WorldWideScience

Sample records for non-procedure based specialties

  1. Design and implementation of population-based specialty care programs.

    Science.gov (United States)

    Botts, Sheila R; Gee, Michael T; Chang, Christopher C; Young, Iris; Saito, Logan; Lyman, Alfred E

    2017-09-15

    The development, implementation, and scaling of 3 population-based specialty care programs in a large integrated healthcare system are reviewed, and the role of clinical pharmacy services in ensuring safe, effective, and affordable care is highlighted. The Kaiser Permanente (KP) integrated healthcare delivery model allows for rapid development and expansion of innovative population management programs involving pharmacy services. Clinical pharmacists have assumed integral roles in improving the safety and effectiveness of high-complexity, high-cost care for specialty populations. These roles require an appropriate practice scope and are supported by an advanced electronic health record with disease registries and electronic surveillance tools for care-gap identification. The 3 specialty population programs described were implemented to address variation or unrecognized gaps in care for at-risk specialty populations. The Home Phototherapy Program has leveraged internal partnerships with clinical pharmacists to improve access to cost-effective nonpharmacologic interventions for psoriasis and other skin disorders. The Multiple Sclerosis Care Program has incorporated clinical pharmacists into neurology care in order to apply clinical guidelines in a systematic manner. The KP SureNet program has used clinical pharmacists and data analytics to identify opportunities to prevent drug-related adverse outcomes and ensure timely follow-up. Specialty care programs improve quality, cost outcomes, and the patient experience by appropriating resources to provide systematic and targeted care to high-risk patients. KP leverages an integration of people, processes, and technology to develop and scale population-based specialty care. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  2. Embracing a competency-based specialty curriculum for community-based nursing roles.

    Science.gov (United States)

    Levin, Pamela F; Swider, Susan M; Breakwell, Susan; Cowell, Julia M; Reising, Virginia

    2013-01-01

    The Quad Council competencies for public health nursing (PHN) provide guidance in developing curricula at both the generalist and specialist level. However, these competencies are based on nursing roles in traditional public health agencies and community/public health is defined more broadly than official agency practice. The question arises as to whether community-based specialties require largely the same knowledge and skill set as PHN. The purpose of the competency cross-mapping project reported here was to (a) assess the intersection of the Quad Council competencies with four community-based specialties and (b) ensure the appropriateness of a Quad Council-based curriculum to prepare graduates across these four specialties (home health, occupational health, environmental health, and school nursing). This article details the multistep cross-mapping process, including validation with practice leaders. Results indicate strong alignment of community-based specialty competencies with Quad Council competencies. Community-based specialty-specific content that did not align well is identified, along with examples of didactic and clinical strategies to address gaps. This work indicates that a Quad Council-based curriculum is appropriate to prepare graduates in community-based specialties when attention to the specialty-specific competencies in the clinical setting is included. This work guides the development of a doctorate of nursing practice curriculum in PHN, encompassing the four additional community-based specialties.

  3. Using relationship styles based on attachment theory to improve understanding of specialty choice in medicine

    Directory of Open Access Journals (Sweden)

    Russo Joan E

    2006-01-01

    Full Text Available Abstract Background Patient-provider relationships in primary care are characterized by greater continuity and depth than in non-primary care specialties. We hypothesized that relationship styles of medical students based on attachment theory are associated with specialty choice factors and that such factors will mediate the association between relationship style and ultimately matching in a primary care specialty. Methods We determined the relationship styles, demographic characteristics and resident specialty match of 106 fourth-year medical students. We assessed the associations between 1 relationship style and specialty choice factors; 2 specialty choice factors and specialty match, and 3 relationship style and specialty match. We also conducted mediation analyses to determine if factors examined in a specialty choice questionnaire mediate the association between relationship style and ultimately matching in a primary care specialty. Results Prevalence of attachment styles was similar to that found in the general population and other medical school settings with 59% of students rating themselves as having a secure relationship style. Patient centeredness was directly associated, and career rewards inversely associated with matching in a primary care specialty. Students with a self-reliant relationship style were significantly more likely to match in a non-primary care specialty as compared to students with secure relationship style (OR = 5.3, 95% CI 1.8, 15.6. There was full mediation of the association between relationship style and specialty match by the specialty choice factor characterized by patient centeredness. Conclusion Assessing relationship styles based on attachment theory may be a potentially useful way to improve understanding and counsel medical students about specialty choice.

  4. Prediction of specialty coffee cup quality based on near infrared spectra of green coffee beans.

    Science.gov (United States)

    Tolessa, Kassaye; Rademaker, Michael; De Baets, Bernard; Boeckx, Pascal

    2016-04-01

    The growing global demand for specialty coffee increases the need for improved coffee quality assessment methods. Green bean coffee quality analysis is usually carried out by physical (e.g. black beans, immature beans) and cup quality (e.g. acidity, flavour) evaluation. However, these evaluation methods are subjective, costly, time consuming, require sample preparation and may end up in poor grading systems. This calls for the development of a rapid, low-cost, reliable and reproducible analytical method to evaluate coffee quality attributes and eventually chemical compounds of interest (e.g. chlorogenic acid) in coffee beans. The aim of this study was to develop a model able to predict coffee cup quality based on NIR spectra of green coffee beans. NIR spectra of 86 samples of green Arabica beans of varying quality were analysed. Partial least squares (PLS) regression method was used to develop a model correlating spectral data to cupping score data (cup quality). The selected PLS model had a good predictive power for total specialty cup quality and its individual quality attributes (overall cup preference, acidity, body and aftertaste) showing a high correlation coefficient with r-values of 90, 90,78, 72 and 72, respectively, between measured and predicted cupping scores for 20 out of 86 samples. The corresponding root mean square error of prediction (RMSEP) was 1.04, 0.22, 0.27, 0.24 and 0.27 for total specialty cup quality, overall cup preference, acidity, body and aftertaste, respectively. The results obtained suggest that NIR spectra of green coffee beans are a promising tool for fast and accurate prediction of coffee quality and for classifying green coffee beans into different specialty grades. However, the model should be further tested for coffee samples from different regions in Ethiopia and test if one generic or region-specific model should be developed.

  5. Discussion on the teaching mode of higher vocational nursing specialty based on CDIO model

    Directory of Open Access Journals (Sweden)

    Xiu-fang CAI

    2013-11-01

    Full Text Available Discussion on the teaching mode of higher vocational nursing specialty based on CDIO model is the core of this study. CDIO is the latest achievement in the reform of the international higher education of engineering and has been thrived since 2000. There are some inevitable problems when domestic universities introduced and innovated the CDIO mode. Therefore the CDIO model is a bold attempt for the institutions of higher education, especially higher vocational college teachers. The CDIO mode drives teachers to reflect on the existed teaching philosophy, and therefore enables them to change teaching methods in the teaching process and improve their teaching capacity tremendously. Meanwhile, it also encourages students to learn automatically and cultivate their comprehensive abilities such as professional capability, development capability, interpersonal skills, innovation ability, etc.

  6. Construction Started for the Specialty Paper & Coated Paper Industrial Base Project of Guanhao High-tech

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    On November 18,2011,construction started for the specialty paper & coated paper industrial base project of Guanhao High-tech Co.,Ltd.in Zhanjiang Development Zone.The total investment planned for the project is RMB 7.6 billion.After completing the construction and putting into production,

  7. Does integrated training in evidence-based medicine (EBM) in the general practice (GP) specialty training improve EBM behaviour in daily clinical practice? A cluster randomised controlled trial

    National Research Council Canada - National Science Library

    Kortekaas, M F; Bartelink, M E L; Zuithoff, N P A; van der Heijden, G J M G; de Wit, N J; Hoes, A W

    2016-01-01

    Evidence-based medicine (EBM) is an important element in the general practice (GP) specialty training. Studies show that integrating EBM training into clinical practice brings larger benefits than stand-alone modules...

  8. Science-specialty literatures their legendary contemporary polarity, based on the transmission of information between generations.

    Science.gov (United States)

    Windsor, D A

    1975-01-01

    Each of fifteen scientific specialty fields was represented by a journal and the percent of "legendary" papers (those with at least one reference twenty-five or more years old) was calculated for each field. Non-legendary papers were designated as "contemporary". A historical divergence was uncovered when the highly legendary field, physiology, was compared with the highly contemporary field, microbiology, both fields being moderately contemporary in 1922. The legendary contemporary field characteristics of a field are useful for estimating libraries' requirements for back holdings and for appraising literature searches. PMID:1095096

  9. The management of gout in different clinical specialties in Turkey: a patient-based survey.

    Science.gov (United States)

    Öztürk, Mehmet Akif; Mercan, Rıdvan; Gök, Kevser; Onat, Ahmet Mesut; Kısacık, Bünyamin; Kimyon, Gezmiş; Balkarlı, Ayşe; Kaya, Arif; Çobankara, Veli; Balcı, Mehmet Ali; Pamuk, ÖmerNuri; Yıldırım Çetin, Gözde; Sayarlıoğlu, Mehmet; Şenel, Soner; Tezcan, Mehmet Engin; Küçük, Adem; Üreten, Kemal; Şahin, Şafak; Tufan, Abdurrahman

    2016-12-01

    Although gout is potentially curable, the management of this disease is often suboptimal. In this study, we investigated the treatment of gout in Turkey and also compared the management approaches to gout in different clinical specialties. Three hundred and nineteen consecutive patients (mean age 58.60 ± 12.8 years; 44 females, 275 males) were included in this multicenter study. A standardized form was generated to collect data about the patient's first admission to health care, the specialty of the doctor first diagnosed the gout, the treatment options for gout including attack management, patient referral, chronic treatment including medical treatment, and life style modifications. Forty patients were referred to another center without any treatment (12.8 %), and referral rate is most common among the primary care physicians (28.8 %). Colchicine was more commonly used for attack prophylaxis than allopurinol. Ninety-two patients had never been treated with allopurinol (28.8 %). Allopurinol prescription was less common among the primary care physicians and orthopedists, and highest among the rheumatologists. Recommendation of diet and life style modifications was less common among the primary care physicians and orthopedists, and highest among the rheumatologists. The rates of life style modification recommendation and long-term allopurinol prescription were 83.7 and 77.6 %, respectively, among the rheumatologists. Both acute and chronic management of gout is suboptimal in Turkey especially among the primary care physicians and orthopedists. Moreover, chronic treatment is even suboptimal among rheumatologists.

  10. Hygienic bases of professiographic assessment of dental specialties and prospects of its use in the practice of modern preventive medicine

    Directory of Open Access Journals (Sweden)

    Panchuk O.Y.

    2016-12-01

    Full Text Available Professiography of work activity is an important part of a modern system of professional orientation. In the course of research aimed at developing hygienic bases of professiographic assessment of the major dental specialties and determining prospects for its use in the practice of modern preventive medicine it was found, that in the structure of psychophysiological functions, reflecting peculiarities of higher nervous activity of the organism and necessary for successful mastery of dental specialties, professionally-important functions should be considered such things as balance and mobility of nervous processes, strength of excitation and inhibition processes, speed of differentiated visual-motor reactions and endurance of the nervous system; in the structure of psychophysiological functions that reflect features of visual sensory system of the organism – the most important indicators are visual acuity, critical rate of fusion of light nictations, differentiated linear good eye, speed of visual perception and differential light sensitivity; in the structure of psychophysiological functions, reflecting features of somatosensory analyzer of the organism – the most important their characteristics are overall coordination, combined coordination of arm movements, coordination of arms under the control of vision and coordination of movements of the fingers.

  11. Modified Powder-in-Tube Technique Based on the Consolidation Processing of Powder Materials for Fabricating Specialty Optical Fibers

    Directory of Open Access Journals (Sweden)

    Jean-Louis Auguste

    2014-08-01

    Full Text Available The objective of this paper is to demonstrate the interest of a consolidation process associated with the powder-in-tube technique in order to fabricate a long length of specialty optical fibers. This so-called Modified Powder-in-Tube (MPIT process is very flexible and paves the way to multimaterial optical fiber fabrications with different core and cladding glassy materials. Another feature of this technique lies in the sintering of the preform under reducing or oxidizing atmosphere. The fabrication of such optical fibers implies different constraints that we have to deal with, namely chemical species diffusion or mechanical stress due to the mismatches between thermal expansion coefficients and working temperatures of the fiber materials. This paper focuses on preliminary results obtained with a lanthano-aluminosilicate glass used as the core material for the fabrication of all-glass fibers or specialty Photonic Crystal Fibers (PCFs. To complete the panel of original microstructures now available by the MPIT technique, we also present several optical fibers in which metallic particles or microwires are included into a silica-based matrix.

