scholarly journals Re-thinking clinical research training in residency

2014 ◽  
Vol 5 (1) ◽  
pp. e58-e61 ◽  
Author(s):  
Jennifer O'Brien ◽  
Marcel D'Eon
Keyword(s):  
Clinical Research ◽  
Research Training ◽  
Original Research ◽  
Patient Centered ◽  
Successful Development ◽  
Resident Research ◽  
The Public ◽  
Local Setting ◽  
Medical Educators ◽  
Central Purpose

Background: There are good reasons to train clinician researchers, including a lack of translational and patient centered research, a decline in physicians choosing academic careers, the need for physicians who are able to critically appraise research, and accreditation requirements. However, why are we insisting that residents engage in original clinical research?Discussion: This paper is structured around three questions: 1) Is mandating original research the answer? 2) What ought to be the central purpose of research training? And 3) What are the alternatives to original clinical research?  The successful development of clinician-scientists involves many more factors than resident research training. While invoking social accountability and public welfare, we argue for considering the opportunity cost of resident research training. We question the focus on original resident research and challenge medical educators to encourage research training aimed steadfastly at public good in the local setting. Finally, we offer preliminary suggestions for how to move forward.Conclusions: We conclude that medical educators should critically re-think our programs to develop resident researchers. If it is worthwhile to require original research projects during residency, then we must consider the priorities of local settings to best serve the public interest.

scholarly journals Primary care doctor fostering and clinical research training in Sweden: Implications for Japan

2018 ◽  
Vol 20 (1) ◽  
pp. 4-8 ◽  
Author(s):  
Takashi Watari ◽  
Masahiro Hirose ◽  
Patrik Midlöv ◽  
Yasuharu Tokuda ◽  
Hideyuki Kanda ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Research ◽  
Research Training ◽  
Primary Care Doctor

scholarly journals Public Green Space Policy Implementation: A Case Study of Krakow, Poland

2021 ◽  
Vol 13 (2) ◽  
pp. 538
Author(s):  
Anita Kwartnik-Pruc ◽  
Anna Trembecka
Keyword(s):  
Legal Status ◽  
Green Space ◽  
Sustainable Urban Development ◽  
Original Research ◽  
Space Policy ◽  
The Public ◽  
Central Statistical ◽  
Central Statistical Office ◽  
Public Green Space

Green space is essential for the implementation of the idea of sustainable urban development. This paper contains original research on the implementation of local government tasks in the development of public green space. The aim of this research was to analyse the actions taken by the municipal authorities regarding the development of public green space, including the acquisition of real properties, the regulation of their legal status, as well as the adoption of planning and programme documents. The Polish Central Statistical Office data on the public green space of the largest cities in Poland were analysed in order to determine the dynamics of changes. Then, the focus was placed on Krakow, where the authors analysed in detail the distribution and type of urban green space as well as the actions taken by the Municipality to both extend it and to protect it against building development. The criterion of green space accessibility to city residents was indicated as a necessary aspect to be considered in the overall assessment of the existing greenery. The conclusions include the assessment of the actions of the Krakow authorities and the observed trends in the development of public green space.

scholarly journals Innovation and value in pre-commercial procurement

2017 ◽  
Vol 3 (3) ◽  
pp. 137-156 ◽  
Author(s):  
Lena Brogaard
Keyword(s):  
Research And Development ◽  
Public Service ◽  
Public Procurement ◽  
Empirical Studies ◽  
Innovation Process ◽  
The Other ◽  
Successful Development ◽  
Collaborative Process ◽  
The Public ◽  
Management Commitment

Governments increasingly use novel forms of public procurement to stimulate innovation in public service delivery. A notable example is pre-commercial procurement. Launched by the European Commission a decade ago, pre-commercial procurement encourages research and development of new solutions for the public sector. However, limited theoretical and empirical studies have made it difficult to assess and improve use of the model to foster public innovation. Based on two pre-commercial procurement projects in Denmark, the article aims to complete the first systematic and theory-based evaluation of national experiences. The evaluation shows that sufficient resources, participant and management commitment, and focused management of the collaborative process contributed to successful development and testing of a new solution in one of the projects. Meanwhile, technical obstacles in developing a prototype resulted in termination of the other project. In this case, the pre-commercial procurement model cannot accommodate significant changes to the agreed solution during the innovation process.

On the Life Assurance Companies of Germany—their Constitution, Condition and Prospects: being the substance of a Paper presented to the Institute of Actuaries

1853 ◽  
Vol 3 (2) ◽  
pp. 134-147 ◽  
Author(s):  
Herr Rath G. Hopf
Keyword(s):  
Old Age ◽  
Successful Development ◽  
The Public ◽  
Life Assurance ◽  
High Profit ◽  
Mode Of Life

Next to England, Germany is the country in which the principles of life assurance have had the most successful development. It is true the more recent French Companies, La Caisse Paternelle, L'Equitable, La Caisse des Ecoles et des Families, which also call the assurances granted by them assurances sur la vie, show a greater extension in a shorter time; but what they guarantee to the public are not life assurances in our sense of the word. They are neither assurances granted for previously specified sums, nor is the payment of the claim dependent on the death of the assured. The more modern French life assurances are rather indefinite reversions obtained by paying in any sum the assured pleases, the interest of which (as in the Tontines), according to the mortality found to prevail in the different classes, may prove sometimes greater, sometimes less, and is only divided amongst those who attain the term of life which may have been previously agreed on. The contributions of those who die early, together with the interests thereon, go to augment the dividends to the surviving members. Whilst life assurance amongst the English and Germans is therefore calculated to be on the death of the assured a source of provision for their families, the more recent mode of life assurance amongst the French principally aims at granting to the assured himself, in his lifetime, an annuity or sum of money, which, increasing according as the computations are made for an earlier or later period, affords him the means of extending his business, of completing his education, of securing a dowry on marriage, or a provision in old age. In consequence, partly of the prospect of selfenjoyment of the reserve thus made, partly the possibility of obtaining a high profit for a small investment through a greater mortality in the classes than the tables assumed, this kind of assurance became very much in vogue amongst the French. Recently, however, a clearer understanding of the matter, and the exposure of some deceptions which a few of the Companies or their managers have been guilty of, have in some degree cooled the public favour.

