Gender Evaluation and Numeric Distribution in Emergency Medicine Residencies (GENDER): A follow-up survey of current EM residents (Preprint)

2021 ◽  
Author(s):  
Ryan Gibney ◽  
Christina Cantwell ◽  
Alisa Wray ◽  
Megan Osborn ◽  
Warren Wiechmann ◽  
...  

BACKGROUND Females comprise over half of medical school matriculants but only one-third of emergency medicine (EM) residents. Various factors may contribute to why fewer females choose the field of emergency medicine, such as existing presence of females in the specialty. OBJECTIVE This study is a follow-up to previous work, and a survey was used to assess current residents’ attitudes and perceptions on various factors including those relating to gender on creating rank lists as medical students and in perceived effects on residency education. METHODS An online survey consisting of Likert scale questions of a variety of factors influencing a student’s decision to create a rank list and in perceived effects on residency education was sent to current EM residents in 2020. RESULTS Residents from 17 programs participated in the survey with an 18% response rate. The most important factors in creating a rank list were the personality of residents in the program, location, and facility type. For factors specifically related to gender, respondents who answered affirmatively to whether gender composition of residents affected selection of a program in making a rank list were more likely to also answer affirmatively to subsequent questions related to gender of program leadership (p<0.001) and gender composition of attending physicians (p<0.001). Personality of residents was also the most important factor perceived to affect residency education. For factors influencing rank list and residency education, female respondents placed higher importance on subcategories related to gender (i.e., gender composition of residents, of program leadership, and of attending physicians) to a significant degree compared to their male counterparts. CONCLUSIONS While factors such as location and resident personality show the most importance in influencing residency selection, when stratifying based on respondent gender, females tend to indicate factors relating to gender have more influence on rank list and residency education compared to males. CLINICALTRIAL N/A

2019 ◽  
Vol 149 (1) ◽  
Author(s):  
Anneleen Rutten ◽  
Jim Casaer ◽  
Thierry Onkelinx ◽  
Lieven De Smet ◽  
Nele Witters ◽  
...  

Wild boar (Sus scrofa L.) reappeared in Flanders (northern Belgium) in 2006 after almost half a century of absence. Interactions between wild boar and human activities are frequent due to extensive fragmentation of the landscape in Flanders. Complaints about agricultural damage are increasing but the actual extent of crop damage remains unknown. The goal of this study was to assess the current risk and the spatial distribution of crop damage, as well as factors influencing damage distribution in the province of Limburg (eastern Flanders). An online survey was sent to farmers by email. Moreover, as we expected potential respondent bias towards farmers that already experienced damage, we also conducted a follow-up non-respondent check by telephone. Our study showed that the current crop damage probability on a farm lies between 42% (likely an overestimation due to respondent bias in the online survey) and 22% (an underestimation based on the non-respondent check). There is considerable geographical variation in the proportion of farms that report boar damage; probability for crop damage due to wild boar is relatively high for farmers in Limburg but shows a geographically heterogeneous spread. Factors explaining the crop damage probability differed strongly between the online survey and the non-respondent check and no consistent results could be found. Our results show that using the online survey, it was possible to get an initial insight in the geographical distribution of crop damage. However, as we found differences between the results of the online survey and the non-respondent check, taking management decisions based solely on online survey results without conducting a non-respondent check could lead to misguided actions.


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Kori S Zachrison ◽  
Krislyn M Boggs ◽  
Emily M Hayden ◽  
Jingya Gao ◽  
Carlos A Camargo ◽  
...  

Background: Most data on spoke emergency departments (EDs) using telestroke come from single academic hub-and-spoke networks. Our objective was to describe characteristics of EDs using telestroke in a national sample. Methods: We surveyed a convenience sample of 366 EDs among those who self-identified as using telestroke on the 2016 National ED Inventory (NEDI)-USA, which goes to all US EDs. Surveys were mailed to ED directors, with follow-up phone calls to non-responders. The survey characterized ED staffing, transfer patterns, in-person consultant availability, alteplase use, and frequency of telestroke consultations. Descriptive statistics are reported. Results: Of the 4,410 EDs responding to the NEDI-USA telemedicine question, 1,824 (41%) reported using telestroke. Compared to non-surveyed telestroke EDs (n=1458), the 366 surveyed EDs had lower annual ED visit volume, and were more often rural and critical access hospitals. Of these, 320 (91%) affirmed use of telestroke on our secondary survey. Many were rural (n=157, 49%); few were academic (n=4, 1%). Only 132 EDs (41%) reported that > 80% of attending physicians were board certified or board eligible in emergency medicine. Joint Commission Stroke Center certification was reported by 101 EDs (32%) and alternative certification by another 53 (17%). Fifty-two EDs (16%) reported availability of an in-person neurologist, with 32 (10%) available within 30 minutes, and 29 (9%) available 24/7. Frequency of telestroke consultation varied (Figure). Most EDs administered alteplase in the past year (n=261, 82%); some reported alteplase administration without telestroke consultation (n=94, 30%). EDs frequently admitted TIA and stroke patients without thrombolysis (78% and 55% respectively), but fewer (24%) admitted alteplase-treated patients. Conclusions: Telestroke is frequently used in US EDs. Of those surveyed, many had non-emergency medicine attending staffing and use the technology regularly.