  12. 基于Flex与Google Maps的地方特产Web GIS构建%Local Specialties Web GIS Based on Flex and Google Maps

    Institute of Scientific and Technical Information of China (English)

    何辉; 龚成莹

    2011-01-01

    基于Google Maps API,利用开源Flash框架Flex,PHP及开源数据库MySQL,构建基于Web的地方特产WebGIS展示系统,以电子地图方式灵活地实现了特产分类查询、特产查询展示、行车路线查询等功能.介绍了系统设计思路,主要功能及其实现方法.%Using of open source Flash framework for Flex, PHP and open source database MySQL, This article builds local specialties Web GIS display system based on Google Maps API, achieves the specialty category queries,query specialty show, driving directions inquiry Function with flexible electronic maps, describes the design of system, the main function and its implementation.

  13. Does integrated training in evidence-based medicine (EBM) in the general practice (GP) specialty training improve EBM behaviour in daily clinical practice? A cluster randomised controlled trial

    NARCIS (Netherlands)

    Kortekaas, M.F.; Bartelink, M.E.L.; Zuithoff, N.P.A.; van der Heijden, G.J.M.G.; de Wit, N.J.; Hoes, A.W.

    2016-01-01

    Objectives Evidence-based medicine (EBM) is an important element in the general practice (GP) specialty training. Studies show that integrating EBM training into clinical practice brings larger benefits than stand-alone modules. However, these studies have neither been performed in GP nor assessed E

  14. Does integrated training in evidence-based medicine (EBM) in the general practice (GP) specialty training improve EBM behaviour in daily clinical practice? : A cluster randomised controlled trial

    NARCIS (Netherlands)

    Kortekaas, M F; Bartelink, M E L|info:eu-repo/dai/nl/100449069; Zuithoff, N P A|info:eu-repo/dai/nl/313995494; van der Heijden, G J M G; de Wit, N J|info:eu-repo/dai/nl/100525393; Hoes, A W|info:eu-repo/dai/nl/101111762

    2016-01-01

    OBJECTIVES: Evidence-based medicine (EBM) is an important element in the general practice (GP) specialty training. Studies show that integrating EBM training into clinical practice brings larger benefits than stand-alone modules. However, these studies have neither been performed in GP nor assessed

  15. Novel method for fabrication of metal- or oxide-nanoparticle doped silica-based specialty optical fibers

    Science.gov (United States)

    Lenardič, Borut; Kveder, Miha; Lisjak, Darja; Guillon, Herve; Bonnafous, Samuel

    2011-03-01

    Nanoparticle-doped optical fibers are causing significant scientific interest in different application fields. Nanoparticle-doping of silica glass layers during optical fiber preform fabrication was so far reported by sol-gel and solution doping processes, by flame hydrolysis spraying and by pulling hollow cylinders from nanoparticle suspensions. A new method for fabrication of high quality nanoparticle-doped fibers is suggested. Proposed method is based on "flash vaporization" deposition process, previously reported as method to fabricate rare earth- and metal ion-doped specialty optical fibers. Experiments were made where SiO2 layers were deposited using "flash vaporization"-equipped MCVD system, adding vapors carrying metal or oxide nanoparticles into deposition zone. Analysis of produced preforms confirms presence of nanoparticles in deposited layers, albeit with low deposition rate due to weak thermophoretic forces acting on very small particles or agglomerations. Based on results, a number of improvements were suggested and implemented in fabrication process, device design and choice of precursor materials. "Flash vaporization" method was demonstrated as suitable method for deposition of nanoparticles in silica layers, permitting in-situ fabrication of complete preforms, providing easy upgrade path for existing MCVD and OVD deposition systems and allowing simultaneous co-doping by a wide range of other co-dopants.

  16. Motivational interviewing and specialty pharmacy.

    Science.gov (United States)

    Berger, Bruce A; Bertram, Carl T

    2015-01-01

    It is well documented in substance abuse and health care literature that motivational interviewing is an evidenced-based and effective intervention for influencing patient behaviors and associated positive health outcomes. The introduction of motivational interviewing training in specialty pharmacy has great potential to increase patient and pharmacist satisfaction, maximize adherence rates, and improve health outcomes. This commentary examines the need for effective approaches for improving patient adherence and outcomes and briefly describes the history and efficacy of motivational interviewing. Case studies using traditional approaches to patient care and motivational interviewing are analysed, and real-world experience using motivational interviewing is presented in the form of a specialty pharmacy case study.

  17. Market-Based Health Care in Specialty Surgery: Finding Patient-Centered Shared Value.

    Science.gov (United States)

    Smith, Timothy R; Rambachan, Aksharananda; Cote, David; Cybulski, George; Laws, Edward R

    2015-10-01

    : The US health care system is struggling with rising costs, poor outcomes, waste, and inefficiency. The Patient Protection and Affordable Care Act represents a substantial effort to improve access and emphasizes value-based care. Value in health care has been defined as health outcomes for the patient per dollar spent. However, given the opacity of health outcomes and cost, the identification and quantification of patient-centered value is problematic. These problems are magnified by highly technical, specialized care (eg, neurosurgery). This is further complicated by potentially competing interests of the 5 major stakeholders in health care: patients, doctors, payers, hospitals, and manufacturers. These stakeholders are watching with great interest as health care in the United States moves toward a value-based system. Market principles can be harnessed to drive costs down, improve outcomes, and improve overall value to patients. However, there are many caveats to a market-based, value-driven system that must be identified and addressed. Many excellent neurosurgical efforts are already underway to nudge health care toward increased efficiency, decreased costs, and improved quality. Patient-centered shared value can provide a philosophical mooring for the development of health care policies that utilize market principles without losing sight of the ultimate goals of health care, to care for patients.

  18. 4g-Based Specialty Vehicles Real-Time Monitoring System Design and Implementation

    Directory of Open Access Journals (Sweden)

    Zhuang Yu-Feng

    2017-01-01

    Full Text Available In the future development of natural gas transportation industry, emerging ITS technology will be applied more and more, aiming at integrating precise positioning technology, geographic information system technology, database technology, multimedia technology and modern communication technology, sensor network technology and video capture technology, so as to achieve the transport steam (oil vehicles in real time monitoring and management. The main research content of this paper is to design and research the monitoring and locating system of luck (oil vehicle based on 4G on Android System. Real-time monitoring and alarming by sensor module, real-time video recording and uploading through camera module, real-time position recording and uploading through GPS module, vehicle navigation module and quick alarm module, which is composed of five parts. The system is the application of new intelligent transport technology in the field of special vehicle transport. It apply electronic information technology and internet of things technology to the vehicle system, so we can monitor natural gas and other special dangerous goods anytime, anywhere.

  19. Skill/Knowledge Commonalities in Selected Electronics Specialties.

    Science.gov (United States)

    1986-10-01

    their responses, an electronics principles usage profile was constructed for each specialty. Statistical analyses were performed on the profiles to...9 1 6 EPI Correlations Based on Percent Using for Wire Commnications Specialties. .. .. .. 10 7 Use of Electronics Principles by Wire...provides the opportunity for studying the actual overlap in electronics principles utilization among these specialties. Such a study would allow one

  20. Choosing Your Medical Specialty

    Science.gov (United States)

    ... AMA provides to help members save money. Residency & Career Planning Find resources for a range of medical career ... Fellowships Back to top Home Life & Career Residency & Career Planning Choosing a Medical Specialty Back to top Choosing ...

  1. Factors influencing junior doctors' choices of future specialty: trends over time and demographics based on results from UK national surveys.

    Science.gov (United States)

    Smith, Fay; Lambert, Trevor W; Goldacre, Michael J

    2015-10-01

    To study trends in factors influencing junior doctors' choice of future specialty. Respondents were asked whether each of 15 factors had a great deal of influence on their career choice, a little influence or no influence on it. Percentages are reported of those who specified that a factor had a great deal of influence on their career choice. UK. A total of 15,765 UK-trained doctors who graduated between 1999 and 2012. Questions about career choices and factors which may have influenced those choices, in particular comparing doctors who qualified in 2008-2012 with those who qualified in 1999-2002. Enthusiasm for and commitment to the specialty was a greater influence on career choice in the 2008-2012 qualifiers (81%) than those of 1999-2002 (64%), as was consideration of their domestic circumstances (43% compared with 20%). Prospects for promotion were less important to recent cohorts (16%) than older cohorts (21%), as were financial prospects (respectively, 10% and 14%). Domestic circumstances and working hours were considered more important, and financial prospects less important, by women than men. Inclination before medical school was rated as important by 41% of doctors who were over 30 years old, compared with 13% of doctors who were under 21, at the time of starting medical school. The increasing importance of both domestic circumstances and enthusiasm for their specialty choice in recent cohorts suggest that today's young doctors prize both work-life balance and personal fulfilment at work more highly than did their predecessors. The differences in motivations of older and younger generations of doctors, men and women, and doctors who start medical school relatively late are worthy of note. © The Royal Society of Medicine.

  2. Specialty preferences: trends and perceptions among Saudi undergraduate medical students.

    Science.gov (United States)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C C

    2012-01-01

    The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect students' specialty choice. A cross-sectional questionnaire-based study was performed on 590 students with a 93.22% response rate and covered queries on demography, specialty choices, and perceptions influencing specialty choices. Class-wise analysis of specialty choices was carried out. The most preferred specialty expressed by male students was surgery, followed by internal medicine and orthopedics, while most preferred by female students were surgery, followed by pediatrics and ophthalmology. Male students' emphasized factors like less competitive field, shortage of specialists, and diversity of patients while the prestige of specialty and teaching opportunities had a greater impact on female students. Surgery, internal medicine, pediatrics, orthopedics, and ophthalmology were the most preferred specialty choices. Gender preference was observed to affect choices of few specialties such as orthopedics and obstetrics/gynecology. Perceptions which have an impact on specialty selection of male and female students may reflect a different tempo of growing up in men and women.

  3. Feasibility and Specialty of the Activty-Based Budgeting for Underground%井下作业基础预算的可行性及特殊性

    Institute of Scientific and Technical Information of China (English)

    白树伟; 王新华; 袁清和

    2012-01-01

    作业基础预算是将全面质量管理与作业管理相结合的动态预算管理模式。针对煤矿井下生产成本发生的特点,探讨了煤矿井下生产应用作业基础预算的可行性及特殊性。%The activty-based budgeting is a dynamic budget management mode combined with the full quality control and operation management. According to the features of the production cost in the underground mine, the paper discussed the feasibility and specialty of the activty-based budgeting applied to the production in the underground coal mine.

  4. Barriers to effective diagnosis and management of a bleeding patient with undiagnosed bleeding disorder across multiple specialties: results of a quantitative case-based survey

    Directory of Open Access Journals (Sweden)

    Reding MT

    2012-10-01

    Full Text Available Mark T Reding,1 David L Cooper21Center for Bleeding and Clotting Disorders, University of Minnesota Medical Center, Minneapolis, MN, 2Medical Affairs, Novo Nordisk Inc, Princeton, NJ, USABackground: Bleeding symptoms commonly seen by multiple physician specialties may belie undiagnosed congenital or acquired bleeding disorders. Acquired hemophilia is a potentially life-threatening cause of unexplained acute bleeding manifested by an abnormal activated partial thromboplastin time (aPTT that does not correct with 1:1 mixing with normal plasma.Methods: Practicing physicians (hematology/oncology, emergency medicine, geriatrics, internal medicine, rheumatology, obstetrics and gynecology, critical care medicine, and general surgery completed an online survey based on a hypothetical case scenario.Results: Excluding surgeons and obstetrician/gynecologist respondents, 302 physicians (about 50 per specialty were presented with an older adult woman complaining of recurrent epistaxis. Nearly 90% ordered a complete blood count and coagulation studies (aPTT, prothrombin time [PT]/international normalized ratio [INR]. Despite a prolonged aPTT of 42 seconds, <50% of nonhematologists would repeat the aPTT, and <45% would consult a hematologist; emergency medicine physicians were least likely (10% and rheumatologists were most likely (43% to consult. After presentation weeks later with bruising and abdominal/back pain, ≥90% of physicians within each specialty ordered a complete blood count or PT/INR/aPTT. Despite an aPTT of 63 seconds, the majority did not repeat the aPTT. At this point, approximately 75% of internal medicine and geriatric physicians indicated they would consult a hematologist, versus 47% in emergency medicine and 50% in critical care. All participants preferred abdominal computed tomography (80%–84%. After 12 hours of additional observation, 73% to 94% of respondents consulted a hematologist. Complete blood count revealed anemia and an a

  5. Personality and specialty interest in medical students.

    Science.gov (United States)

    Hojat, Mohammadreza; Zuckerman, Marvin

    2008-01-01

    Research on the relationship between personality and specialty interest is important because of its implications in student career counseling and in forecasting future specialty distribution. This study was designed to test the following hypotheses: 1. Students interested in 'surgical' specialties would obtain higher scores on a measure of 'impulsive sensation seeking' and lower scores on a measure of 'neuroticism-anxiety'. 2. Students interested in 'hospital-based' specialties would score lower on a measure of 'sociability' whereas those interested in 'primary care' would score higher on this measure. In addition to these two hypotheses, gender differences on personality were also examined. Study participants were 1,076 students who matriculated at Jefferson Medical College between 2002 to 2006. A short version of the Zuckerman-Kuhlman personality questionnaire (ZKPQ) measuring five personality factors of 'impulsive sensation Seeking', 'neuroticism-anxiety', 'aggression-hostility', 'sociability', and 'activity' was completed by research participants at the beginning of medical school. Students were also asked to note their specialty interests. Multivariate statistical analyses confirmed the first and partially confirmed the second research hypotheses. Results also showed that men scored higher on 'impulsive sensation seeking,' and women outscored men in the 'neuroticism-Anxiety' and 'activity' scales. Findings suggest that information about the personalities of medical students can help to predict their career interests. Implications for career counseling are discussed.

