scholarly journals Flexible higher training in psychiatry

1999 ◽  
Vol 23 (10) ◽  
pp. 613-615 ◽  
Author(s):  
Anne Dean ◽  
Samaa El Abd ◽  
Ann York
Keyword(s):  
Response Rate ◽  
Postal Questionnaire ◽  
Psychiatric Training ◽  
Department Of Health ◽  
Part Time ◽  
Training Opportunities

Aims and methodThis survey was commissioned and funded by the Department of Health to examine perceptions of training by flexible trainees in higher psychiatric training. A total of 214 trainees were surveyed using a postal questionnaire.ResultsOne hundred and thirty-five questionnaires were returned (response rate 63%). In general, flexible trainees valued the opportunity to train part-time and perceived the quality of their training to be high. However, there were drawbacks such as: perceived lack of status, restricted training opportunities and a lack of part-time consultant posts at the end of training.ImplicationsFlexible training plays a major role in maintaining doctors in the workforce. However, there is a need for part-time opportunities to extend beyond the training grades and into consultant posts.

scholarly journals Which Strategies Improve Physicians' Experience with Health Information Technology?

ACI Open ◽  
2021 ◽  
Vol 05 (01) ◽  
pp. e47-e53
Author(s):  
Jacqueline Haskell ◽  
Brittany Mandeville ◽  
Emily Cooper ◽  
Rebekah Gardner
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Rhode Island ◽  
Response Rate ◽  
Physician Burnout ◽  
Health Records ◽  
Effective Strategies ◽  
Department Of Health ◽  
Part Time

Abstract Objectives While electronic health records (EHRs) have improved billing efficiency and note legibility, they may also disrupt clinical workflows, affect patient interactions, and contribute to physician burnout. This study aimed to identify effective strategies, as reported by physicians, to mitigate these EHR shortcomings. Methods The Rhode Island Department of Health administers a health information technology (HIT) survey biennially to all physicians in active practice statewide. The 2019 survey asked physicians about strategies implemented personally or by their practice to improve their experience working with HIT. Physicians who identified at least one strategy were then asked if each implemented strategy was “actually useful.” Results The 2019 survey was administered to 4,266 physicians, with a response rate of 43%. Both office- and hospital-based physicians most commonly reported that their practices had implemented voice-recognition dictation software (48 and 68%, respectively). Office- and hospital-based physicians identified self-care as the most commonly implemented personal change (48 and 47%, respectively). However, 26% of office-based and 15% of hospital-based physicians reported reducing clinical hours or working part-time to improve their experience working with HIT. The strategies identified as “actually useful” varied by practice setting and were not always the most widely implemented approaches. Conclusion Most physicians reported that both they personally and their practices had implemented strategies to improve their experience with HIT. Physicians found some of these strategies more helpful than others, and the strategies identified as most useful differed between office- and hospital-based physicians. From a workforce and access perspective, prioritizing strategies that physicians find “actually useful” is critical, as many physicians in both settings reported reducing clinical hours to improve their experience.

scholarly journals Part-time training and working for male and female psychiatrists

2001 ◽  
Vol 7 (6) ◽  
pp. 453-460 ◽  
Author(s):  
Anne Cremona ◽  
Alicia Etchegoyen
Keyword(s):  
Quality Of Life ◽  
Male And Female ◽  
Department Of Health ◽  
Flexible Working ◽  
Burn Out ◽  
Working Together ◽  
Part Time

Part-time training and working have become popular acceptable options for both male and female psychiatrists, regardless of age. There are a number of reasons for this, the most common being family commitments such as those to children or elderly relatives, but also including personal ill health, wanting to reduce stress and prevent burn-out, wanting to pursue different priorities, portfolioworking or simply trying to achieve a better quality of life. The importance of providing flexible working patterns has been emphasised by the Department of Health (1998) in Working Together – Securing a Quality Workforce for the NHS.

scholarly journals Future career intentions of recent GP graduates in Ireland: a trend analysis study

BJGP Open ◽  
2018 ◽  
Vol 2 (1) ◽  
pp. bjgpopen18X101409 ◽  
Author(s):  
Ivana Pericin ◽  
Gerard Mansfield ◽  
James Larkin ◽  
Claire Collins
Keyword(s):  
Response Rate ◽  
Workforce Planning ◽  
Current Status ◽  
Average Response Rate ◽  
Career Intentions ◽  
Part Time ◽  
Future Work ◽  
The Brain ◽  
Frequent Reason

