Subspecialization Within Pediatric Practice: A Broader Spectrum

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 573-581 ◽  
Author(s):  
Brian W. McCrindle ◽  
Barbara Starfield ◽  
Catherine DeAngelis

This study was undertaken to describe subspecialty characteristics and practices of the population of pediatricians given the ongoing controversy regarding a projected manpower oversupply of general pediatricians. A questionnaire was mailed to a national random sample of 1620 United States physicians listed in the American Medical Association's Pysician Masterfile as being in office-based pediatric practice. The final response rate was 63%. Seventy percent of respondents designated their practices as "general pediatrics" versus 17% as "general pediatrics with a specific subspecialty interest" and 13% as "subspecialty practice." The general pediatricians with a specific subspecialty interest were intermediate in the proportion that had some training in a pediatric fellowship program (general pediatricians with a specific subspecialty interest, 63% versus general pediatricians, 14%, P < .0001, and pediatricians with a subspecialty practice, 92%, P < .0001) and that were certified in a pediatric subspecialty by the American Board of Pediatrics (general pediatricians with a specific subspecialty interest 16% versus general pediatricians, 2%, P < .0001, and pediatricians with subspecialty practice, 62%, P < .0001). They were also intermediate in the proportion involved in various academic pursuits. Their practices, however, more closely resembled general pediatricians than pediatricians with a subspeciality practice in their location, setting, associates, and commitment to primary care. They were more likely than general pediatricians to utilize or provide specialized tests or procedures. A large percentage of pediatricians incorporate subspecilaty elements into their general pediatric practices. Models of current and projected pediatric manpower supply need to be reassessed in light of this form of practice.

2011 ◽  
Vol 8 (2-5) ◽  
pp. 502-515
Author(s):  
Joshua Onome Imoniana ◽  
Verônica Moreira Costa ◽  
Mariana Araujo ◽  
Luiza Helena Pereira Alberto ◽  
Patrícia P. Alves

This study analyzes the managers’ (Chief Financial Officer (CFO)) perception of impact of implementation of internal controls. It investigates the causes of adoption in the multidimensionality of internal control of the Brazilian companies traded in the New York Stock market. A survey sent to the CFOs of the 70 companies listed in the NYSE collected empirical data from these companies. The final response rate was 15.16 %. The study uses partial least squares modeling for statistical analysis to test the research question. Our empirical evidence supports the hypotheses that “the greater the level of multidimensionality of controls in an organization the lower the level of causal effects and damage to the control environment. Based on work performed, one is able to infer that overall, there is a significant relationship between causal effects on operating activities, financial reporting and compliance in relation to the multidimensionality of internal controls, thus, when there are uncommon features, depending on the level of multidimensionality special attention should be paid to the causes of adoption of controls to track risks posed to business.


2017 ◽  
Vol 26 (6) ◽  
pp. 155-160
Author(s):  
Vilija Berlin ◽  
Alina Pūrienė ◽  
Greta Dulkė

The study objectives were to investigate the preference of Lithuanian dentists to work with or without an assistant and to identify the most significant predictors for the preference. As well, we aimed to explore the education of practicing dental assistants in Lithuania. The information was collected by a postal questionnaire survey which was carried out among all practicing general dental practitioners and dental specialists in Lithuania (n=2971). The final response rate was 67.6% corresponding to 2,008 respondents. The results show that most dentists in Lithuania always or sometimes work without an assistant. Each third dentist of those who work with an assistant employ non-certified dental assistant. This may be done on purpose due to financial reasons. Dentists should be educated how efficient, ergonomic practice with a qualified dental assistant can be; inclusion of contemporary four-handed practice subject in applicants resume could improve employment of certified dental assistants in the long term.


2015 ◽  
Vol 7 (2) ◽  
pp. 115-128 ◽  
Author(s):  
Wenhong Zhao ◽  
Lingling Wang

Purpose – This study aims to examine how the interactions between the entrepreneur’s technical and market knowledge and the intra- and extra-industry ties affect resources acquisition. Design/methodology/approach – The authors made a questionnaire from a sample of 300 high-technology companies located in the incubator in Xi’an, of which 165 were usable, and the final response rate was 55 per cent, the authors used optimal scaling regression analyses to analyze the data and test the hypotheses. Findings – There is a positive relationship between the entrepreneurs’ knowledge and the resources acquisition. The effects of the technical knowledge and the market knowledge are contingent on the intra-industry ties and the extra-industry ties in different ways. In particular, an entrepreneur with technical knowledge has an easier access to required resources from the intra-industry ties than extra-industry ties. In contrast, an entrepreneur with market knowledge can obtain more easily the needed resources from the extra-industry ties than the intra-industry ties. Originality/value – The paper conducted an empirical test of how the interactions between the entrepreneurs’ knowledge and industry ties affect the resources acquisition in the context of China’s emerging economy, which has not been studied in the current literature. This paper provides implications for entrepreneurs with technical and market knowledge in finding the right way to obtain needed resources through their industry ties.


Author(s):  
Birgitte Kleivset

A project at the University of Agder has studied the use of e-readers as a tool for academic study. E-readers (Kindle DX and iPad) were loaded with texts from required reading lists in five courses with 94 participating students. Initially 87 students responded to the invitation to participate in a survey, but eventually 13 of these submissions had to be removed, as the degree of completion was not sufficient. The final response rate achieved was 79%. Students were in general positive to the use of e-readers but still show a preference for print on paper as the best medium for serious academic study. When reading books 54% preferred print, 28% a combination of print and e-reader and lastly only 11% were satisfied solely using an e-reader. The iPad scored significantly better than the Kindle DX on tasks that required active interaction with the texts such as highlighting and note-taking.Pre-print in AURA. 


2018 ◽  
Vol 31 (12) ◽  
pp. 754 ◽  
Author(s):  
Carla Rêgo ◽  
Luís Pereira-da-Silva ◽  
Ricardo Ferreira

Introduction: Breastfeeding has unique health benefits. Exclusive breastfeeding is recommended during the first six months of life and should be maintained during complementary feeding. Alternatively, infant formulas, which are designed to mimic human breastmilk to promote similar metabolic and growth profiles, can be used. This study aimed to assess the opinion of Portuguese paediatricians with expertise in nutrition on the composition, benefits and indications of commercialised infant formulas.Material and Methods: A survey based on the Delphi method with application of a questionnaire developed by a scientific committee was issued to a panel of paediatricians with expertise in nutrition. An initial questionnaire that included 65 items covering 11 areas was administered in two rounds.Results: Twenty-one experts participated, and the final response rate was 87.5%. The panel was in agreement in 68.3% of the enquired items, namely that infant formulas should be used only when breastfeeding is not possible. Notwithstanding, the opinion of the panel was heterogeneous on a number of issues, particularly those related to the advantages and indications of ‘special’ or modified infant formulas (partially hydrolysed formulas and anti-colic, anti-constipation and anti-regurgitation formulas) and of young child formulas (‘growing-up formulas’).Discussion: A wide consensus was recorded on the nutritional quality, food safety and indications attributed to commercialized infant formulas.Conclusion: The opinion of Portuguese experts was consensual in most of the enquired topics. The absence of consensus was mostly related to issues that remain under debate in the literature and lack robust scientific evidence.


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