  6. Specialty choice among dental students in Ibadan, Nigeria

    Directory of Open Access Journals (Sweden)

    K K Kanmodi

    2017-03-01

    Full Text Available Background. The unequal distribution of workforce across dental specialties in Nigeria poses a significant problem in the delivery of specialists’ oral healthcare to the Nigerian population. Objectives. To determine dental specialties preferences among dental students at the University of Ibadan, Nigeria, and to explore the factors that influence their choices. Methods. We obtained ethical approval to conduct this study. Only the dental students who rotated through all the dental specialties were selected to participate in this questionnaire-based study. Data were analysed using SPSS version 16 (SPSS Inc., USA. Results. The majority of dental students at the University of Ibadan preferred the oral and maxillofacial surgery (OMS specialty above all other dental specialties, while prosthetic dentistry was least preferred. Of all the factors to take into consideration when choosing a dental specialty, personal interest was the only factor considered by nearly all respondents. Only male respondents considered prestige as an influencing factor in their choice of a specialty. Lifestyle and job description were factors considered by a higher proportion of the male respondents (10/13 than females (5/14. The mean age of the 27 respondents who participated in this study was 22.6 years, 52% of whom were females. Conclusion. OMS was the most preferred specialty among our respondents (n=8. Nearly all dental students chose residency training in the specialty that most appealed to them. The interest of dental students towards the least appealing dental specialties needs to be developed to solve the problem of skewed distribution of the dental workforce in Nigeria. Our findings suggest that this may be accomplished by changing dental students’ perceptions of certain specialties, building on male students’ interests in job security and private practice potential, and the female students’ interests in family-friendly specialties and increasing flexibility

  7. Personality Factors and Occupational Specialty Choice.

    Science.gov (United States)

    Borges, Nicole J.; Jones, Bonnie J.

    This study is a continuation of an earlier investigation of personality and medical specialty choice. The earlier study determined that personality differences existed among family practitioners, anesthesiologists, and general surgeons. Based on this initial research, an attempt was made to answer the question of how the personality factors of…

  8. Synthetic Biology for Specialty Chemicals.

    Science.gov (United States)

    Markham, Kelly A; Alper, Hal S

    2015-01-01

    In this review, we address recent advances in the field of synthetic biology and describe how those tools have been applied to produce a wide variety of chemicals in microorganisms. Here we classify the expansion of the synthetic biology toolbox into three different categories based on their primary function in strain engineering-for design, for construction, and for optimization. Next, focusing on recent years, we look at how chemicals have been produced using these new synthetic biology tools. Advances in producing fuels are briefly described, followed by a more thorough treatment of commodity chemicals, specialty chemicals, pharmaceuticals, and nutraceuticals. Throughout this review, an emphasis is placed on how synthetic biology tools are applied to strain engineering. Finally, we discuss organism and host strain diversity and provide a future outlook in the field.

  9. Does integrated training in evidence-based medicine (EBM) in the general practice (GP) specialty training improve EBM behaviour in daily clinical practice? A cluster randomised controlled trial.

    Science.gov (United States)

    Kortekaas, M F; Bartelink, M E L; Zuithoff, N P A; van der Heijden, G J M G; de Wit, N J; Hoes, A W

    2016-09-13

    Evidence-based medicine (EBM) is an important element in the general practice (GP) specialty training. Studies show that integrating EBM training into clinical practice brings larger benefits than stand-alone modules. However, these studies have neither been performed in GP nor assessed EBM behaviour of former trainees in daily clinical practice. GP specialty training in the Netherlands. All 82 third year GP trainees who started their final third year in 2011 were approached for inclusion, of whom 79 (96%) participated: 39 in the intervention group and 40 in the control group. Integrated EBM training, in which EBM is embedded closely within the clinical context by joint assignments for the trainee and supervisor in daily practice, and teaching sessions based on dilemmas from actual patient consultations. Stand-alone EBM training at the institute only. Our primary outcome was EBM behaviour, assessed by measuring guideline adherence (incorporating rational, motivated deviation) and information-seeking behaviour. Our secondary outcomes were EBM attitude and EBM knowledge. Data were acquired using logbooks and questionnaires, respectively. Analyses were performed using mixed models. Logbook data were available from 76 (96%) of the participating trainees at baseline (7614 consultations), 60 (76%) at the end of the third year (T1, 4973 consultations) and 53 (67%) 1 year after graduation (T2, 3307 consultations). We found no significant differences in outcomes between the 2 groups, with relative risks for guideline adherence varying between 0.96 and 0.99 (95% CI 0.86 to 1.11) at T1, and 0.99 and 1.10 (95% CI 0.92 to 1.25) at T2, and for information-seeking behaviour between 0.97 and 1.16 (95% CI 0.70 to 1.91) and 0.90 and 1.10 (95% CI 0.70 to 1.32), respectively. Integrated EBM training compared with stand-alone EBM training does not improve EBM behaviour, attitude or knowledge of (future) GPs. Published by the BMJ Publishing Group Limited. For permission to use (where

  10. How price responsive is the demand for specialty care?

    Science.gov (United States)

    Maciejewski, Matthew L; Liu, Chuan-Fen; Kavee, Andrew L; Olsen, Maren K

    2012-08-01

    Outpatient visit co-payments have increased in recent years. We estimate the patient response to a price change for specialty care, based on a co-payment increase from $15 to $50 per visit for veterans with hypertension. A retrospective cohort of veterans required to pay co-payments was compared with veterans exempt from co-payments whose nonequivalence was reduced via propensity score matching. Specialty care expenditures in 2000-2003 were estimated via a two-part mixed model to account for the correlation of the use and level outcomes over time, and results from this correlated two-part model were compared with an uncorrelated two-part model and a correlated random intercept two-part mixed model. A $35 specialty visit co-payment increase had no impact on the likelihood of seeking specialty care but induced lower specialty expenditures over time among users who were required to pay co-payments. The log ratio of price responsiveness (semi-elasticity) for specialty care increased from -0.25 to -0.31 after the co-payment increase. Estimates were similar across the three models. A significant increase in specialty visit co-payments reduced specialty expenditures among patients obtaining medications at the Veterans Affairs medical centers. Longitudinal expenditure analysis may be improved using recent advances in two-part model methods. Published 2011. This article is a US Government work and is in the public domain in the USA.

  11. Assessment of Junior Doctors' Perceptions of Difficulty of Medical Specialty Training Programs

    Science.gov (United States)

    Rogers, Mary E.; Creed, Peter A.; Searle, Judy

    2012-01-01

    The demands placed on medical trainees by the different specialty training programs are important considerations when choosing a medical specialty. To understand these demands, 193 junior doctors completed a web-based survey, and: (a) ranked medical specialties according to perceived level of training difficulty (incorporating entry difficulty,…

  12. Design and implementation of a proficiency-based, structured endoscopy course for medical students applying for a surgical specialty

    Directory of Open Access Journals (Sweden)

    De Win G

    2013-05-01

    Full Text Available Gunter De Win,1,2 Siska Van Bruwaene,1 Christopher Allen,3 Dirk De Ridder2 1Centre for Surgical Technologies, 2Department of Urology, University Hospitals, KU Leuven, Leuven, Belgium; 3School of Arts and Sciences, University of Pennsylvania, PA, USA Background: Surgical simulation is becoming increasingly important in surgical education. Despite the important work done on simulators, simulator model development, and simulator assessment methodologies, there is a need for development of integrated simulators in the curriculum. In this paper, we describe the design of our evidence-based preclinical training program for medical students applying for a surgical career at the Centre for Surgical Technologies. Methods: Twenty-two students participated in this training program. During their final months as medical students, they received structured, proficiency-based endoscopy training. The total amount of mentored training was 18 hours and the training was organized into three training blocks. The first block focused on psychomotor training, the second block focused on laparoscopic stitching and suturing, and the third block on laparoscopic dissection techniques and hemostasis. Deliberate practice was allowed and students had to show proficiency before proceeding to the next training block. Students’ psychomotor abilities were tested before the course and after each training block. At the beginning of their careers as surgical registrars, their performance on a laparoscopic suturing task was compared with that of registrars from the previous year who did not have this training course. Student opinions about this course were evaluated using a visual analog scale. Results: All students rated the training course as useful and their psychomotor abilities improved markedly. All students performed deliberate practice, and those who participated in this course scored significantly (P < 0.0001 better on the laparoscopic suturing task than first year

  13. Twelve tips for a successful workplace-based masters programme in geriatric for specialist registrars and specialty trainees.

    Science.gov (United States)

    Bhat, Sarita; Baker, Paul; Eyres, Renata

    2008-01-01

    Postgraduate medical training is undergoing major change, shortening and disrupting traditional practices. Scholarship remains highly valued, but increasingly difficult to fit in. Workplace-based Masters study offers a solution. We want consultants who are driven by enquiry, good teachers and team workers. Academic qualifications demonstrate trainees' commitment and expertise in competitive employment markets. Most Deaneries allow two sessions weekly for research/personal development, so this resource demands effective use. The good will, talent and commitment of colleagues are vital. A credible structured curriculum combines real-life consultant-level generic practice, with technical medical skills. Academic writing and practical assignments are assessed. Linking with a far-sighted academic institution brings vast expertise in education administration and delivery of accredited learning. The course is more cost-effective than traditional study leave activities. Running part-time over 4 years fits with Higher Specialist Training. Structured programmes, over 9 month 'terms', fit with clinical rotations. Module leaders run yearly clinical modules alongside continuous generic modules. Clinical units are signed up to releasing trainees to attend. Evaluation is external to faculty, with highly favourable feedback. We believe training in academic disciplines underpins practice. With strong partnership working, planning and especially hard work, such a course is deliverable.

  14. Increasing specialty care access through use of an innovative home telehealth-based spinal cord injury disease management protocol (SCI DMP)

    Science.gov (United States)

    Seton, Jacinta M.; Washington, Monique; Tomlinson, Suk C.; Phrasavath, Douangmala; Farrell, Karen R.; Goldstein, Barry

    2016-01-01

    Background A spinal cord injury disease management protocol (SCI DMP) was developed to address the unique medical, physical, functional, and psychosocial needs of those living with spinal cord injuries and disorders (SCI/D). The SCI DMP was piloted to evaluate DMP clinical content and to identify issues for broader implementation across the Veterans Affairs (VA) SCI System of Care. Methods Thirty-three patients with SCI/D from four VA SCI centers participated in a 6-month pilot. Patients received customized SCI DMP questions through a data messaging device (DMD). Nurse home telehealth care coordinators (HTCC) monitored responses and addressed clinical alerts daily. One site administered the Duke Severity of Illness (DUSOI) Checklist and Short Form-8 (SF-8™) to evaluate the changes in comorbidity severity and health-related quality of life while on the SCI DMP. Results Patients remained enrolled an average of 116 days, with a mean response rate of 56%. The average distance between patient's home and their VA SCI center was 59 miles. Feedback on SCI DMP content and the DMD included requests for additional clinical topics, changes in administration frequency, and adapting the DMD for functional impairments. Improvement in clinical outcomes was seen in a subset of patients enrolled on the SCI DMP. Conclusion SCI HTCCs and patients reported that the program was most beneficial for newly injured patients recently discharged from acute rehabilitation that live far from specialty SCI care facilities. SCI DMP content changes and broader implementation strategies are currently being evaluated based on lessons learned from the pilot. PMID:24617497

  15. EGP+ESP融合视野下推进高校物流专业英语教学%Promotion of English-based Teaching of University Logistics Specialty:The Angle of EGP+ESP Integration

    Institute of Scientific and Technical Information of China (English)

    黄蕾

    2014-01-01

    In this paper, we analyzed the current status and existing problems of the English-based teaching of university logistics specialty in China, pointed out that the characteristics of the logistics professions required that the English teaching of the logistics specialty must be based on the integration of the English for General Purposes (EGP) and English for Special Purposes (ESP) and at the end, from this angle, introduced the content, textbook, methodology, mode and appraisal of the English-based teaching of the specialty.%分析了当前我国高校物流专业英语教学的现状与存在的一些问题,指出物流职业岗位群要求物流专业的英语教学必须采取通用英语和专业用途英语融合的思路来进行,EGP+ESP融合视角下推进高校物流专业英语教学要从教学内容、教材设计、教学方法、教学模式、教学考评等方面着手。

  16. 基于工科院校背景的财务管理专业建设思路与措施%Ideas and Measures of Financial Management Specialty Construction Based on the Background of Technology College

    Institute of Scientific and Technical Information of China (English)

    万义平; 熊微

    2012-01-01

    财务管理本科专业始建于1998年的财经类高校,随着社会经济发展和企业管理的需要,综合性大学和工科院校也先后设置了财务管理本科专业。针对财务管理本科专业的人才培养,不同类型高校都进行了有益的探索,由于办学背景的不同,各个高校制订的财务管理本科专业人才培养方案应具有明显差异。如何体现工科院校办学背景,彰显财务管理本科专业建设的特色,是值得工科院校财务教育专家深入研究的。本文在分析工科院校办学特色的基础上,提出了工科院校财务管理本科专业建设思路与相关措施。%Financial management specialty was founded in 1998 in finance and economics colleges.With the development of social economy and the need of enterprise management,comprehensive university and technology colleges have set up financial management specialty.In view of personnel training of financial management specialty,different colleges have carried out beneficial exploration.Because of their different background,the personnel training scheme of financial management specialty in various colleges have obvious differences.How to reflect the educational background of technology colleges and characteristic of financial management specialty is worthy of depth research of financial and educational experts in technology colleges.This article analyzes the characteristics of running a school based on the technology college,and puts forward construction thought and related measures of financial management specialty in technology colleges.

