A nationwide survey on clinical neurophysiology education in Italian schools of specialization in neurology

Introduction Clinical neurophysiology deals with nervous system functions assessed with electrophysiological and ultrasound-based imaging techniques. Even though the need for highly specialized neurophysiologists has increased, residency training rarely takes today’s requirements into account. This study aimed to snapshot the neurophysiological training provided by Italian specialization schools in neurology. Methods A single-page web-based survey comprising 13 multiple-choice categorical and interval scale questions was sent via e-mail to neurology specialization school directors. The survey addressed the programs’ structural neurophysiology organization, time dedicated to each clinical neurophysiology subspecialty, and descriptors assessing the discipline’s importance (e.g., residents who attempted residential courses, gained certifications, or awards gained). Results The most studied neurophysiological techniques were electroencephalography (EEG) and electromyography (EMG). Most specialization schools devoted less than 3 months each to multimodal evoked potentials (EPs), ultrasound sonography (US), and intra-operative monitoring. Of the 35 specialization schools surveyed, 77.1% reported that four students, or fewer, participated in the Italian Society of Clinical Neurophysiology Examination in Neurophysiology. Of the 35 specialization centers surveyed, 11.4% declared that the final evaluation required students to discuss a neurophysiological test. Discussion Our survey underlined the poorly standardized technical requirements in postgraduate neurology specialization schools, wide variability among training programs, and limited training on multi-modal evoked potentials, intraoperative monitoring, and sonography. These findings underline the need to reappraise and improve educational and training standards for clinical neurophysiology during postgraduate specialization schools in neurology with an international perspective.

Advances in traceability systems in agri-food supply chains

Failure to deliver safe and high-quality food reduces consumer confidence in the food industry and results in costly food crises, foodborne illnesses and disruption to food supply chains. Recent advances in traceability systems, and associated identification and communication technologies hold the potential to ensure food quality and safety by managing effective traceability throughout the food supply chains. However, deficits in various factors e.g., resources, awareness, training, standards, data management and technology scaling impede exploitation of these cutting-edge traceability technologies. This chapter provides a review of the advances in agri-food traceability systems and technologies, barriers to their implementations, and possible improvement pathways and policy interventions to promote deployment of advanced food traceability systems.

An Affair to Remember: A Mixed-Methods Survey Examining Therapists’ Experiences Treating Infidelity

In this mixed-methods study, we analyzed data from 351 couple therapists who completed our Therapists' Experiences Treating Infidelity (TETI) survey. The present survey is a follow-up of previous iterations that examined therapists' attitudes toward infidelity and affair recovery treatment. Our TETI survey provided additional questions pertaining to therapists' personal history with affairs and perceptions on current research and training standards. Results showed that various therapist and couple factors serve to impede affair recovery treatment. Additionally, this survey revealed several similarities in therapists' attitudes from prior surveys, despite decades having passed between when the present survey and previous versions. In this article, we (a) outline findings from this mixed-methods survey, (b) discuss implications for the field, and (c) offer directions for future research.

Sharpening the Axe: Identifying and Closing Gaps Within the Training Space of the South African Private Security Industry

The ever-present threat of crime in South Africa continues to drive the rise and demand for Private Security Industry (PSI) services amongst various governmental institutions, businesses and citizens to ensure their safety. This rise for the Private Security Services (PSS) persistently presents new challenges to the Private Security Industry Regulatory Authority (PSiRA) such as poor security training standards and deployment of untrained security officers attached to the Private Security Companies (PSCs), which negatively impacts the professionalism of the security industry. This study was guided by this objective: Identifying and closing the gaps within South African training space of PSI. This qualitative study was guided by the exploratory research design. The judgemental sampling technique was adopted to sample 40 participants confined to Gauteng (GP), Kwa-Zulu Natal (KZN) and Western Cape (WC) Provinces. The selected relevant stakeholders were attached to the South African Police Service (SAPS), Department of Labour (DoLl), Department of Home Affairs (DoH), National Prosecuting Authority (NPA) and the legal fraternity) and the PSI Directors and security officers to form part of the Focus Group Discussions (FGDs) and hybrid semi-structured interviews. The findings highlighted that the majority of the participants agreed that the private security industry training space is affected by security service providers letting PSiRA down by not training at, but rather engaging in, criminal activity through selling and people buying PSiRA security certificates. Some of the challenges mentioned include; poor training standards, non-compliance to legislated training standards, unqualified security training facilitators and outdated security Grades, misuse of security equipment leading to serious injuries and death, corruption in the industry, some of it being perpetrated by PSiRA inspectors, the very people who are supposed to keep the industry in check. This study recommends that, in order to overcome the challenges in the security training space, PSiRA needs to do away with the outdated security Grades by developing a new policy framework which will enable the creation of a new security-training curriculum and revise the training methods to suit the ever-changing security industry.

