scholarly journals Out-of-programme experience in UK neurosurgery trainees: optimising the transition back into clinical practice

2021 ◽  
Vol 103 (2) ◽  
pp. 100-105
Author(s):  
J Lam ◽  
G Evans ◽  
RM deSouza ◽  
M Amarouche ◽  
J Cheserem ◽  
...  
Keyword(s):  
Return To Work ◽  
Online Survey ◽  
Past Research ◽  
Clinical Work ◽  
Surgical Skills ◽  
Clinical Environment ◽  
The Past ◽  
New Methods ◽  
Factors Influencing ◽  
The Uk

INTRODUCTION Out of programme (OOP) experience from training increases the skill pool of the neurosurgical workforce and drives innovation in the specialty. OOP approval criteria are well defined but transition back to clinical work can be challenging with a paucity of data published on trainee perspectives. Our study aimed to investigate factors influencing transition from OOP back to clinical work among neurosurgical trainees in the UK. METHODS An online survey was sent to all members of the Society of British Neurological Surgeons. Questions pertained to details of OOP and factors influencing transition back to clinical work. RESULTS Among the 73 respondents, 7 were currently on OOP and 27 had completed OOP in the past. Research was the most common reason for OOP (28/34, 82%) and this was generally motivated by the aspiration of an academic neurosurgery career (17/34, 50%). Although the majority (27/34, 79%) continued clinical work during OOP, 37% of this group (10/27) reported a reduction in their surgical skills. Fewer than half (15/34, 44%) had a return to work plan, of which only half (8/34, 24%) were formal plans. The majority of respondents who had completed OOP in the past (22/27, 81%) felt that they were able to apply the skills gained during OOP to their clinical work on return. CONCLUSIONS Skills learnt during OOP are relevant and transferable to the clinical environment but mainly limited to research with OOP for management and education underrepresented. Deterioration of surgical skills is a concern. However, recognition of this problem has prompted new methods and schemes to address challenges faced on return to work.

scholarly journals Protocol for a mixed-methods longitudinal study to identify factors influencing return to work in the over 50s participating in the UK Work Programme: Supporting Older People into Employment (SOPIE)

BMJ Open ◽  
2015 ◽  
Vol 5 (12) ◽  
pp. e010525 ◽  
Author(s):  
Judith Brown ◽  
Joanne Neary ◽  
Srinivasa Vittal Katikireddi ◽  
Hilary Thomson ◽  
Ronald W McQuaid ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Longitudinal Study ◽  
Older People ◽  
Return To Work ◽  
Factors Influencing ◽  
Work Programme ◽  
The Uk

Advances in Dental Imaging

2001 ◽  
Vol os8 (2) ◽  
pp. 59-62 ◽  
Author(s):  
Jackie E Brown
Keyword(s):  
Hard Tissue ◽  
Maxillofacial Region ◽  
Dental Services ◽  
Dental Imaging ◽  
The Past ◽  
New Methods ◽  
Recent Developments ◽  
Radiation Induced ◽  
Dental Radiographs ◽  
The Uk

The number of dental radiographs taken in the UK has steadily increased over the past 20 years—recently estimating around 18 million taken in the general dental services alone, and dental radiographs now account for nearly 25% of all medical radiographic exposures.1 Radiographs remain our most useful diagnostic aid. Their strength is in demonstrating hard tissue pathology, which makes radiographs particularly effective in the maxillofacial region. Although well accepted in this capacity, there remain a number of limitations and drawbacks to conventional radiographs which recent developments have begun to overcome. There have been improvements in the scope and capabilities of dental imaging equipment. There has also been a continuing effort to reduce radiation-induced harm by limiting our exposure to it. This has been possible both through the introduction of new methods and protocols for reducing individual radiation exposures and by the creation of guidelines for selecting radiographs more effectively and thereby reducing the total number of radiographs taken.

Into Africa: Basic Surgical Skills Trainingin Northern Tanzania

2013 ◽  
Vol 95 (8) ◽  
pp. 256-257 ◽  
Author(s):  
CMC Doran ◽  
MA Foxall-Smith ◽  
I Ngayomela ◽  
WEG Thomas ◽  
FCT Smith
Keyword(s):  
Surgical Techniques ◽  
Daily Practice ◽  
Surgical Skills ◽  
Teaching Skills ◽  
Education Department ◽  
The Past ◽  
Surgical Trainees ◽  
Northern Tanzania ◽  
Approach To Teaching ◽  
The Uk

The intercollegiate Basic surgical skills (BSS) course is a rite of passage for UK surgical trainees and this approach to teaching skills is used in daily practice to ensure our trainees develop good surgical techniques and habits. We take it for granted that formal courses are delivered by the surgical royal colleges and now via the schools of surgery; however, this form of teaching is only now being introduced throughout other parts of the world. On the back of the success achieved by BSS in the UK, it has been successfully implemented in over 45 countries, including Barbados, 2 El Salvador, 3 Jordan 4 and dubai 5 in the past 5 years alone. The Education department of the RCS recently visited Tanzania to encourage inception of a surgical skills course programme.