BackgroundA lack of manpower and negative health statistics have increased the workload for Irish GPs. Consequently, recent GP graduates are considering emigration or part-time employment.AimTo report on trends of the current status and future work intentions of recent GP graduates in Ireland.Design & settingQuantitative study based on online surveys in the Irish setting.MethodA ‘career intentions’ survey was emailed to all recent GP graduates in Ireland, in 2014, 2015, and 2017. The data presented includes GPs who graduated in the previous 4 years at each survey time point. The average response rate across the three surveys was 38.2%.ResultsThe number of graduates who had already emigrated increased over the survey years, accounted for 16.9% in 2014, 17.4% in 2015, and 19.2% in 2017 survey. The majority of doctors who emigrated did so in the first 2 years after graduation (74.7%). ‘Quality of life’ became the most frequent reason for emigration over the survey years, accounting for 32.0% in the 2017 survey. In the 2014 survey, 47.3% of graduates stated that they intend to work part-time in 5 years; this rose to 51.2% in 2015, reaching 60.0% in 2017. Female participants were more than twice as likely to plan to work part time in 5 years compared to their male colleagues, across all three surveys.ConclusionThe first and second years after graduation were the most critical for emigration. Interventions in this period may reduce the 'brain drain' of Irish GPs. Part-time working is becoming more attractive and should be considered in future workforce planning.

scholarly journals Rationalising medical careers

2009 ◽  
Vol 33 (8) ◽  
pp. 309-312
Author(s):  
Gregory J. Lydall ◽  
Julius H. Bourke
Keyword(s):  
Psychiatric Training ◽  
Specialist Registrar ◽  
Medical Careers ◽  
Educational Literature ◽  
Training Quality ◽  
The Uk ◽  
The Sacrifice ◽  
Training Opportunities

SummaryThis article assesses the quality of higher psychiatric training opportunities under Modernising Medical Careers (MMC) and compares them with the existing specialist registrar (SpR) grade; the UK psychiatric educational literature is reviewed, and trainee concerns reported. Anecdotal reports of higher training losses under MMC suggest disparity between specialty training year 4 (ST4) and the first SpR year. the roles, controversies and losses of protected clinical special interest sessions and the research day are reviewed. UK psychiatric literature notes underutilisation and poor supervision of these highly valued protected training sessions, with suggestions for improvement. the sacrifice of protected training to service provision may have implications for training quality, leading to under-trained consultants in the long term, to the detriment of patients.

scholarly journals Psychiatric training and the Caiman reforms Survey of third year senior house officers

1998 ◽  
Vol 22 (10) ◽  
pp. 635-638 ◽  
Author(s):  
Seonaid McCallum ◽  
Lisa McGilvray ◽  
Peter Bennie ◽  
Sue Whyte
Keyword(s):  
Clinical Training ◽  
Postal Questionnaire ◽  
Good Knowledge ◽  
Psychiatric Training ◽  
Clinical Implications ◽  
Specialist Registrar ◽  
Quality Of Teaching ◽  
The Impact ◽  
Registrar Training

Aims and methodAll third year senior house officers (SHOs) training in psychiatry in Scotland were canvassed by a postal questionnaire. They were asked about their views on training and the impact of the Caiman reforms in psychiatry.ResultsResults showed that 33% of trainees were not receiving one hour of consultant supervision per week. The quality of teaching in day release programmes was rated as average or poor by 75%. Three-quarters had not seen a copy of A Guide to Specialist Registrar Training, but had a good knowledge of the changes it proposed. Most were satisfied with their clinical training but expressed concerns about the Caiman reforms.Clinical implicationsThe loss of the registrar grade has extended the time trainees spend as SHOs and there was concern that there would be a loss of breadth of training. We intend to repeat the survey in mid–1999, by which time the Caiman changes should be fully operational in psychiatry.

Disclosing the diagnosis of dementia: the performance of Flemish general practitioners

2004 ◽  
Vol 16 (4) ◽  
pp. 421-428 ◽  
Author(s):  
J. De Lepeleire ◽  
F. Buntinx ◽  
B. Aertgeerts
Keyword(s):  
Differential Diagnosis ◽  
Detailed Analysis ◽  
General Practitioners ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Patient Relationship ◽  
Good Doctor ◽  
Diagnosis Of Dementia ◽  
Set Up

