scholarly journals Are We Meeting the Demand for Pharmacist-Led Antimicrobial Stewardship Programs during Postgraduate Training-Year 1 (PGY1)?

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 91
Author(s):  
Edoabasi U. McGee ◽  
Arrington D. Mason-Callaway ◽  
Brent L. Rollins
Keyword(s):  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Postgraduate Training ◽  
Graduate Training ◽  
The United States ◽  
Pharmacy Education ◽  
First Year ◽  
Second Year ◽  
Mandatory Rotation

In the United States of America, pharmacists play a pivotal role in antimicrobial stewardship; training from postgraduate residency may hone knowledge and skills gained from didactic pharmacy education. Specifically, the first year of postgraduate training, the learner may become an “everyday steward in training” and may go on to complete a second year in infectious diseases. However, there are a limited number of second year infectious diseases programs. The current demand for pharmacist to participate in and or lead stewardship is disproportionate to available specialized training. The first year of post-graduate training has to be setup to ensure appropriate preparation, so newly trained pharmacist may help meet the demand. Currently, no clear standards exist for training in the first year. The purpose of this study is to survey the nature of stewardship training performed by first year residents from the perspective of residency program directors and preceptors. A 13-question online survey was distributed to examine resident exposure to antimicrobial stewardship activities. Survey data from targeted residency directors and preceptors were analyzed. A third of the programs required it as a mandatory rotation. Resident’s stewardship activities ranged from program to program; there was not consensus of the training activities.

Are Future Doctors Prepared to Address Patients’ Nutritional Needs? Cooking and Nutritional Knowledge and Habits in Medical Students

2021 ◽  
pp. 155982762110181
Author(s):  
Sam Sugimoto ◽  
Drew Recker ◽  
Elizabeth E. Halvorson ◽  
Joseph A. Skelton
Keyword(s):  
Medical Students ◽  
Prior Knowledge ◽  
The United States ◽  
First Year ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Nutritional Needs ◽  
Second Year ◽  
First Year Medical Students

Background. Many diseases are linked to lifestyle in the United States, yet physicians receive little training in nutrition. Medical students’ prior knowledge of nutrition and cooking is unknown. Objective. To determine incoming medical students’ prior nutrition knowledge, culinary skills, and nutrition habits. Methods. A dual-methods study of first-year medical students. Cross-sectional survey assessing prior knowledge, self-efficacy, and previous education of cooking and nutrition. Interviews of second-year medical students explored cooking and nutrition in greater depth. Results. A total of 142 first-year medical students participated; 16% had taken a nutrition course, with majority (66%) learning outside classroom settings. Students had a mean score of 87% on the Nutritional Knowledge Questionnaire versus comparison group (64.9%). Mean cooking and food skills score were lower than comparison scores. Overall, students did not meet guidelines for fiber, fruit, vegetables, and whole grains. Interviews with second-year students revealed most learned to cook from their families; all believed it important for physicians to have this knowledge. Conclusions. Medical students were knowledgeable about nutrition, but typically self-taught. They were not as confident or skilled in cooking, and mostly learned from their family. They expressed interest in learning more about nutrition and cooking.

scholarly journals TRUMP’S FOREIGN POLICY: PLANS AND REALITIES

2018 ◽  
pp. 73-82 ◽  
Author(s):  
E. V. Emelianov
Keyword(s):  
Foreign Trade ◽  
The United States ◽  
First Year ◽  
Solar Panels ◽  
White House ◽  
Trade Law ◽  
The Us ◽  
Second Year ◽  
Trade Partners

The article considers the changes in US foreign trade policy at the beginning of the Trump’s presidency. Exporting is a critical component for the long-term growth and the U.S. economy overall, and supporting millions of jobs in US. Though D. Trump campaigned for president as a protectionist, there was no such steps the first year of his presidency. But his second year in the White House began with announcing new tariffs on solar panels, washing machines, then on steel, aluminium. As concerning steel products, the United States being the world’s largest steel importer have persistent trade deficit.The US trade law allows the president to limit imports in case if domestic industries are threatened, against unfair foreign trade practices for a period of time, but such measures were not frequent in US practice. Meanwhile new protectionist measures are debated. Trump’s policy is being opposed not only by trade partners of the US, but in the US as well, by those who argue that protectionist measures will complicate international relationships.

scholarly journals Scarce Health Human Resource Wastage: No work for South African Audiologists? A descriptive Survey Study.

