scholarly journals Results of a Preceptor Improvement Project

2020 ◽  
Vol 52 (9) ◽  
pp. 647-652
Author(s):  
Darin Brink ◽  
David Power ◽  
Eric Leppink

Background and Objectives: The majority of medical students receive some of their training with a community preceptor. Nearly all of these preceptors are motivated by a desire to give back to their profession through teaching and they want to learn how to teach more effectively. Designing effective educational programs to improve preceptor teaching is important to upholding the quality of medical education. Methods: We designed an educational program consisting of readings, short videos, handouts and posters, as well as one-on-one sessions with a trained standardized medical student. The standardized student visited the community physician’s office both before and after the preceptor engaged with the educational materials related to a subject area of the preceptor’s choosing. We assessed the preceptor’s teaching using three tools: self-evaluation, student reporting of observed behaviors, and an overall rating of teaching effectiveness. Results: Thirteen preceptors took part in this the educational intervention. Per the self-assessment, preceptors showed improved teaching competency for all items on the questionnaire, with 12 of the 21 items (57%) showing statistically significant results (P<.05). The standardized student reported that preceptors used more of eight desired teaching behaviors in the second mock preceptor encounter than they used in the first, with a mean increase of 1.46 (P=.001). Overall teaching effectiveness scores increased, with a mean increase of 1.15 (P=.001) on the 10-point scale. Moreover, all participants indicated they were either satisfied or highly satisfied with the program and that they would recommend this program to a colleague. Conclusions: Our preceptor-improvement intervention led to demonstrable improvement in preceptor teaching, as measured by preceptor evaluation and evaluation by the standardized student. More research is needed to see if these results can be replicated and, in particular, to determine which aspects of the intervention were most useful.

2018 ◽  
Vol 6 (1) ◽  
pp. 18-18
Author(s):  
Семен Резник ◽  
Semen Reznik

The article discusses methodological approaches to the preparation, writing and submission of scientific articles to the journal. Particular attention is paid to the generalization of typical mistakes of young scientists in writing articles, as well as the criteria for self-assessment of the quality of the article prepared for submission to the scientific journal. The materials of the article are based on the author's many years of experience in the management of the dissertation Council, work in the expert Council of the WAC, editorial boards of scientific economic journals, his research, published monographs, textbooks and scientific articles, management of the preparation of candidate and doctoral theses, as well as on the experience and recommendations of well-known scientists.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Jadwiga Kuciel-Lewandowska ◽  
Michał Kasperczak ◽  
Łukasz B. Lewandowski ◽  
Małgorzata Paprocka-Borowicz

Introduction. Osteoarthritis of the musculoskeletal system is accompanied with chronic pain which is the main factor in mood lowering, causing anxiety. Rehabilitation conducted in the framework of spa therapy and outpatient care aims at eliminating or reducing pain and improving physical fitness. Pain relief is an expected phenomenon because it improves the quality of life. Aim of the study. The aim of the study was to evaluate the effect of rehabilitation in the spa and in outpatient clinic on the level of pain and anxiety in patients with degenerative joints and disc disease. Material and methods. The study included a comprehensive treatment conducted in the spa and in outpatient clinic. Observation included 120 persons with disorders of the musculoskeletal system treated in the spa Przerzeczyn-Zdrój. The second group of patients was treated in the rehabilitation clinic. The examinations were performed before and after treatment. The scope of the observations included self-evaluation of anxiety treated as a state and a trait, the level of intensity of pain, medical history, and sociodemographic background interview. In the observations, there were VAS scale and State Trait Anxiety Inventory STAI used. Result. As a result of the spa therapy and therapy performed in an outpatient clinic, there was an improvement in lowering the level of pain and anxiety noted. Conclusions. 1. Spa therapy and treatment performed in an outpatient clinic reduce the level of pain and anxiety in patients with degenerative disease of the musculoskeletal system. 2. It was found that the therapy conducted in the spa was more effective in lowering the level of pain and anxiety. This trial is registered with NCT03405350.


Author(s):  
Ira Janowitz ◽  
Arlie Stern ◽  
Don Morelli ◽  
Eileen Vollowitz ◽  
Mark Hudes ◽  
...  

The authors developed a validated office ergonomics checklist that focused on outcomes instead of workstation features. The workstation is evaluated primarily through observed working postures and movement patterns while the subject performs their usual tasks. A guidebook for the improvement of computer workstations is keyed to the checklist, to lead the user in reducing risk factors and improving workstation ergonomics. The checklist was first validated in a field test with three expert evaluators. The checklist and guidebook were later tested with a large employer and used as a self-evaluation instrument, by a co-worker, and by an Ergonomics Coordinator with training and experience. Workstations were evaluated by an independent ergonomist before and after interventions were made. Results indicated that the checklist and guidebook were effective in making significant improvements in workstation conditions when administered by an Ergonomics Coordinator, but not when used as a self-assessment or by an untrained co-worker.


