scholarly journals Perceptions of Higher Specialist Trainees and Fellows of the Proposed Sláintecare Consultant Contract and Implications for Workforce Planning in Ireland

2021 ◽  
Vol 2 (2) ◽  
pp. 45-54
Author(s):  
Dr. Stefanie M. Croghan ◽  
Dr. Evelyn P. Murphy ◽  
Dr. Aideen Madden ◽  
Dr. Robert P. Murphy ◽  
Prof. Rustom P. Manecksha
Keyword(s):  
Intellectual Property ◽  
Patient Care ◽  
Working Conditions ◽  
Workforce Planning ◽  
Patient Advocacy ◽  
Free Text ◽  
Specialist Training ◽  
Recent Proposal ◽  
Optimal Patient Care ◽  
Potential Impact

To explore the perceptions of higher specialist trainees and fellows in Ireland with respect to the Irish Department of Health’s recent proposal to implement a drafted, non-negotiated, consultant contract under a new model for healthcare, termed the Sláintecare plan. A customized survey, incorporating multiple-choice and Likert-scale questions and a free-text option, was disseminated to doctors enrolled in Irish higher specialist training (HST) programmes and pre-consultant HST graduates (fellows). Responses were compiled and analysed. There were a total of 1109 respondents across all specialities. Trainees were particularly concerned regarding the Sláintecare contract’s potential impact on their abilities to engage in patient advocacy and provide optimal patient care in the future, the maintenance of specialist skillsets, their ownership of intellectual property and a stable location of the practice.  Of respondents, 93.7% (1003/1070) indicated that they would consider working abroad rather than accept the proposed contract. This study highlights the perceptions and concerns of the higher specialist trainees and fellows of Ireland. A large proportion may emigrate rather than accept the Sláintecare proposals.  Concerns exist surrounding the ability to advocate for patients, to provide patient care, the proposed working conditions and perceived potential to deskill under this contract’s terms.

Commentary on Chaplain-Physician Interactions From the Chaplain’s Perspective: A Mixed Method Analysis

2021 ◽  
pp. 104990912110030
Author(s):  
Rev George Handzo ◽  
Rev Brian Hughes
Keyword(s):  
Best Practices ◽  
Health System ◽  
Patient Care ◽  
Health Systems ◽  
Mixed Method ◽  
Effective Strategies ◽  
Optimal Patient Care ◽  
Relationship Of ◽  
The Relationship ◽  
Method Analysis

Gomez and her colleagues have presented a helpful study of the relationship of the chaplains in her health system to physicians which highlights several barriers to a well-integrated relationship and thus to more optimal patient care. We have seen these same barriers as we have consulted with health systems nationally and have also identified many best practices that mediate or even eliminate many of these barriers. This commentary describes some of what we have seen as chaplain-generated causes of those barriers and effective strategies that have been employed to overcome them. We also provide some resources for chaplains who wish to institute some of these best practices themselves.

scholarly journals Life with Parkinson’s Disease During the COVID-19 Pandemic: The Pressure Is “OFF”

2021 ◽  
pp. 1-5
Author(s):  
Trine HØrmann Thomsen ◽  
Susanna M. Wallerstedt ◽  
Kristian Winge ◽  
Filip Bergquist
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Symptom ◽  
Free Text ◽  
Symptom Scores ◽  
Related Quality ◽  
Health Related ◽  
Potential Impact ◽  
Swedish Cohort

People with Parkinson’s disease (PwP) have been suggested to be more vulnerable to negative psychological and psycho-social effects of the COVID-19 pandemic. Our aim was to assess the potential impact of the COVID-19 pandemic in PwP. A Danish/Swedish cohort of 67 PwP was analysed. Health-related quality of life (HRQL), depression, anxiety, apathy, sleep and motor symptom-scores were included in the analysis. Additionally, the Danish participants provided free-text descriptions of life during the pandemic. Overall, the participants reported significantly better HRQL during the COVID-19 period compared with before. Reduced social pressure may be part of the explanation. Despite worsened anxiety, night sleep improved.

scholarly journals The Laboratory-Clinician Team: A Professional Call to Action to Improve Communication and Collaboration for Optimal Patient Care in Chromosomal Microarray Testing

2012 ◽  
Vol 21 (5) ◽  
pp. 631-637 ◽  
Author(s):  
Karen E. Wain ◽  
Erin Riggs ◽  
Karen Hanson ◽  
Melissa Savage ◽  
Darlene Riethmaier ◽  
...  
Keyword(s):  
Patient Care ◽  
Chromosomal Microarray ◽  
Call To Action ◽  
Optimal Patient Care

scholarly journals Common ECG Lead Placement Errors. Part II: Precordial Misplacements

