scholarly journals Barriers to identifying and obtaining CME: a national survey of physicians, nurse practitioners and physician assistants

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maureen O’Brien Pott ◽  
Anissa S. Blanshan ◽  
Kelly M. Huneke ◽  
Barbara L. Baasch Thomas ◽  
David A. Cook
Keyword(s):  
Travel Time ◽  
Nurse Practitioners ◽  
Professional Associations ◽  
Physician Assistants ◽  
Age Group ◽  
Sources Of Information ◽  
Online Search ◽  
The Past ◽  
Online Tools ◽  
Source Of Information

Abstract Background CPD educators and CME providers would benefit from further insight regarding barriers and supports in obtaining CME, including sources of information about CME. To address this gap, we sought to explore challenges that clinicians encounter as they seek CME, and time and monetary support allotted for CME. Methods In August 2018, we surveyed licensed US clinicians (physicians, nurse practitioners, and physician assistants), sampling 100 respondents each of family medicine physicians, internal medicine and hospitalist physicians, medicine specialist physicians, nurse practitioners, and physician assistants (1895 invited, 500 [26.3%] responded). The Internet-based questionnaire addressed barriers to obtaining CME, sources of CME information, and time and monetary support for CME. Results The most often-selected barriers were expense (338/500 [68%]) and travel time (N = 286 [57%]). The source of information about CME activities most commonly selected was online search (N = 348 [70%]). Direct email, professional associations, direct mail, and journals were also each selected by > 50% of respondents. Most respondents reported receiving 1–6 days (N = 301 [60%]) and $1000–$5000 (n = 263 [53%]) per year to use in CME activities. Most (> 70%) also reported no change in time or monetary support over the past 24 months. We found few significant differences in responses across clinician type or age group. In open-ended responses, respondents suggested eight ways to enhance CME: optimize location, reduce cost, publicize effectively, offer more courses and content, allow flexibility, ensure accessibility, make content clinically relevant, and encourage application. Conclusions Clinicians report that expense and travel time are the biggest barriers to CME. Time and money support is limited, and not increasing. Online search and email are the most frequently-used sources of information about CME. Those who organize and market CME should explore options that reduce barriers of time and money, and creatively use online tools to publicize new offerings.

scholarly journals Sources of Information Referred for Higher Education Institution Selection

2014 ◽  
Vol 5 (4) ◽  
pp. 165-174
Author(s):  
Noor Ismawati Mohd
Keyword(s):  
Higher Education ◽  
Tertiary Education ◽  
Education Institution ◽  
Sources Of Information ◽  
Higher Education Institution ◽  
The Past ◽  
Magazine Advertisement ◽  
Institution Selection ◽  
Source Of Information

In response to the increase in demand on tertiary education, number of higher education institution raised dramatically over the past few decades. The scenario creates competition environment leading to the needs for understanding how students’ decision were made. Recent literature on higher education has been acknowledging the role of marketing in attracting potential students. This paper explores the decision process of selecting higher education institution within the framework of marketing communication. From the perception of students who are successfully accepted in a higher education institution, the analysis was done to investigate what was the source of information being referred. Analysis was also done to identify which source perceived by the students as their most influential source of information in deciding which institution to apply for. The finding suggests that traditional marketing tools such as news paper and magazine advertisement or publication is still effective as compared with other interactive marketing approach such as websites and education fair. The influence of their significant others such as parents, siblings and peers is also discussed.

Comments on the Underenumeration of the U.S. Census, 1850–1880

1991 ◽  
Vol 15 (4) ◽  
pp. 509-515
Author(s):  
Donald H. Parkerson
Keyword(s):  
Social Science ◽  
Voter Turnout ◽  
Agricultural Production ◽  
Rural Economy ◽  
Voter Participation ◽  
Sources Of Information ◽  
Migration Rates ◽  
The Past ◽  
Source Of Information ◽  
The U.S

As furstenberg et al. (1979: 497) suggested over a decade ago, “The enormous promise of quantitative history can only be fulfilled when we are intimately acquainted with the limitations of our sources of information.” This collection of articles follows that suggestion by assessing the limitations of perhaps the most important source of information for social science researchers: the U.S. census. Certainly the degree of underenumeration may seriously affect research in many disciplines. For example, our estimates of migration rates might be inflated. In the process of nominal record linkage, researchers typically assume that those who are not listed in the linked census document out-migrated, when in reality many may simply have been missed by the census taker. As a result, past populations (especially in cities) may appear to have been much more mobile than they actually were. Census underenumeration might also exaggerate voter turnout. If the census in a particular community listed 1,215 eligible voters and election returns showed that 1,150 voted in an election, the voter turnout would be estimated at 95%. However, if just 10% of the eligible voters were not counted by the census taker, the estimated level of voter participation would decline to 85%. Finally, our understanding of the rural economy in the past might be affected by underenumeration. Agricultural production might be overstated if the more successful landowning farmers were more often enumerated and less productive farm tenants were missed. In short, the accuracy of the U.S. census should be a central concern to social science historians.