2020 ◽  
Author(s):  
Vera-Genevey Hlayisi
Keyword(s):  
South Africa ◽  
South African ◽  
Human Resource ◽  
Health Professionals ◽  
Online Survey ◽  
Survey Study ◽  
First Year ◽  
Snowball Sampling ◽  
Health Human Resource ◽  
Second Year

Abstract Background: In the last decade, there has been an increase in the number of unemployed health professionals in South Africa. Since the economic downfall following the international financial crisis in 2008, unemployment rates in South Africa have since been increasing and have to date reached 29.1%, the highest in the last 11 years. The current study sought to identify the challenges in obtaining and maintaining employment for audiologists in South Africa. Methods: A descriptive online survey design was used. Participants were recruited online through professional association webpages using the snowball sampling technique. All qualified audiologists registered with the Health Professionals Council of South Africa were eligible to participate. Results: A total of 219 audiologists responded to the survey however only 132 complete responses were collected. Only the results from the 132 completed questionnaires were included in the analysis. Majority of the participants (89%) were female, between the ages 25 to 34 (67%). In the first-year post-graduation, 16% of the participants were unemployed and this increased to 19% in the second-year post-graduation. In the majority (81%) of employed participants, it is worth noting that up to a fifth (19%) were working within non-audiology fields. Employment characteristics of those working in audiology fields (n=107) show that most participants were working within the public health sector (47%) and based in clinical settings (52%). The most common workplace challenges reported were remuneration (37%) followed by lack of resources (18%), workload (18%), work environment (10%), working hours (9%) and lastly, interprofessional relationships (8%). Conclusion: In South Africa, u p to 16% of audiologists are unemployed in their first-year post-graduation and this increases to 19% in the second-year post-graduation. This study’s findings are the first to document the unemployment rate of newly graduated hearing healthcare professionals in South Africa. These findings have potential to influence critical discourse on hearing healthcare human resource policies and planning, hearing healthcare labour market needs and capacity as well as hearing healthcare context and potential for growth in the South African context. Keywords: unemployment, human-resources, healthcare, audiology, economy

scholarly journals Institutional self-citation rates: A three year study of universities in the United States

2017 ◽  
Author(s):  
Dean Hendrix
Keyword(s):  
United States ◽  
Research Universities ◽  
Scientific Information ◽  
Power Laws ◽  
The United States ◽  
First Year ◽  
California Institute ◽  
California Institute Of Technology ◽  
Second Year ◽  
Institute Of Technology

Using Institute for Scientific Information (ISI) data, this paper calculated institutional self citations rates (ISCRs) for 96 of the top research universities in the United States from 2005-2007. Exhibiting similar temporal patterns of author and journal self-citations, the ISCR was 29% in the first year post-publication, and decreased significantly in the second year post-publication (19%). Modeling the data via power laws revealed total publications and citations did not correlate withthe ISCR, but did correlate highly with ISCs. California Institute of Technology exhibited the highest ISCR at 31%. Academic and cultural factors are discussed in relation to ISCRs.

scholarly journals 1331. Learning Experiences Within Infectious Diseases Pharmacy Residency Programs Demonstrate High Degrees of Consistency

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S406-S407
Author(s):  
Jonathan Cho ◽  
Matthew Crotty ◽  
Wesley Kufel ◽  
Elias Chahine ◽  
Amelia Sofjan ◽  
...  
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Academic Medical Center ◽  
Travel Medicine ◽  
Learning Experiences ◽  
The United States ◽  
Parasitic Infections ◽  
Residency Programs ◽  
Research Grant