scholarly journals Vascular Surgery: A New Surgical Specialty in the UK

2012 ◽  
Vol 94 (7) ◽  
pp. 232-233 ◽  
Author(s):  
Peter Lamont ◽  
Michael G Wyatt ◽  
A Ross Naylor
Keyword(s):  
United Kingdom ◽  
Vascular Surgery ◽  
General Surgery ◽  
Surgical Skills ◽  
General Surgeon ◽  
Clinical Expertise ◽  
Surgical Specialty ◽  
The Past ◽  
The United Kingdom ◽  
The Uk

on 16 March 2012, vascular surgery entered the Parliamentary statute books as a separate surgical specialty in the United Kingdom. Up until that date, vascular surgery had been an integral part of general surgery. over the past two decades, the two specialties have been developing a dichotomous mix of surgical skills and clinical expertise, resulting in the present-day consultant vascular and endovascular surgeon being very different from the previous general surgeon with a vascular interest.

scholarly journals Consumers’ Perceptions of Five Front-of-Package Nutrition Labels: An Experimental Study Across 12 Countries

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1934 ◽  
Author(s):  
Zenobia Talati ◽  
Manon Egnell ◽  
Serge Hercberg ◽  
Chantal Julia ◽  
Simone Pettigrew
Keyword(s):  
Online Survey ◽  
Strong Predictor ◽  
Past Research ◽  
The Other ◽  
Warning Label ◽  
Nutrition Labels ◽  
Traffic Lights ◽  
Objective Performance ◽  
The Usa ◽  
The Uk

Consumers’ perceptions of five front-of-pack nutrition label formats (health star rating (HSR), multiple traffic lights (MTL), Nutri-Score, reference intakes (RI) and warning label) were assessed across 12 countries (Argentina, Australia, Bulgaria, Canada, Denmark, France, Germany, Mexico, Singapore, Spain, the UK and the USA). Perceptions assessed included liking, trust, comprehensibility, salience and desire for the label to be mandatory. A sample of 12,015 respondents completed an online survey in which they rated one of the five (randomly allocated) front-of-pack labels (FoPLs) along the perception dimensions described above. Respondents viewing the MTL provided the most favourable ratings. Perceptions of the other FoPLs were mixed or neutral. No meaningful or consistent patterns were observed in the interactions between country and FoPL type, indicating that culture was not a strong predictor of general perceptions. The overall ranking of the FoPLs differed somewhat from previous research assessing their objective performance in terms of enhancing understanding of product healthiness, in which the Nutri-Score was the clear front-runner. Respondents showed a strong preference for mandatory labelling, regardless of label condition, which is consistent with past research showing that the application of labels across all products leads to healthier choices.

scholarly journals Emergency medicine clerkship goes online: Evaluation of a telesimulation programme

2021 ◽  
Vol 6 (3) ◽  
pp. 56-66
Author(s):  
Gayathri Devi Nadarajan ◽  
Kirsty J Freeman ◽  
Paul Weng Wan ◽  
Jia Hao Lim ◽  
Abegail Resus Fernandez ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Online Survey ◽  
Clinical Care ◽  
Clinical Work ◽  
Clinical Environment ◽  
Verbal Cues ◽  
Medicine Clerkship ◽  
Team Members ◽  
Face To Face ◽  
Successful Execution

Introduction: COVID-19 challenged a graduate medical student Emergency Medicine Clinical Clerkship to transform a 160-hour face-to-face clinical syllabus to a remotely delivered e-learning programme comprising of live streamed lectures, case-based discussions, and telesimulation experiences. This paper outlines the evaluation of the telesimulation component of a programme that was designed as a solution to COVID-19 restriction. Methods: A mixed methods approach was used to evaluate the telesimulation educational activities. Via a post-course online survey student were asked to rate the pre-simulation preparation, level of engagement, confidence in recognising and responding to the four clinical presentations and to evaluate telesimulation as a tool to prepare for working in the clinical environment. Students responded to open-ended questions describing their experience in greater depth. Results: Forty-two (72.4%) out of 58 students responded. 97.62% agreed that participating in the simulation was interesting and useful and 90.48% felt that this will provide a good grounding prior to clinical work. Four key themes were identified: Fidelity, Realism, Engagement and Knowledge, Skills and Attitudes Outcomes. Limitations of telesimulation included the inability to examine patients, perform procedures and experience non-verbal cues of team members and patients; but this emphasised importance of non-verbal cues and close looped communication. Additionally, designing the telesimulation according to defined objectives and scheduling it after the theory teaching contributed to successful execution. Conclusion: Telesimulation is an effective alternative when in-person teaching is not possible and if used correctly, can sharpen non-tactile aspects of clinical care such as history taking, executing treatment algorithms and team communication.