  17. The discuss of the characteristic specialty construction of mechanical engineering and automation specialty based on the characteristics of coal mine%基于煤矿特色的机械工程及自动化特色专业建设探讨

    Institute of Scientific and Technical Information of China (English)

    赵四海

    2016-01-01

    Characteristic specialty construction in universities is the important measures of higher education improving the quality of personnel training,professional level and characteris-tics. Based on the characteristics of coal mine,according to the professional training scheme, course and teaching material construction,teachers and team construction,practice teaching four aspects,this paper introduces the main content of characteristic specialized construction of me-chanical engineering and automation specialty in China University of Mining and Technology (Beij ing).%高等学校特色专业建设是高等教育提高人才培养质量,办出专业水平和特色的重要措施。基于煤矿特色,本文从专业培养方案、课程与教材建设、师资与团队建设、实践教学等几个方面,介绍了中国矿业大学(北京)机械工程及自动化专业特色专业建设的主要内容。

  18. IMPLEMENTATION OF THE PROJECT «CLINICAL BASES OF INTERNSHIP» WHILE PREPARING STUDENTS WITH A SPECIALTY IN «PSYCHOLOGY AND PEDAGOGY OF PRIMARY EDUCATION»

    Directory of Open Access Journals (Sweden)

    Elena G. Gutsu

    2015-01-01

    Full Text Available The aim of this work is to test new approaches to the students’practice organization in pedagogical universities on the basis of the competence approach.Methods. Diagnosis of formedness competences is carried out on the basis of the analysis of products of activity during the students’ school internship.Results. Teachers’ experience of Nizhny Novgorod State Pedagogical University of K. Minin on implementation of the innovative project «Clinical Bases of Internship » is presented. The authors have created and approved the program of school internship for the students with specialty in «Psychology and Pedagogics of Primary Education» based on the concept of the integrated clinical practice developed in higher education institution. The program involves organizational, reflexive-analytical, active-practical and project blocks. Features of clinical approach to pedagogical education are considered; requirements to school as the base of clinical practice are listed. The main content of student teaching and its role in professional formation of future elementary school teachers is disclosed. Importance of students’ project group and individual activity (the subject has to correspond to interests of employers and real needs of school are emphasized.Scientific novelty. Specifics of integrated clinical internship as a means of formation of professional metacompetences of undergraduate students are presented. The organization of pedagogical internship is reconsidered; theoretically it has to provide fast professionalizing of training, early immersion into a profession that will promote not only to successful formation of flexible pedagogical thinking, but also growth of professional motivation of students – development in them of the positive relation to work of the teacher, interest in communication with children of younger school age, and aspiration to pedagogical research creativity.Practical significance. The research

  19. [Research competencies in nursing specialties].

    Science.gov (United States)

    Oltra-Rodríguez, Enrique; Rich-Ruiz, Manuel; Orts-Cortés, María Isabel; Sánchez-López, Dolores; González-Carrión, Pilar

    2013-01-01

    Since nursing became an university degree in 1977, there have been several regulations to develop specialties, all of them agreeing on the need to include skills in research. Indeed, the relevance of acquiring these skills in all current disciplines has led to Royal Decree 99/2011, which regulates the official PhD courses, and recognises specialist nurses as qualified to access PhD studies. Nowadays, students from six of the seven specialties included in the Royal Decree 450/2005 on nursing specialties, are performing their training. The acquisition of research skills is seen as an opportunity and a challenge. However, the organizational structure of training facilities (multiprofessional teaching units) and the incorporation of nurses as clinical tutors, who initiated this teaching activity, deserve special attention to ensure the correct acquisition of research skills in the training of specialist nurses. Copyright © 2013 Elsevier España, S.L. All rights reserved.

  20. Specialty Guidelines for Forensic Psychology

    Science.gov (United States)

    American Psychologist, 2013

    2013-01-01

    In the past 50 years forensic psychological practice has expanded dramatically. Because the practice of forensic psychology differs in important ways from more traditional practice areas (Monahan, 1980) the "Specialty Guidelines for Forensic Psychologists" were developed and published in 1991 (Committee on Ethical Guidelines for Forensic…

  1. Specialty Guidelines for Forensic Psychology

    Science.gov (United States)

    American Psychologist, 2013

    2013-01-01

    In the past 50 years forensic psychological practice has expanded dramatically. Because the practice of forensic psychology differs in important ways from more traditional practice areas (Monahan, 1980) the "Specialty Guidelines for Forensic Psychologists" were developed and published in 1991 (Committee on Ethical Guidelines for Forensic…

  2. Specialty rattans of the ASEAN

    NARCIS (Netherlands)

    Baja-Lapis, A.C.

    2009-01-01

    This paper describes the uses and agricultural practices for 11 selected taxa of rattan in the ASEAN countries with special emphasis on specialty use for food and condiments, ornamentals and dyes. The listed species are Calamus discolor, Calamus manillensis, Calamus ornatus var. philippinensis, Cala

  3. Specialty choices amongst graduating medical students in ...

    African Journals Online (AJOL)

    Specialty choices amongst graduating medical students in University of Calabar, ... Factors which influenced choice of specialty amongst the graduating ... interest in anaesthesia specialization, improvement of training facilities and provision of ...

  4. 基于人工智能的高职院校专业办学水平评估系统%Realization System of Higher Vocational College’s Specialty Education Level Assessment Based on Artificial Intelligence

    Institute of Scientific and Technical Information of China (English)

    张新亮; 钟富平

    2015-01-01

    Taking the state demonstration construct key specialty “numerical control technique” of Chongqing Industry Polytechnic College as research target, this paper proposes a perfect model of self evaluation on campus. We also establish related index system and quality standards. By using the principle and method of fuzzy neural network, this paper establishes a comprehensive evaluation model based on FNN-ES, and gives a concrete Implementation of evaluation software based on VC++. This paper also presents a detailed process of employing manual evaluation’s results on intelligent model’s training and using. It uses matlab to validate and improve the performance of the FNN algorithm. The mature-trained intelligent system can be used for specialty assessment of mature specialty. Then it was spreaded to other colleges. The results of theory and practice researching show that FNN-ES for specialty assessment can overcome various human factors. It makes the assessment result more scientific, stable and reasonable. This system can provide guidance and basic data for off-campus specilty evalution of provincial and national level.%以重庆工职院机械学院的国家示范建设重点专业“数控技术”为研究目标,给出了一个完善的校内自我评估模式,建立了相关的指标体系和质量标准。运用模糊神经网络的原理和方法,建立了基于 FNN-ES 的综合评价模型和基于 VC++的评估软件具体实现,给出了使用人工评估的结果对智能模型进行训练和使用的详细过程。利用 matlab 验证和改善该 FNN 算法的性能,训练成熟的软件可用于校内成熟专业的评估,并进而推广到其它院校,理论和实践的结果表明, FNN-ES用于专业评估能克服各种人为因素,使评估结果更科学、稳定和合理,能为省级和国家级层面上的校外评估提供导向和基础数据。

  5. Ethical issues of using psychological knowledge in the proceedings of the non-procedural forms

    Directory of Open Access Journals (Sweden)

    Safuanov F.S.

    2014-12-01

    Full Text Available The article discusses the main ethical problems arising from the use of psychological knowledge in the criminal and civil proceedings in the form of non-procedural. Showing legal environment conducive to violations of ethics of psychological research reference and advisory nature: equality of the parties, the right of lawyers to draw on contractual basis to clarify issues related to the provision of legal aid. Reveals the main subjective factors of psychological research ethics violations: low level of professional competence psychologist, ignoring the principles of independence, objectivity, confidentiality. Suggests ways of overcoming the ethical issues - in the process of formation of graduate and postgraduate education of ethical competence, implementation of certain algorithms psychologist interaction with the side of a criminal or civil process - customer psychological services. It is proposed to consolidate legislation or regulations regulating certain kinds of non-procedural forms of use of psychological knowledge in the proceedings.

  6. 广告融合背景下的经管专业广告课程改革初探%Curriculum Reform of Advertising of Economics and Management Specialty Based on Advertisement Convergence

    Institute of Scientific and Technical Information of China (English)

    王慧华

    2012-01-01

    Advertising belongs to Journalism and Communication. Advertising courses are widely offered in economies and management specialty of college based on its multi-disciplines. Because of unclear course orientation and lack of teaching resources, the teaching effect is not good. When advertising and marketing are merging day by day, the advertising courses to economics and management specialties should make sure its orientation and offer the reasonable course and content. Schol ars of communication and marketing joint research on the textbook compilation and teaching of Advertising course of econ omics and management specialty.%广告学本属于新闻传播学,由于学科交叉性强,广告课程在高校经管专业中普遍开设。由于课程定位不明确和教学资源不足等问题,经管专业的广告教学效果不理想。在广告与营销日益融合的趋势下,经管专业的广告课程必须明确课程定位,合理设置课程和安排教学内容,并依靠传播学的主导力量,联合营销学学术力量,开展针对经管专业的广告教材编写和教学研究工作。

  7. Organizational readiness in specialty mental health care.

    Science.gov (United States)

    Hamilton, Alison B; Cohen, Amy N; Young, Alexander S

    2010-01-01

    Implementing quality improvement efforts in clinics is challenging. Assessment of organizational "readiness" for change can set the stage for implementation by providing information regarding existing strengths and deficiencies, thereby increasing the chance of a successful improvement effort. This paper discusses organizational assessment in specialty mental health, in preparation for improving care for individuals with schizophrenia. To assess organizational readiness for change in specialty mental health in order to facilitate locally tailored implementation strategies. EQUIP-2 is a site-level controlled trial at nine VA medical centers (four intervention, five control). Providers at all sites completed an organizational readiness for change (ORC) measure, and key stakeholders at the intervention sites completed a semi-structured interview at baseline. At the four intervention sites, 16 administrators and 43 clinical staff completed the ORC, and 38 key stakeholders were interviewed. The readiness domains of training needs, communication, and change were the domains with lower mean scores (i.e., potential deficiencies) ranging from a low of 23.8 to a high of 36.2 on a scale of 10-50, while staff attributes of growth and adaptability had higher mean scores (i.e., potential strengths) ranging from a low of 35.4 to a high of 41.1. Semi-structured interviews revealed that staff perceptions and experiences of change and decision-making are affected by larger structural factors such as change mandates from VA headquarters. Motivation for change, organizational climate, staff perceptions and beliefs, and prior experience with change efforts contribute to readiness for change in specialty mental health. Sites with less readiness for change may require more flexibility in the implementation of a quality improvement intervention. We suggest that uptake of evidence-based practices can be enhanced by tailoring implementation efforts to the strengths and deficiencies of the

  8. Original Inventions based on Chemical scaffolds and electro-physical activity-derived biosimilars interacting with specialties in biology yielding platforms for analysis in virology and antiviral compounds

    Directory of Open Access Journals (Sweden)

