scholarly journals Frameworks for Radiation Oncology Global Health Initiatives in US Residency Programs

2021 ◽  
pp. 233-241
Author(s):  
Benjamin C. Li ◽  
Jessica Chew ◽  
Daniel V. Wakefield ◽  
Ankit Agarwal ◽  
Anuja Jhingran
Keyword(s):  
Global Health ◽  
Radiation Oncology ◽  
Department Chair ◽  
Clinical Care ◽  
Tumor Board ◽  
Innovative Technology ◽  
Faculty Involvement ◽  
Residency Programs ◽  
Resident Involvement ◽  
Medical Physicists

PURPOSE To understand trends, pathways, and experiences and to establish a framework for radiation oncology (RO) programs interested in developing global health (GH) initiatives. METHODS An in-depth interview was conducted of all US RO programs with established GH initiatives. Programs were identified by reviewing results of the 2018 Association of Residents in Radiation Oncology Global Health Resident Survey and individualized outreach to screen for additional programs meeting the following criteria: (1) active resident involvement in RO-specific GH opportunities, (2) active faculty involvement in these initiatives, and (3) department chair or program director awareness and support for ongoing opportunities. Among 88 residency programs, 11 were identified. Standardized questions explored the type of initiative, planning, staff and resident involvement, challenges, components to success, and history of programs through December 2018. RESULTS Between 2010 and 2018, 11 programs started initiatives. Total resident participants ranged from one to 13 (median = 3) in each program's history. Initiatives spanned education (n = 9 [82%]), clinical mentorship (73%), innovative technology (55%), bilateral hosting programs (45%), clinical development and equipment (45%), promotion of local research (36%), clinical care (36%), industry partnerships (27%), and remote tumor board (18%). Faculty involvement included radiation oncologists (91%), medical physicists (55%), and non-RO department faculty (27%). Six programs (55%) had faculty with prior GH experience. Four (36%) programs reported medical student involvement in projects. Barriers included international communication (36%), time for faculty (18%), funding (9%), and legal (9%) concerns. Commonest components of success included fostering relationships with international sites and identifying needs before solutions. CONCLUSION RO GH initiatives were reported as positive, educational, and feasible across 11 US residency programs. Growth is expected, representing opportunities for innovation and service among US programs.

scholarly journals Lessons Learned From an Early Hotspot During the COVID-19 Pandemic

2021 ◽  
pp. 000313482199475
Author(s):  
Brett M. Chapman ◽  
George M. Fuhrman
Keyword(s):  
Decision Making ◽  
Surgical Education ◽  
Clinical Care ◽  
Well Being ◽  
Educational Environment ◽  
Lessons Learned ◽  
Residency Programs ◽  
Surgical Residency ◽  
The Impact

The Covid-19 pandemic has provided challenges for surgical residency programs demanding fluid decision making focused on providing care for our patients, maintaining an educational environment, and protecting the well-being of our residents. This brief report summarizes the impact of the impact on our residency programs clinical care and education. We have identified opportunities to improve our program using videoconferencing, managing recruitment, and maintaining a satisfactory caseload to ensure the highest possible quality of surgical education.

scholarly journals Practical Negotiation for Medical Professionals

2018 ◽  
Vol 32 (04) ◽  
pp. 166-171 ◽  
Author(s):  
Bradley Eisemann ◽  
Ryan Wagner ◽  
Edward Reece
Keyword(s):  
Clinical Medicine ◽  
Clinical Care ◽  
Medical Knowledge ◽  
Medical Innovation ◽  
Medical Field ◽  
Residency Programs ◽  
Clinical Patient ◽  
Negotiation Strategies ◽  
Business Acumen ◽  
Time And Energy

AbstractDespite incredible advances in medical innovation and education, many students finish medical school, and physicians finish residency, without sound business acumen regarding the financial realities of the modern profession. The curriculum in medical schools and residency programs too often neglects teaching the business of medicine. This overview addresses how physicians can utilize effective negotiation strategies to help develop a medical practice or add value to an existing practice or institution. The authors applied the six foundations of effective negotiating, detailed by Richard Shell in his Bargaining for Advantage, to the medical field to demonstrate the processes involved in effective negotiating. They then outlined a strategy for physicians to adopt when negotiating and showed how this strategy can be used to add value. The six foundations include: developing a personal bargaining style, setting realistic goals, determining authoritative standards, establishing relationships, exploring the other party's interests, and gaining leverage. As physicians complete training, the ability to solely focus on medical knowledge and clinical patient care disappears. It is crucial that physicians invest the time and energy into preparing for the business aspects of this profession in much the same way they prepare for the clinical care of patients. This overview seeks to define the basics of negotiation, characterize the application of negotiation principles toward clinical medicine, and lay the foundation for further discussion and investigation.

scholarly journals Global health training in paediatric residency programs: the Italian experience

2015 ◽  
Vol 41 (S2) ◽  
Author(s):  
Daniele Roncati ◽  
Salvatore Aversa ◽  
Andrea Bon ◽  
Alessandro Mazza ◽  
Davide Vecchio ◽  
...  
Keyword(s):  
Global Health ◽  
Health Training ◽  
Residency Programs ◽  
Italian Experience

scholarly journals Cross-Sectional Gender Analysis of US Radiation Oncology Residency Programs in 2019: More Than a Pipeline Issue?

