Estimating Training Requirements From Job and Training Models

Introduction: Careful selection and timely activation of clinical sites in multicenter clinical trials is critical for successful enrollment, subject safety, and generalizability of results. Methods: In the Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2), a multidisciplinary Site Selection Committee evaluated applicants referred via participation in CREST, CREST principal investigators (PIs) and other investigators, StrokeNet and industry partners. Data for consideration included performance metrics in CREST and other carotid trials and a site selection questionnaire containing information on the investigators as well as quantitative data on carotid procedures performed. Any FDA warning letters were reviewed. Results: The Committee met bi-weekly for 36 months (n=64 meetings). Applications from 176 sites between March 2014 and July 2016 were evaluated: 153 were approved, 7 are under Committee review, 5 were approved but withdrew, 5 were placed on a waiting list, and 6 were rejected. One-hundred-four sites have completed the regulatory and training requirements to randomize: 51 (49%) academic medical centers, 31 (30%) private hospital-based centers, 16 (15%) private office-based practices, and 6 (6%) Veterans Administration medical centers. The mean times from application-to- approval was 5.2 weeks (interquartile range, 1.9, 6.2), and from approval-to-randomization status was 46.7 weeks (interquartile range, 35.4, 51.7). Specialties of the 104 site PIs are vascular surgery for 35 (33.7%), cardiology for 30 (28.8%), neurology for 25 (24%), neurosurgery for 8 (7.7%), interventional radiology for 4 (3.8%), and interventional neuroradiology for 2 (1.9%). Conclusions: Careful site selection is time-consuming for prospective sites and for trial leadership. Times from application-to-site-approval were modest (mean = 5.2 weeks), in contrast to the times for completing regulatory and training requirements (mean = 46.7 weeks). However, subject enrollment by teams from a wide range of medical centers led by a multi-disciplinary cohort of PIs will promote the generalizability of trial results.

Download Full-text

The Effect of Concealed Handgun Carry Deregulation in Arizona on Crime in Tucson

Criminal Justice Policy Review ◽

10.1177/0887403418782739 ◽

2018 ◽

Vol 30 (8) ◽

pp. 1186-1203 ◽

Cited By ~ 1

Author(s):

Michael R. Smith ◽

Matthew Petrocelli

Keyword(s):

El Paso ◽

Future Research ◽

Multiple Time ◽

Multiple Time Series ◽

Training Requirements ◽

State Adoption ◽

Concealed Carry ◽

And Control ◽

The Impact ◽

And Training

In 2010, the Arizona legislature effectively deregulated concealed handgun carry in the state by passing Senate Bill (SB) 1108, which eliminated licensing and training requirements for concealed carry. Although researchers have extensively examined the impact of state adoption of concealed carry laws, almost nothing is known about the effects of deregulating concealed carry altogether. This study contributes to the more guns, less crime debate by examining the impact of Arizona’s decision to deregulate concealed carry. Using a multiple time-series research design with an experimental (Tucson) and control city (El Paso), the present study examines the impact of deregulation on handgun-related violent crime and gun larcenies in Arizona’s second largest city—Tucson. We find that the passage of SB 1108 had no impact on handgun-related offenses that could be expected to change following deregulation. The implications of these findings for policy making and future research are discussed.

Download Full-text

Rethinking the Health Care Model through the reorientation of training

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0055 ◽

2018 ◽

Vol 71 (suppl 4) ◽

pp. 1580-1588 ◽

Cited By ~ 2

Author(s):

Carine Vendruscolo ◽

Letícia De Lima Trindade ◽

Marta Lenise do Prado ◽

Maria Elisabeth Kleba

Keyword(s):

Health Care ◽

Social Control ◽

Professional Training ◽

Daily Work ◽

Training Models ◽

Unified Health System ◽

Charitable Institution ◽

South Of Brazil ◽

And Training

ABSTRACT Objective: to understand the contributions of the National Program of Reorientation of Professional Training in Health (Pró-Saúde) for the change in the model of care and training of health professionals. Methods: a case study with representatives of the teaching, care, management and social control, participants of the management units of the Pró-Saúde (Charitable institution for social and hospital assistance), in a municipality of the south of Brazil. Data collection took place through interviews and observations between October 2012 and February 2013. Results: the Program acts as a device for the transition of health care and training models, by promoting the problematization of daily work and the approximation between teaching and service. Emphasis is placed on the importance of the subjects’ commitment and the different perspectives on the community. Conclusion: Pró-Saúde leaves visible marks in the process of qualifying students and professionals, as well as promoting collaborative action in the fields of management, care, teaching and social control in the SUS (Brazilian Unified Health System).

Download Full-text

Pharmacy Technician Educators' Attitudes toward Education and Training Requirements for Pharmacy Technicians

Journal of Pharmacy Technology ◽

10.1177/875512250001600407 ◽

2000 ◽

Vol 16 (4) ◽

pp. 133-137 ◽

Cited By ~ 2

Author(s):

Kathy D Moscou

Keyword(s):

Response Rate ◽

Training Programs ◽

Education And Training ◽

Level Of Education ◽

Training Requirements ◽

Pharmacy Technician ◽

National Examination ◽

Pharmacy Technicians ◽

And Training

Objective: To poll members of the Pharmacy Technician Educators Council (PTEC) to determine their attitudes toward the level of education and training necessary for pharmacy technicians to perform current and expanded duties. Methods: A convenience survey was developed and sent to 130 PTEC member training programs. PTEC members include directors of college, vocational, and on-the-job training programs. Results: Thirty-seven PTEC members responded, yielding a response rate of 28.5%. Responses reflected the opinions of directors of pharmacy technician programs from 19 states. All respondents agreed that the length of training for pharmacy technicians should be standardized. They also agreed that minimum competencies should be established for pharmacy technicians and that examination should be required to obtain certification or licensure that would then enable the technician to be employed in the field. Conclusions: The use of pharmacy technicians will likely increase, as will the duties pharmacy technicians perform. Expansion of the role of pharmacy technicians, however, must be in tandem with standardizing training and establishment of competencies for pharmacy technicians. Increased responsibilities should be commensurate with increased education and national examination should be required to determine competency.

Download Full-text