Abstract Background Pharmacists with residency training in infectious diseases (ID) optimize antimicrobial therapy outcomes in patients and support antimicrobial stewardship programs. The purpose of this study was to describe the learning experiences currently being offered in post-graduate year-2 (PGY-2) ID pharmacy residency programs. Methods A 19-item, cross-sectional, multi-centered, electronic survey was distributed via e-mail to pharmacy residency program directors (RPDs) of all 101 accredited and nonaccredited PGY-2 ID residency programs in the United States. Programs were identified via the ASHP, ACCP, and SIDP residency directories. Program characteristics inquired via the survey included required and elective learning experiences, research and teaching opportunities, and ID-related committee involvement. Results Survey responses were collected from 71 RPDs (70.3%). Most programs were associated with an academic medical center (64.8%), focused primarily in adult ID (97.2%), and accepted one resident per year (91.6%). Forty-eight (67.6%) institutions also offered an ID physician fellowship program. Microbiology laboratory, adult antimicrobial stewardship (AS), and adult ID consult learning experiences were required in 98.6% of residency programs. Only 28.2% of responding programs required pediatric AS and pediatric ID consult rotations. Greater than 90% of RPDs reported that the resident managed bone and joint, lower respiratory tract, sepsis, urologic, and skin and soft-tissue infections at least once weekly. Travel medicine, parasitic infections, hepatitis B, and hepatitis C were either rarely or never encountered by the resident in 77.5%, 76%, 66.2%, and 50.7% programs, respectively. Residents were frequently involved in AS committees (97.2%), pharmacokinetic dosing of antimicrobials (83.1%), precepting pharmacy trainees (80.3%), and performing research projects (91.5%). Conclusion PGY-2 ID pharmacy residency programs in the United States demonstrated consistency in required adult ID consult, antimicrobial management activities, AS committee service, and teaching and research opportunities. Pediatric experiences were less common. PGY-2 ID residency programs prepare pharmacists to become antimicrobial stewards, particularly in adult patients. Disclosures J. Cho, Allergan: Speaker’s Bureau, Speaker honorarium. M. Crotty, Theravance and Nabriva: Consultant, Consulting fee. E. Chahine, Merck: Speaker’s Bureau, Speaker honorarium. Allergan: Scientific Advisor, Consulting fee. J. Gallagher, Allergan, Astellas, Merck, and Melinta: Speaker’s Bureau, Speaker honorarium. Achaogen, Allergan, Astellas, Cempra, Cidara, CutisPharma, Merck, Paratek, Shionogi, Tetraphase, Theravance, and The Medicines Company: Consultant, Consulting fee. Merck: Grant Investigator, Research grant. S. Estrada, Allergan, Astellas, Merck, T2Biosystems and The Medicines Company: Speaker’s Bureau, Speaker honorarium. The Medicines Company and Theravance: Grant Investigator, Research grant. Astellas, CutisPharma, Theravance, and The Medicines Company: Consultant, Consulting fee.

Are There Adverse Consequences of Mandatory Auditor Rotation? Evidence from the Italian Experience

2013 ◽  
Vol 34 (1) ◽  
pp. 1-24 ◽  
Author(s):  
Mara Cameran ◽  
Jere R. Francis ◽  
Antonio Marra ◽  
Angela Pettinicchio
Keyword(s):  
Audit Quality ◽  
Earnings Quality ◽  
The United States ◽  
First Year ◽  
The European Union ◽  
Auditor Rotation ◽  
Italian Experience ◽  
Auditor Tenure ◽  
Mandatory Rotation

SUMMARY Mandatory auditor rotation was recently proposed for the European Union and is also under consideration in the United States. There has been little research into either the benefits or costs of rotation in a true mandatory setting that could inform intelligent policy making. Our paper helps fill this gap by examining Italy, where mandatory rotation of auditors has been required since 1975. We find that outgoing auditors do not shirk on effort (or quality), but final-year fees are 7 percent higher than normal, which may indicate opportunistic pricing. The fees of incoming auditors are discounted by 16 percent even though they have abnormally higher engagement hours in the first year (17 percent), which is suggestive of lowballing. However, subsequent fees are abnormally higher and exceed the initial fee discount. Thus, the costs of mandatory rotation are nontrivial. Higher costs could be acceptable if rotation improves audit quality, but we find evidence of the opposite. Namely, the quality of audited earnings is lower in the first three years following rotation, relative to later years of auditor tenure. Since rotation is costly and earnings quality improves with longer auditor tenure, the evidence from Italy does not support the case for mandatory rotation.

Making Economic Knowledge: Review of Jan Golinski's Making Natural Knowledge

2001 ◽  
Vol 23 (2) ◽  
pp. 267-275
Author(s):  
Esther-Mirjam Sent
Keyword(s):  
Graduate Training ◽  
First Year ◽  
Stanford University ◽  
Economic Knowledge ◽  
Graduate Studies ◽  
Natural Knowledge ◽  
Second Year ◽  
The Many

When I went through my graduate training in economics at Stanford University, I learned that economics consists of ideas. These are often expressed in mathematical terms and can be found in books and articles. To become a successful economist, you have to understand these ideas and come up with variations on them. So, during my first year of graduate studies, I spent the majority of my time working my way through the many books and articles assigned for my classes in microeconomics, macroeconomics, and econometrics. During their lectures, our instructors would walk us through any difficult mathematical manipulations that we encountered in our readings. Surely, I thought, I was on my way to becoming a respected economist. Still, I needed to specialize in a few fields, which I did in my second year.

