Creating an educational quality improvement program for radiation oncology residents in McGill University.

2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 118-118
Author(s):  
Catherine Anne Pembroke ◽  
Alain Biron ◽  
Joanne Alfieri
Keyword(s):  
Radiation Oncology ◽  
Self Assessment ◽  
Improvement Program ◽  
Post Graduate ◽  
Knowledge Based ◽  
Modern Health Care ◽  
Mcgill University ◽  
The Individual ◽  
Tools And Techniques ◽  
Attending Physician

118 Background: Quality insurance (QI) is a pillar of good clinical governance and is at the centre of modern health care. The Royal College of Physicians and Surgeons of Canada CanMeds 2015 have now mandated that QI should be taught and the competencies assessed in all post-graduate residency programs. To our knowledge, this is the first attempt to create a post-graduate QI curriculum amongst radiation oncology trainees. We aim to describe the feasibility of introducing these professional skills which should be integral to every training program. Methods: A QI team has been created within the department of Radiation Oncology at McGill University consisting of a clinical fellow and 3 staff physicians. QI teaching will take place in a longitudinal manner with the mandatory curriculum divided into foundation, intermediate and advanced competencies depending on years of seniority. Teaching is delivered by a combination of two academic half days, consisting of didactic lectures and practical workshops, and self-directed online modules. Each resident during the intermediate years (PGY2-4) will complete a QI project in 9 months under the supervision of an attending physician. The resident will become well versed with QI tools and techniques by presenting their project at specific 3-monthly time points to their supervisor and QI team. In June we will host a QI day where a QI scholar will be invited to teach, each resident will present their project and merit prizes will be awarded. Formal mandatory assessments will take place with a combination of self-assessment, QI- knowledge based assessments (QI-KATs) and balanced score cards. Results: The curriculum has been developed with input from McGill University curriculum and assessment experts. This is a pilot program for the academic 2016/17 year. We are currently meeting our pre-defined milestones. The program will be formally evaluated and adapted to ensure sustainability. Conclusions: The QI skills gained will enable the individual to maintain the highest standards throughout their subsequent careers. A robust, interactive, sustainable curriculum will ensure that this is delivered effectively within radiation oncology and act as a model for all residency programmes.

scholarly journals Testing for SARS-CoV-2 seroprevalence: experiences of a tertiary eye centre

2021 ◽  
Vol 6 (1) ◽  
pp. e000688
Author(s):  
Focke Ziemssen ◽  
You-Shan Feng ◽  
Sven Schnichels ◽  
Tarek Bayyoud ◽  
Marius Ueffing ◽  
...  
Keyword(s):  
Point Of Care ◽  
Kappa Statistics ◽  
Antibody Testing ◽  
Self Assessment ◽  
Individual Assessment ◽  
Hygiene Measures ◽  
Antibody Titres ◽  
Antiviral Antibody ◽  
Sequential Combination ◽  
The Individual

IntroductionThe actual prevalence of a SARS-CoV-2 infection and the individual assessment of being or having been infected may differ. Facing the great uncertainty—especially at the beginning of the pandemic—and the possibility of asymptomatic or mildly symptomatic, subclinical infections, we evaluate the experience of SARS-CoV-2 antibody screening at a tertiary clinical setting.Methods and analysisAll employees of a tertiary eye centre and a research institute of ophthalmology were offered antibody testing in May 2020, using a sequential combination of different validated assays/antigens and point-of-care (POC) testing for a subset (NCT04446338). Before taking blood, a systematic inquiry into past symptoms, known contacts and a subjective self-assessment was documented. The correlations between serostatus, patient contacts and demographic characteristics were analysed. Different tests were compared by Kappa statistics.ResultsAmong 318 participants, SARS-CoV-2 antibodies were detected in 9 employees. Chemiluminescence assays (chemiluminescence immunoassay and electrochemiluminescence) showed superior specificity and high reproducibility, compared with ELISA and POC results.In contrast to the low seropositivity (2.8%) of healthcare workers, higher than that of the other departments of the hospital, a large proportion mistakenly assumed that they might have already been infected. Antiviral antibody titres increased and remained on a plateau for at least 3 months.ConclusionsThe great demand and acceptance confirmed the benefit of highly sensitive testing methods in the early phase of the pandemic. The coincidence of low seroprevalence and anxious employees may have contributed to internalising the need of hygiene measures.