2020 ◽  
Vol 5 (6) ◽  
pp. 1099-1103
Author(s):  
Toms Vengaloor Thomas ◽  
Teessa Perekattu Kuruvilla ◽  
Emma Holliday ◽  
Eldrin Bhanat ◽  
Amy Parr ◽  
...  
Keyword(s):  
Radiation Oncology ◽  
Gender Analysis ◽  
Cross Sectional ◽  
Residency Programs

scholarly journals Rising to the challenge: Pharmacy residents on the front lines during COVID-19 pandemic

2020 ◽  
Vol 77 (24) ◽  
pp. 2101-2106
Author(s):  
Emma Uchida ◽  
Bianca Long-Fazio ◽  
John Marshall ◽  
Christopher Fortier
Keyword(s):  
Clinical Education ◽  
Disaster Response ◽  
Medical Center ◽  
Academic Medical Center ◽  
Scope Of Practice ◽  
Residency Programs ◽  
Academic Medical ◽  
Cross Training ◽  
Resident Involvement ◽  
Second Wave

Abstract Purpose To provide pharmacy residents’ perspective on how the department of pharmacy at a large academic medical center prepared and managed the surge in admissions of patients with coronavirus disease 2019 (COVID-19), to describe how residents were trained for intensive care unit (ICU) staffing, and to provide recommendations on how residency programs nationally could navigate a second wave of COVID-19 admissions or other disaster response situations. Summary The majority of postgraduate year 1 (PGY1) pharmacy residents at the institution were trained for ICU staffing and deployed throughout the hospital to ICU units converted to dedicated COVID-19 ICUs to assist in patient care. The training process included live videoconference lectures about relevant ICU topics and on-site experiences with critical care clinical pharmacists. Based on their experience in training for and participating in ICU care of patients with COVID-19, the pharmacy residents recommend considering additional cross-training of residents, integration of additional clinical education, creation of opportunities for resident involvement in telehealth, advancement of residents’ roles in emergency responses, building robust mental health services, and continued advocacy for the advancement of pharmacists’ and pharmacy residents’ scope of practice. Conclusion The onset of the COVID-19 pandemic caused the institution to reevaluate the allocation of resources, and the department of pharmacy elected to deploy PGY1 pharmacy residents with previous ICU experience to assist in caring for an ICU patient census that had doubled. This experience will be valuable in preparing for another potential wave of COVID-19 cases and a surge in admissions of other groups of patients who deferred care due to the pandemic.

scholarly journals Exploring the Nutritional Ecology of Stunting: New Approaches to an Old Problem

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 371
Author(s):  
Daniel J. Raiten ◽  
Andrew A. Bremer
Keyword(s):  
Global Health ◽  
Food Insecurity ◽  
Maternal Nutrition ◽  
Nutritional Assessment ◽  
Current Knowledge ◽  
Clinical Care ◽  
Nutritional Ecology ◽  
Physical Growth ◽  
Poor Growth ◽  
Pregnancy And Lactation

Despite a declining prevalence, stunting remains an elusive target for the global health community. The perception is that stunting represents chronic undernutrition (i.e., due to inadequate nutrient intake associated with food insecurity, low-quality diet, and suboptimal infant feeding practices in the first two years of life). However, other causes include maternal–fetal interactions leading to intrauterine growth retardation, poor maternal nutrition during pregnancy and lactation, and maternal and pediatric infections. Moreover, physical, economic, demographic, and social environments are major contributors to both food insecurity and conditions that limit linear growth. Overall, factors representing both the internal and external “nutritional ecologies” need to be considered in efforts to reduce stunting rates. Nutritional assessment requires better understanding of the mechanism and role of nutrition in growth, clear expectations about the sensitivity and specificity of the tools used, and inclusion of bio-indicators reflecting the extent and nature of the functional effect of poor nutrition and environmental factors contributing to human physical growth. We provide a perspective on current knowledge about: (i) the biology and contribution of nutrition to stunting/poor growth; (ii) our current nutritional assessment toolkit; (iii) the implications of current assessment approaches for clinical care and public interventions; and (iv) future directions for addressing these challenges in a changing global health environment.

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