scholarly journals Discriminatory ability of milestones: An analysis of milestone variability by obstetrics and gynecology subspecialty

2021 ◽  
Vol 10 (1) ◽  
pp. 2-2
Author(s):  
Emily Hinchcliff ◽  
Kaitlyn James ◽  
Kristina Dzara ◽  
Lori R. Berkowitz

Background: Little evidence exists regarding Accreditation Council for Graduate Medical Education (ACGME) milestone discriminatory ability. This short report describes variability in milestone scores by category to determine their utility in discerning high and low performers in a single Obstetrics and Gynecology residency. Methods: A Clinical Competency Committee (CCC) design was implemented with four subcommittees, each responsible for a predetermined milestones subset: Obstetrics, Gynecology, Ambulatory Practice, and Professional Activities. Milestone scores for 44 residents per year over four biannual evaluation cycles (2014-2016) were evaluated, for a total of 176 independent evaluations. Results: Findings indicate that discriminatory ability, assessed by variability between resident scores, differed by subcommittee. Subcommittees that were primarily tasked with evaluating clinical- and procedural-based milestones demonstrated lower discriminatory ability among trainees. Conclusion: Greater Professional Activity milestone variability indicates better differentiation; future research should determine correlation of these findings with other professionalism performance metrics and novel intervention strategies.

2021 ◽  
Vol 8 ◽  
pp. 237428952110417
Author(s):  
Bronwyn H. Bryant

Entrustable professional activities are an intuitive form of workplace-based assessment that can support competency-based medical education. Many entrustable professional activities have been written and published, but few studies describe the feasibility or implementation of entrustable professional activities in graduate medical education. The frozen section entrustable professional activit was introduced into the pathology residency training at the University of Vermont for postgraduate year 1 at the start of their training in frozen section. The feasibility of the entrustable professional activit was evaluated based on 3 criteria: (a) utilization, (b) support of frozen section training, and (c) generating data to support entrustment decision about residents’ readiness to take call. The entrustable professional activit was well utilized and satisfactory to residents, faculty, pathologists’ assistants, and Clinical Competency Committee members. Most members of the Clinical Competency Committee agreed they had sufficient data and noted higher confidence in assessing resident readiness to take call with the addition of entrustable professional activit to the residents’ assessment portfolio. Residents did not endorse it helped them prepare for call; however, the interruption to frozen section training due to the COVID-19 pandemic was a significant contributing factor. The frozen section entrustable professional activit is a feasible addition to pathology resident training based on utilization, support of training, and generation of data to support entrustment decisions for graduated responsibilities. The implementation and integration of the entrustable professional activit into pathology training at our institution is described with discussion of adjustments for future use.


2017 ◽  
Vol 9 (2) ◽  
pp. 209-214 ◽  
Author(s):  
Debra Pugh ◽  
Rodrigo B. Cavalcanti ◽  
Samantha Halman ◽  
Irene W. Y. Ma ◽  
Maria Mylopoulos ◽  
...  

ABSTRACT Background The entrustable professional activity (EPA) framework has been identified as a useful approach to assessment in competency-based education. To apply an EPA framework for assessment, essential skills necessary for entrustment to occur must first be identified. Objective Using an EPA framework, our study sought to (1) define the essential skills required for entrustment for 7 bedside procedures expected of graduates of Canadian internal medicine (IM) residency programs, and (2) develop rubrics for the assessment of these procedural skills. Methods An initial list of essential skills was defined for each procedural EPA by focus groups of experts at 4 academic centers using the nominal group technique. These lists were subsequently vetted by representatives from all Canadian IM training programs through a web-based survey. Consensus (more than 80% agreement) about inclusion of each item was sought using a modified Delphi exercise. Qualitative survey data were analyzed using a framework approach to inform final assessment rubrics for each procedure. Results Initial lists of essential skills for procedural EPAs ranged from 10 to 24 items. A total of 111 experts completed the national survey. After 2 iterations, consensus was reached on all items. Following qualitative analysis, final rubrics were created, which included 6 to 10 items per procedure. Conclusions These EPA-based assessment rubrics represent a national consensus by Canadian IM clinician educators. They provide a practical guide for the assessment of procedural skills in a competency-based education model, and a robust foundation for future research on their implementation and evaluation.


