The role of multidisciplinary teams in musculoskeletal infection

ABSTRACT Greenhouse gas (GHG) assurance is increasingly used by companies as a means to increase stakeholder confidence in the quality of externally reported carbon emissions. The multidisciplinary nature of these engagements means that assurance is performed primarily by multidisciplinary teams. Prior research suggests the effectiveness of such teams could be affected by team composition and team processes. We employ a retrospective field study to examine the impact of educational diversity and team member elaboration on multidisciplinary GHG assurance team effectiveness. Results show that team processes such as sufficiency of elaboration on different team member perspectives significantly increases the perceived effectiveness of the teams. While educational diversity is not found to directly improve perceived team effectiveness, it is found to have a positive effect through increasing perceived sufficiency of elaboration. These findings have important implications for standard setters and audit firms undertaking GHG assurance engagements.

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The Emerging Role of Glucagon-like Peptide-1 Receptor Agonists for the Management of NAFLD

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/clinem/dgab578 ◽

2021 ◽

Author(s):

Chandani Patel Chavez ◽

Kenneth Cusi ◽

Sushma Kadiyala

Keyword(s):

Evidence Synthesis ◽

Clinical Care ◽

Treatment Options ◽

Critical Role ◽

Risk Groups ◽

The United States ◽

Multidisciplinary Teams ◽

Consensus Statements ◽

Meta Analyses

Abstract Context The burden of cirrhosis from NAFLD is reaching epidemic proportions in the United States. This calls for greater awareness among endocrinologists, who often see but may miss the diagnosis in adults with obesity or type 2 diabetes mellitus (T2D) who are at the highest risk. At the same time, recent studies suggest that GLP-1RAs are beneficial versus steatohepatitis (NASH) in this population. This minireview aims to assist endocrinologists to recognize the condition and recent work on the role of GLP-1RAs in NAFLD/NASH. Evidence acquisition Evidence from observational studies, randomized controlled trials, and meta-analyses. Evidence Synthesis Endocrinologists should lead multidisciplinary teams to implement recent consensus statements on NAFLD that call for screening and treatment of clinically significant fibrosis to prevent cirrhosis, especially in the high-risk groups (i.e., people with obesity, prediabetes or T2D). With no FDA-approved agents, weight loss is central to their successful management, with pharmacological treatment options limited today to vitamin E (in people without T2D) and diabetes medications that reverse steatohepatitis, such as pioglitazone or GLP-1RA. Recently the benefit of GLP-1RAs in NAFLD, suggested from earlier trials, has been confirmed in adults with biopsy-proven NASH. In 2021, the FDA also approved semaglutide for obesity management. Conclusion A paradigm change is developing between the endocrinologist’s greater awareness about their critical role to curve the epidemic of NAFLD and new clinical care pathways that include a broader use of GLP-1RAs in the management of these complex patients.

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Envolvendo estudantes de Direito em uma equipe multidisciplinar: ensino, pesquisa, extensão e responsabilidade social

Revista da Faculdade de Direito da UFG ◽

10.5216/rfd.v42i1.50096 ◽

2018 ◽

Vol 42 (1) ◽

pp. 65-79

Author(s):

Fabiola De Sampaio Rodrigues Grazinoli Garrido ◽

Rodrigo Grazinoli Garrido

Keyword(s):

