Graduating Otolaryngology Residents’ Ideal Practice Expectations: A Longitudinal Analysis

Objective Prior literature has indicated that the number of trained otolaryngologists required to meet the need of our growing population may be insufficient. Therefore, identifying trends in the subspecialty composition of future otolaryngology practices will elucidate workforce needs. Study Design One-page anonymous questionnaire. Setting The survey was completed by examinees at the conclusion of their American Board of Otolaryngology–Head and Neck Surgery oral examination from 2011 to 2019. Methods Data included age, gender, fellowship, practice type, and ideal future practice components. Results A total of 2286 examinees were included: 58.1% were male and 57.2% completed a fellowship. Ideal practice specialties included general otolaryngology (19%), rhinology (15%), head and neck (13%), and pediatrics (11%). General and pediatric otolaryngology had a negative correlation over time ( r = −0.81, P = .01, and r = −0.75, P = .03, respectively). An overall 45% of graduates reported 1 ideal practice area ( r = 0.61, P = .10), with a statistically significant decline in the number of ideal practice areas over time ( r = −0.79, P = .018). Men more commonly reported allergy, head and neck, otology, rhinology, and sleep medicine as part of their ideal practice ( P < .05), while women more commonly reported pediatric otolaryngology ( P < .05). There was a higher mean number of ideal practice areas among men than women (2.58 vs 2.1, P < .001). Conclusion There is a growing trend for more specialized otolaryngology practices. The data demonstrate a decline in considering general and pediatrics otolaryngology as part of practices, which portends a gap in access to comprehensive otolaryngology in the future.

Online or Offline: Does It Matter? A Review of Existing Interpretation Approaches and Their Effect on Screening Mammography Metrics, Patient Satisfaction, and Cost

The ideal practice routine for screening mammography would optimize performance metrics and minimize costs, while also maximizing patient satisfaction. The main approaches to screening mammography interpretation include batch offline, non-batch offline, interrupted online, and uninterrupted online reading, each of which has its own advantages and drawbacks. This article reviews the current literature on approaches to screening mammography interpretation, potential effects of newer technologies, and promising artificial intelligence resources that could improve workflow efficiency in the future.

Recent Laryngology Fellowship Graduates: Where Are They Now?

Objectives: Over the past 30 years laryngology fellowships have grown in number and diversity. This study investigated the career trajectories of recent laryngology fellowship graduates with the purpose of informing residents considering fellowship. Study design: Cross-sectional survey Setting: Academic medical center Methods: The directors of all 27 US laryngology fellowships that graduated/recruited fellows from 2010 to 2019 were contacted, and a list of former fellows was compiled. A short survey was administered in person or via email or phone. Additional data was gathered through internet searches. Results: One hundred eighty-three fellows were identified having completed American laryngology fellowships between 2010 and 2019 (100M:83F). Fifteen percent now practice internationally and 68% are in academic practice. A higher proportion of women than men enter laryngology fellowship after otolaryngology residency. One hundred twenty-nine fellows responded to our survey. Two-thirds of former fellows report current participation in laryngology research. Seventy-two percent of former fellows are still in their first job after fellowship and 53% believe they have their ideal practice. Women were more likely to enter academics than men after laryngology fellowship. Responders were overwhelmingly satisfied with their fellowship experience, with 95% saying they would choose to pursue fellowship training again. Conclusions: Most former laryngology fellows enter academia, contribute to laryngology research, practice away from their training institution, and believe they have found their ideal practice. The results of this study may be useful to residents considering fellowship training, centers considering establishing laryngology fellowships, and practices recruiting fellowship graduates.

Intrinsic Value of Incentives Compared To Salaries: Can Organization Stop Paying Salaries?

This research weighs significantly on challenging the present practice of compensation and rewards. Traditionally or conventionally, the organization reciprocates the gratitude to their employees in monetary terms. Non-monetary rewards being an exclusive section, it is not discussed in this research paper. Among the direct rewards, whether the companies should practice compensating their employees a fixed salary or pay only incentives for the tasks that are achieved? this question may not be welcomed by any employee as it touches the sensitive quotient. Nevertheless, organizations need to understand the right practice in the right era by implementing an intelligent framework. Equity Theory developed by Adams is laid as a foundation to encounter the present unfair reward system. Concurrent mixed-mode method research is done with 162 respondents (quantitative) and 15 respondents (qualitative). Multivariate analysis using SmartPLS 3.3.3 is executed to assess the measurement model and structural model to analyze the covariance between the constructs. The outcome of research claims that it is an ideal practice to implement task-based incentives in organizations rather than paying fixed salaries irrespective of the size or productivity of companies.

