scholarly journals Formalizing a Residency Mentorship Program with a “Business of Medicine” Curriculum

2020 ◽  
Vol 7 ◽  
pp. 238212052095968
Author(s):  
Ajay Sampat ◽  
Danielle Larson ◽  
George Culler ◽  
Danny Bega
Keyword(s):  
Career Guidance ◽  
Pilot Project ◽  
Mentorship Program ◽  
Residency Programs ◽  
Faculty Mentor ◽  
The Core ◽  
One Year ◽  
The One ◽  
Academic Year ◽  
Insight Into

Background: Mentorship is critical for achieving success in academic medicine and is also considered one of the core professional competencies for residency training. Despite its importance, there has been a decline in the mentor-mentee relationship, largely due to time constraints and lack of clear guidelines for productive discussions. We provide a mentorship curriculum with an easily adoptable workbook which may serve as a guide for programs seeking more formalized mentorship opportunities. Methods: We created a mentorship curriculum that was divided into 4 quarterly sessions, each with topics to facilitate career guidance and development, and to provide insight into the practical aspects of business of medicine. The mentorship pilot curriculum was implemented during the 2017 to 2018 academic year. Specific questions were provided to stimulate reflection and appropriate discussion between resident mentee and faculty mentor. A post-curriculum survey was distributed to evaluate the effectiveness and satisfaction of the curriculum. Results: A total of 23 residents participated in this pilot project. A majority had not had any formal teaching related to the business aspects of medicine (82%). Upon completion of the curriculum, most residents felt several topics were sufficiently covered, and a majority were satisfied with the course and relationship developed with their mentor (87%). Conclusions: Our pilot curriculum provides a model to address a knowledge gap in the practical aspects of medicine while simultaneously enhancing residency mentorship. The one-year course was generally well-received by residents and can serve as a model to other academic residency programs with similar challenges and goals.

OP457 A Collaborative Horizon Scanning Alert For Disinvestment And Early Awareness

2020 ◽  
Vol 36 (S1) ◽  
pp. 10-10
Author(s):  
Vigdis Lauvrak ◽  
Kelly Farrah ◽  
Rosmin Esmail ◽  
Anna Lien Espeland ◽  
Elisabet Hafstad ◽  
...  
Keyword(s):  
Information Retrieval ◽  
Interest Group ◽  
Pilot Project ◽  
Relevant Information ◽  
Horizon Scanning ◽  
Google Alerts ◽  
One Year ◽  
The One ◽  
New Research ◽  
Google Search

IntroductionIn 2019, the Norwegian Institute for Public Health and Canadian Agency for Drugs and Technologies in Health (CADTH) received support from HTAi to produce a quarterly current awareness alert for the HTAi Disinvestment and Early Awareness Interest Group in collaboration with the HTAi Information Retrieval Interest Group. The alert focuses on methods and topical issues, and broader forecasts of potentially disruptive technologies that may be of interest to those involved in horizon scanning and disinvestment initiatives in health technology assessment (HTA).MethodsInformation specialists at both agencies developed search strategies for disinvestment and for horizon scanning in PubMed and Google. The template for the alert was based on an e-newsletter developed by the Information Retrieval Interest Group. Information specialists and researchers reviewed the monthly (PubMed) and weekly (Google) search results and selected potentially relevant publications. Additional sources were also identified through regular HTA and horizon scanning work.ResultsAlerts are posted quarterly on the HTAi Interest Group website; members receive an email notice when new alerts are available. While the revised PubMed searches are identifying relevant information, Google alerts have been disappointing, and this search may need to be revised further or dropped. When the one-year pilot project ends, in Fall 2020, interest group members will be surveyed to see if the alerts were useful, and whether they have suggestions for improving them.ConclusionsCollaborating on this alert service reduces duplication of effort between agencies, and makes new research in horizon scanning and disinvestment more accessible to colleagues in other agencies working in these areas.

