scholarly journals Medical student wellness in Canada: time for a national curriculum framework

2021 ◽  
Author(s):  
Dax Bourcier ◽  
Rena Far ◽  
Lucas B King ◽  
George Cai ◽  
Joanna Mader ◽  
...  
Keyword(s):  
Medical Student ◽  
National Curriculum ◽  
System Level ◽  
Student Wellness ◽  
Individual Level ◽  
Canadian Population ◽  
Competency Frameworks ◽  
Quality Of Patient Care ◽  
Curriculum Framework ◽  
Wellness Curriculum

There is substantial evidence showing that medical student wellness is a worsening problem in Canada. It is apparent that medical students’ wellness deteriorates throughout their training. Medical schools and their governing bodies are responding by integrating wellness into competency frameworks and accreditation standards through a combination of system- and individual-level approaches. System-level strategies that consider how policies, medical culture, and the “hidden curriculum” impact student wellness, are essential for reducing burnout prevalence and achieving optimal wellness outcomes. Individual-level initiatives such as wellness programming are widespread and more commonly used. These are often didactic, placing the onus on the student without addressing the learning environment. Despite significant progress, there is little programming consistency across schools or training levels. There is no wellness curriculum framework for Canadian undergraduate medical education that aligns with residency competencies. Creating such a framework would help align individual- and system-level initiatives and smooth the transition from medical school to residency. The framework would organize goals within relevant wellness domains, allow for local adaptability, consider basic learner needs, and be learner-informed. Physicians whose wellness has been supported throughout their training will positively contribute to the quality of patient care, work environments, and in sustaining a healthy Canadian population.

scholarly journals System models for resilience in gerontology: application to the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katarzyna Klasa ◽  
Stephanie Galaitsi ◽  
Andrew Wister ◽  
Igor Linkov
Keyword(s):  
The Elderly ◽  
System Level ◽  
Improve Quality ◽  
Care Needs ◽  
Individual Level ◽  
Chronic Stressors ◽  
The World ◽  
Aging Adults ◽  
The Individual

AbstractThe care needs for aging adults are increasing burdens on health systems around the world. Efforts minimizing risk to improve quality of life and aging have proven moderately successful, but acute shocks and chronic stressors to an individual’s systemic physical and cognitive functions may accelerate their inevitable degradations. A framework for resilience to the challenges associated with aging is required to complement on-going risk reduction policies, programs and interventions. Studies measuring resilience among the elderly at the individual level have not produced a standard methodology. Moreover, resilience measurements need to incorporate external structural and system-level factors that determine the resources that adults can access while recovering from aging-related adversities. We use the National Academies of Science conceptualization of resilience for natural disasters to frame resilience for aging adults. This enables development of a generalized theory of resilience for different individual and structural contexts and populations, including a specific application to the COVID-19 pandemic.

scholarly journals The Ontario Food and Nutrition Strategy: identifying indicators of food access and food literacy for early monitoring of the food environment

2017 ◽  
Vol 37 (9) ◽  
pp. 313-319 ◽  
Author(s):  
Beatrice A. Boucher ◽  
Elizabeth Manafò ◽  
Meaghan R. Boddy ◽  
Lynn Roblin ◽  
Rebecca Truscott
Keyword(s):  
Food Environment ◽  
Selection Criteria ◽  
Food Access ◽  
Healthy Food ◽  
System Level ◽  
Level Indicator ◽  
Individual Level ◽  
Food Literacy ◽  
Food And Nutrition ◽  
Nutrition Strategy

Introduction To address challenges Canadians face within their food environments, a comprehensive, multistakeholder, intergovernmental approach to policy development is essential. Food environment indicators are needed to assess population status and change. The Ontario Food and Nutrition Strategy (OFNS) integrates the food, agriculture and nutrition sectors, and aims to improve the health of Ontarians through actions that promote healthy food systems and environments. This report describes the process of identifying indicators for 11 OFNS action areas in two strategic directions (SDs): Healthy Food Access, and Food Literacy and Skills. Methods The OFNS Indicators Advisory Group used a five-step process to select indicators: (1) potential indicators from national and provincial data sources were identified; (2) indicators were organized by SD, action area and data type; (3) selection criteria were identified, pilot tested and finalized; (4) final criteria were applied to refine the indicator list; and (5) indicators were prioritized after reapplication of selection criteria. Results Sixty-nine potential indicators were initially identified; however, many were individual-level rather than system-level measures. After final application of the selection criteria, one individual-level indicator and six system-level indicators were prioritized in five action areas; for six of the action areas, no indicators were available. Conclusion Data limitations suggest that available data may not measure important aspects of the food environment, highlighting the need for action and resources to improve system-level indicators and support monitoring of the food environment and health in Ontario and across Canada.