P137 Establishment of a cohort to identify factors influencing return to work in the over 50s participating in the uk work programme: supporting older people into employment (SOPIE)

2016 ◽  
Author(s):  
Judith Brown ◽  
Ronald McQuaid ◽  
Srinivasa Vittal Katikireddi ◽  
Alastair Leyland ◽  
John Frank ◽  
...  
Keyword(s):  
Older People ◽  
Return To Work ◽  
Factors Influencing ◽  
Work Programme ◽  
The Uk

Factors influencing the annual risk of bird–window collisions at residential structures in Alberta, Canada

2012 ◽  
Vol 39 (7) ◽  
pp. 583 ◽  
Author(s):  
Erin M. Bayne ◽  
Corey A. Scobie ◽  
Michael Rawson-Clark
Keyword(s):  
Online Survey ◽  
Past Research ◽  
Conservation Priorities ◽  
Local Data ◽  
Factors Influencing ◽  
Bird Feeders ◽  
The Mean ◽  
Migrating Birds ◽  
Rural Residences ◽  
Annual Risk

Context Increasingly, ornithologists are being asked to identify major sources of avian mortality so as to identify conservation priorities. Aims Considerable evidence suggests that windows of office towers are a lethal hazard for migrating birds. The factors influencing the risk of bird–window collisions in residential settings are not understood as well. Methods Citizen scientists were requested to participate in an online survey that asked about characteristics concerning their homes and yards, general demographic information about participants, and whether they had observed evidence of bird–window collisions at their home. Key results We found that 39.0% of 1458 participants observed a bird–window collision in the previous year. The mean number of reported collisions was 1.7 ± 4.6 per residence per year, with 38% of collisions resulting in a mortality. Conclusions Collisions were not random, with the highest collision and mortality rates at rural residences, with bird feeders > rural residences without feeders > urban residences with feeders > urban residences without feeders > apartments. At urban houses, the age of neighbourhood was a significant predictor of collision rates, with newer neighbourhoods reporting fewer collisions than older neighbourhoods. Most people remembered collisions occurring in the summer months. Implications Our results are consistent with past research, suggesting that window collisions with residential homes are an important source of mortality for birds. However, we found large variation in the frequency of collisions at different types of residences. Proper stratification of residence type is crucial to getting accurate estimates of bird–window collisions when scaling local data into larger-scale mortality estimates.

Exploring the Boundaries of the Number–Temporal Order Association

2015 ◽  
Vol 62 (3) ◽  
pp. 198-205 ◽  
Author(s):  
Dana Ganor-Stern
Keyword(s):  
Embodied Cognition ◽  
Mental Representation ◽  
Temporal Order ◽  
Past Research ◽  
Numerical Comparison ◽  
Negative Number ◽  
Comparison Task ◽  
Negative Numbers ◽  
The Past

Past research has shown that numbers are associated with order in time such that performance in a numerical comparison task is enhanced when number pairs appear in ascending order, when the larger number follows the smaller one. This was found in the past for the integers 1–9 ( Ben-Meir, Ganor-Stern, & Tzelgov, 2013 ; Müller & Schwarz, 2008 ). In the present study we explored whether the advantage for processing numbers in ascending order exists also for fractions and negative numbers. The results demonstrate this advantage for fraction pairs and for integer-fraction pairs. However, the opposite advantage for descending order was found for negative numbers and for positive-negative number pairs. These findings are interpreted in the context of embodied cognition approaches and current theories on the mental representation of fractions and negative numbers.

Dowagers, Debs, Nuns and Babies: The Politics of Nostalgia and the Older Woman in the British Sunday Night Television Serial

2013 ◽  
Vol 10 (4) ◽  
pp. 769-784 ◽  
Author(s):  
Estella Tincknell
Keyword(s):  
Older Women ◽  
Social Role ◽  
Mature Female ◽  
Older Woman ◽  
Distinctive Features ◽  
The Past ◽  
Political Position ◽  
The Social ◽  
The Uk ◽  
Popular Television

The extensive commercial success of two well-made popular television drama serials screened in the UK at prime time on Sunday evenings during the winter of 2011–12, Downton Abbey (ITV, 2010–) and Call the Midwife (BBC, 2012–), has appeared to consolidate the recent resurgence of the period drama during the 1990s and 2000s, as well as reassembling something like a mass audience for woman-centred realist narratives at a time when the fracturing and disassembling of such audiences seemed axiomatic. While ostensibly different in content, style and focus, the two programmes share a number of distinctive features, including a range of mature female characters who are sufficiently well drawn and socially diverse as to offer a profoundly pleasurable experience for the female viewer seeking representations of aging femininity that go beyond the sexualised body of the ‘successful ager’. Equally importantly, these two programmes present compelling examples of the ‘conjunctural text’, which appears at a moment of intense political polarisation, marking struggles over consent to a contemporary political position by re-presenting the past. Because both programmes foreground older women as crucial figures in their respective communities, but offer very different versions of the social role and ideological positioning that this entails, the underlying politics of such nostalgia becomes apparent. A critical analysis of these two versions of Britain's past thus highlights the ideological investments involved in period drama and the extent to which this ‘cosy’ genre may legitimate or challenge contemporary political claims.

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