    Yamaji N

    2014-11-01

    line. Mebiol Gel based hepatocytes had better differentiation and the cells were susceptible to hepatitis C virus replication. The Mebiol Gel based 3D culture system can be used as a better cell culture system for viral studies. Potential Solutions: The works presented in the IIDIAS session have portrayed that original invention in any field when subjected to multi-disciplinary interaction after carefully evaluating the potentials can lead to novel solutions. Though the experts in various disciplines in the reported work have got to interact by chance or due to geographical proximity to each other, when a networking platform to throw such ideas to a forum with mutually rewarding opportunities given for discussion and planning of interactive researches is made possible, novel solutions may not be impossible, if the target platform is well understood within the limitations of each stake holder. Creation of a niche or a suitable environment for such multi disciplinary interaction may prevail and work to its best in a physical state of interaction but advances in information technology has broken the need for such physical interaction among peers to bring out novel solutions. Interactions across specialties in the IIDIAS session help in identifying roles for the invention in other fields which may not be directly related to healthcare. The probable solutions and advantages by combining the electro-physical activity-derived biosimilar and the chemically synthesized polymer described in the study include: A novel platform for in vitro culture of HCV having been described, similar platforms for not so easily cultivable viruses can also be developed. The 3D viral culture technology can be exploited to study the replication process and other intricacies of the virus in in vitro culture. When in vitro expansion of viruses in an appropriate manner becomes feasible, anti-viral agents, either virostatic or virucidal, herbal or synthetic biosimilars can be analysed to come out with

  9. Factors influencing the choice of specialty of Australian medical graduates.

    Science.gov (United States)

    Harris, Mary G; Gavel, Paul H; Young, Jeannette R

    2005-09-19

    To identify the relative importance of extrinsic determinants of doctors' choice of specialty. A self-administered postal questionnaire. Australian vocational training programs. 4259 Australian medical graduates registered in September 2002 with one of 16 Australian clinical colleges providing vocational training programs. Choice of specialist vocational training program; extrinsic factors influencing choice of program, and variation by sex, age, marital status and country of birth. In total, 79% of respondents rated "appraisal of own skills and aptitudes" as influential in their choice of specialty followed by "intellectual content of the specialty" (75%). Extrinsic factors rated as most influential were "work culture" (72%), "flexibility of working arrangements" (56%) and "hours of work" (54%). We observed variation across training programs in the importance ascribed to factors influencing choice of specialty, and by sex, age and marital status. Factors of particular importance to women, compared with men, were "appraisal of domestic circumstances" (odds ratio [OR], 1.9), "hours of work" (OR, 1.8) and "opportunity to work flexible hours" (OR, 2.6). Partnered doctors, compared with single doctors, rated "hours of work" and "opportunity to work flexible hours" as more important (OR, 1.3), while "domestic circumstances" was more important to doctors with children than those without children (OR, 1.7). In total, 80% of doctors had chosen their specialty by the end of the third year after graduation. Experience with discipline-based work cultures and working conditions occurs throughout medical school and the early postgraduate years, and most doctors choose their specialty during these years. It follows that interventions to influence doctors' choice of specialty need to target these critical years.

  10. Internship and Empathy: Variations Across Time and Specialties.

    Science.gov (United States)

    Avasarala, Sameer K; Whitehouse, Sarah; Drake, Sean M

    2015-10-01

    To assess whether any differences exist in Interpersonal Reactivity Index (IRI) scores among postgraduate year 1 (PGY-1) residents across specialties. PGY-1 residents representing 11 specialties at our academic institution were invited to take a Web-based IRI survey at three time points. The specialties were condensed into several binary groups for analysis: internal medicine (IM) versus non-IM; primary care (IM, family medicine) versus nonprimary care; emergency medicine (EM, including the combined IM/EM) versus non-EM; surgical specialties (general surgery, obstetrics and gynecology, otolaryngology, orthopedics, urology) versus nonsurgical specialties (EM, family medicine, IM, neurology, pathology, and psychiatry); men versus women; and age groups. A repeated-measures generalized-estimating equations approach was taken to analyze the effect of specialty and time on each of the four IRI subscales. Of 94 PGY-1 residents invited to participate at each time point, 74 (77.1%) completed the survey at least once. Response rates at each time point were similar (mean 47.9%). When comparing the IM (n=35) and non-IM (n=39) groups, the perspective-taking subscale was found to be significantly lower in the non-IM group (P=0.006). Among male (n=46) versus female residents (n=26), the personal-distress subscale was significantly different overall (P=0.041) but not among time points. No other significant differences were found between groups. The conglomerate subscale scores throughout the year did not show a dramatic change. Our study of IRI subscales in PGY-1 residents showed no major difference among specialties across 1 year except for IM residents, who scored significantly higher (more favorably) in the perspective-taking subscale. Contrary to previous studies, we did not observe a substantial decline in the empathic concern subscale IM residents over their first year.

  11. Intangible Cultural Heritage and Geographical Indication of Specialty Resources: A Case Study of Shiyan City

    Institute of Scientific and Technical Information of China (English)

    Zai; HU; Wanzhen; XIONG; Zhiguo; SUN; Shuting; WANG; Limin; HUANG

    2013-01-01

    The protection of intangible cultural heritage and geographical indications of the specialty in Shiyan City was analyzed,and then related suggestions were proposed,for example,to collect and organize the intangible cultural heritage related to traditional specialty;to enhance the application of those intangible cultural heritage projects related to traditional industry and agriculture;to establish some demonstration bases for the productive protection of intangible cultural heritages;to strengthen the application of geographical indications of traditional specialty;to build national quality standards for various specialty with geographical indications;to integrate and cultivate the famous specialty brands with geographical indication;to implement the double protection of the geographical indications and intangible cultural heritages;to improve the poverty alleviation through developing the specialty industry with geographical indications.

  12. [Music therapy in different dental specialties].

    Science.gov (United States)

    Mehr, Katarzyna; Wyganowska-Swiatkowska, Marzena; Kowalkowska, Iwona; Kurhańska-Flisykowska, Anna; Piotrowski, Paweł

    2012-01-01

    Music is generally recognized as the best and, in parallel, the simplest medium of communication. The music therapy, applied in various spheres linked to a therapeutic process, is particularly valued in rehabilitation, medicine, humanities and social sciences. Present study aimed at determination of usefulness of selected techniques of music therapy in different dental specialties. The studies were conducted on 81 generally healthy patients aging 18 to 62 years. Various planned dental procedures were performed first time or were appraised by the patients as unpleasant ones. On the basis of pilot studies, a stable scheme of the visits was established. At the beginning of the studies, music therapy according to Kierył was conducted. Subsequently, basing on description of Schwabe, a form of regulatory individual music therapy was conducted. Depending on psychoemotional condition of the patient, music programming was based on ISO and LEVEL principles, taking into account musical preferences of the patient and his/her age. After every visit the patients filled questionnaires and appropriate results, together with results of studies performed by the dentist, were subjected to statistical analysis. 1. Results of the studies encourage application of musicotherapeutic techniques in different dental specialties. 2. Dental visit can be made attractive and patient's visits in dental office can be facilitated with no significant financial input or organizational.

  13. 基于学生视角浅议中职涉农专业发展%Discussion on the Development of Agriculture-related Specialties in Secondary Vocational Education Based on the Perspective of Students

    Institute of Scientific and Technical Information of China (English)

    王立斌; 张冰洁

    2014-01-01

    本文通过对近几年《中国教育统计年鉴》中相关数据进行统计分析后,从学生视角出发对中职涉农专业招生数量、生师比、生源结构、学生流失率、价值取向等方面进行分析,找出现存问题,并针对存在的问题从扩大中职涉农专业培养对象、建立高素质师资队伍、解决学生出口难等方面提出解决性措施,以更好地促进中职涉农专业的可持续发展。%After analyzing the relevant data from the recent years of "Chinese Education Statistical Yearbook" , then based on the perspective of students, the paper tries to analyze the enrollment number, the ratio of students to teachers, the source structure, dropout rate, value orientation, finds out some problems about the development of Agriculture-related Specialties in Secondary Vocational Education. In order to promote the sustainable development of Agriculture-related Specialties, this paper puts forward some corresponding countermeasures, such as expanding the professional training object, establishing high quality teacher troop, solving students' export difficulties.

  14. Leak detection in pipelines based on inverse transient analysis and mixed integer nonlinear programming[Includes the CSCE forum on professional practice and career development : 1. international engineering mechanics and materials specialty conference : 1. international/3. coastal, estuarine and offshore engineering specialty conference : 2. international/8. construction specialty conference

    Energy Technology Data Exchange (ETDEWEB)

    Shamloo, H.; Haghighi, A. [K.N. Toosi Univ. of Technology, Tehran (Iran, Islamic Republic of). Dept. of Civil Engineering

    2009-07-01

    The flow properties of pipes are affected by leaks. Leak detection methods based on hydraulic modelling and real data records aim to find a pipe's leak parameters including their number, location and size. Inverse Transient Analysis (ITA), generally in time domain, is a powerful approach to develop leak detection methods with considerable benefits. This paper introduced an ITA based leak detection method along with a numerical model developed for direct transient analysis of leaks in pipes using method of characteristics (MOC). Transient state flow was generated in pipe and the pressure fluctuations were sampled only at the end valve location. To minimize the effects of unsteadiness and uncertainties due to the numerical modeling and also practical problems caused by water hammer, the downstream end valve was considered to be closed gradually within a long enough time. Then, using the sampled data and a direct transient analysis model, a mixed integer nonlinear program was developed. A mixed genetic algorithm was used in which the binary chromosomes were decoded as mixed integer leak locations and real leak areas. In order to find unknown leak parameters in a pipe, an objective function was defined using the least squares criterion of differences between observed and calculated pressure heads at the valve location. The genetic algorithm was found to be a powerful and easy to use optimization tool to solve complicated mixed integer nonlinear program (MINLP) problems in leak detection. 24 refs., 1 tab., 7 figs.

  15. Stochastic-based fuzzy risk assessment of SO{sub 2} emission from a power station[Includes the CSCE forum on professional practice and career development : 1. international engineering mechanics and materials specialty conference : 1. international/3. coastal, estuarine and offshore engineering specialty conference : 2. international/8. construction specialty conference

    Energy Technology Data Exchange (ETDEWEB)

    Ping, J.; Chen, B.; Husain, T. [Memorial Univ. of Newfoundland, St. John' s, NL (Canada). Faculty of Engineering and Applied Science

    2009-07-01

    Electricity production from fossil-fuel power plants is one of the main sources of air pollution. Risk assessment is a significant component for power plant air emission management. The most important output from risk assessment is the capacity to provide the basis of a decision-making process. The results of such decisions should be presented to environmental managers and the public in plain language rather than complex calculations. Uncertainty is inherent in any environmental risk assessment, and has 2 main origins, notably stochastic and cognitive. Research is under way to explore techniques that can incorporate these 2 kinds of uncertainties into the assessment process. The probability theory, or Monte Carlo simulation, is commonly used for stochastic uncertainties, while the possibilistic theory, or fuzzy logic, is used for cognitive uncertainties. In this study, a stochastic-based fuzzy risk assessment method was developed for a risk assessment of ambient air quality. The objective was to accurately predict contaminant transport and fate in ambient air and effectively assess the associated environmental and health risks. The proposed stochastic-based fuzzy risk assessment model was able to systematically quantify both probabilistic and possibilistic uncertainties associated with terrain conditions, environmental guidelines, and health criteria in air quality management systems. The results obtained from the improved simulation, uncertainty analysis and risk assessment are expected to provide more realistic decision support and bring significant environmental and economic benefits. 27 refs., 2 tabs., 7 figs.

  16. Career satisfaction of surgical specialties.

    Science.gov (United States)

    Deshpande, Satish P; Deshpande, Sagar S

    2011-05-01

    To examine the factors that impact career satisfaction for various surgical specialties. An acute shortage of surgeons is anticipated in the future. Career dissatisfaction can make this already difficult situation worse. It is important to understand and address factors that influence career satisfaction of surgeons to prolong tenure of existing surgeons and understand anticipated needs of future surgeons. The Center for Studying Health System Change 2008 Health Tracking Physician Survey data were used in this study. Regression analysis was done to examine the impact of various practice-related factors, compensation-related factors, practice location, extent of minority patient, and various demographics on career satisfaction of various surgical specialties (n = 762). Among practice related factors, although threat of malpractice had a significant negative impact on career satisfaction, ability to provide quality care to patients and time with patients had a significant positive impact on career satisfaction of surgical specialists. Among compensation related factors, income and financial incentives to expand services had a significant positive impact on career satisfaction. Among practice location factors, those who primarily worked in medical schools were significantly more satisfied with their careers than others. Among minority factors, those treating a large proportion of Hispanic patients were significantly less likely to be satisfied with their careers. Ability to provide quality care, time with patients, income, and financial incentives had a significant positive impact on career satisfaction. Similarly, threat of malpractice and high proportion of Hispanic patients had a negative impact on career satisfaction.

  17. The Impact of HIV/AIDS Epidemic on the Choice of Specialties ...

    African Journals Online (AJOL)

    The Impact of HIV/AIDS Epidemic on the Choice of Specialties among ... Fifty three percent (53.3%) and sixteen Percent (16.3%) based their choice of specialty on job satisfaction and favourable work schedule respectively. ... We recommend improvements in the work environment and adherence to universal precautions to

  18. 76 FR 5213 - Cable Compulsory License: Specialty Station List

    Science.gov (United States)

    2011-01-28

    ... in 1989, see 54 FR 38461 (September 18, 1989), an owner or licensee of a broadcast station files a... television station classified as a specialty station at the base rate for ``permitted'' signals. See 49 FR... in order to maintain as current a list as possible. 55 FR 40021 (October 1, 1990). Its second...

