The Roots of the Recovery Movement in Psychiatry: Lessons LearnedThe Roots of the Recovery Movement in Psychiatry: Lessons Learned LarryDavidson JaakRakfeldt JohnStrauss ; West Sussex, United Kingdom, Wiley-Blackwell, 2010, 294 pages, $90

2011 ◽  
Vol 62 (2) ◽  
pp. 225-226
Author(s):  
Jeffrey L. Geller
Author(s):  
Cesar Orsini ◽  
Veena Rodrigues ◽  
Jorge Tricio

This study presents the design, implementation, and lessons learned from 2 fit-for-purpose online interprofessional faculty development programs for educational practice improvement in the health professions in Chile and the United Kingdom from 2018 to 2021. Both programs were designed to enhance teaching and learning practices in an interprofessional environment based on 4 pillars: professional diversity, egalitarianism, blended/online learning, and active learning strategies. A multidisciplinary mix of educators participated, showing similar results. The 3 main lessons learned were that the following factors facilitated an interprofessional environment: a professions-inclusive teaching style, a flexible learning climate, and interprofessional peer work. These lessons may be transferable to other programs seeking to enhance and support interprofessionality. Faculty development initiatives preparing educators for interprofessional practice should be an integral component of health professions education, as delivering these courses within professional silos is no longer justifiable. As the relevance of interprofessional education grows, an effective way of promoting interprofessonal education is to train the trainers in formal interprofessional settings.


2017 ◽  
Vol 32 (6) ◽  
pp. 667-672 ◽  
Author(s):  
Dan Todkill ◽  
Paul Loveridge ◽  
Alex J. Elliot ◽  
Roger A. Morbey ◽  
Obaghe Edeghere ◽  
...  

AbstractIntroductionThe Public Health England (PHE; United Kingdom) Real-Time Syndromic Surveillance Team (ReSST) currently operates four national syndromic surveillance systems, including an emergency department system. A system based on ambulance data might provide an additional measure of the “severe” end of the clinical disease spectrum. This report describes the findings and lessons learned from the development and preliminary assessment of a pilot syndromic surveillance system using ambulance data from the West Midlands (WM) region in England.Hypothesis/ProblemIs an Ambulance Data Syndromic Surveillance System (ADSSS) feasible and of utility in enhancing the existing suite of PHE syndromic surveillance systems?MethodsAn ADSSS was designed, implemented, and a pilot conducted from September 1, 2015 through March 1, 2016. Surveillance cases were defined as calls to the West Midlands Ambulance Service (WMAS) regarding patients who were assigned any of 11 specified chief presenting complaints (CPCs) during the pilot period. The WMAS collected anonymized data on cases and transferred the dataset daily to ReSST, which contained anonymized information on patients’ demographics, partial postcode of patients’ location, and CPC. The 11 CPCs covered a broad range of syndromes. The dataset was analyzed descriptively each week to determine trends and key epidemiological characteristics of patients, and an automated statistical algorithm was employed daily to detect higher than expected number of calls. A preliminary assessment was undertaken to assess the feasibility, utility (including quality of key indicators), and timeliness of the system for syndromic surveillance purposes. Lessons learned and challenges were identified and recorded during the design and implementation of the system.ResultsThe pilot ADSSS collected 207,331 records of individual ambulance calls (daily mean=1,133; range=923-1,350). The ADSSS was found to be timely in detecting seasonal changes in patterns of respiratory infections and increases in case numbers during seasonal events.ConclusionsFurther validation is necessary; however, the findings from the assessment of the pilot ADSSS suggest that selected, but not all, ambulance indicators appear to have some utility for syndromic surveillance purposes in England. There are certain challenges that need to be addressed when designing and implementing similar systems.TodkillD, LoveridgeP, ElliotAJ, MorbeyRA, EdeghereO, Rayment-BishopT, Rayment-BishopC, ThornesJE, SmithG. Utility of ambulance data for real-time syndromic surveillance: a pilot in the West Midlands region, United Kingdom. Prehosp Disaster Med. 2017;32(6):667–672.


Author(s):  
Jo Hoffman ◽  
Catherine A. Cook

The recent increase in the use of Commercial Off The Shelf (COTS) equipment and software in future military procurements creates a variety of challenges for human factors practitioners to address. There is a need to tailor our approach in order to provide suitable human factors tools to support the design of COTS-based systems. The human factors approach adopted, and experiences gained, in the development of a command planning aid are reported. This system, which is currently under development, utilises a large number of COTS products together with significant bespoke software development. It is one of the first major procurements in the United Kingdom to be based heavily around the use of COTS. A major challenge has been to optimise the usability of the overall system by providing future users with as seamless as possible integration of the various COTS products, rather than a series of unrelated, separate applications. One of the main activities has therefore been the design of the human-computer interface (HCI). A comprehensive Style Guide was developed against which the proposed COTS products could be evaluated, and new bespoke software could be designed. This paper evaluates the utility of a Style Guide in this context, and reports a number of lessons learned from our experiences.


2020 ◽  
Vol 86 (6) ◽  
pp. 585-590
Author(s):  
Steven D. Wexner ◽  
Delia Cortés-Guiral ◽  
Neil Mortensen ◽  
Ara Darzi

This is the second installment of a series of interviews, conducted by the senior author (S.D.W.) and the American College of Surgeons (ACS), that feature international leaders in surgery telling of the challenges they faced during the global COVID-19 pandemic. The disease arrived in the United Kingdom with devastating effects within a few weeks of its spread to Western Europe from China. In Oxford, Professor Neil Mortensen used his position as the President-elect of the Royal College of Surgeons of England to help coordinate efforts among the 4 Royal Colleges in the United Kingdom (his own, London, Edinburgh, and Ireland) to mobilize and retrain surgeons for duty helping to support in the critical care of patients with respiratory illness from the virus. In London, Lord Ara Darzi, a colon and rectal surgeon and leading innovator in minimally invasive surgery, underwent re-education himself in respiratory care to help his medical colleagues. As a member of the House of Lords involved in matters regarding the National Health Service as former Parliamentary Undersecretary of Health, he facilitated legislative measures to increase the physician workforce necessary to meet the demand for skilled personnel. Professor Mortensen and Lord Darzi have been recognized as honorary fellows of the ACS for their contributions to surgery. “Lots of people do not think it can possibly happen to them”, Professor Mortensen said, “Our experience is that it will happen to you, and you cannot be prepared enough. Preparation, preparation, preparation is what you need to do.”


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