Acceptance, Prevalence and Indications for Robot-Assisted Laparoscopy - Results of a Survey Among Urologists in Germany, Austria and Switzerland

2015 ◽  
Vol 95 (3) ◽  
pp. 336-345 ◽  
Author(s):  
Florian Imkamp ◽  
Thomas R.W. Herrmann ◽  
Yuri Tolkach ◽  
Sebastian Dziuba ◽  
Jens U. Stolzenburg ◽  
...  
Keyword(s):  
Practice Patterns ◽  
Response Rate ◽  
Tertiary Care ◽  
High Volume ◽  
Robotic Systems ◽  
Survey Results ◽  
One Year ◽  
The One ◽  
Insight Into ◽  
Robotic Assisted Laparoscopy

Background: Robotic-assisted laparoscopy (RAL) is being widely accepted in the field of urology as a replacement for conventional laparoscopy (CL). Nevertheless, the process of its integration in clinical routines has been rather spontaneous. Objective: To determine the prevalence of robotic systems (RS) in urological clinics in Germany, Austria and Switzerland, the acceptance of RAL among urologists as a replacement for CL and its current use for 25 different urological indications. Materials and Methods: To elucidate the practice patterns of RAL, a survey at hospitals in Germany, Austria and Switzerland was conducted. All surgically active urology departments in Germany (303), Austria (37) and Switzerland (84) received a questionnaire with questions related to the one-year period prior to the survey. Results: The response rate was 63%. Among the participants, 43% were universities, 45% were tertiary care centres, and 8% were secondary care hospitals. A total of 60 RS (Germany 35, Austria 8, Switzerland 17) were available, and the majority (68%) were operated under public ownership. The perception of RAL and the anticipated superiority of RAL significantly differed between robotic and non-robotic surgeons. For only two urologic indications were more than 50% of the procedures performed using RAL: pyeloplasty (58%) and transperitoneal radical prostatectomy (75%). On average, 35% of robotic surgeons and only 14% of non-robotic surgeons anticipated RAL superiority in some of the 25 indications. Conclusions: This survey provides a detailed insight into RAL implementation in Germany, Austria and Switzerland. RAL is currently limited to a few urological indications with a small number of high-volume robotic centres. These results might suggest that a saturation of clinics using RS has been achieved but that the existing robotic capacities are being utilized ineffectively. The possible reasons for this finding are discussed, and certain strategies to solve these problems are offered.

The Zambian HIV Nurse Practitioner Diploma Program: Preliminary Outcomes from First Cohort of Zambian Nurses

2011 ◽  
Vol 8 (1) ◽  
Author(s):  
Eleanor D Msidi ◽  
Moses Sinkala ◽  
Amy Bositis ◽  
Thomasine Guberski ◽  
Patrick Katayamoyo ◽  
...  
Keyword(s):  
Student Performance ◽  
Nurse Practitioners ◽  
Health Workers ◽  
Pilot Project ◽  
Lessons Learned ◽  
Hiv And Aids ◽  
Aids Epidemic ◽  
One Year ◽  
The One ◽  
Diploma Program

This article describes the implementation and evaluation of a program to prepare HIV Nurse Practitioners in Zambia. Thirty nurses from all nine Zambian provinces participated in this program. Data on a variety of indicators were collected at baseline and throughout the one-year program including student and supervisor assessments, student performance on pre- and post-tests, clinical and case study assessments, documentation of care in patients’ health records, and their performance on final oral and written examinations. Findings indicated that the students were able to achieve the identified competencies and that their supervisors perceived that they would be able to implement their expanded skills to improve care for patients with HIV and AIDS in Zambia. Lessons learned from this initial pilot project will be used to expand the program in order to ensure successful task-shifting to address the critical shortage of health workers in Zambia in the context of the HIV/AIDS epidemic.