scholarly journals O princípio da proteção da confiança como obstáculo à anulação de atos administrativos - The principle of the protection of confidence as an obstacle to the annulment of administrative acts

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Marina Rúbia Mendonça Lôbo De Carvalho ◽  
Andressa Guimarães Freire
Keyword(s):  
Public Administration ◽  
The State ◽  
Temporal Modulation ◽  
Self Assessment ◽  
Public Power ◽  
The Public ◽  
Legitimate Expectation ◽  
De Se ◽  
And Behaviors ◽  
The Individual

<p>Os atos, condutas e comportamentos do Poder Público gozam de presunção de legitimidade, gerando, em diversas situações, expectativas nos indivíduos. Pode o Estado, no uso de suas prorrogativas, violar aquelas expectativas, causando efeitos negativos à ordem econômica, por despertarem desconfiança e instabilidade nas relações com o Poder Público. Delimitada a ênfase do presente trabalho à função administrativa do Estado, visou-se compreender o princípio da proteção da confiança como instrumento de tutela da expectativa legítima do indivíduo, por impor limites à Administração Pública na anulação de atos administrativos. Nessa situação, viu-se que referido princípio pode conflitar com a legalidade e a autotutela, sendo o caso de se buscar um juízo de ponderação, que resultará na manutenção do ato ou na sua anulação, esta podendo ser com efeitos <em>ex tunc</em>, com efeitos <em>ex nunc</em> ou com a modulação temporal dos efeitos para um determinado momento futuro.</p><p> </p><p>The acts, practices and behaviors of the Public Power in the exercise of legitimation, can generate, in several situations, expectations in individuals. The Estate, in use of its prerogatives, can breach expectations, generating a negative economic response, lack of confidence and instability in its relations. Thus, the principle of protection defends the preservations of these state acts, which effects extend in time, giving the individual an expectation of continuity, even if they are illegal or unconstitutional. Delimiting the emphasis of the present work on the administrative function of the State, it was intended to understand the principle of the protection of trust as an instrument to protect the legitimate expectation of the individual, for imposing limits to the Public Administration in the annulment of administrative acts. In this situation, it was seen that this principle may conflict with legality and self-assessment, being the case of seeking a weighing judgment, which will result in the maintenance of the act or its annulment, this being possible with the temporal modulation of the effects for a certain future moment.</p><p> </p><p> </p>

scholarly journals The patient with epilepsy and medicolegal aspects: a view for the neurologist

2019 ◽  
Vol 77 (10) ◽  
pp. 741-745
Author(s):  
Amur FERREIRA NETO SEGUNDO ◽  
Maren de Moraes e SILVA ◽  
Pilar Bueno Siqueira MERCER ◽  
Carolina REINERT ◽  
Emerson Faria BORGES ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Epileptic Seizures ◽  
Federal Law ◽  
Employment Agreement ◽  
Antiepileptic Medication ◽  
Driver's License ◽  
The Individual ◽  
License Renewal ◽  
Attending Physician ◽  
Patients With Epilepsy

ABSTRACT Patients with epilepsy face innumerable obstacles in daily life, related to work, permission to drive and interpersonal relationships, which require medical guidance. This paper reports a literature review based on scientific articles and civil and traffic system, as a way to resolve doubts about medical obligations in the patient’s permission to drive and work. An employment agreement requires the contractor to guarantee safety conditions as well as requiring the patient, at the pre-employment medical examination, to let the physician know previous medical conditions, including epilepsy. More than 90% of patients with epilepsy omit this information during the application assessment, thus being subject to imputation of ideological falsehood crime as disposied on article 299 of Brazilian Penal Code. Medical confidentiality breaches may only occur in specific situations. In Brazil, the authorization and driver’s license renewal is governed by the Brazilian Traffic Code (Federal Law n° 9503/1997). For patient evaluations, two groups are considered: those on antiepileptic medication and those on medication withdrawal. A favorable report from the attending physician is also required, in both categories. Seizures that occur exclusively during sleep, and focal aware events or prolonged aura are not differentiated from other seizure types disposed in the traffic law. It is the responsibility of the attending physician to analyze each patient individually to resolve conflicts between public safety and the individual patient’s independence. A frank and honest doctor-patient relationship is essential for the patient to understand the public and individual consequences of epileptic seizures and to feel comfortable seeking medical help.