2020 ◽  
Vol 29 (4) ◽  
pp. 1987-1996
Author(s):  
Sherine R. Tambyraja

Purpose This study investigated the extent to which speech-language pathologists (SLPs) facilitate parents' completion of homework activities for children with speech sound disorder (SSD). In addition, this study explored factors related to more consistent communication about homework completion and strategies considered particularly effective for supporting this element of parental involvement. Method Licensed SLPs serving at least one child with SSD were invited to participate in an online survey. Questions relevant to this study gathered information regarding (a) frequency of communication about homework distribution and follow-up, (b) demographic and workplace characteristics, and (c) an open-ended question about the specific strategies used to support parental involvement and completion of homework activities. Results Descriptive results indicated considerable variability with respect to how frequently SLPs engaged in communication about homework completion, but that school-based SLPs were significantly less likely to engage in this type of follow-up. Strategies considered effective, however, were similar across therapy contexts. Conclusion These results suggest potentially important differences between school-based services and therapy in other contexts with respect to this particular aspect of service provision for children with SSD.


Author(s):  
Yujeong Kim ◽  
Eunmi Lee

Bioterrorism is destructive enough to cause a societal collapse, and preparation for bioterrorism is imperative. This study aims to identify the factors influencing preparedness for bioterrorism among Koreans. A total of 1,050 subjects were included in the study, which were allocated according to region and age in proportion to population. An online survey was used to examine the following factors: participants’ general characteristics; cognitive factors including perceived probability, perceived seriousness, perceived personal impact, perceived coping efficacy, and perceived resilience; social–contextual factors including perceived governmental preparedness and perceived front-line preparedness; affective responses including affective response to terrorism and anxiety; and bioterrorism preparedness. The factors influencing the level of preparedness for bioterrorism included age, marital status, experience of bioterrorism education, perceived personal impact, perceived coping efficacy, perceived resilience, and perceived front-line preparedness. The factors that most significantly affected the level of preparedness for bioterrorism were perceived coping efficacy and perceived front-line preparedness, with an R2 of 41.4%. Relevant education and public relations programs should be strengthened to help citizens minimize their exposure and known to inform relevant institutions in the event of suspected bioterrorism, and front-line responders should cultivate their ability to respond to bioterrorism quickly and accurately.


2020 ◽  
pp. 1-21
Author(s):  
Martin Čadek ◽  
Stuart W. Flint ◽  
Ralph Tench

Abstract Objective: The National Child Measurement Programme (NCMP) is a mandatory initiative delivered in England to children in reception and year 6. To date, no research has explored the methods used to deliver the NCMP by Local Government Authorities (LGA) across England. Design: An online survey was administered between February 2018 and May 2018 to explore the delivery of the NCMP across the 152 LGAs in England and disseminated using non-probability convenience sampling. Setting: LGAs received an anonymous link to the survey. Participants: A total of 92 LGAs participated in the survey. Results: Most LGAs who responded provide result feedback (86%), a proactive follow-up (71%) and referrals to services (80%). Additionally, 65% of the authorities tailor Public Health England specimen result letters to suit their needs, and 84% provide attachments alongside. Out of 71% of LGAs who provide proactive follow-up, 19 (29%) provide the proactive follow-up only to upper weight categories, and only 4 (6 %) include Healthy Weight category with other categories in proactive follow-up. Regarding the service availability for children, out of 80% of LGAs who indicated that services are available, 32 (43%) targeted solely upper weight categories while the other 42 (57%) offered services across all weight categories. Finally, most LGAs (88%) commission providers to manage various parts of the NCMP. Conclusions: The results show that LGAs in England localise the NCMP. Further guidance regarding standards of best practice would help LGAs to find the most suitable localisation out of various options that exist across other LGAs.


Author(s):  
Allison L. Groom ◽  
Thanh-Huyen T. Vu ◽  
Robyn L. Landry ◽  
Anshula Kesh ◽  
Joy L. Hart ◽  
...  

Vaping is popular among adolescents. Previous research has explored sources of information and influence on youth vaping, including marketing, ads, family, peers, social media, and the internet. This research endeavors to expand understanding of peer influence. Our hypothesis is that friends’ influence on teen vapers’ first electronic nicotine delivery systems (ENDS) use varies by demographic variables and awareness of ENDS advertising. In August–October 2017, youth (n = 3174) aged 13–18 completed an online survey to quantify ENDS behaviors and attitudes and were invited to participate in follow-up online research in November-December 2017 to probe qualitative context around perceptions and motivations (n = 76). This analysis focused on the ENDS users, defined as having ever tried any ENDS product, from the survey (n = 1549) and the follow-up research (n = 39). Among survey respondents, friends were the most common source of vapers’ first ENDS product (60%). Most survey respondents tried their first ENDS product while “hanging out with friends” (54%). Among follow-up research participants, the theme of socializing was also prominent. ENDS advertising and marketing through social media had a strong association with friend networks; in fact, the odds of friends as source of the first vaping experience were 2 times higher for those who had seen ENDS ads on social media compared with other types of media. The influence of friends is particularly evident among non-Hispanic Whites, Hispanics/Latinos, those living in urban areas, those living in high-income households, those with higher self-esteem, and those who experiment with vaping. These findings support the premise that peer influence is a primary social influencer and reinforcer for vaping. Being included in a popular activity appears to be a strong driving force.