Results of the One-Year Cluster Pilot Project

2007 ◽  
pp. 698-707
Author(s):  
Kimmo Koski ◽  
Jussi Heikonen ◽  
1Jari Miettinen ◽  
Hannes Niemi ◽  
Juha Ruokolainen ◽  
...  
Keyword(s):  
Pilot Project ◽  
One Year ◽  
The One

Finite Element Analysis and Long-Term Monitoring of a Highway Overpass Bridge with Newly Constructed Link Slabs and Modified Bearings

2021 ◽  
pp. 036119812110611
Author(s):  
Yifan Zhu ◽  
Kuangyuan Hou ◽  
Chung C. Fu ◽  
Naiyi Li ◽  
Ruel E. Sabellano
Keyword(s):  
High Performance ◽  
High Performance Concrete ◽  
Highway Bridges ◽  
Pilot Project ◽  
Functional Condition ◽  
Element Analysis ◽  
One Year ◽  
The One ◽  
Replacement Design

Joint failure, which causes leakage in bridge decks as well as deterioration in girders and substructures, is one of the most common concerns in highway bridges. Therefore, link slabs have been considered as a preventive maintenance method in eliminating these joints. This paper presents a pilot project that constructed the link slab system in Maryland, U.S., with modified bearings to improve its durability and reduce maintenance costs. Compared with the traditional bearing replacement design for the link slab systems, this project proposes a more economical method by removing the anchor bolts and restricting sliding plates of the fixed bearings at both abutments to match the designed boundary conditions while avoiding the high cost of jacking girders and replacing bearings. Furthermore, numerical analysis and structural health monitoring were conducted and validated to investigate the effectiveness of the link slab design with various high performance concrete materials. After the one-year monitoring period, the link slab system is verified to be in fully functional condition and the bearing modification design is verified to be effective.

scholarly journals At Your Leisure Pilot Project: Providing Leisure Reading Materials to a University Community through an Academic and Public Library Initiative

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Suzanne Van den Hoogen ◽  
Kristel Fleuren-Hunter
Keyword(s):  
Public Libraries ◽  
Public Library ◽  
Pilot Project ◽  
Trial Period ◽  
Leisure Reading ◽  
Reading Materials ◽  
One Year ◽  
The One ◽  
Project Data ◽  
University Community

Leisure reading collections were once as integral to academic libraries as they currently are to public libraries. This article examines the results of a partnership between an academic and a public library to provide access to leisure reading materials to a university community through a one-year pilot project. Data were collected using circulation statistics, gate counts, and comment cards in the form of book inserts. During the pilot, gate counts increased by 6%, and 91% of participants indicated that they would continue to use the collection often or sometimes. The pilot was officially adopted as a new service at the end of the one-year trial period. Auparavant, les collections de livres de détente faisaient partie intégrante des bibliothèques académiques tout comme elles font présentement partie des bibliothèques publiques. Cet article présente les résultats d’un partenariat entre une bibliothèque académique et une bibliothèque publique cherchant à donner accès à du matériel de lecture de détente à une communauté universitaire par le biais d’un projet pilote d’un an. Les données ont été recueillies en utilisant des statistiques de prêt, le nombre d’entrées et des commentaires reçus sur des formulaires insérés dans les livres. Durant le projet pilote, le nombre d’entrées a augmenté de 6% et 91% des participants ont indiqué qu’ils continueraient d’utiliser la collection souvent ou à l’occasion. Le projet a été adopté officiellement comme nouveau service suite au pilote d’un an.

Bentham’s Equality-Sensitive Theory of Value

2019 ◽  
pp. 94-120
Author(s):  
Gerald J. Postema
Keyword(s):  
Ad Hoc ◽  
Well Being ◽  
Proper Understanding ◽  
The Core ◽  
Theory Of Value ◽  
The One ◽  
Moral Attention ◽  
Entire Theory ◽  
Insight Into

Equality lies at the heart of Bentham’s theory of value, and hence at the core of his utilitarian moral and political theory.The thesis of this chapter is that a proper understanding of the foundational role of equality in Bentham’s moral and political theory will give us further insight into his distinctive theory of value. Equality was not merely an ad hoc addition to his principle of utility, undermining the coherence of the entire theory, as critics have charged. Rather, Bentham thought of equality as involved in the very meaning of the principle, as Mill put it. This equality-sensitive principle of utility draws on a person-regarding conception of value that recognizes the equal claim that each person’s well-being has on our moral attention. This conception of value that contrasts sharply with the one standardly attributed to classical utilitarians.