scholarly journals Model of Group Peer Assessment on E-Learning

2020 ◽  
Vol 4 (2) ◽  
pp. 56
Author(s):  
Komang Oka Saputra ◽  
Putu Arya Mertasana ◽  
Pratolo Rahardjo
Keyword(s):  
Student Motivation ◽  
Peer Assessment ◽  
Student Interest ◽  
Self Assessment ◽  
Final Grade ◽  
Group Assignment ◽  
Individual Solution ◽  
E Learning ◽  
Personal Skills ◽  
The Individual

Student motivation at class takes major role on achieving courses’ learning outcomes. Multimedia based content, game-based quiz, or self-assessment can maintain student interest to follow the learning process. Apart from the individual solution, working in group is one way to improve student motivation, however without proper arrangement, putting students in groups can degrade the competitive atmosphere of class, as less-smart students hang up to the more-smart students. Another alternative is implementing collaborative learning such as peer assessment that allows students to grade their fellows. However, objectivity between students must be concerned as students tend to give high-grade for their fellows. Combining group mode and peer assessment, this work proposed group peer assessment to improve student motivation on e-learning. Proposed method started by teacher open a group assignment on e-learning. Students then work on group to create solution. After the solutions are submitted, the extra-group peer assessment begins, where each group examines another group work. To maintain the objectivity of the peer assessment, final grade of each group obtained by combining grade from another group and grade from teacher.  In the meantime, cooperation atmosphere in each group is maintained by intra-group peer assessment, where each member asses all his/her teammates in terms of intra-personal and inter-personal skills.

scholarly journals Characteristics of Sustainable Bioeconomy in the CEE Macro-region

2018 ◽  
Vol 27 (5) ◽  
pp. 5-26 ◽  
Author(s):  
Viktória Vásáry ◽  
Dorottya Szabó
Keyword(s):  
Triple Helix ◽  
Food Industry ◽  
Research Area ◽  
Sustainable Growth ◽  
Eastern European ◽  
Strategic Research ◽  
Knowledge Based ◽  
Research And Innovation ◽  
Transnational Cooperation ◽  
The Individual

In the coming decades to achieve further progress in sustainable growth of agriculture, aquaculture, forestry and food industry in the CEE countries there is a need to face specific challenges through the lens of bioeconomy, thus by shifting the emphasis to research, innovation and transnational cooperation for knowledge-based development. A shared strategic research and innovation framework that has already been offered by the Central-Eastern European Initiative for Knowledge-based Agriculture, Aquaculture and Forestry in the Bioeconomy, i.e. by the BIOEAST Initiative might enable these countries to work towards the development of a sustainable bioeconomy while effectively joining the European Research Area. The study is aimed at conceptualizing bioeconomy, analysing key socio-economic indicators of the ‘BIOEAST countries’ bioeconomy and describing the implications for policymakers based on the results of the ‘BIOEAST Bioeconomy Capacity Building Survey’. Based on the results of the survey the major findings of the research verify and strengthen the objectives of the BIOEAST Initiative. The individual results of the survey in terms of major bottlenecks in the supply chain, missing elements hindering competitiveness, the opportunities to raise competitiveness and functions of the intervention system led to the conclusion that the creation of sustainable bioeconomy explicitly requires triple-helix stakeholders to find efficient collaboration mechanisms and build synergies.