2014 ◽  
Vol 4 (3) ◽  
pp. 26-30 ◽  
Author(s):  
Larysa Lukianova

Abstract The idea of the conceptualization of adult education has been postulated in the article including its significant differences. The leading distinguishing feature is the personality of pedagogical staff that works with adults. It has been substantiated the dependence of the functions which are performed by pedagogical staff in the adult education system, on the main characteristics of the society. It has been shown the content of the integral-role position of a pedagogue-andragogue which has 3 elements: subject and content, project and technological, organization and diagnostic. The professional activity of a pedagogue-andragogue has been analyzed as the specialist who professionally organizes and conducts adult training and learning, helps create individual programs of training. At the same time, in his/her activity he/she combines different social functions as well. The most typical are to provide the help in renovating the motivation towards learning and professional activity, to combine the content both andragogical and professional activity of his/her learners, to share the methods of supervising adult self-learning.


Author(s):  
Andrey M. Geregey ◽  
Evgeny S. Shuporin ◽  
Ivan V. Fateev

Today, there are personal protective equipment, which due to their weight and size characteristics and design features can aggravate professional activity. This is characterized by an increase in the load on several major systems of the employee's body, including the cardiorespiratory system, which can cause the development of occupational pathology. The study of the functions of the cardiorespiratory system of humans in the process of his work is an important task in biomedical tests such as PPE, aggravating their professional activities and future means of individual protection from heavy labor and industrial exoskeletons. The aim of the study is to determine the possibility of using ergospirometry for the physiological assessment of personal protective equipment and industrial exoskeletons. Main part. In medical practice and high-performance sports, ergospirometry is considered the "gold standard" for functional assessment of the cardiorespiratory system. There are very few studies showing the use of ergospirometry for the purpose of physiological assessment of personal protective equipment. Results of research works in which ergospirometry was used in medicine, sports, as well as on the physiological and hygienic assessment of combat equipment, various types of personal protective equipment, including new promising personal protective equipment of the musculoskeletal system-industrial exoskeletons. The use of ergospirometry made it possible to register the main indicators of the human cardiorespiratory system both in field and laboratory conditions and allowed forming an objective conclusion about the dynamics of the degree of stress of the human cardiorespiratory system when using personal protective equipment and industrial exoskeletons with various weight and size characteristics. Thus, the use of ergospirometry both in isolation and in combination with other methods allows us to solve problems related to biomedical testing of personal protective equipment and industrial exoskeletons.


2020 ◽  
pp. 35-38
Author(s):  
S. Arkhipova

The purpose of the study was to determine the level of knowledge and skills in the processing of documents accompanying the professional activities of heads of nursing services.


Author(s):  
Oksana Mironkina

Methods of training in advanced training groups formed from the staff of personnel divisions of the MIA of Russia, which involve the use of anti-corruption education at different stages of professional activity are discussed in the article. A comprehensive approach to the formation of anti-corruption behavior, which allows using various forms of training of police officers in their relation is described. The effectiveness of this approach in the system of professional development was shown. A comprehensive approach allows the training process to pay attention to the needs and difficulties in the field of corruption prevention without spending time on basic training information. Several stages in the organization and content of training are considered. Each of them corresponds to different stages of professional development of specialists of personnel divisions of internal affairs bodies. Described in detail every stage is aimed at a separate audience and has its own value. The possibilities of anti-corruption education are presented, starting with the selection of personnel for service in the internal affairs bodies and ending with the preparation for dismissal. The anti-corruption educational activities carried out at the present time are analyzed. Methods of intensifying each of them and the possibilities of optimal inclusion in the developed complex of content and forms are determined. The proposed approach can be used for majority posts. It is not limited to human resources units. In addition, the developed methodological material can be used by students in the course of their professional activities in the field after studying at advanced training courses.


Author(s):  
Gennadiy Marchenko ◽  
Irina Soshnikova

The article reveals the content of modern training technologies for internal affairs bodies; approaches are presented to training and education of cadets and students of educational organizations of the system of the Ministry of Internal Affairs of Russia and educational methods the foundation of which is formed value content of professional activities: patriotism and citizenship, service to the Fatherland and interests of the people, loyalty to the law and official duty. The authors propose specific methods (case methods, group discussions, role-playing and business games) for use during seminars and practical classes in the discipline «Professional ethics and official etiquette». These methods are active and interactive, and their content is based on the appeal to literary and cinematic works on the activities of law enforcement officers on various stages of national history. The article is of methodological interest for scientific and academicians of educational organizations of the system of the Ministry of Internal Affairs of Russia, teaching humanities. The authors come to the conclusion that the use of educational methods of teaching in the classroom gives cadets and listeners a clear idea of the main components of professional activity and official duty, morality and law, strengthens the understanding of the continuity of the glorious traditions of previous generations of employees of the internal affairs bodies, allows creating the Ministry of Internal Affairs in educational organizations Russia a favorable upbringing environment and qualitatively raise the level of practical readiness of graduates for professional activities.