An Aulus Gellius ‘commentary’ on Masurius Sabinus (Noct. Att. 11.18)

2016 ◽  
Vol 84 (1-2) ◽  
pp. 97-148
Author(s):  
Federico Battaglia
Keyword(s):  
Common Elements ◽  
Ordered Structure ◽  
Close Inspection ◽  
The Core ◽  
Aulus Gellius ◽  
Cultural Interest ◽  
The One ◽  
The Relationship ◽  
Insight Into ◽  
Working Method

The survey moves from the analysis of a well-known passage of Aulus Gellius concerning the punishment for theft in ancient legal cultures (N.A. 11.18). The close inspection of the precisely ordered structure of Gellian text reveals some hitherto undetected aspects of Gellius’ working method, providing insight into the manner in which he managed his legal sources (particularly Sabinus’ works). This issue, of literary and cultural interest (the exegesis discloses a sort of ‘commentary’ on Sabinus’ works), is at the core of the present study and extends throughout its first part. The relationship between Gellius and the works of the Roman jurists, however, does not exhaust the interest of N.A. 11.18. The structural analysis of Gellius’ Chapter 18 will enable us, in fact, to read in a new light the discussion on Roman theft provided by Gaius’ Institutes (Gai 3.183 ff.). We devote the second part of this study to a short analysis of Gaian text as well, which can be extensively compared with N.A. 11.18. The contrast between the structures of the two texts will help us track down some common elements, providing us with evidence of a shared underlying pattern. This result makes a textual contribution to the never-ending debate on the ‘model’ of Gaius’ Institutes, on the one hand, and to the palingenesis of Sabinus’ Libri iuris civilis, on the other.


Resources: Internet Resources for the Independent Medical Evaluator – 2007

2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker
Keyword(s):  
Head Trauma ◽  
Clonic Seizure ◽  
Acute Subdural Hematoma ◽  
Orbital Fracture ◽  
Orbital Wall ◽  
First Occurrence ◽  
One Year ◽  
The One ◽  
Neurological Injuries ◽  
Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

Catheter-directed foam sclerotherapy treatment of saphenous vein incompetence

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 120-124 ◽  
Author(s):  
Asciutto ◽  
Lindblad
Keyword(s):  
Saphenous Vein ◽  
Short Term ◽  
Foam Sclerotherapy ◽  
Results Of Treatment ◽  
Ulcer Healing Rate ◽  
Complete Obliteration ◽  
Ceap Classification ◽  
One Year ◽  
The One

Background: The aim of this study is to report the short-term results of catheter-directed foam sclerotherapy (CDFS) in the treatment of axial saphenous vein incompetence. Patients and methods: Data of all patients undergoing CDFS for symptomatic primary incompetence of the great or small saphenous vein were prospectively collected. Treatment results in terms of occlusion rate and patients’ grade of satisfaction were analysed. All successfully treated patients underwent clinical and duplex follow-up examinations one year postoperatively. Results: Between September 2006 and September 2010, 357 limbs (337 patients) were treated with CDFS at our institution. Based on the CEAP classification, 64 were allocated to clinical class C3 , 128 to class C4, 102 to class C5 and 63 to class C6. Of the 188 patients who completed the one year follow up examination, 67 % had a complete and 14 % a near complete obliteration of the treated vessel. An ulcer-healing rate of 54 % was detected. 92 % of the patients were satisfied with the results of treatment. We registered six cases of thrombophlebitis and two cases of venous thromboembolism, all requiring treatment. Conclusions: The short-term results of CDFS in patients with axial vein incompetence are acceptable in terms of occlusion and complications rates.

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