scholarly journals Comparison of First-Year International Students' Adjustment to College at the Undergraduate and Graduate Level

2021 ◽  
Vol 13 (2) ◽  
pp. 112-131
Author(s):  
Odunola Oyeniyi ◽  
Robert L Smith ◽  
Joshua C Watson ◽  
Kristina Nelson
Keyword(s):  
International Students ◽  
Acculturative Stress ◽  
Online Survey ◽  
The United States ◽  
Future Research ◽  
First Year ◽  
College Counselors ◽  
Adjustment To College ◽  
Significant Difference ◽  
Graduate International Students

Predictors of first-year undergraduate and graduate international students’ adjustment to college were examined using an online survey in 2019. The research sample consisted of 95 international students attending two universities in the United States. Findings showed a statistically significant difference between first-year graduate and undergraduate international students, as related to college adjustment. Further analysis discovered significant relationships among the predictor variables - resilience, relational skills, acculturative stress - and the criterion variable, which is adjustment to college, explaining 55% of the variance. Implications of findings for educators, college counselors, and college administrators, are provided, as well as directions for future research.

scholarly journals Policy Statement on Antimicrobial Stewardship by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Diseases Society of America (IDSA), and the Pediatric Infectious Diseases Society (PIDS)

2012 ◽  
Vol 33 (4) ◽  
pp. 322-327 ◽  
Author(s):  
Neil Fishman ◽  
◽  
◽  
Keyword(s):  
United States ◽  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Safety Issue ◽  
The United States ◽  
Position Statement ◽  
Policy Statement ◽  
Antimicrobial Use ◽  
Patient Safety Issue ◽  
Healthcare Epidemiology

Antimicrobial resistance has emerged as a significant healthcare quality and patient safety issue in the twenty-first century that, combined with a rapidly dwindling antimicrobial armamentarium, has resulted in a critical threat to the public health of the United States. Antimicrobial stewardship programs optimize antimicrobial use to achieve the best clinical outcomes while minimizing adverse events and limiting selective pressures that drive the emergence of resistance and may also reduce excessive costs attributable to suboptimal antimicrobial use. Therefore, antimicrobial stewardship must be a fiduciary responsibility for all healthcare institutions across the continuum of care. This position statement of the Society for Healthcare Epidemiology of America, the Infectious Diseases Society of America, and the Pediatric Infectious Diseases Society of America outlines recommendations for the mandatory implementation of antimicrobial stewardship throughout health care, suggests process and outcome measures to monitor these interventions, and addresses deficiencies in education and research in this field as well as the lack of accurate data on antimicrobial use in the United States.

scholarly journals Global health training in Canadian family medicine residency programmes

2020 ◽  
Vol 8 (1) ◽  
pp. e000250
Author(s):  
Divyanshi Jalan ◽  
Helene Morakis ◽  
Neil Arya ◽  
Yassen Tcholakov ◽  
Jennifer Carpenter ◽  
...  
Keyword(s):  
Family Medicine ◽  
Global Health ◽  
Online Survey ◽  
Response Rate ◽  
First Year ◽  
French Canada ◽  
Health Training ◽  
Resident Participation ◽  
Family Medicine Residency ◽  
Second Year

ObjectiveCanadian family medicine (FM) residency programmes are responding to the growing demand to provide global health (GH) education to their trainees; herein, we describe the various GH activities (GHAs) offered within Canadian FM programmes.DesignA bilingual online survey was sent out to all 17 Canadian FM program directors (PDs) and/or an appointed GH representative.SettingOnline survey via QualtricsParticipantsAll 17 Canadian FM PDs and/or an appointed GH representative.ResultsThe response rate was 100% and represented 3250 first-year and second-year FM residents across English and French Canada. All schools stated that they participate in some form of GHAs. There was variation in the level of organisation, participation and types of GHAs offered. Overall, most GHAs are optional, and there is a large amount of variation in terms of resident participation. Approximately one third of programmes receive dedicated funding for their GHAs, and two thirds wish to increase the scope/variety of GHAs.ConclusionThese results suggest nationwide interest in developing a workforce trained in GH, but show great discrepancies in training, implementation and education.

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