Author(s):  
Sabrina R Raizada ◽  
Natasha Cleaton ◽  
James Bateman ◽  
Diarmuid M Mulherin ◽  
Nick Barkham

Abstract Objectives During the COVID-19 pandemic, face-to-face rheumatology follow-up appointments were mostly replaced with telephone or virtual consultations in order to protect vulnerable patients. We aimed to investigate the perspectives of rheumatology patients on the use of telephone consultations compared with the traditional face-to-face consultation. Methods We carried out a retrospective survey of all rheumatology follow-up patients at the Royal Wolverhampton Trust who had received a telephone consultation from a rheumatology consultant during a 4-week period via an online survey tool. Results Surveys were distributed to 1213 patients, of whom 336 (27.7%) responded, and 306 (91.1%) patients completed all components of the survey. Overall, an equal number of patients would prefer telephone clinics or face-to-face consultations for their next routine appointment. When divided by age group, the majority who preferred the telephone clinics were &lt;50 years old [χ2 (d.f. = 3) = 10.075, P = 0.018]. Prevalence of a smartphone was higher among younger patients (&lt;50 years old: 46 of 47, 97.9%) than among older patients (≥50 years old: 209 of 259, 80.7%) [χ2 (d.f. = 3) = 20.919, P &lt; 0.001]. More patients reported that they would prefer a telephone call for urgent advice (168, 54.9%). Conclusion Most patients interviewed were happy with their routine face-to-face appointment being switched to a telephone consultation. Of those interviewed, patients &gt;50 years old were less likely than their younger counterparts to want telephone consultations in place of face-to-face appointments. Most patients in our study would prefer a telephone consultation for urgent advice. We must ensure that older patients and those in vulnerable groups who value in-person contact are not excluded. Telephone clinics in some form are here to stay in rheumatology for the foreseeable future.


Author(s):  
Luca Pingani ◽  
Sara Evans-Lacko ◽  
Sandra Coriani ◽  
Silvia Ferrari ◽  
Maria Filosa ◽  
...  

The primary aim is to describe the changes in the knowledge of mental health conditions, the attitudes toward the mentally ill, and the intended behaviour towards people with mental illness among the entire student population of the third year of a degree course in Psychology. A total of 570 students attended a seminar on stigma towards mental illness and were invited to complete an online survey which collected data on sociodemographic characteristics and three validated questionnaires evaluating different aspects of stigma at three different time points (pre-intervention, post-intervention, and at one year follow up). A total of 253 students (44.39%) completed the questionnaires at t0, t1, and t2. The mean age of the sample was 23.7 (SD = ±5.89), and 86.96% (n = 220) were females. Between t0 and t1, a statistically significant improvement was observed for all three outcomes, while the intended behaviour outcome was no longer significant between t1 and t2 (Z = −0.70; p = 0.48). Females and who participated live at the seminar maintained a significant knowledge of mental illness and a better attitude toward community mental health care. The effects of the seminar focused on reducing stigma tended to diminish over time at one year follow-up, particular in relation to intended behaviour.


2021 ◽  
pp. 1-9
Author(s):  
Claire Smart ◽  
Kylie Murphy ◽  
Kristen Andrews ◽  
Donalee Gregory

INTRODUCTION: Kinesio tape (KT) is an emerging tool in paediatric physiotherapy. A small body of research suggests KT is efficacious with some children, but clinical guidelines are not yet available. The aim of this study was to gather physiotherapists’ practices and experiences using KT with children. The focus was on why, where, how, and how long physiotherapists use KT with children, and the outcomes they observe, to guide future experimental research. METHOD: Nine Australian physiotherapists, each with at least two years of experience using KT with children, were recruited. All nine physiotherapists completed a largely open-ended online survey, and three of these physiotherapists participated in a brief follow-up telephone interview. Basic content analysis was conducted. RESULTS: The physiotherapists’ practices and experience with KT largely related to four themes: (1) taping for muscle activation; (2) gait and posture outcomes; (3) child tolerance limiting effectiveness; and (4) inconsistent application methods and treatment durations. CONCLUSION: Physiotherapists in this study used KT to serve a variety of purposes, it was mainly considered beneficial for improving gait and posture. However, there was little agreement regarding how to apply it, for how long, and the exact nature of its benefits. Empirical research is also lacking on these questions. The effectiveness of KT as an adjunct therapy for improving children’s posture and gait warrants further investigation. Research comparing specific taping application methods and durations will be valuable in guiding physiotherapists’ practice.


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