Faculty Opinions recommendation of Integration of academic and clinical performance-based faculty compensation plans: a system and its impact on an anaesthesiology department.

Abstract. To this day, researchers are debating the adequacy of using financial incentives to bolster performance in work settings. Our goal was to contribute to current understanding by considering the moderating role of distributive justice in the relation between financial incentives, motivation, and performance. Based on self-determination theory, we hypothesized that when bonuses are fairly distributed, using financial incentives makes employees feel more competent and autonomous, which in turn fosters greater autonomous motivation and lower controlled motivation, and better work performance. Results from path analyses in three samples supported our hypotheses, suggesting that the effect of financial incentives is contextual, and that compensation plans using financial incentives and bonuses can be effective when properly managed.

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Use of Receiver Operating Characteristic (ROC) Curves to Evaluate Computer Confidence Threshold and Clinical Performance in the Diagnosis of Appendicitis

Methods of Information in Medicine ◽

10.1055/s-0038-1636435 ◽

1978 ◽

Vol 17 (03) ◽

pp. 157-161 ◽

Cited By ~ 12

Author(s):

F. T. De Dombal ◽

Jane C. Horrocks

Keyword(s):

Receiver Operating Characteristic ◽

Operating Characteristic ◽

Clinical Performance ◽

Roc Curves ◽

Final Diagnosis ◽

Confidence Threshold ◽

Computer Aided ◽

Computer Confidence ◽

Overall Performance ◽

Receiver Operating

This paper uses simple receiver operating characteristic (ROC) curves (i) to study the effect of varying computer confidence of threshold levels and (ii) to evaluate clinical performance in the diagnosis of acute appendicitis. Over 1300 patients presenting to five centres with abdominal pain of short duration were studied in varying detail. Clinical and computer-aided diagnostic predictions were compared with the »final« diagnosis. From these studies it is concluded the simplistic setting of a 50/50 confidence threshold for the computer program is as »good« as any other. The proximity of a computer-aided system changed clinical behaviour patterns; a higher overall performance level was achieved and clinicians performance levels became associated with the »mildly conservative« end of the computers ROC curve. Prior forecasts of over-confidence or ultra-caution amongst clinicians using the computer-aided system have not been fulfilled.

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The Role of Stent Design and Polymers in Safety Outcomes – A Review

European Cardiology Review ◽

10.15420/ecr.2012.8.1.63 ◽

2012 ◽

Vol 8 (1) ◽

pp. 63

Author(s):

Carlo Zivelonghi ◽

Giulia Geremia ◽

Michele Pighi ◽

Flavio Ribichini ◽

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...

Keyword(s):

Clinical Performance ◽

Drug Carrier ◽

Chemical Properties ◽

Vascular Wall ◽

Radial Force ◽

Vascular Trauma ◽

Polymer Composition ◽

Drug Eluting Stent ◽

Stent Design ◽

Drug Elution

Each component of a drug-eluting stent (DES) contributes to the safety of the device. Continuous efforts are being dedicated to the search of the optimal compromise between facility of use, safety and long-term efficacy. Shorter balloons reduce the vascular trauma beyond the stent struts; the metallic composition of the stent platform and the platform itself interact with the vascular wall in a long-lasting equilibrium between radial force, vessel patency and reparative cellular regrowth. The modality of drug elution is largely regulated by the chosen drug carrier, rather than by the chemical properties of the drug itself. Drug elution can be accomplished by permanent polymers that remain in the vessel wall forever, by biodegradable polymers that leave the naked metallic structure behind after their complete absorption, or even by direct release of the drug from stent reservoirs. The clinical performance of DESs has been exhaustively assessed in a large number of studies that have showed rapid and continuous improvements, from the first-generation DESs to the latest devices, based on substantial changes in stent design and polymer composition.

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