Rio De Janeiro ◽

Social Role ◽

Law Students ◽

Vulnerable Groups ◽

Multidisciplinary Teams ◽

Environmental Aspects ◽

Tutorial Program ◽

The Social ◽

The University

Trabalhos desenvolvidos em equipes multidisciplinares devem ser rotina para os futuros egressos do curso de direito. O objetivo desse artigo é discutir algumas estratégias e planos de trabalho utilizados no Programa de Educação Tutorial Conexões de Saberes que envolve estudantes do curso de direito da Universidade Federal Rural do Rio de Janeiro no campus de Três Rios, interior do Rio de Janeiro. Nessa perspectiva, o engajamento dos estudantes em projetos do tem contribuído como um campo experimental para o desenvolvimento das habilidades necessárias aos bacharéis em direito, bem como para a percepção do papel social do futuro profissional. Desde 2014, a equipe desenvolve projetos que discutem a função da universidade junto à comunidade, abordando sobretudo questões relacionadas a grupos vulneráveis e a aspectos agroambientais.Palavras-chave: aprendizagem significativa; formação integradora; projetos na graduação. Abstract Work performed in multidisciplinary teams should be routine for future graduates of the law courses. The aim of this paper is to discuss some strategies and work plans used in the Connections of Knowledge Tutorial Program that involves law students of the Federal Rural University of Rio de Janeiro on the campus of Três Rios, in the interior of Rio de Janeiro. In this perspective, students' engagement in projects has contributed as an experimental field for the development of the skills required by law graduates, as well as for the perception of the social role of the professional future. Since 2014, the team has developed projects that discuss the role of the university in the community, addressing issues related to vulnerable groups and agro-environmental aspects.

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First-Line Health Care Providers' Reported Knowledge of and Referrals to Speech-Language Pathologists for Clients With Mild Traumatic Brain Injury

American Journal of Speech-Language Pathology ◽

10.1044/2021_ajslp-20-00373 ◽

2021 ◽

pp. 1-14

Author(s):

Kelly Knollman-Porter ◽

Jessica A. Brown ◽

Tracey Wallace ◽

Shelby Spitz

Keyword(s):

Health Care ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Mild Traumatic Brain Injury ◽

Health Care Providers ◽

Multidisciplinary Teams ◽

Care Providers ◽

First Line ◽

Speech Language Pathologists

Purpose People with mild traumatic brain injury (mTBI) may experience deficits in cognition or communication that go unnoticed by first-line health care providers (FHPs). Speech-language pathologists (SLPs) assess and treat these domains yet are often underrepresented on mTBI multidisciplinary teams. This study's aim was to evaluate FHPs' reported knowledge of and referral practices to SLPs for individuals across the life span with mTBI. Method Physicians, physician assistants, nurse practitioners, nurses, and athletic trainers ( n = 126) completed an online survey, including two Likert scale questions and one free response question relating to SLPs' role in mTBI. Results More than half of FHPs rate their knowledge of the SLP's role in mTBI management as low (somewhat knowledgeable, 29%; not very knowledgeable, 23%). Similarly, nearly two thirds of FHPs indicated rarely (19%) or never (44%), referring to SLPs for management of patients with mTBI. The majority of FHPs' open responses on the role of the SLP in mTBI management were incomplete, with many including domains that were not relevant to an SLP's role in the management of mTBI (e.g., dysphagia). Within the article, we provide results overall and according to individual profession. Conclusions Results suggest a majority of FHPs lack knowledge in the role of the SLP in the management of mTBI, which may underpin the low referral patterns reported by FHPs for SLP services. Future educational efforts for FHPs regarding the role of SLPs in mTBI care are necessary.

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Metastatic Small Cell Lung Cancer: The Role of Multidisciplinary Teams in Patient Care

International Journal of Clinical Studies and Medical Case Reports ◽

10.46998/ijcmcr.2021.12.000289 ◽

2021 ◽

Vol 12 (3) ◽

Author(s):

Abdulsatar J Mathkhor

Keyword(s):

Lung Cancer ◽

Small Cell Lung Cancer ◽

Patient Care ◽

Cell Lung Cancer ◽

Small Cell ◽

Multidisciplinary Teams ◽

Small Cell Lung

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The Interplay of Inter- and Intraprofessional Boundary Work in Multidisciplinary Teams

Organization Studies ◽

10.1177/0170840619848020 ◽

2019 ◽

Vol 41 (12) ◽

pp. 1649-1672 ◽

Cited By ~ 1

Author(s):

Mariline Comeau-Vallée ◽

Ann Langley

Keyword(s):

