premise of this paper is that a colorblind approach to testing understates the importance of a range of unquantifiable variables, mainly the linguitic and cultural backgrounds of the test takers, in determining assessment outcome. It attempts to demonstrate where specifically standardized tests may not be used as a reliable feedback mechanism and suggests that a more flexible assessment paradigm be considered, one that engages learning quality followup to keep cultural bias to a strict minimum.          

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