  19. Competency Revalidation Study of Specialty Practice in Sports Physical Therapy

    Science.gov (United States)

    Thein-Nissenbaum, Jill; Bartlett, Lynn; Woodall, William R.; Reinking, Mark F.; Wallmann, Harvey W.; Mulligan, Edward P.

    2009-01-01

    Purpose The primary purpose of this study was to revalidate the competencies that define the practice of sports physical therapy. Additionally, the study allowed for the comparison of responses of board certified specialists in sports physical therapy to respondents who were not specialists. Methods A survey instrument based the on American Board of Physical Therapy Specialties practice analysis template and The Guide to Physical Therapist Practice was developed by the Sports Specialty Council and a panel of subject matter experts in sports physical therapy. The instrument was sent to 630 physical therapists, 315 of whom were board certified specialists in sports physical therapy and 315 of whom were randomly selected members of the Sports Physical Therapy Section who were not board certified specialists in sports physical therapy. Two hundred and thirty seven subjects returned completed surveys for a 41% response rate. One hundred and fifty eight respondents were sports specialists Results The survey results were reviewed by the Sports Specialty Council and another panel of subject matter experts. Using a defined decision making process, the results were used to determine the competencies that define the specialty practice of sports physical therapy. Survey results were also used to develop the sports physical therapy specialty board examination blue print. A number of significant comparisons between the specialists and non-specialists were identified. Conclusion The competency revalidation process culminated in the publication of the Sports Physical Therapy Description of Specialty Practice. This document serves to guide the process related to the attainment and maintenance of the board certified clinical specialist in sports physical therapy. PMID:21509106

  20. Consolidating Air Force Maintenance Occupational Specialties

    Science.gov (United States)

    2016-01-01

    Level Current Assigned Level (91% of Authorized Level) 11% -17% 16% -11% 23 4. Long-Run Cost and Readiness Implications of Air Force...Requirements and Readiness .............. 19 4. Long-Run Cost and Readiness Implications of Air Force Specialty Consolidation ................. 23 Cost ...Force Specialty Constructs After Taking into Account Retention ......................................................... 16 Table 4.1. Cost Impacts of

  1. [Directions of ecology specialty construction and personnel training in China].

    Science.gov (United States)

    Zhang, Jia-En; Luo, Shi-Ming; Qin, Zhong; Ye, Yan-Qiong; Zhao, Ben-Liang

    2009-07-01

    This paper analyzed the present status of ecology specialty construction and personnel training in China. It was considered that there existed some problems to be solved, e. g., the contradiction between the rapid development of new subjects in ecology and the relative weakness in personnel qualified to teach, the unbalance between the extensive and intensive, and the deep and shallow teaching programs for the students in ecology, the conflict between the "soft" (theoretical) ecological education and the "hard" (technical) ecological construction, and the contradiction between the limited demands and the relative surplus supply of undergraduate students in ecology. Based on these analyses, a series of suggestions and countermeasures for the innovation of the teaching styles and training directions in ecological specialties were put forward, including 1) to formulate a development and construction plan of ecology specialty and to appropriately regulate the enrollment of undergraduate students, 2) to achieve the changes in current teaching styles from classroom to field and from "soft" theoretical teaching to "hard" technical training, 3) to develop and implement a variety of diversified teaching methods, such as participative, interactive, research-based, and innovative teaching for undergraduate students, 4) to enhance the undergraduate educational quality and teaching resource bank construction and to achieve teaching resource sharing, and 5) to establish "T-type" personnel training system in ecology. Some employment-oriented personnel training directions in ecology specialty were also presented.

  2. Psychiatric specialty training in Greece.

    Science.gov (United States)

    Margariti, M; Kontaxakis, V; Ploumpidis, D

    2017-01-01

    The reform and development of psychiatric services require, in addition to financial resources, reserves in specialized human resources. The role of psychiatrists in this process, and at reducing the consequences of mental morbidity is evident. Psychiatrists are required to play a multifaceted role as clinicians, as experts in multidisciplinary team environments and as advisors in the recognition of public needs in mental health issues, as teachers and mentors for students and other health professionals, as researchers in order to enrich our knowledge in the scientific field of psychiatry, and as public health specialists in the development of the mental health services system. This multifaceted role requires the continuous education of modern psychiatrists, but above all a broad, substantial and comprehensive training regime in the initial stage of their professional career, that is to say during specialization. Training in Psychiatry, as indeed has happened in all other medical specialties, has evolved considerably in recent decades, both in the content of education due to scientific advances in the fields of neurobiology, cognitive neuroscience, genetics, psychopharmacology, epidemiology and psychiatric nosology, and also because of advances in the educational process itself. Simple apprenticeship next to an experienced clinician, despite its importance in the clinical training of young psychiatrists, is no longer sufficient to meet the increased demands of the modern role of psychiatrists, resulting in the creation of educational programs defined by setting and pursuing minimum, though comprehensive educational objectives. This development has created the global need to develop organizations intended to supervise training programs. These organizations have various forms worldwide. In the European Union, the competent supervising body for medical specialties is the UEMS (European Union of Medical Specialities) and particularly in the case of the psychiatric

  3. Emotional intelligence and medical specialty choice: findings from three empirical studies.

    Science.gov (United States)

    Borges, Nicole J; Stratton, Terry D; Wagner, Peggy J; Elam, Carol L

    2009-06-01

    Despite only modest evidence linking personality-type variables to medical specialty choice, stereotypes involving empathy and 'emotional connectedness' persist, especially between primary care providers and surgeons or subspecialists. This paper examines emotional intelligence (EI) and specialty choice among students at three US medical schools. Results from three independent studies are presented. Study 1 used the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) administered to a single cohort of 84 Year 4 medical students. Study 2 used the Trait Meta-Mood Scale (TMMS) and Davis' Interpersonal Reactivity Index (IRI) administered to three cohorts (n = 250) of Year 3 medical students. Study 3 used the Bar-On Emotional Quotient Inventory (EQ-I) administered to two cohorts of Year 1 medical students (n = 292). Results were linked to specialty choice data retrieved from the National Residency Match Program (NRMP). Classifications of specialty choice included: (i) primary care (family practice, internal medicine, paediatrics) versus non-primary care (all others), and (ii) primary care, hospital-based specialties (anaesthesiology, emergency medicine, pathology, radiology), and technical and surgical specialties (neurology, obstetrics and gynaecology, ophthalmology, and all surgical fields). Across all three studies - and using both classifications of specialty choice - no significant differences in EI were found between students entering primary care and non-primary care specialties. Limitations are acknowledged, and future directions for research involving EI are identified.

  4. Who's choosing whom? A sociological study of the specialty choices in a Danish context

    Science.gov (United States)

    Eika, Berit

    2011-01-01

    Objectives: The purpose of this study was to investigate if habitus, the unconscious and embodied mental structures founded early in life, can contribute to our understanding of how individuals choose a medical specialty. Methods A qualitative approach was employed using standardized open-ended interviews. In the present research, sampling was purposive, with an aim to illuminating the study objective. A sample of six juniors and three senior doctors were recruited from gynecology and obstetrics, vascular surgery and general practice via a snowball method. The interview guide and the subsequent analysis were based on Bourdieu’s sociological theory. Results Three central themes emerged, labeled as “the use of distinctions and dichotomies”, “the shaping of habitus” and “consequences of the shaping of habitus”. These represent values and preferences developed through childhood education and experiences which may contribute to explaining specialty choices. Participants distinguished between specialties by referring to dichotomous characteristics of the specialty (such as sick/healthy patients; young/elderly patients; fine/coarse surgery). Conclusions Bourdieu’s theory is useful for broadening our understanding of specialty choice, as his central concept, habitus, was found to direct the choice of specialty and constrain the number of possible specialties for the individual doctor. Research is needed to better understand how various factors affect the specialty choices of medical school graduates.

  5. Dento-maxillofacial radiology as a specialty

    Institute of Scientific and Technical Information of China (English)

    K?van?; Kamburo?lu

    2015-01-01

    This editorial discusses a relatively new specialty in dental and medical field namely dentomaxillofacial radiology. As a relatively newborn specialty it is obvious that there is a long way to go before dentomaxillofacial radiology is commonly known and respected by the society. All over the world, assigned committees work on the development of the training curriculum, determination of scientific and physical standards for institutions offering specialty training and arrangement of dental codes for reimbursement issues. Furthermore, adjustment of educational, scientific and legal regulations and prospective benefits are expected to boost this specialty’s attractiveness to colleagues’ worldwide.

  6. Construction and Development of Teaching Practice Base Inside Campus of Viticulture and Enology Specialty%酿酒工程专业校内实习基地的建设与发展

    Institute of Scientific and Technical Information of China (English)

    侍朋宝; 康维民; 柴菊华; 张建才; 田永辉

    2015-01-01

    校内教学实习基地是学生进行实习活动的重要场所,加强实习基地建设对培养学生的实践能力和创新精神具有重要作用。分析酿酒工程专业校内实习基地的重要性,介绍该专业校内实习基地的建设及利用情况,阐述校内教学实习基地下一步的建设内容和发展方向。%Practice base inside campus is an important site for practice activity of students. Strengthening the construction of the practice base plays very important role in developing student's innovative spirit and practice ability. The importance of viticulture and enology specialty teaching practice base inside campus is analyzed, the construction and utilization of the practice base is introduced and the content of further construction and development is also expounded.

  7. 高职院校会计类专业校内生产性实训基地建设探索%Exploration on the Construction of Campus Productive Practice Base of Accounting Specialties in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    唐志贤

    2015-01-01

    教育部16号文提出高职教育要积极推行与生产劳动和社会实践相结合的学习模式,作者认为高职院校生产性实训基地建设是实现会计职业教育与生产劳动、社会实践的最佳结合点。文章从当前会计类专业实践教学现状分析出发,提出了会计类生产性实训基地建设意义与目标,对建设会计类专业生产性实训基地进行了积极的探索分析。%The No.16 document of the Ministry of Education puts forward that higher vocational education should actively carry out learning mode combined with productive labor and social practice. The author thinks that construction of productive practice base in higher vocational colleges is the best measure to realize the integration of accounting professional education with productive labor and social practice. Starting from the present situation of the practice teaching of accounting specialties, this article proposes the significance and aim of accounting productive practice base construction, and carries on active exploration and analysis of the construction of accounting productive practice base.

  8. Global health training among U.S. residency specialties: a systematic literature review

    Science.gov (United States)

    Hau, Duncan K.; Smart, Luke R.; DiPace, Jennifer I.; Peck, Robert N.

    2017-01-01

    ABSTRACT Background: Interest in global health training during residency is increasing. Global health knowledge is also becoming essential for health-care delivery today. Many U.S. residency programs have been incorporating global health training opportunities for their residents. We performed a systematic literature review to evaluate global health training opportunities and challenges among U.S. residency specialties. Methods: We searched PubMed from its earliest dates until October 2015. Articles included were survey results of U.S. program directors on global health training opportunities, and web-based searches of U.S. residency program websites on global health training opportunities. Data extracted included percentage of residency programs offering global health training within a specialty and challenges encountered. Results: Studies were found for twelve U.S. residency specialties. Of the survey based studies, the specialties with the highest percentage of their residency programs offering global health training were preventive medicine (83%), emergency medicine (74%), and surgery (71%); and the lowest were orthopaedic surgery (26%), obstetrics and gynecology (28%), and plastic surgery (41%). Of the web-based studies, the specialties with the highest percentage of their residency programs offering global health training were emergency medicine (41%), pediatrics (33%), and family medicine (22%); and the lowest were psychiatry (9%), obstetrics and gynecology (17%), and surgery (18%). The most common challenges were lack of funding, lack of international partnerships, lack of supervision, and scheduling. Conclusion: Among U.S. residency specialties, there are wide disparities for global health training. In general, there are few opportunities in psychiatry and surgical residency specialties, and greater opportunities among medical residency specialties. Further emphasis should be made to scale-up opportunities for psychiatry and surgical residency specialties

  9. E-cigarette specialty retailers: Data to assess the association between retail environment and student e-cigarette use.

    Science.gov (United States)

    Bostean, Georgiana; Crespi, Catherine M; Vorapharuek, Patsornkarn; McCarthy, William J

    2017-04-01

    The retail environment is a major social determinant of health, yet little is known about the e-cigarette specialty retailer environment. The e-cigarette specialty retail environment may be associated with e-cigarette use by middle and high school students, an issue that was addressed in a recent article entitled, "E-cigarette use among students and e-cigarette specialty retailer presence near schools," by Bostean and colleagues (G. Bostean, C.M. Crespi, P. Vorapharuek, W.J. McCarthy, 2016 [1]). We present data relating to e-cigarette specialty retailers in Orange County, California. We describe the data collection method (including the search methodology to identify e-cigarette specialty retailers), present descriptive retailer data including school proximity, and provide data from multi-level regressions predicting individual-level student use of e-cigarettes based on presence of an e-cigarette specialty retailer in proximity to schools.