scholarly journals LANGUAGE AND CULTURE: DYAD AND UNITY

2013 ◽  
pp. 248-253
Author(s):  
A. L. Semenov ◽  
V. I. Ershov ◽  
D. A. Gusarov
Keyword(s):  
Ethnic Groups ◽  
Cultural Knowledge ◽  
Point Of View ◽  
Language And Culture ◽  
Knowledge Based ◽  
Leading Role ◽  
Honorary Doctor ◽  
The Individual ◽  
And Behavior

This paper deals with the concept of the translation approach to the problem of interaction of language and culture in terms of determination of the translation solutions by linguoethnic factors. The authors pay main attention to the analysis of the notion of culture. The concept proceeds from the views and opinions regarding the culture and its role in shaping the identity of the person introduced by the honorary doctor (doctor honoris cause) of the MGIMO-University Federico Major in his book «New page». Sharing the point of view of F. Major , the authors come to the conclusion that culture is a knowledge, based on which an individual perceives and evaluates his performance and behavior. Projecting such a position on the verbal behavior, the authors highlight the leading role of culture in the process of producing a speech act played when choosing the individual models of behavior on the basis of the knowledge of the communicative situation. Based on F. Mayor`s opinion that culture unites rather than divides people, the authors note the presence of universal and unique linguoethnic elements in the cultural knowledge of the representatives of various ethnic groups which determine the degree of similarities and differences in the ways of expressing knowledge in different languages. In this paper the authors reasonably use the term «linguoethnic» to describe the cultural-cognitive peculiarities inherent to individuals as representatives of different ethnic groups, as well as give comparison of the terms «linguoethnic» and «linguocultural».

scholarly journals Evaluation of Pharmacists' Knowledge of Centers for Medicare and Medicaid Services Medication Drug Plan Star Ratings

2017 ◽  
Vol 8 (4) ◽  
pp. 8
Author(s):  
Alyson O'Leary ◽  
Bella Mehta ◽  
Brianne Porter ◽  
Amy Lehman ◽  
Jennifer L. Rodis
Keyword(s):  
Online Survey ◽  
Community Setting ◽  
Further Education ◽  
Self Assessment ◽  
Chi Square ◽  
Cross Sectional ◽  
Actual Knowledge ◽  
Drug Plan ◽  
Knowledge Based ◽  
High Knowledge

Objectives: 1) Evaluate Ohio pharmacists’ awareness about Centers for Medicare and Medicaid Service’s (CMS) Medication Drug Plan (MDP) Star Ratings, 2) identify gaps in knowledge about CMS MDP Star Ratings, and 3) determine interest in continuing education (CE) opportunities with CMS PDP Star Ratings. Methods: A cross-sectional, online survey was conducted in February 2015. The 16-question, pilot-tested survey targeted licensed pharmacists in Ohio practicing in the ambulatory care or community setting. Respondents were surveyed on their self-assessed and actual knowledge on CMS MDP Star Ratings. Respondent’s interest in and preferred source and delivery of CE were evaluated. Data were collected in aggregate; descriptive statistics, ANOVA and chi-square tests were used to characterize and evaluate data. Responses were summarized for all 16 questions using frequencies and percentages. Results: Of 13,235 licensed Ohio pharmacists, 913 pharmacists completed the survey (6.9% response rate). 454 (49.7%) respondents were eligible to complete the survey based on practice setting and of those, 390 (85.9%) were aware of CMS’s MDP Star Ratings. Respondents’ self-assessment of their knowledge regarding CMS Star Ratings aligned with their actual knowledge as defined by performance on three multi-statement knowledge-based assessments. Significant differences existed between self-assessed knowledge groups in their ability to answer greater than 50% of questions correctly (p < .001). The majority of respondents (81.2%) indicated interest in receiving further education on CMS Star Ratings. Conclusions: Survey respondents are aware of CMS MDP Star Ratings, yet few indicated high knowledge levels on the topic. Gaps in knowledge were identified in development and utilization of the rating system, identifying quality measures, and sources utilized to measure achievement of ratings. Respondents indicated interest in opportunities to improve knowledge on the subject and would prefer education provided by their employer with a live presentation.   Type: Student Project

scholarly journals Identifikasi bentuk partisipasi masyarakat Dalam pelaksanaan program Peningkatan kualitas permukiman Studi Kasus : Pada Pelaksanaan Program PLPBK di Permukiman Masyarakat Berpenghasilan Rendah di Kelurahan Tenilo Kota Gorontalo