Author(s):  
Esperanza Vivas ◽  
Aleida González González ◽  
Viviana Moreira Mera ◽  
Antonio Vásquez Pérez

Abstract— The paper presents an analysis related to the results of self-evaluation of careers in higher education, highlighting the particularities in the career of industrial engineering at the Technical University of Manabí. an analysis related to the results of a profiled to identify weaknesses in the quality of training of students, which developed in the Industrial Engineering of higher learning and an improvement plan is presented research is available to achieve obtain the quality demanded by the CEAACES (Council of evaluation and quality Assurance in Higher Education to achieve accreditation. Index Terms— accreditation career, self-assessment, training processes, improvement plan


2021 ◽  
pp. 26-33
Author(s):  
Alexey Viktorovich Shapovalov ◽  
Sergey Grigoryevich Tereshchenko ◽  
Anton Pavlovich Bogdanov ◽  
Pavel A. Krieger ◽  
Alexey Sergeevich Shapovalov

Dysphagia affects our most basic functions — the ability to eat and drink. It negatively affects the quality of life of patients, especially in the elderly, which can lead to exhaustion, dehydration, aspiration pneumonia and, ultimately, death. Dysphagia and its severity should be assessed accurately and in a timely manner. Many questionnaires have been proposed to monitor the severity and effectiveness of dysphagia therapy. This paper analyzes ten different self-assessment questionnaires for quality of life. Almost all currently available questionnaires need to be finalized. Based on the DHI (Dysphagia Disability Index) questionnaire, we proposed a special questionnaire that has a number of advantages over the others, it takes into account the age of patients, is universal, and is also suitable for assessing dysphagia, both before and after treatment.


2019 ◽  
Vol 43 (4) ◽  
pp. 486-494
Author(s):  
Mark T. Williams ◽  
Lesley J. Lluka ◽  
Jan H. F. Meyer ◽  
Prasad Chunduri

An accurate self-assessment of student work can enhance student learning and subsequently improve academic performance. Instructors can facilitate this process by providing “standards” that students can utilize as feedback when self-evaluating their understanding. Traditional forms of feedback, such as marked assessment tasks, are limited in their ability to serve as standards, as they do not adequately capture variations corresponding to different levels of understanding. To develop a complex understanding in physiology, students have to integrate concepts pertaining to different subcomponents of body systems. The present study attempted to ascertain if exposing students to variations in complexity would refine their ability to self-evaluate their understanding and capacity to integrate concepts. Students were tasked to answer an essay-length, open-ended physiology question to expose their current understanding of the topic. The change in students’ self-marking of their answer before and after being exposed to the variations in conceptual understanding of the topic were used to determine whether improvements in self-evaluation accuracy occurred. These variations were presented as instructor-generated answers to the open-ended question, framed using the structure of the observed learning outcome (SOLO) taxonomy. Student scores in the integrative questions of the end-of-semester exam were used as a measure of student ability to integrate concepts. Findings indicated that this intervention led to improvements in student self-evaluation and exam performance, and the positive outcomes were replicated across multiple iterations of the activity.


2018 ◽  
Vol 7 (1) ◽  
pp. e000162
Author(s):  
Amoolya Vusirikala ◽  
Mark Backhouse ◽  
Sarah Schimansky

Certain cardiac conditions can limit patients’ ability to drive. It remains the doctors' responsibility to advise patients of any driving restrictions and is particularly important after certain diagnoses or procedures. We identified that the quality of documented advice was variable and frequently no written driving advice was recorded on discharge. It was apparent that there was a lack of awareness and knowledge of the current Driving and Vehicle Licensing Agency (DVLA) guidance among junior doctors.We therefore designed a quality improvement project using Plan–Do–Study–Act (PDSA) methodology to improve the provision of driving advice on discharge from a cardiology ward by focusing on staff education. After collecting baseline data, we created a template with cardiology-specific DVLA advice. During the second PDSA cycle, we improved the electronic template and also introduced a hard copy on the ward. During the third PDSA cycle, we incorporated information on DVLA guidance in the specialty induction session. We also evaluated junior doctors’ confidence of providing driving advice before and after this intervention.Baseline measurements showed that 10% (9/92) of all discharge summaries included driving advice. This improved to 49% (34/69) after the third PDSA cycle. Importantly, after receiving information on driving advice in the induction, junior doctors felt more confident in providing driving advice to cardiology patients on discharge. In conclusion, the provision of driving advice on discharge is an important element of patient safety. However, clinicians’ knowledge and awareness of current DVLA guidance is often limited. We demonstrated a significant increase in the provision of driving advice by introducing a standardised template.