scholarly journals Reasons for and frequency of off - label drug use

2015 ◽  
Vol 68 (1-2) ◽  
pp. 35-40 ◽  
Author(s):  
Svetlana Golocorbin-Kon ◽  
Ivana Ilickovic ◽  
Momir Mikov
Keyword(s):  
Drug Use ◽  
Professional Associations ◽  
Medical Community ◽  
Age Group ◽  
Sources Of Information ◽  
Off Label Use ◽  
Daily Work ◽  
Off Label ◽  
Regulatory Bodies ◽  
Label Use

Introduction. The application of drugs in accordance with the marketing authorization issued by the regulatory authority is considered on-label use, while off-label drug use frequently occurs in medical practice. It includes the application of drugs beyond approved indications, for unapproved age group, with different dosage regimens or different administration route. Medical specialists frequently prescribe an off-label drug in pediatrics, neonatology, geriatrics, psychiatry and oncology. Some countries have established registers of off-label drugs and guidelines for their prescribing and administration. The aim of the paper is to review practices in off-label drug use in order to satisfy the attitude of regulatory bodies and professional associations regarding the off-label use of drugs. Material and Methods. The sources of information used are articles published in scientific journals and information from the official websites of regulatory agencies. Results and Discussion. The most common reasons why physicians decide to prescribe off-label drugs are primarily the absence of drugs for a particular indication or those for a particular age group. In their daily work, doctors prescribe drugs for an off-label use based on their own or other colleague?s experience. There is no general agreement on off-label use of drugs at the national or international level, but more and more doctors? associations and regulatory bodies approve off-label drug use in compliance with certain scientific and legal requirements. Conclusion. Off-label drug use has its place in practice and it has been widely accepted by the medical community and by itself it is not a violation of the standards of healthcare. Off-label use is common in our country and worldwide, and it is necessary to establish a registry for off-label drug use.

Prawne regulacje pobierania i transplantacji narządów oraz tkanek w ujęciu europejskiej konwencji bioetycznej

2016 ◽  
pp. 52-65
Author(s):  
Patryk Kołodyński ◽  
Paulina Drab
Keyword(s):  
Ex Vivo ◽  
Legal Aspects ◽  
European Convention ◽  
The Public ◽  
Additional Protocol ◽  
The Past ◽  
Reliable Source ◽  
International Legal Order ◽  
Definition Of ◽  
Source Of Information

Over the past several years, transplantology has become one of the fastest developing areas of medicine. The reason is, first and foremost, a significant improvement of the results of successful transplants. However, much controversy arouse among the public, on both medical and ethical grounds. The article presents the most important concepts and regulations relating to the collection and transplantation of organs and tissues in the context of the European Convention on Bioethics. It analyses the convention and its additional protocol. The article provides the definition of transplantation and distinguishes its types, taking into account the medical criteria for organ transplants. Moreover, authors explained the issue of organ donation ex vivo and ex mortuo. The European Convention on Human Rights and Biomedicine clearly regulates the legal aspects concerning the transplantation and related basic concepts, and therefore provides a reliable source of information about organ transplantation and tissue. This act is a part of the international legal order, which includes the established codification of bioethical standards.

scholarly journals Ten-year trends of hypertension treatment and control rate in Korea

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kwang-il Kim ◽  
Eunjeong Ji ◽  
Jung-yeon Choi ◽  
Sun-wook Kim ◽  
Soyeon Ahn ◽  
...  
Keyword(s):  
Age Groups ◽  
Favorable Effect ◽  
Age Group ◽  
Hypertension Treatment ◽  
Treatment Rate ◽  
Cross Sectional ◽  
The Past ◽  
Nationally Representative ◽  
Multistage Sampling ◽  
And Control

AbstractWe analyzed the Korean National Health and Nutrition Examination Survey (KNHANES) database to determine the trends of hypertension treatment and control rate in Korea over the past 10 years. In addition, we tried to investigate the effect of chronic medical conditions on hypertension management. We investigated the hypertension prevalence, awareness, treatment, and control rate from 2008 to 2017. KNHANES, which uses a stratified multistage sampling design, is a cross-sectional, nationally representative survey conducted by the Korean government. A total of 59,282 adults (≥ 20 years) were included, which was representative of the total population of around 40 million Koreans per year. The mean age was 50.7 ± 16.4 years and 42.6% were male. The prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity significantly increased over the 10 years. During this period, the hypertension treatment and control rate significantly improved. Hypertension treatment rate was significantly lower in the younger age group compared to the older age group, but the control rate among the treated patients was not significantly different between age groups. The treatment and control rates of hypertension were higher in patients with multimorbidity, which implies that it has a favorable effect on the treatment and control of hypertension. Hypertension treatment and control rate have improved over the past 10 years. The higher treatment and control rate in patients with multimorbidity suggest that the more aggressive surveillance might be associated with the improvement of hypertension treatment and control rate in Korea.

scholarly journals One Year of the COVID-19 Pandemic in Galicia: A Global View of Age-Group Statistics during Three Waves

2021 ◽  
Vol 18 (10) ◽  
pp. 5104
Author(s):  
Iván Area ◽  
Henrique Lorenzo ◽  
Pedro J. Marcos ◽  
Juan J. Nieto
Keyword(s):  
Intensive Care Unit ◽  
Hospital Admissions ◽  
Age Groups ◽  
Age Group ◽  
Nw Spain ◽  
The Past ◽  
Global View ◽  
Time Period ◽  
Key Variables ◽  
One Year

In this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories.

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