2018 ◽  
Vol 1 (1) ◽  
pp. 73
Author(s):  
Mochamad Athar Jantu
Keyword(s):  
Community Participation ◽  
Low Income ◽  
Secondary Data ◽  
Community Empowerment ◽  
Improvement Program ◽  
Community Group ◽  
Internal Factors ◽  
Gender Education ◽  
The Government ◽  
The Individual

The participation of the community in an implementation of the program or activity greatly affects the success of the program. This participation itself was born because of the factors from inside and outside the individual as members of that community group. This writing is based on a study that takes place in low-income community settlements in Tenilo RT II / RW II Kelota Kelota Gorontalo, Gorontalo Province with the aim of identifying the forms of community participation as well as the factors that influence the participation of the community in the implementation of the quality improvement program which is part of the Community-Based Settlement Environment Management (PLPBK) program by the government in the National Urban Empowerment Community Empowerment Program (PNPM-Mandiri Urban). The method used in this research is by qualitative analysis approach to analyze the primary and secondary data. The study finds that the form of community participation in the implementation of the program of improving the quality of settlements of low income community groups in Tenilo RT II / RW II Kelota District Gorontalo in the form of energy and goods . Internal factors that influence are gender, education, occupation, age, and income, while external factors as the incentive is the willingness, ability and opportunity.

A Feature Extraction Interface for CAD Part Models

1991 ◽  
Author(s):  
David R. Nitschke ◽  
Yuh-Min Chen ◽  
R. Allen Miller
Keyword(s):  
Design System ◽  
Relative Positioning ◽  
Neutral Form ◽  
Cad System ◽  
Knowledge Based ◽  
Functional Specification ◽  
Design And Manufacturing ◽  
Feature Based ◽  
The Individual ◽  
Knowledge Based Design

Abstract The concept of “Features” has been recognized as a neutral form of communication between design and manufacturing. Since virtually all CAD systems define part models using B-Rep or CSG formats, a facility is needed to convert geometry based part models to ones which are feature based. This paper outlines the framework of a facility which would enable part models from any type of CAD system to be converted to a format which could be analyzed using a knowledge based design system. This facility relies on the user to recognize and isolate the individual features of the model and then extracts the dimensions, locations and relative positioning of the features within the model. These features are then organized into a feature graph for the construction of a feature based part representation. The procedures for the construction of this part representation include feature instantiation, feature placement and functional specification.

Quality Improvement: An ACQIP Exercise on the Management of Otitis Media

1996 ◽  
Vol 17 (7) ◽  
pp. 251-256
Author(s):  
Robert H. Sebring ◽  
Keyword(s):  
Quality Improvement ◽  
American Academy ◽  
Otitis Media ◽  
Quality Care ◽  
Care Quality ◽  
Self Assessment ◽  
Improvement Program ◽  
Additional Information ◽  
American Academy Of Pediatrics

As part of Pediatrics in Review's ongoing focus on quality improvement, we present a self-assessment exercise taken from the American Academy of Pediatrics' Ambulatory Care Quality Improvement Program (ACQIP). Tabulated responses of pediatricians who completed this exercise as part of the ACQIP program are presented on pages 253 to 254, allowing readers to see how their own answers compare and providing material for thought and discussion. Readers are encouraged to participate in the ACQIP program. Additional information can be obtained by calling or writing the Division of Quality Care, American Academy of Pediatrics, Box 927, Elk Grove Village, IL 60009-0927. Monitoring Otitis Media EDUCATIONAL OBJECTIVES This exercise and the follow-up materials should help you identify areas of improvement in how your practice monitors and documents information for children with acute or chronic otitis. INSTRUCTIONS Beginning with tomorrow's appointments, answer the questions below for the most recent, but not the current episode of otitis media in the first 10 patients you see who are younger than 4 years of age and experiencing at least their second episode of otitis. You will need to review charts to answer the questions. Put a check in each box in which you find the information in your medical record listed.

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