Author(s):  
Olga Andriychuk ◽  
Vasyl Pantik ◽  
Volodymyr Kovalchuk ◽  
Serhii Savchuk

The current relevance of the research. The study of the quality of life is a core issue both at the scientists’ level and the level of government workers in the world. The main goal is not only to extend lifetime, but to improve its quality too. Ukraine’s desire to enter the European Community and the European Union is impossible without substantial improvement of the quality of life. However, the quality of life depends on the quality of labor potential, and hence on the prospects for the development of the country. Since the 70s of the XXth century, the state of the quality of life has begun to attract the attention of many researchers and practitioners in various fields of researches. The Council of the European Union adopted a development strategy in 2010 – ‘Europe 2020: A Strategy for smart, stable and inclusive growth’ based on the analysis of monitoring the quality of life of the European Union. The aim was to study the students’ components of the quality of life, depending on the place of study (countries) and the origin (nationality). Methods: synthesis and analysis of the current scientific and methodological studies on self-assessment of the quality of life using the SF-36 questionnaire and the methods of mathematical statistics. Results. Analyzing the students’ answers, we revealed the regularity among indicators of the physical and mental (psychological) components of the quality of life and the sex of the respondents, the year of study, self-evaluation of their study achievements, conditions of life. Besides, the main components that play the leading roles in shaping the overall picture of the quality of life and those that reduce the quality of students’ lives were found out. Due to the analysis of the correlations between indicators of the physical and mental (psychological) components of the quality of life, the interdependent components that form the basis of the students’ quality of life were highlighted. Conclusions. The study makes it possible to compare both the generalized results of the quality of the Ukrainian and Polish students’ lives and the individual components that form the physica l and mental (psychological) basis for the quality of life.


2011 ◽  
Vol 2 (1) ◽  
pp. 69-85
Author(s):  
Aurora Trujillo-Cotera ◽  
Juan Carlos Quiros-Loría ◽  
Ariana Gabriela Acón-Matamoros

En la Universidad Estatal a Distancia, existe un movimiento orientado al desarrollo de la cultura de la acreditación, con miras a asegurar el mejoramiento continuo de los programas de educación que se imparten, en donde también participan de manera importante los programas de posgrado, quienes actualmente se basan en los estándares del modelo ACAP/SINAES.  La UNED utiliza el modelo cualitativo, que impulsa el autoconocimiento, la reflexión y el análisis de los actores que buscan asegurar la calidad de sus programas por medio de la autoevaluación, acreditación y mejoramiento continuo. Para lograr lo anterior, debe existir una cultura de compromiso de las partes involucradas, para concentrar esfuerzos en los lineamientos y objetivos trazados desde el momento en que se decide ingresar al proceso de autoevaluación de los programas.Palabras clave: posgrado, autoevaluación, mejoramiento, acreditación, calidad.Abstract In the State University Distance, there is a movement aimed at developing a culture of accreditation in order to ensure continuing improvement of education programs that are taught, which also involved a major graduate programs, who are currently are based on model standards ACAP / SINAES. UNED use the qualitative model, which promotes self-awareness, reflection and analysis of the actors who seek to ensure the quality of their programs through self-evaluation, accreditation and continuous improvement. To achieve this, there must be a culture of commitment of the parties involved to focus efforts on the guidelines and targets set from the moment you decide to join the process of self-evaluation of programs.Keywords: graduate, self, improvement, accreditation, quality 


2016 ◽  
Vol 34 (3) ◽  
pp. 263-268 ◽  
Author(s):  
Katherine Clark ◽  
Abby Willis ◽  
Naomi Byfieldt

Although hospitals are the most likely place of death, the quality of care received by dying inpatients remains variable. This is concerning for both the dying person and their relatives, with poorer bereavement outcomes likely for those who perceived their family member suffered unduly. There is a real need to consider how this situation can be improved. This work was conducted with the aim of exploring the feasibility of including bereaved relatives’ experiences as part of a larger project exploring the use of a care bundle to improve care of the dying inpatients. Fifty relatives of inpatients who had died previously in hospital were contacted by letter with a request for interview before the implementation of a care bundle for the dying, with a care bundle being a collection of care processes that are implemented together. After this project had been in place for 6 months, a further 50 families were contacted who had died on the bundle. Ten families responded initially to the first request and 10 the second, with the interviews based on the Quality of Dying and Death (QODD) tool and a final open-ended question. Although all families who agree to be interviewed completed the session, with regard to the QODD, some families indicated that they would rather talk than provide numeric scores. No major differences in the prescores and postscores were noted. When invited to share their experiences, without prompting, families spoke of consistent concerns that included communication, place of death, and symptom control. This work confirms that it is highly feasible to incorporate assessments of bereaved family members’ opinions as part of the wider assessment of research into end-of-life care.


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