scholarly journals UK Cardiology Training in Core Echocardiography Symposium Report: the good the bad and the ugly

2014 ◽  
Vol 1 (1) ◽  
pp. D9-D14
Author(s):  
Anna Kydd ◽  
Afzal Sohaib ◽  
Rizwan Sarwar ◽  
David Holdsworth ◽  
Bushra Rana

Training in core echocardiography skills within the UK has been the focus of considerable discussion following recent national surveys. This article reports the proceedings of a joint meeting held by the British Society of Echocardiography and British Junior Cardiologists' Association. It considers the current issues impacting on high-quality training and presents potential solutions for the future.

2019 ◽  
Vol 10 (4) ◽  
pp. 356-363 ◽  
Author(s):  
Jennifer Clough ◽  
Michael FitzPatrick ◽  
Philip Harvey ◽  
Liam Morris

BackgroundPhysician training in the UK is undergoing considerable change due to the implementation of recommendations made in the Shape of Training Review. In particular, higher specialty training (HST), including gastroenterology, will be shortened from 5 to 4 years. This will also incorporate general internal medicine (GIM) training. There is concern among gastroenterologists regarding how high-quality gastroenterology training will be delivered in 4 years.MethodsThe 2018 British Society of Gastroenterology (BSG) trainees’ survey results were used to examine the potential impact of a 4-year HST period on achieving key competencies in gastroenterology.Results291 (49.4%) gastroenterology trainees responded. Satisfaction with gastroenterology training was high (79.6% respondents), and self-reported confidence in hepatology training was also high (84% senior respondents). However, only half (51.1%) of the respondents achieved complete colonoscopy certification by their final year of training. Comparison with the 2014 BSG trainees’ survey demonstrated that the number of endoscopy procedures achieved by trainees has reduced in sigmoidoscopy (p=0.006) and colonoscopy (p<0.001). The proportion of time spent in GIM training has increased since the last survey, with 81.8% of the respondents spending more than 25% of their time in GIM. GIM training was reported to be a key barrier to adequate gastroenterology and endoscopy training.ConclusionThese data indicate significant barriers to delivering gastroenterology and endoscopy training within the current 5-year programme. Novel strategies will be required to improve the rate of progression in endoscopy training, in particular if high-quality gastroenterology HST training is to be delivered in 4 years.


2020 ◽  
Vol 198 (1-2) ◽  
pp. 91-106
Author(s):  
Evi-Carita Riikonen

As EU citizens and a ‘middling’ migrant group in the UK, Finns have been able to exercise a relatively limitless existence in Britain. However, this freedom became threatened after the Brexit referendum. Through a digital ethnographic approach, this paper shows that the result of the Brexit referendum turned Finns’ translocal place-making in the UK from being practiced by social bodies to being negotiated by political bodies and contributes to literature about translocal place-making as receptive to disruptions. The referendum disrupted Finns’ translocal place-making processes on personal and societal levels, cutting through both active, embodied processes in the UK and virtual, imagined processes in Finland. The referendum imposed newly experienced otherness and conditionality to the ability to participate in the British society. It did, however, also create translocal attachments towards both the UK and Finland. Through its disruptive nature, the event of the Brexit vote embedded itself in the future place-making orientations and narratives of the Finns in the UK, potentially having an impact on their future translocal trajectories and imaginaries. 


Author(s):  
David Hesmondhalgh

This chapter foregrounds two concepts that need to be central in discussions about the future of television in the UK: quality of life, and the value of culture. It makes four main claims: (i) television can contribute to quality of life in important ways, but we should not understand that contribution in terms of ‘consumer preferences’; (ii) television's contribution to quality of life should be thought of in terms of what it enables people to do or to be; (iii) television markets, if not well constructed and regulated, are unlikely to enhance cultural quality of life adequately, because high-quality television is a particular form of ‘merit good’ and is therefore likely to be underproduced; and (iv) digitalisation does not remove the fundamental problems surrounding cultural markets and quality of life — it makes a public service ‘common provider’ more important.


2019 ◽  
Vol 3 (2) ◽  
pp. 111-122
Author(s):  
Michal Plaček ◽  
Milan Půček ◽  
František Ochrana ◽  
Milan Křápek ◽  
Ondřej H. Matyáš

This paper deals with the analysis of risks which threaten the future sustainability and operations of agricultural museums in the Czech Republic. In the section on methodology, an applicable risk model has been proposed regarding the condition of museums in the Czech Republic. Using this model, the directors of agricultural museums can assess the most significant risks which may jeopardize the sustainability of museum operations over a three-year period. The greatest risks, according to museum directors, are a lack money for investment, the inability to retain high-quality staff, and issues with technical support for exhibitions. Assessing the importance of risk is positively associated with previous experiences of a particular type of risk, whereas the association of the importance of risk with previous managerial practice is rather inconclusive.


2003 ◽  
Vol 27 (09) ◽  
pp. 346-348
Author(s):  
Chris Simpson ◽  
Prasanna De Silva

The increase in older people in the UK will increase the need for mental health services to run efficient, high-quality services. Multi-disciplinary team assessments, although not new, provide a method of increasing the capacity to see referrals. Two similar systems of multi-disciplinary team assessments from North Yorkshire are reported with evidence of improvement in quality.


Eye ◽  
2021 ◽  
Author(s):  
Sana Hamid ◽  
Parul Desai ◽  
Pirro Hysi ◽  
Jennifer M. Burr ◽  
Anthony P. Khawaja

AbstractEffective population screening for glaucoma would enable earlier diagnosis and prevention of irreversible vision loss. The UK National Screening Committee (NSC) recently published a review that examined the viability, effectiveness and appropriateness of a population-based screening programme for primary open-angle glaucoma (POAG). In our article, we summarise the results of the review and discuss some future directions that may enable effective population screening for glaucoma in the future. Two key questions were addressed by the UK NSC review; is there a valid, accurate screening test for POAG, and does evidence exist that screening reduces morbidity from POAG compared with standard care. Six new studies were identified since the previous 2015 review. The review concluded that screening for glaucoma in adults is not recommended because there is no clear evidence for a sufficiently accurate screening test or for better outcomes with screening compared to current care. The next UK NSC review is due to be conducted in 2023. One challenge for POAG screening is that the relatively low disease prevalence results in too many false-positive referrals, even with an accurate test. In the future, targeted screening of a population subset with a higher prevalence of glaucoma may be effective. Recent developments in POAG polygenic risk prediction and deep learning image analysis offer potential avenues to identifying glaucoma-enriched sub-populations. Until such time, opportunistic case finding through General Ophthalmic Services remains the primary route for identification of glaucoma in the UK and greater public awareness of the service would be of benefit.


2020 ◽  
pp. bmjmilitary-2020-001455 ◽  
Author(s):  
Jonathan Blair Thomas Herron ◽  
K M Heil ◽  
D Reid

In 2015, the UK government published the National Strategic Defence and Security Review (SDSR) 2015, which laid out their vision for the future roles and structure of the UK Armed Forces. SDSR 2015 envisaged making broader use of the Armed Forces to support missions other than warfighting. One element of this would be to increase the scale and scope of defence engagement (DE) activities that the UK conducts overseas. DE activities traditionally involve the use of personnel and assets to help prevent conflict, build stability and gain influence with partner nations as part of a short-term training teams. This paper aimed to give an overview of the Specialist Infantry Group and its role in UK DE. It will explore the reasons why the SDSR 2015 recommended their formation as well as an insight into future tasks.


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