Exploring the ideal practice for occupational therapists on assertive community treatment teams

Introduction Canadian occupational therapists are employed as case managers on assertive community treatment (ACT) teams to support community living for individuals with severe and persistent mental illnesses. In this position, occupational therapists act primarily as generalists, typically attending appointments with clients, supervising medication adherence, supporting basic living needs, and managing client crises. Occupational therapists may also provide psychotherapy and coping skill groups, as well as profession-specific practices, such as skills training. Exploring how ACT occupational therapists describe their perceived ideal practice may support transformation in long-standing, occupational therapy practices on ACT teams. Method This qualitative, interpretive description study involved 11 Canadian ACT team occupational therapists in one individual, semi-structured in-depth interview using an interview guide containing open-ended questions. Interview transcripts were analyzed to identify themes pertaining to therapists’ descriptions of their perceived ideal occupational therapy practice on ACT teams. Results Three themes emerged: (a) Engaging in practice “with intention”; (b) Finding the space for occupational therapy practice; and (c) Supporting clients in their recovery to find their best occupational self. Conclusions The findings highlight practice possibilities for occupational therapist working on ACT teams and provide a foundation for advocating for better use of specific occupational therapy practices within community mental health settings.

Does Surgeon Gender Matter for Aesthetic Patients?

Background Plastic surgery patients have expectations for an ideal practice to visit. However, patients’ preferences in their plastic surgeon are still being described. Objectives This study investigates if elective cosmetic plastic surgery patients exhibit gender preference in their plastic surgeon for online inquiries at a private practice located in Houston, TX. The surgeons are a married couple, one female and one male, with identical training, age, and experience out of residency. Methods A retrospective, single-practice review of all online inquiries for elective plastic surgery and nonsurgical injectable treatment from June 2019 to June 2020 was performed. Patients submitted an online inquiry for their procedure of interest and surgeon preference via the practice website. Results The private practice had 873 online inquiries during the year-long study period. The majority of patients were female, 855 (97.9%), and 18 (2.1%) of those patients were male. 476 (55.7%) female patients prefer a female surgeon and 138 (16.1%) female patients prefer a male surgeon. 241 (28.2%) female patients made no surgeon preference. Regardless of surgeon preference, the majority of procedures inquired about were breast and body contouring. Conclusions This cohort of female patients prefers the female surgeon for breast procedures or multiple procedures involving breast, and the male surgeon for injectable procedures and facial procedures. There is no favor towards the male or female surgeon in body procedures. In conclusion, female plastic surgery patients may be influenced by surgeon gender in choosing their surgeon, depending on their surgery of interest.

Archipelago of Possibilities: Facilitator Guide

Archipelago of Possibilities is a strategy and professional development workshop created specifically to help teachers and educators uncover what they hold dear in their teaching practice and discover what they consider most important for a successful practice. This workshop uses travel as a metaphor to guide participants in reflecting on their practice, identifying successful factors for success, examining what is holding them back from achieving their ideal practice, and developing steps to create a future ideal teaching and learning space.

Linguistic Landscapes of Language and Sexuality

This chapter outlines the benefits of a linguistic landscape studies approach for the broader study of language and sexuality. Chinese martial arts films, often described as highly masculine and dominated by male heroes and male characters, are a rich site for the analysis of the social construction of gender and sexuality, particularly in the way they portray an idealized male dominance through Confucian ideologies. These films are thus viewed as a legitimate space, albeit fictional and mediatized, for the application of a linguistic landscape perspective. Based on samples of over 200 films, the analysis argues that features in the linguistic landscapes of these films—among them referential names of landmarks and material constructions of settings and costumes—semiotically mark the gender and sexuality of the martial arts practitioner characters. Most notably, the linguistic landscapes in these films glorify celibacy—or controlled asexuality—as an ideal practice that goes along with ultimate masculinity, as seen in the homosocial rejection of romance and celebration of chastity.

Challenges in enacting occupation-based social transformative practices: A critical dialogical study

Background. Globally, occupational therapists are taking up the transformative potential of occupation to mobilize the profession’s commitment to social change. Purpose. This study examined ideal constructions of occupation-based social transformative practices and challenges that may arise when enacting these practices. Method. Five participants with experiences developing practices aligned with social transformative goals in diverse locations were recruited. In this critical dialogical study, three dialogical interviews were conducted with each participant. Critical reflexivity was enacted through the exchange of transcripts and critical reflections with participants. A critical discourse analysis was conducted to examine how such practices are shaped within discourses and other contextual features. Findings. The findings address constructions of ideal practice and three threads that provide critical insights into ways discourses shape possibilities to enact social transformation through occupation. Implications. This study brings together experiential and theoretical knowledge to advance social transformative practices by problematizing underexamined discourses in occupational therapy.