The Gatekeeping of iNews.id about News on Worship in Mosques Due to the Covid-19 Pandemic

MEDIASI ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 100-107
Author(s):  
Shania Shaufa ◽  
Thalitha Sacharissa Rosyidiani
Keyword(s):  
Production Process ◽  
Media Coverage ◽  
System Level ◽  
Organizational Level ◽  
Online Media ◽  
Individual Level ◽  
The Public ◽  
The Social ◽  
The Media ◽  
The Individual

This article explains about online media iNews.id in implementing gatekeeping function. This study aims to find out how gatekeeping efforts iNews.id in the production process on the issue of preaching restrictions on worship in mosques during Ramadan in 2020. During the Covid-19 pandemic, the current media situation, especially in the midst of a crisis, encourages the public to become heavily dependent on media coverage. With a qualitative approach, researchers analyzed five levels of influence on the gatekeeping process in online media iNews.id. The results of this study show that factors that influence the way iNews.id in the production process of preaching restrictions on worship in mosques due to the Covid-19 pandemic are the individual level of media workers, the level of media routine, the organizational level, the extramedia level, and the social system level. The conclusions of this study state the most dominant levels is the organization level and the media routine level in the iNews.id.

Russia, China, and Central Asia in Higher Education

2020 ◽  
pp. 380-400
Author(s):  
Isak Froumin ◽  
Ruoqi Cao
Keyword(s):  
Higher Education ◽  
Central Asia ◽  
Student Mobility ◽  
Russian Language ◽  
System Structure ◽  
System Level ◽  
Soviet Period ◽  
Chinese Higher Education ◽  
Individual Level ◽  
Russian Higher Education

This chapter explores relations between Russia and China in higher education and the role of China in Central Asia, where both countries are active. During the Soviet period Russia exercised a profound influence in Chinese higher education. Though China (unlike Russia after 1991) maintains a Leninist political system, China has moved further from Soviet system structure. The two countries continue multiple interactions in higher education, including system level partnerships, and student mobility, though cooperation at the institutional and individual level does not match the goals in intergovernmental documents. The five former Soviet Central Asian republics (Kazakhstan, Kyrgyzstan, Tajikistan, Uzbekistan, and Turkmenistan) are developing their own higher education systems, but the Russian language is widely used, and partnerships with Russian higher education institutions continue. Though China has not prioritized higher education in Central Asia there are signs of growing regional competition between China and Russia in this sector.

The HPWS and AMO: a dynamic study of system- and individual-level effects

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fiona Edgar ◽  
Jing A. Zhang ◽  
Nancy M. Blaker
Keyword(s):  
Task Performance ◽  
Service Sector ◽  
Contextual Performance ◽  
System Level ◽  
Human Resource Research ◽  
Organizational System ◽  
Content Type ◽  
Individual Level ◽  
The Relationship ◽  
And Task

PurposeDrawing on the dynamic model of ability, motivation, opportunity (AMO) for human resource research, this study aims to examine how organizational system-level (i.e. the high-performance work system (HPWS)) and individual-level AMO affect employees' performance. Specifically, this paper proposes that employee task performance is resultant from the integration of system- and individual-level AMO factors with employee contextual performance.Design/methodology/approachA survey design is employed with data collected from 250 employees working in New Zealand's service sector.FindingsThis study finds both organizational system (HPWS) and individual AMO dimensions have positive associations with employees' performance. At the system level, the supportive role played by contextual performance is highlighted with pro-social behaviors fully mediating the relationship between the HPWS and task performance. At the individual level, contextual performance is found to partially mediate the relationship between ability and task performance and fully mediate the relationship between motivation and task performance. Opportunity, on the other hand, is significantly associated with task but not contextual performance.Originality/valueIn acknowledging there are a plurality of factors that impact performance, this study enriches our understanding of AMO's influence in the context of people management.

scholarly journals Introducing the Dynamic Destination Satisfaction Method: An Analytical Tool to Track Tourism Destination Satisfaction Trends with Repeated Cross-sectional Data

2020 ◽  
pp. 004728752095820
Author(s):  
Andrea Guizzardi ◽  
Marcello M. Mariani
Keyword(s):  
Large Data ◽  
System Level ◽  
Set Covering ◽  
Tourism Destination ◽  
Cross Sectional ◽  
Data Set ◽  
Individual Level ◽  
Specific Attribute ◽  
The Matrix

This study introduces a new method, named Dynamic Destination Satisfaction Method (DDSME), to model tourists’ satisfaction with a destination (and its attributes), breaking it down into an individual-level component (linked to the specific individual tourists’ perceptions) and a system-level (time-related) component (common to all the tourists). Moreover, this work develops a matrix “entropy/trend accuracy” that destination managers can use to understand to what extent managing a specific attribute has increased tourists’ satisfaction with the destination over multiyear time spans. We test the innovative method on a large data set, covering the period 1997-2015 and including almost 0.8 million observations. By doing so, we analyze tourists’ satisfaction with tourism-related sectors and attributes of Italy as an inbound tourism destination and we use the matrix to map out destination attributes over time. The findings indicate that courtesy, art, and food are strategic attributes to enhance satisfaction in the long term.

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