  10. 高职园林专业现代学徒制人才培养模式探索%Study on Teaching Mode in Higher Vocational Garden Specialty Based on Modern Apprenticeship

    Institute of Scientific and Technical Information of China (English)

    燕一波

    2015-01-01

    现代学徒制是当前高职院校教学改革的基本取向之一。高职园林专业人才培养模式存在意会性知识难以习得、学生实践能力不足、校企合作力度不大等问题。构建以课程和师徒实训项目为纽带的现代学徒制可以有效应对上述困境。通过分析现代学徒制人才培养模式的特点,从主体的深度参与、课程体系和内容的建设、实习实训的多层次多环节操作方面,提出了基于市场维度、学生维度、教学质量和成效维度的“三联动”、“三融合”、“三环节”工作思路,以建立以工作能力为本位的高职园林技术专业现代学徒制人才培养模式。%Modern Apprenticeship is one of the basic orientation of the current teaching reforms in vocational colleges. Higher vocational teaching of Garden Specialty shows that tacit knowledge is difficult to acquire for the lack of practical abilities of students, and there are not adequate school-enterprise cooperation and so on. Con-structing the Modern Apprenticeship of taking taining courses and mentoring programs as a link can effectively deal with this dilemma. Through the analysis of the characteristics of modern apprenticeship training mode, the modern apprenticeship training mode in Higher vocational teaching of Garden Specialty is established with work ability as the standard, and the view of "three linkage "、" three integration "and" three links "is put forward, based on the market, the students, the quality and effectiveness of teaching from participation of main parties, construction of curriculum and content, multi-level and multi-link operational aspects of practical training.

  11. Reform and Practice of"Project-based Teaching"for Logistics Management Specialty%物流管理专业"项目制教学"改革实践探索

    Institute of Scientific and Technical Information of China (English)

    杨静

    2016-01-01

    探讨三江学院物流管理专业人才培养存在的问题,在学校大力倡导教学全面改革,培养应用型人才的背景下,提出了"项目制教学"的人才培养模式,阐述了"项目制教学"模式下的教学项目和内容,并从教学团队、教学制度角度给出改革的方法,为三江学院物流管理专业建设和人才培养提供参考.%This paper explores the problems of logistics management professional talents cultivation in Sanjiang University. Under the background of comprehensive teaching reform in colleges to cultivate applied talents, the project-based talent training mode is put forward and the teaching project and contents are expounded. The method of reform from the angle of teaching team and teaching system is presented, to provide reference for the construction of logistics management specialty and personnel training in Sanjiang University.

  12. How does the workload and work activities of procedural GPs compare to non-procedural GPs?

    Science.gov (United States)

    Russell, Deborah J; McGrail, Matthew R

    2017-08-01

    To investigate patterns of Australian GP procedural activity and associations with: geographical remoteness and population size hours worked in hospitals and in total; and availability for on-call DESIGN AND PARTICIPANTS: National annual panel survey (Medicine in Australia: Balancing Employment and Life) of Australian GPs, 2011-2013. Self-reported geographical work location, hours worked in different settings, and on-call availability per usual week, were analysed against GP procedural activity in anaesthetics, obstetrics, surgery or emergency medicine. Analysis of 9301 survey responses from 4638 individual GPs revealed significantly increased odds of GP procedural activity in anaesthetics, obstetrics or emergency medicine as geographical remoteness increased and community population size decreased, albeit with plateauing of the effect-size from medium-sized (population 5000-15 000) rural communities. After adjusting for confounders, procedural GPs work more hospital and more total hours each week than non-procedural GPs. In 2011 this equated to GPs practising anaesthetics, obstetrics, surgery, and emergency medicine providing 8% (95%CI 0, 16), 13% (95%CI 8, 19), 8% (95%CI 2, 15) and 18% (95%CI 13, 23) more total hours each week, respectively. The extra hours are attributable to longer hours worked in hospital settings, with no reduction in private consultation hours. Procedural GPs also carry a significantly higher burden of on-call. The longer working hours and higher on-call demands experienced by rural and remote procedural GPs demand improved solutions, such as changes to service delivery models, so that long-term procedural GP careers are increasingly attractive to current and aspiring rural GPs. © 2016 National Rural Health Alliance Inc.

  13. Gender difference in preference of specialty as a career choice among Japanese medical students.

    Science.gov (United States)

    Kawamoto, Ryuichi; Ninomiya, Daisuke; Kasai, Yoshihisa; Kusunoki, Tomo; Ohtsuka, Nobuyuki; Kumagi, Teru; Abe, Masanori

    2016-11-10

    must acknowledge that Japanese medical students have dichotomized some motivations for their specialty preference based on gender. Systematic improvements in the working environment are necessary to solve these issues.

  14. Factors affecting membership in specialty nursing organizations.

    Science.gov (United States)

    White, Mary Joe; Olson, Rhonda S

    2004-01-01

    A discouraging trend in many specialty nursing organizations is the stagnant or declining membership. The research committee of the Southeast Texas Chapter of the Association of Rehabilitation Nurses (ARN) collected data and studied this trend to determine what changes would be necessary to increase membership. Using Herzberg's motivational theory as a framework, a review of the literature was initiated. There were few current studies on this issue, but relevant information was found about nursing's emerging workforce, as well as implications of the growth of magnet hospitals, which affect whether nurses join specialty nursing organizations. A multifaceted data-collection approach using convenience samples was designed. First, relevant literature was reviewed. Second, a survey was sent by e-mail to other ARN chapters. Third, a telephone survey on other specialty organizations in the geographic region was completed. Finally, members of the local ARN chapter and four other specialty organizations, as well staff nurses in the geographic area, were given questionnaires to complete. Descriptive statistics and cross tabulations were used to determine why nurses do and do not join specialty organizations (N = 81). The most frequent reasons for joining an organization were to increase knowledge, benefit professionally, network, and earn continuing education units. Reasons for choosing not to participate were family responsibilities, lack of information about these organizations, and lack of time. Ways to reverse the decline in membership are discussed.

  15. Magnetic resonance imaging (MRI) and prognostication in neonatal hypoxic-ischemic injury: a vignette-based study of Canadian specialty physicians.

    Science.gov (United States)

    Bell, Emily; Rasmussen, Lisa Anne; Mazer, Barbara; Shevell, Michael; Miller, Steven P; Synnes, Anne; Yager, Jerome Y; Majnemer, Annette; Muhajarine, Nazeem; Chouinard, Isabelle; Racine, Eric

    2015-02-01

    Magnetic resonance imaging (MRI) could improve prognostication in neonatal brain injury; however, factors beyond technical or scientific refinement may impact its use and interpretation. We surveyed Canadian neonatologists and pediatric neurologists using general and vignette-based questions about the use of MRI for prognostication in neonates with hypoxic-ischemic injury. There was inter- and intra-vignette variability in prognosis and in ratings about the usefulness of MRI. Severity of predicted outcome correlated with certainty about the outcome. A majority of physicians endorsed using MRI results in discussing prognosis with families, and most suggested that MRI results contribute to end-of-life decisions. Participating neonatologists, when compared to participating pediatric neurologists, had significantly less confidence in the interpretation of MRI by colleagues in neurology and radiology. Further investigation is needed to understand the complexity of MRI and of its application. Potential gaps relative to our understanding of the ethical importance of these findings should be addressed.

  16. [Exploration and practice of research-based teaching in the course of theory of Meridians and Acupoints for acupuncture and tuina specialty].

    Science.gov (United States)

    Liu, Mai-Lan; Yuan, Yi-Qin; Chang, Xiao-Rong; Luo, Jian; Liu, Mi

    2014-08-01

    For the purpose of exploring the teaching reform model and method, also promoting the quality of talents in acupuncture and tuina field, the research-based teaching model is applied into the course of Theory of Meridians and Acupoints. This method includes two parts of teaching and learning. For teachers, they bring modern research focus and trend into teaching through questionnaire survey among students, aiming to integrate the education inside and outside class. For students, they are guided to resolve the opening, enlightening and scalable issues through consulting abundant resources of literature and database to achieve autonomous participation in the course of learning. By this teaching method, it is expected to train the student's ability of expanding their thinking, as well as discovering, analyzing and solving the problem.

  17. Best practices in specialty pharmacy management.

    Science.gov (United States)

    Patterson, Courtney J

    2013-01-01

    Specialty pharmacy is a growing area of research, utilization, and cost. Because of the unique nature of the diseases treated by specialty pharmaceuticals, such as cancer and rheumatoid arthritis, novel management approaches are needed. Advocate Physician Partners (APP) is an entity within the Advocate Health Care Health System in the Chicago and the central Illinois area. It coordinates the care management and managed care contracting between the Advocate Health Care System and more than 4,000 physicians on the medical staffs of Advocate hospitals. APP has experienced a per-member-per-month (PMPM) increase of less than  3% in oncology intravenous medications spend in 2012. This spend refers to the intravenous medications covered under the medical benefits for APP's health maintenance organization (HMO) population. The spend has consistently been less than national projections, and we believe this is tied to the adoption of several key best practices. Prior to instituting the best practices, the yearly percentage increases for oncology spending were 5.52% (2007 to 2008), 9.39% (2008 to 2009), and 5.29% (2009 to 2010). After instituting best practices during the first quarter of 2011, the increases in PMPM were 3.11% (2010 to 2011) and 2.11% (2011 to 2012), which were below previous years. To describe the best practices of specialty pharmacy management adopted by APP, specifically (a) establishing a content expert and governing bodies, (b) ensuring compliance with policies, and (c) providing educational resources. APP has several key result areas (KRAs). One KRA was compliance with appropriate utilization of intravenous oncology protocols for its HMO population. The protocols for each medication outline the appropriate indication and patient population. These protocols were developed and reviewed by the APP Pharmacy and Technology (PT) committee. The PT-approved indications reflect FDA indications and indications found in national guidelines. The APP KRA target

  18. Interactive web-based portals to improve patient navigation and connect patients with primary care and specialty services in underserved communities.

    Science.gov (United States)

    Highfield, Linda; Ottenweller, Cecelia; Pfanz, Andre; Hanks, Jeanne

    2014-01-01

    This article presents a case study in the redesign, development, and implementation of a web-based healthcare clinic search tool for virtual patient navigation in underserved populations in Texas. It describes the workflow, assessment of system requirements, and design and implementation of two online portals: Project Safety Net and the Breast Health Portal. The primary focus of the study was to demonstrate the use of health information technology for the purpose of bridging the gap between underserved populations and access to healthcare. A combination of interviews and focus groups was used to guide the development process. Interviewees were asked a series of questions about usage, usability, and desired features of the new system. The redeveloped system offers a multitier architecture consisting of data, business, and presentation layers. The technology used in the new portals include Microsoft .NET Framework 3.5, Microsoft SQL Server 2008, Google Maps JavaScript API v3, jQuery, Telerik RadControls (ASP.NET AJAX), and HTML. The redesigned portals have 548 registered clinics, and they have averaged 355 visits per month since their launch in late 2011, with the average user visiting five pages per visit. Usage has remained relatively constant over time, with an average of 142 new users (40 percent) each month. This study demonstrates the successful application of health information technology to improve access to healthcare and the successful adoption of the technology by targeted end users. The portals described in this study could be replicated by health information specialists in other areas of the United States to address disparities in healthcare access.

  19. Specialty location decisions in the reformed NHS: a case study.

    Science.gov (United States)

    Hindle, T; Roberts, E; Worthington, D

    1998-08-01

    A soft systems approach, largely based on soft systems methodology, was used to steer a study (completed in 1996) of the National Health Service contracting process. It led to action research projects on a number of related issues. One such area that emerged very strongly concerns service rationalization and service planning, and in particular the location of 'small' specialties. A Trust-based study involving patient flow modelling demonstrates the form these problems can take within the internal market and highlights the challenge they make to the contracting process or the new primary care group based commissioning process if they are to be resolved in a rational manner.

