Practicing Anthropology in an Academic Community Hospital: Lessons from the Field

2010 ◽  
Vol 32 (4) ◽  
pp. 19-23 ◽  
Author(s):  
Lynn Deitrick ◽  
Terry Capuano ◽  
Debbie Salas-Lopez
Keyword(s):  
Medical Education ◽  
Organizational Culture ◽  
Patient Care ◽  
Community Hospital ◽  
Continuum Of Care ◽  
Academic Community ◽  
Hospital Culture ◽  
Doctor's Office ◽  
Vantage Points

Practicing anthropology at an academic community hospital involves collaborations across the full continuum of care, from hospital, to doctor's office, to the medical education classroom and into the community. Through these collaborations, the anthropologist learns about hospital culture through many different lenses and is, in turn, able to provide valuable insights into organizational culture and patient care from a variety of vantage points.

Three-Year Results of Mandated Work Hour Restrictions: Attending and Resident Perspectives and Effects in a Community Hospital

2008 ◽  
Vol 74 (6) ◽  
pp. 542-547 ◽  
Author(s):  
Danny M. Vaughn ◽  
Christopher L. Stout ◽  
Beth L. Mccampbell ◽  
Joshua R. Groves ◽  
Albert I. Richardson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medical Education ◽  
Beneficial Effect ◽  
Patient Care ◽  
Continuity Of Care ◽  
Resident Education ◽  
Community Hospital ◽  
Resident Work ◽  
Work Hour

In response to the Accreditation Council of Graduate Medical Education mandated resident work hour restrictions, our residency program used a night float system in 2003. We undertook a survey of attending staff and residents to assess its effects on patient care and resident education. An anonymous survey was administered to attending staff and residents 1 year and 3 years after work hour restrictions took effect. The areas of disagreement include: beneficial effect on education (residents vs faculty: in 2004, 87% vs 22%, respectively, P = 0.02; in 2006, 71% vs 22%, P = 0.03); beneficial effect on patient care (in 2004, 53% vs 10%, P = 0.03); and compromised continuity of care (in 2004, 27% vs 70%, P = 0.04; in 2006, 7% vs 89%, P = 0.0002). One area of agreement was that residents’ quality of life had improved. Both disagreed that more errors were being made and that work hour restrictions should be mandated on practicing surgeons. Attending staff and residents have deeply held opinions regarding the effects of work hour restrictions. This reflects a continuing dissatisfaction with providing patient care and educating residents under a set of requirements that solely addresses resident sleepiness and fatigue.

HABITUAL ACTION DALAM KEPEMIMPINAN SPIRITUAL

1970 ◽  
Vol 7 (1) ◽  
Author(s):  
Abdul Basit
Keyword(s):  
Organizational Culture ◽  
Spiritual Leadership ◽  
Academic Community ◽  
Spiritual Values ◽  
Leadership Model ◽  
Leadership Crisis ◽  
National Leaders ◽  
Deep Meaning ◽  
The University ◽  
Strategic Policies

Toward leadership crisis that crashed the nation of Indonesia, one of thefactors contributors come from universities, concerning Higher Education is anursery area of society and the national leaders. To overcome the crisis, it needed torepair the leadership models that are able to change and improve social and nationallife. The mandate of the university is shaping and sharpening thinking of thelecturers, students, and alumni to always siding, thinking and acting for the benefitand improvement of the surrounding communities. One alternative models ofleadership that are relevant to college is spiritual leadership.Spiritual leadership has been tested and researched by Louis W. Fry ( 2003)along with the comrades in the context of different organizations and the resultsshow the possibility of the application of this theoretical model for various types oforganizations. According to Fry spiritual leadership is the incorporation of thenecessary values, attitudes and behaviors to motivate intrinsically oneselves andothers to be such a way so that they have a sense of spiritual defense through the callof duty and membership.Spiritual leadership model is studied by the author in STAIN Purwokerto, asIslamic educational institutions which incidentally has been practicing spiritualvalues in their environment. The study was conducted using qualitative research andcase study approach.Spiritual leadership in STAIN Purwokerto is constructed based on threeimportant things: First, the existence of spiritual values that were held by leaders andserve as an ideology or belief to motivate himself and others. Spiritual values arevalues such are togetherness, belief or determination, and obeying the rules. Second,building tradition of spiritual leadership that is reflected in the actions taken byleaders in achieving the vision to be achieved by STAIN Purwokerto. The habitualprocess is done by sticking to spiritual values carried. Then it is implemented byissuing flagship programs supported by strategic policies carried out intensively sothat it becomes a regular agenda of the academic community and staff as well as toproduce a healthy organizational culture and quality. Third, organizational culture isfostered by building a dynamic atmosphere, full of family-like-feeling, cooperation,open and respectful in terms of spiritual, intellectual and professional. The efforts aremade from simple things and daily life by providing deep meaning so that it can beused as a driver towards the direction of progress .