Review of Emergency Medical Services Vulnerability to High Consequence Infectious Disease in the United States

Purpose: Emergency medical services (EMS) responders are a group of medically skilled professionals who perform a wide range of essential medical services within a community including emergency response, patient transport, and mobile integrated healthcare. The proper functioning of the EMS system is paramount to the well-being of the medical system and public health. The intent of this paper is to review current EMS standards and practice to determine the danger a high consequence infectious disease (HCID) may pose to these healthcare workers and the community.Areas Addressed: Through the review of EMS practice several areas were identified as vulnerabilities to the EMS network. These vulnerabilities consisted of the lack of standardized licensing practice, inconsistent medical direction, and the inability to properly implement the use of personal protective equipment (PPE). The compounding of these vulnerabilities allows for HCIDs to pose a serious threat to EMS personnel with the possibility of devastating and crippling the EMS infrastructure within the US.Discussion: The vulnerabilities identified must be addressed both to protect EMS providers and to enhance the resilience of the US healthcare system. Ways to address the identified vulnerabilities should focus on improving the EMS curriculum and increasing minimum levels of education for first responders. Targeting minimum education and training standards could be the most effect method of reducing the dangers of HCIDs to EMS systems.

Aligning Program Management Competencies to Industry Standards

The 2020 National Defense Authorization Act mandated that acquisition career fields realign their certification requirements to be based on the nationally recognized standards of an accredited third party. This study offers recommendations for improving the DoD program management (PM) training standards by providing traceability between the DoD PM competencies and the Project Management Institute (PMI)’s standards for project, program, and portfolio management. The study elaborates on the extent of alignment, finding that 96% of the DoD PM competency elements align to PMI standards. Areas of misalignment identify opportunities to augment DoD PM training and highlight areas where DoD PM training deviates from industry standards.

SP2.1.11Real-world use of workplace-based assessments in surgical training: a UK nationwide exploration of trainee perspectives and consensus recommendations from the Association of Surgeons in Training

Background The utility of Workplace-Based Assessments (WBAs) in surgical training depends on the way they are completed. This study aims to ascertain the real-world usage of WBAs, as perceived by UK surgical trainees. Methods An anonymous national online questionnaire was conducted via the Association of Surgeons in Training (ASiT). The evaluation employed mixed methods to interpret quantitative and qualitative data. Suggestions for improvement were identified from free-text comments and considered through a formal two-round modified Delphi consensus process by ASiT council members. Results Analysis included 906 complete responses from all surgical specialities across all training levels. WBA use was perceived to deviate markedly from the Joint Committee on Surgical Training standards with significantly identified misuse across all surgical specialities. Inaccurate completion was acknowledged by 89.6% of respondents, and some trainers appear complicit with 40.9% of respondents aware of 'unobserved sign-off', and 33.6% aware of 'password disclosure' by trainers. Most trainees felt the Annual Review of Competency Progression (ARCP) respected WBA quantity above quality (55.4%), and a third felt pressure to overstate the number completed (32.0%). Main reasons for misuse were time restraints, lack of engagement and the will to achieve career progression targets. Conclusions UK surgical trainees perceive a significant deviation from WBAs standards due to multiple factors. The frequency and nature of misuse are worrying and undermines the existing evidence for the WBAs role in training. We present consensus recommendations from ASiT for the improvement of WBA use in UK surgical training.

Aligning Program Management Competencies to Industry Standards

The 2020 National Defense Authorization Act mandated that acquisition career fields realign their certification requirements to be based on the nationally recognized standards of an accredited third party. This study offers recommendations for improving the DoD program management (PM) training standards by providing traceability between the DoD PM competencies and the Project Management Institute (PMI)’s standards for project, program, and portfolio management. The study elaborates on the extent of alignment, finding that 96% of the DoD PM competency elements align to PMI standards. Areas of misalignment identify opportunities to augment DoD PM training and highlight areas where DoD PM training deviates from industry standards.

Features of practical pedagogical training future teachers of foreign languages in western europe

The article deals with the analysis of the experience of organizing the pedagogical practice of future teachers in Germany and Great Britain. An analytical review of existing documents, which sets out the basic principles of training future teachers in Germany and the United Kingdom. The position of teacher training standards has been studied. The professional competencies of the teachers which are presented in the current standards are described. The peculiarities of the organization of pedagogical practice of future teachers in general and foreign language teachers in particular, in the modern universities of Germany and Great Britain are determined. The types of pedagogical practices introduced in various universities of Germany and Great Britain are characterized. The content and volume of practical training in universities are presented in detail, its goals are specified. Possible ways of implementation the experience of European countries on this issue in higher education in Ukraine have been identified.

Malaysian Nurses’ Knowledge of Radiation Protection: A Cross-Sectional Study

Radiology is a vital diagnostic tool for multiple disorders that plays an essential role in the healthcare sector. Nurses are majorly involved in a healthcare setting by accompanying patients during the examination. Thus, nurses tend to be exposed during inward X-ray examination, requiring them to keep up with radiation use safety. However, nurses’ competence in radiation is still a concept that has not been well studied in Malaysia. The study aimed to define the level of usage understanding and radiation protection among Malaysian nurses. In this research, a cross-sectional survey was conducted among 395 nurses working in hospitals, clinics, and other healthcare sectors in Malaysia. The survey is based on the developed Healthcare Professional Knowledge of Radiation Protection (HPKRP) scale, distributed via the online Google Forms. SPSS version 25.0 (IBM Corporation) was used to analyze the data in this study. Malaysian nurses reported the highest knowledge level in radiation protection with a mean of 6.03 ± 2.59. The second highest is safe ionizing radiation guidelines with 5.83 ± 2.77, but low knowledge levels in radiation physics and radiation usage principle (4.69 ± 2.49). Therefore, healthcare facilities should strengthen the training standards for all nurses working with or exposed to radiation.