Background: This issue of whether or not, how and when patients should be told of the diagnosis of dementia remains a matter for discussion. Recent data confirm that the patient is told of the diagnosis in only 40 to 55% of cases. We therefore studied the performance of Flemish general practitioners (GPs) in this area.Method: A postal questionnaire, based on that prepared by Johnson et al., was sent to a random sample of 1000 Flemish GPs, out of a total of 7000.Results: A total of 647 answers were returned, of which 521 were eligible for analysis (response rate 60%). Thirty-six percent of these 521 GPs always or usually disclose the diagnosis, while 37% provide information about the prognosis. Most doctors (75%) see benefits in disclosure, particularly as regards planning care, providing treatment and encouraging a good doctor-patient relationship. Only 61% of respondents present an appropriate differential diagnosis.Discussion: The results obtained from the Flemish GPs are similar to those of other known studies. A detailed analysis of the reasons for and the benefits of disclosing the diagnosis reveal a less reluctant attitude than could be inferred from the rough data. GPs pay a great deal of attention to the patient's feelings, experiences and ability to cope and to the proper timing of their information. However, intensive educational projects have to be set up in order to stimulate a more etiologically-oriented diagnosis and to improve the quality of the process of disclosing the diagnosis of dementia.

On Being Precarious

2020 ◽  
Vol 50 (1) ◽  
pp. 51-54
Author(s):  
Deirdre Flynn
Keyword(s):  
Quality Of Life ◽  
Short Term ◽  
Teaching Research ◽  
Part Time

In this essay, I reflect on my experience of part-time, fixed term, zero-hour, short-term, and unpaid contracts in academia. Precarious contracts are one of the biggest challenges facing our industry as neo-liberal values rule our institutions, impacting our teaching, research, and quality of life.

Treatment of painful bone metastases in prostate and breast cancer patients with the therapeutic radiopharmaceutical rhenium-188-HEDP

2016 ◽  
Vol 55 (05) ◽  
pp. 188-195 ◽  
Author(s):  
Floor Overbeek ◽  
John de Klerk ◽  
Pieternel Pasker-de Jong ◽  
Alexandra van den Berk ◽  
Rob ter Heine ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Clinical Benefit ◽  
Response Rate ◽  
Clinical Care ◽  
Pain Response ◽  
Pain Palliation ◽  
Breast Cancer Patients ◽  
Routine Clinical Care ◽  
Painful Bone Metastases

Summary Aim: Rhenium-188-HEDP (188Re-HEDP) is an effective radiopharmaceutical for the palliative treatment of osteoblastic bone metastases. However, only limited data on its routine use are available and its effect on quality of life (QoL) has not been studied. Therefore, we evaluated the clinical benefit of 188Re-HEDP in routine clinical care. Patients and methods: Prostate or breast cancer patients with painful bone metastases receiving 188Re-HEDP as a routine clinical procedure were eligible for evaluation. Clinical benefit was assessed in terms of efficacy and toxicity. Pain palliation and QoL were monitored using the visual analogue scale (VAS), corrected for opioid intake, and the EORTC QLQ-C30 Global health status/QoL-scale. Thrombocyte and leukocyte nadirs were used to assess haematological toxicity. Results: 45 and 47 patients were evaluable for pain palliation and QoL, respectively. After a single injection of 188Re-HEDP, the overall pain response rate was 69% and mean VAS-scores decreased relevantly and significantly (p < 0.05). Repeated treatment resulted in similar pain response. The overall QoL response rate was 68% and mean Global health status/QoL-scores increased relevantly and significantly. Haematological side effects were mild and transient. Conclusion: The clinically relevant response on pain and quality of life and the limited adverse events prove clinical benefit of treatment with 188Re-HEDP and support its use in routine clinical care. Its effectiveness appears comparable to that of external beam radiotherapy.

Precarious Work and Young Workers in the United States

2018 ◽  
Author(s):  
Arne L. Kalleberg
Keyword(s):  
Labor Market ◽  
The United States ◽  
Young Workers ◽  
Severe Problem ◽  
Precarious Work ◽  
The Great Recession ◽  
The Us ◽  
Training Opportunities ◽  
And Training

This chapter discusses how the growth of precarious work and the polarization of the US labor market have produced major problems for the employment experiences of young workers. A prominent indicator of young workers’ difficulties in the labor market has been the sharp increase in their unemployment rates since the Great Recession. Another, equally if not more severe, problem faced by young workers today is the relatively low quality of the jobs that they were able to get. Other problems include the exclusion of young workers from the labor market and from education and training opportunities; the inability to find jobs that utilize their education, training, and skills; and the inability to obtain jobs that provide them with an opportunity to get a foothold in a career that would lead to progressively better jobs and thus be able to construct career narratives.

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