scholarly journals CORREDORES URBANOS COMO CONECTORES DE VIDA PÚBLICA. DIAGNÓSTICO DE LOS CORREDORES URBANOS CENTRALES EN LA AVENIDA 24 DE MAYO, AZOGUES

2021 ◽  
pp. 78-107
Author(s):  
Lizeth Benavides ◽  
Natasha Cabrera_Jara ◽  
Belén Campoverde_Bermeo
Keyword(s):  
Public Space ◽  
Mobility Model ◽  
Original Research ◽  
The Public ◽  
Palabras Clave ◽  
Relationship Of ◽  
Urban Corridor ◽  
Siglo Xx ◽  
The Relationship

El cambio de modelo urbano asumido durante el siglo XX, trajo un sinnúmero de problemas como la priorización del vehículo, por lo que en la última década han surgido esfuerzos para dotar de importancia al ciudadano de a pie, en el espacio público. Esta investigación estudió las condiciones físico-espaciales de un corredor urbano donde el modelo centrado en el vehículo se acentúa, con la fnalidad de generar posibles estrategias que reviertan esta situación. Se tomó como caso de estudio a la Av. 24 de Mayo, en Azogues, y se lo analizó mediante una metodología mixta, que evaluó, detalladamente, tres zonas de estudio, determinando que la falta de accesibilidad y conectividad y el modelo de movilidad defendido por la ciudadanía, en general, infuyen directamente en las condiciones del espacio público peatonal y por ende en la habitabilidad urbana, perjudicando los desplazamientos a pie. Palabras clave: Espacio público; habitabilidad urbana; conectividad; accesibilidad; percepción. AbstractThe change of urban model assumed during the 20th century, brought countless problems such as the prioritization of vehicles, so in the last decade eforts have emerged to give importance to the citizen on foot in the public space. This original research studied the relationship of urban habitability with the physical-spatial conditions of an urban corridor, where the vehicle-centered model is accentuated, to generate possible strategies to reverse this situation. The Av. 24 de Mayo in Azogues was taken as a case study and analyzed using a mixed methodology that evaluated in detail three study areas, determining that the lack of accessibility and connectivity and the mobility model defended by citizens in general have a direct infuence on the conditions of the pedestrianpublic space and, therefore, on urban habitability, which afects walking Keywords: Public space; urban habitability; connectivity; accessibility; perception.

scholarly journals Brief Communication: Key papers of 20 years in Natural Hazards and Earth System Sciences

2021 ◽  
Author(s):  
Animesh K. Gain ◽  
Yves Bühler ◽  
Pascal Haegeli ◽  
Daniela Molinari ◽  
Mario Parise ◽  
...  
Keyword(s):  
Natural Hazards ◽  
Decision Makers ◽  
Original Research ◽  
Earth System ◽  
The Public ◽  
The Past ◽  
Major Subject ◽  
20Th Anniversary ◽  
Subject Areas ◽  
Twentieth Anniversary

Abstract. To mark the twentieth anniversary of Natural Hazards and Earth System Sciences (NHESS), an interdisciplinary and international journal dedicated to the public discussion and open-access publication of high-quality studies and original research on natural hazards and their consequences, we highlight eleven key publications covering major subject areas of NHESS that stood out within the past 20 years. The selected articles represent excellent scientific contributions in the major areas of natural hazards and risks and helped NHESS to become an exceptionally strong journal representing interdisciplinary areas of natural hazards and risks. At its 20th anniversary, we are proud that NHESS is not only used by scientists to disseminate research results and innovative novel ideas but also by practitioners and decision-makers to present effective solutions and strategies for sustainable disaster risk reduction.

scholarly journals Pharmacist Behavior Changes Following a Medication Counseling Training Program Targeting Teach-Back and Plain Language

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
David R Hager ◽  
Katherine Hartkopf ◽  
Amanda Margolis ◽  
Beth A Martin
Keyword(s):  
Training Program ◽  
Small Group ◽  
Direct Patient Care ◽  
Original Research ◽  
Plain Language ◽  
Patient Counseling ◽  
Patient Centered ◽  
Counseling Training ◽  
Communication Techniques ◽  
Education Theory

Purpose: To evaluate whether active learning-based training in teach-back and plain language (TBPL) techniques can lead to observable changes to patient-centered practices in pharmacist-patient counseling. Methods: All pharmacists in direct patient care roles, inpatient and outpatient, were required to complete a didactic module and a workshop / webinar or small group training. The workshop / webinar and small group modalities incorporated elements of adult education theory. Following completion, pharmacists were surveyed to assess their ability, confidence and commitment to incorporating TBPL techniques into practice. Evaluation of pharmacist-patient counseling was completed pre- and post- training through direct observation. Student pharmacists were trained to evaluate pharmacists’ consultations on patients with ≥2 new medications. Students recorded completeness rates for 39 communication techniques. Results: One-hundred and eighteen pharmacists completed the TBPL training program and 59 pharmacists completed an evaluation. A total of 84 direct observations were completed (40 pre-training and 44 post-training). Skills improved included: using plain language (p Conclusion: Implementing a TBPL training program improved observable pharmacist-patient consultation skills. This approach is replicable and could be utilized as a model for other competencies.   Type: Original Research

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