Entropy ◽  
2021 ◽  
Vol 23 (6) ◽  
pp. 664
Author(s):  
Nikos Kanakaris ◽  
Nikolaos Giarelis ◽  
Ilias Siachos ◽  
Nikos Karacapilidis

We consider the prediction of future research collaborations as a link prediction problem applied on a scientific knowledge graph. To the best of our knowledge, this is the first work on the prediction of future research collaborations that combines structural and textual information of a scientific knowledge graph through a purposeful integration of graph algorithms and natural language processing techniques. Our work: (i) investigates whether the integration of unstructured textual data into a single knowledge graph affects the performance of a link prediction model, (ii) studies the effect of previously proposed graph kernels based approaches on the performance of an ML model, as far as the link prediction problem is concerned, and (iii) proposes a three-phase pipeline that enables the exploitation of structural and textual information, as well as of pre-trained word embeddings. We benchmark the proposed approach against classical link prediction algorithms using accuracy, recall, and precision as our performance metrics. Finally, we empirically test our approach through various feature combinations with respect to the link prediction problem. Our experimentations with the new COVID-19 Open Research Dataset demonstrate a significant improvement of the abovementioned performance metrics in the prediction of future research collaborations.


Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4206
Author(s):  
Farhan Nawaz ◽  
Hemant Kumar ◽  
Syed Ali Hassan ◽  
Haejoon Jung

Enabled by the fifth-generation (5G) and beyond 5G communications, large-scale deployments of Internet-of-Things (IoT) networks are expected in various application fields to handle massive machine-type communication (mMTC) services. Device-to-device (D2D) communications can be an effective solution in massive IoT networks to overcome the inherent hardware limitations of small devices. In such D2D scenarios, given that a receiver can benefit from the signal-to-noise-ratio (SNR) advantage through diversity and array gains, cooperative transmission (CT) can be employed, so that multiple IoT nodes can create a virtual antenna array. In particular, Opportunistic Large Array (OLA), which is one type of CT technique, is known to provide fast, energy-efficient, and reliable broadcasting and unicasting without prior coordination, which can be exploited in future mMTC applications. However, OLA-based protocol design and operation are subject to network models to characterize the propagation behavior and evaluate the performance. Further, it has been shown through some experimental studies that the most widely-used model in prior studies on OLA is not accurate for networks with networks with low node density. Therefore, stochastic models using quasi-stationary Markov chain are introduced, which are more complex but more exact to estimate the key performance metrics of the OLA transmissions in practice. Considering the fact that such propagation models should be selected carefully depending on system parameters such as network topology and channel environments, we provide a comprehensive survey on the analytical models and framework of the OLA propagation in the literature, which is not available in the existing survey papers on OLA protocols. In addition, we introduce energy-efficient OLA techniques, which are of paramount importance in energy-limited IoT networks. Furthermore, we discuss future research directions to combine OLA with emerging technologies.


2017 ◽  
Vol 4 ◽  
pp. 237428951771428 ◽  
Author(s):  
Cindy B. McCloskey ◽  
Ronald E. Domen ◽  
Richard M. Conran ◽  
Robert D. Hoffman ◽  
Miriam D. Post ◽  
...  

Competency-based medical education has evolved over the past decades to include the Accreditation Council for Graduate Medical Education Accreditation System of resident evaluation based on the Milestones project. Entrustable professional activities represent another means to determine learner proficiency and evaluate educational outcomes in the workplace and training environment. The objective of this project was to develop entrustable professional activities for pathology graduate medical education encompassing primary anatomic and clinical pathology residency training. The Graduate Medical Education Committee of the College of American Pathologists met over the course of 2 years to identify and define entrustable professional activities for pathology graduate medical education. Nineteen entrustable professional activities were developed, including 7 for anatomic pathology, 4 for clinical pathology, and 8 that apply to both disciplines with 5 of these concerning laboratory management. The content defined for each entrustable professional activity includes the entrustable professional activity title, a description of the knowledge and skills required for competent performance, mapping to relevant Accreditation Council for Graduate Medical Education Milestone subcompetencies, and general assessment methods. Many critical activities that define the practice of pathology fit well within the entrustable professional activity model. The entrustable professional activities outlined by the Graduate Medical Education Committee are meant to provide an initial framework for the development of entrustable professional activity–related assessment and curricular tools for pathology residency training.


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