Decreasing Nosocomial Urinary Tract Infection in a Large Academic Community Hospital

2001 ◽  
Vol 6 (3) ◽  
pp. 127-136 ◽  
Author(s):  
Barbara Doyle ◽  
Zubina Mawji ◽  
Margaret Horgan ◽  
Paula Stillman ◽  
Amy Rinehart ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Community Hospital ◽  
Academic Community ◽  
Nosocomial Urinary Tract Infection

scholarly journals Morning Report: Can an Established Medical Education Tradition Be Validated?

2013 ◽  
Vol 5 (3) ◽  
pp. 374-384 ◽  
Author(s):  
Matthew McNeill ◽  
Sayed K. Ali ◽  
Daniel E. Banks ◽  
Ishak A. Mansi
Keyword(s):  
Medical Education ◽  
Patient Care ◽  
Outcome Measures ◽  
English Language ◽  
Meta Analysis ◽  
The United States ◽  
Cochrane Library ◽  
Clinical Effects ◽  
Morning Report ◽  
Residency Programs

Abstract Background Morning report is accepted as an essential component of residency education throughout different parts of the world. Objective To review the evidence of the educational value, purpose, methods, and outcomes of morning report. Methods A literature search of PubMed, Ovid, and the Cochrane Library for English-language studies published between January 1, 1966, and October 31, 2011, was performed. We searched for keywords and Medical Subject Heading terms related to medical education, methods, attitudes, and outcomes in regard to “morning report.” Title and abstract review, followed by a full-text review by 3 authors, was performed to identify all pertinent articles. Results We identified 71 citations; 40 articles were original studies and 31 were commentaries, editorials, or review articles; 56 studies (79%) originated from internal medicine residency programs; 6 studies (8%) focused on ambulatory morning report; and 63 (89%) originated from the United States. Identified studies varied in objectives, methods, and outcome measures, and were not suitable for meta-analysis. Main outcome measures were resident satisfaction, faculty satisfaction, preparation for professional examinations, use of evidence-based medicine, clinical effects on patient care, adverse event detection, and utilization of a curriculum in case selection. Conclusions Morning report has heterogeneous purposes, methods, and settings. As an educational tool, morning report is challenging to define, its outcome is difficult to measure, and this precludes firm conclusions about its contribution to resident education or patient care. Residency programs should tailor morning report to meet their own unique educational objectives and needs.

The Resident in the Non-University Hospital (Continued)

PEDIATRICS ◽  
1962 ◽  
Vol 30 (3) ◽  
pp. 497-498
Author(s):  
EDWIN D. HARRINGTON
Keyword(s):  
Medical Education ◽  
Community Hospital ◽  
University Hospital

I read Dr. Fink's letter in the April issue of Pediatric (29:678, 1962) with great interest. As we have considered this problem at a community hospital in suburban Philadelphia it has seemed to us necessary to answer two questions: (1) What is the problem? and (2) Who is responsible for the solution of the problem? Essentially, we see the problem of adequate inpatient coverage as a service problem, not a problem in medical education. I would agree with Dr. Fink that his patients "would undoubtedly receive better care with a qualified resident on duty."

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