Interprofessional Collaboration ◽

Boundary Work ◽

Multidisciplinary Teams ◽

High Status ◽

Fine Grained ◽

Professional Groups ◽

The Social ◽

Lower Status ◽

Dynamic Interplay

The challenges of managing interprofessional boundaries within multidisciplinary teams are well known. However, the role of intraprofessional relations in influencing the dynamics of interprofessional collaboration remain underexplored. Our qualitative study offers a fine-grained analysis of the interplay between inter- and intraprofessional boundary work among three professional groups in a multidisciplinary team over a period of two years. Our contribution to the literature is threefold. First, we identify various forms of “competitive” and “collaborative” boundary work that may occur simultaneously at both inter- and intraprofessional levels. Second, we reveal the dynamic interplay between inter- and intraprofessional boundary negotiations over time. Third, we theorize relationships between the social position of professional groups, and the uses and consequences of competitive and collaborative boundary work tactics at intra- and interprofessional levels. Specifically, we show how intraprofessional conflict within high-status groups may affect interprofessional dynamics, we reveal how intraprofessional and interprofessional boundaries may be mobilized positively to support collaborative relations, and we show how mobilization within lower-status groups around interprofessional boundary grievances can paradoxically lead to further marginalization.

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Current organization of specialist pulmonary hypertension clinics: results of an international survey

Pulmonary Circulation ◽

10.1177/2045894019855611 ◽

2019 ◽

Vol 9 (2) ◽

pp. 204589401985561 ◽

Cited By ~ 1

Author(s):

Carolyn Doyle-Cox ◽

Gail Nicholson ◽

Traci Stewart ◽

Wendy Gin-Sing

Keyword(s):

Pulmonary Hypertension ◽

Central Component ◽

Multidisciplinary Teams ◽

Full Time ◽

Center Staff ◽

Program Administrator ◽

Nurse Coordinator ◽

Pulmonary Arterial ◽

Ph Management

Optimal pulmonary hypertension (PH) management relies on a timely, accurate diagnosis and follow-up in specialized clinics by multidisciplinary teams that have clearly defined responsibilities and protocols. Internationally agreed criteria for expert center staff are lacking, particularly with respect to nurses, who often act as a central component of the team. This survey aimed to evaluate the current organization of PH clinics and the role of nurses. The survey (35 questions) was online February–December 2015 and was advertised at international PH nurse meetings and through international PH organizations to their corresponding clinics. In total, 126 healthcare professionals from 32 countries responded. According to respondents, 54% of clinics managed >200 patients, of whom 49% had a pulmonary arterial hypertension (PAH) diagnosis, on average. In terms of staff, 66% had a dedicated program administrator, 35% had one full-time nurse coordinator/practitioner/specialist, and 57% had a nurse attend outpatient clinic alongside a physician. Crucially, not all centers had a nurse in their team. The role of a nurse coordinator/practitioner/specialist varied with 51% taking patient histories/examinations and 66% managing outpatients. In 34% of clinics, nurses were involved in their own research. Protocols were available for PH therapies (81%), management of heart failure (37%) and pain (26%), and referring patients who did not have PAH/chronic thromboembolic PH back to their specialist (62%). Not all clinics are meeting all of the standards outlined in the latest guidelines with key areas of improvement being level of support from/for nurses, clear protocols, and referral pathways.

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Confidentiality: Minors Assessed by Multidisciplinary Teams

Bulletin of the Royal College of Psychiatrists ◽

10.1192/s0140078900011858 ◽

1981 ◽

Vol 5 (8) ◽

pp. 143-145

Author(s):

Jean Harris

Keyword(s):

Social Studies ◽

Social Services ◽

Local Authority ◽

Working Party ◽

Multidisciplinary Teams ◽

Assessment Practice ◽

Final Draft ◽

The University

This article is based on work undertaken at the request of my fellow members of a DHSS Working Party chaired by Professor Norman Tutt, Department of Applied Social Studies at the University of Lancaster. The terms of reference were: ‘to consider observation and assessment services for children and young persons referred to local authority Social Services Departments; to clarify the role of observation and assessment centres; to consider the promotion of non-residential observation and assessment; to consider what improvements in present assessment practice might be helpful or necessary and to make recommendations’. The report is currently in its final draft and has been sent to the DHSS for approval; and, since my contribution has necessarily been compressed into a few paragraphs, my colleagues suggested that I should seek an additional route to publication.

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