2014 ◽  
Vol 2 (3) ◽  
pp. 99-103 ◽  
Author(s):  
Allison V. Rosen ◽  
Sahil Koppikar ◽  
Catherine Shaw ◽  
Adrian Baranchuk
Keyword(s):  
Healthy Subject ◽  
Patient Care ◽  
Diagnostic Tool ◽  
Pathological Findings ◽  
Precordial Lead ◽  
Single Male ◽  
Lead Placement ◽  
Optimal Patient Care ◽  
Ecg Leads ◽  
Ecg Interpretation

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

scholarly journals Common ECG Lead Placement Errors. Part I: Limb lead Reversals

2014 ◽  
Vol 2 (3) ◽  
pp. 92-98 ◽  
Author(s):  
Allison V. Rosen ◽  
Sahil Koppikar ◽  
Catherine Shaw ◽  
Adrian Baranchuk
Keyword(s):  
Healthy Subject ◽  
Patient Care ◽  
Diagnostic Tool ◽  
Pathological Findings ◽  
Precordial Lead ◽  
Single Male ◽  
Lead Placement ◽  
Optimal Patient Care ◽  
Ecg Leads ◽  
Ecg Interpretation

Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

scholarly journals Piracy as Labour Struggle

2016 ◽  
Vol 14 (1) ◽  
Author(s):  
Gavin Mueller
Keyword(s):  
Intellectual Property ◽  
Working Conditions ◽  
Labor Process ◽  
Bulletin Board ◽  
Digital Piracy ◽  
Electronic Bulletin Board ◽  
The Face

This paper examines the organization of digital piracy in the context of reshaping labor under neoliberalism. It discusses the practices by which enclosures of intellectual property are resisted by drawing from literature on the labor process, and examining the historical emergence of piratical practice on electronic bulletin board systems. These pirates sought, above all, to preserve autonomous, self-managed working conditions in the face of tendencies to commodify, enclose, and deskill.

Physicians' Reactions to Training in a Pediatric Intensive Care Unit

PEDIATRICS ◽  
1974 ◽  
Vol 53 (3) ◽  
pp. 375-383
Author(s):  
I. David Todres ◽  
Mary C. Howell ◽  
Daniel C. Shannon
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Emotional Reactions ◽  
Training Period ◽  
Patient Death ◽  
Training Experience ◽  
Optimal Patient Care

Physician trainees working in a pediatric intensive care unit (ICU) were interviewed early in their training experience, at the end of their training, and 1 to 12 months after their training had ended. Pediatricians responded significantly differently from anesthesiologists: they commented more often about their own feelings, and less often about procedural-intellectual-technical matters as contrasted with feelings and relationships. Pediatricians were also more likely than anesthesiologists to mention their own emotional reactions to ill children, their sense that patient death meant physician failure, and their dismay early in the training period about the stressful intensity of the work. Physicians who were parents differed from those who were not parents by commenting more frequently about their work with the parents of patients, and about the necessity for teamwork. Physician trainees interviewed early in the training period were less reflective about the experience, and less likely to comment on feelings and relationships, compared to those interviewed later. Analysis of the sources of satisfaction and discontent with work in the ICU, as stated by the physician trainees, has been useful in efforts to improve the climate of work and learning in the unit, and to provide optimal patient care.

Prehospital Information for Optimal Patient Care

2013 ◽  
Vol 79 (4) ◽  
pp. 441-443
Author(s):  
James S. Davis ◽  
Jill Graygo ◽  
Jeffrey Augenstein ◽  
Carl I. Schulman
Keyword(s):  
Patient Care ◽  
Optimal Patient Care

scholarly journals Impact of Proposed Institute of Medicine Duty Hours: Family Medicine Residency Directors' Perspective

2009 ◽  
Vol 1 (2) ◽  
pp. 195-200 ◽  
Author(s):  
Peter J. Carek ◽  
Joseph W. Gravel ◽  
Stanley Kozakowski ◽  
Perry A. Pugno ◽  
Gerald Fetter ◽  
...  
Keyword(s):  
Family Medicine ◽  
Patient Care ◽  
Residency Program ◽  
Detrimental Effect ◽  
Resident Education ◽  
Program Directors ◽  
Institute Of Medicine ◽  
Family Medicine Residency ◽  
Potential Impact ◽  
Residency Program Directors

Abstract Purpose To examine the opinions of family medicine residency program directors concerning the potential impact of the Institute of Medicine (IOM) resident duty hour recommendations on patient care and resident education. Methods A survey was mailed to 455 family medicine residency program directors. Data were summarized and analyzed using Epi Info statistical software. Significance was set at the P < .01 level. Results A total of 265 surveys were completed (60.9% response rate). A majority of family medicine residency program directors disagreed or strongly disagreed that the recent IOM duty hour recommendations will, in general, result in improved patient safety and resident education. Further, a majority of respondents disagreed or strongly disagreed that the proposed IOM rules would result in residents becoming more compassionate, more effective family physicians. Conclusion A majority of family medicine residency program directors believe that the proposed IOM duty hour recommendations would have a primarily detrimental effect on both patient care and resident education.

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