  20. 基于工作过程的康复治疗技术专业实践教学模式的探索%Study of Practice Education Pattern in Rehabilitation Therapy Specialty Based on the Working Process

    Institute of Scientific and Technical Information of China (English)

    肖波; 郭慧; 邓婕; 王琼

    2012-01-01

    进入21世纪后,国内康复医学发展迅猛,康复治疗师的社会需求与日俱增,如何保证人才培养质量,为康复医学的发展提供人员保障,是康复医学教育者面临的严峻考验.本文笔者结合学院康复治疗技术专业推行基于工作过程的实践教学模式的教学改革实践,通过对近3年毕业生职业岗位群进行分析,明确本专业毕业生主要就业岗位.邀请岗位一线治疗师,进行本专业工作任务及职业能力分析,构建以能力培养为导向的能力本位课程体系.并按职业岗位工作流程来组织实践课程教学活动,采用“边学边练、讲练结合、学做合一、理实一体”教学方式,并通过加强校内外实践教学基地建设,让学生在仿真的实训环境下按照职业岗位对职业能力的要求,进行专业技能的训练和职业规范、职业素养的养成教育,取得良好效果.%As 21 century comes,rehabilitation medicine developed rapidly in China,and the social demand of rehabilitation therapist grew with each passing day. So,it' s a severe test to guarantee the quality of talent cultivation and to provide personal protection for the development of rehabilitation medicine to rehabilitation medicine educator. Considering the teaching reform of Practice Education Pattern based on the working process in rehabilitation therapy specialty of Suzhou Health College,and combining the analysis of position of graduates in the passed 3 years, the article author made the major position for graduates in rehabilitation therapy specialty clear. Inviting rehabilitation therapists working in hospital,we gathered together,to analyze work task and occupation ability,to construct a curriculum system directing by ability training,and to construct ability oriented curriculum system. Organizing practice course by the work flow of position,using a teaching mode of "learning while training,practicing while teaching,combining study and practice

  1. Application of Case Study Based on Topic Presentation in Bilingual Teaching in Accounting Specialty%基于Topic Presentation的案例教学法在会计学双语教学中的应用

    Institute of Scientific and Technical Information of China (English)

    赵淑红

    2014-01-01

    基于Topic Presentation的案例教学强调以案例为中心的互动教学,学生在课堂上共同探讨问题,解决问题的教学模式,有助于学生掌握和理解教材的力度,也增加了知识的广度和深度,对提高课堂教学效果,特别是提高了学生 Problem-solving (问题解决)、Critical thinking(批判性思维)和Creativity(创造性)三种技能,加强了教学效果。文章阐述了在会计学原版教材双语教学过程中实施案例教学法的教材、案例选择,Topic Pre-sentation的演示等方面应注意的问题,以期能够提高学生分析和解决实际会计问题的能力。%Application of case study based on topic presentation in bilingual teaching in accounting specialty conduce students to discuss problems in groups and help students master knowl-edge and skills. What's more, this method of teaching can kin-dle the students' enthusiasm and initiative for problem-solving, critical thinking and creativity. Then some countermeasures about textbook, case analysis and topic presentation are ex-plored and suggestions on how to improve learning initiative and handle actual problems are given.

  2. 基于专业结合的应用型高校思想政治理论课SWOT分析%SWOT Analysis of Vocational Ideological and Political Theory Courses Based on Specialty

    Institute of Scientific and Technical Information of China (English)

    李守可

    2015-01-01

    运用SWOT分析法分析基于专业结合的应用型高校的思想政治理论课教学,有助于准确判断面临的形势,减少教学改革过程中的干扰因素与障碍。本文运用PEST分析法分析了教学改革所面临的外部环境中政治、经济、社会和技术方面的机会与威胁,运用价值链分析法分析了内部系统中的内部价值链、横向价值链和纵向价值链上的优势与劣势,并将其在SWOT分析图上进行定位,指出今后的四种发展战略,在此基础上分析今后教学改革的发展态势。%SWOT analysis is used to analyze vocational ideological and political theory courses based on specialty,to help accu-rately determine the situation facing the teaching reform process to reduce disturbances and obstacles. Through the use of PEST analysis method to analyze the opportunities and threats faced by the teaching reform in the external environment of political,eco-nomic,social and technological aspects,analyzes the internal systems were analyzed using internal value chain value chain anal-ysis,the value of lateral and vertical value chain strengths and weaknesses in the chain. A SWOT analysis chart is located and four future development strategies are pointed out. On the basis of the analysis,the teaching reform in the future development trend is discussed.

  3. Research and discussion based on specialty characteristics of performance management system of pharmacy%基于药学专业特色绩效管理体系的研究与探讨

    Institute of Scientific and Technical Information of China (English)

    朱姗薇; 王淑玲; 谢进; 刘蕊; 王伊文; 何惠芳

    2015-01-01

    目的 探讨实施针对药学专业特色的绩效管理体系.方法 将绩效管理理论与实际业务相结合,建立实用性强,可持续发展的绩效管理体系.结果 激励医务人员的工作热情,发挥其主观能动性,找到适合自己的岗位,使优秀人才脱颖而出,实现药学部的既定战略目标.结论具备药学专业特色的绩效管理体系可摆脱单一的人员绩效考核的模式,在达成组织绩效的同时,使个人从中获益,实现组织和个人的双赢.%Objective To investigate and implement the performance management system based on the specialty characteristics of pharmacy.Methods combining the performance management theory and profession practice, establish a practical and sustainable development performance management system.Results embrave the motivation of medical staff working enthusiasm, exert their subjective initiative, to find suitable for their jobs and showing their talent, to realize the strategic target of pharmacy department. Conclusionthe performance management system could make the staff break away from Single personnel performance appraisal model, achieve organizational performance at the same time and benefit the individual, realize the win-win of organizations and individuals.

  4. Holland's Theory Applied to Medical Specialty Choice

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.; Jones, Bonnie J.

    2004-01-01

    The present study tested the hypothesis that medical specialties classified as technique oriented or patient oriented would be distinguished by RIASEC code, with technique-oriented specialists resembling Investigative-Realistic types and patient-oriented specialists resembling Investigative-Social types. Using longitudinal data obtained from 447…

  5. Facial Specialty. Teacher Edition. Cosmetology Series.

    Science.gov (United States)

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This publication is one of a series of curriculum guides designed to direct and support instruction in vocational cosmetology programs in the State of Oklahoma. It contains seven units for the facial specialty: identifying enemies of the skin, using aromatherapy on the skin, giving facials without the aid of machines, giving facials with the aid…

  6. Holland's Theory Applied to Medical Specialty Choice

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.; Jones, Bonnie J.

    2004-01-01

    The present study tested the hypothesis that medical specialties classified as technique oriented or patient oriented would be distinguished by RIASEC code, with technique-oriented specialists resembling Investigative-Realistic types and patient-oriented specialists resembling Investigative-Social types. Using longitudinal data obtained from 447…

  7. Orofacial pain emerging as a dental specialty.

    Science.gov (United States)

    Rosenbaum, R S; Friction, J R; Okeson, J P

    2001-01-01

    The emerging field of orofacial pain was considered by the American Dental Association for full status as a new dental specialty. While the recognition of orofacial pain as a specialty was denied, the American Academy of Orofacial Pain plans to continue its efforts. Many recent advances in the neuroscience of orofacial pain have led to treatments that provide significant relief for patients with chronic orofacial pain disorders. However, access to this care has been limited, leaving many patients to suffer. Dentists are generally supportive of the efforts to develop oral pain treatment into a specialty because the field will provide benefits for both dentists and their patients. A recent survey of 805 individuals who reported having a persistent pain disorder revealed that more than four out of 10 people have yet to find adequate relief, saying their pain is out of control--despite having the pain for more than five years and switching doctors at least once. "This survey suggests that there are millions of people living with severe uncontrolled pain," says Russell Portenoy, MD, president of the American Pain Society. "This is a great tragedy. Although not everyone can be helped, it is likely that most of these patients could benefit if provided with state-of-the-art therapies and improved access to pain specialists when needed." Development of the field of orofacial pain into a dental specialty has been moved primarily by the fact that historically, patients with complex chronic orofacial pain disorders have not been treated well by any discipline of healthcare. Recent studies of chronic orofacial pain patients have found that these patients have a higher number of previous clinicians and have endured many years with pain prior to seeing an orofacial pain dentist (see Figure 1). Complex pain patients and the clinicians who see them are often confused about who they should consult for relief of the pain. Treatment for those patients within the existing structure of

  8. Should women's health be a medical specialty?

    Science.gov (United States)

    Papazian, T

    1993-01-01

    The proponents of a new specialty in medicine focusing on women's health are concerned with women's total health needs, much like pediatrics is with children or geriatrics with old people. None of the 7 Lebanese physicians interviewed were aware of this issue. Among them there were 3 female doctors (a family physician, and endocrinologist, and a dermatologist) and 4 male doctors (2 surgeons, a gynecologist, and a cardiologist). The irrelevance of creating such a specialty in the Lebanese reality could be attributed to the absence of a feminist catalyst in Lebanon. All 7 physicians believed that medicine was providing comprehensive care equitably to men and women and argued that the creation of a new specialty would cause further division and segregation between the sexes. All the doctors said that the main reason for not including women in the trial testing of new drugs is fear of interfering with their reproductive system. Drugs may affect the menstrual cycle, the fetus, or the hormonal system and thus cause permanent damage. Because of cultural and traditional value systems, the endocrinologist claimed that in Lebanon men do not get a genital examination as part of a check-up by their general practitioner, and women are not examined if they do not request it themselves. All agreed that the family physician is the best person to provide comprehensive care and to refer the patient to a specialist. All the physicians with different specialties and backgrounds believed that the creation of a new specialty would be illogical or nonsensical. The fact that women doctors shared the opinion of male doctors was intriguing. It raised questions as to whether they had the same opinion or whether they reacted the same way because they belonged to the same community or because of the absence of an aggressive women's liberation movement in Lebanon.

  9. Short report: factors that affect specialty choice and career plans of Wisconsin's medical students.

    Science.gov (United States)

    Knox, Kjersti E; Getzin, Anne; Bergum, Alison; McBride, Patrick; Rieselbach, Richard; Friedsam, Donna

    2008-12-01

    To identify factors that influence specialty choice among Wisconsin medical students and provide insight into approaches to encourage more students to pursue careers in primary care. The importance of several factors in medical student career choice was surveyed using a Web survey convenience sample of all Wisconsin medical students. Students intending to pursue a career in primary care and in other specialties were compared. Respondents, regardless of specialty choice or gender, identified a similar group of factors as highly influential, and similar group of factors as non-influential in their decision-making. However, significantly more primary care students than other specialty students considered interest in underserved populations, relationships with patients, scope of practice, and role models important in their career choice. Significantly more primary care students than other specialty students responded that salary and competitiveness were "not at all" important. A greater number of other specialty students than primary care students stated that interest in scope of practice, role models, and training years were "not at all" important. Debt-related factors were reported as "not at all" important by nearly one-third of respondents. Although primary care and other specialty students report making their career plans based on the impact of similar factors, significant differences between primary care and other specialty students were reported in key areas. These results validate many previously reported factors, and indicate that salary and years of training may have been overemphasized in understanding student career choice. The results of this survey may be useful for Wisconsin medical schools in order to sustain, support, and foster student interest in primary care.

  10. Factors influencing dental students' specialty choice: a survey of ten graduating classes at one institution.

    Science.gov (United States)

    Shin, Jane H; Kinnunen, Taru H; Zarchy, Marisa; Da Silva, John D; Chang, Brian Myung W; Wright, Robert F

    2015-04-01

    The aim of this study was to survey ten graduating classes at Harvard School of Dental Medicine regarding students' specialty choice and factors influencing that choice. Students were surveyed once in 2008 (for the Classes of 2007-11) and again in 2013 (for the Classes of 2012-16). A prior article reported results regarding students' interest in and experiences with prosthodontics; this article presents results regarding their interest in all dental specialties and factors influencing those interests. Of a total 176 students in the Classes of 2012-16, 143 responded to the survey, for a response rate of 81%, compared to a 95% response rate (167 of total 176 students) for the Classes of 2007-11. The results showed that orthodontics was the most popular specialty choice, followed by oral and maxillofacial surgery. From the 2008 to the 2013 survey groups, there was an increase in the percentages of students planning to pursue oral and maxillofacial surgery, pediatric dentistry, and postdoctoral general dentistry. The educational debt these students expected to accrue by graduation also increased. The largest percentage of students chose "enjoyment of providing the specialty service" as the factor most influencing their specialty choice. "Prior dental school experience" and "faculty influence" were greater influences for students pursuing specialties than those pursuing postdoctoral general dentistry. Increased interest in particular disciplines may be driven by high debt burdens students face upon graduation. Factors related to mentoring especially influenced students pursuing specialties, demonstrating the importance of student experiences outside direct patient care for exposure to the work of specialists beyond the scope of predoctoral training. This finding suggests that dental schools should increase mentoring efforts to help students make career decisions based not on financial burden but rather on personal interest in the specialty, which is likely to have a

  11. Gender Distribution Among American Board of Medical Specialties Boards of Directors.

    Science.gov (United States)

    Walker, Laura E; Sadosty, Annie T; Colletti, James E; Goyal, Deepi G; Sunga, Kharmene L; Hayes, Sharonne N

    2016-11-01

    Since 1995, women have comprised more than 40% of all medical school graduates. However, representation at leadership levels in medicine remains considerably lower. Gender representation among the American Board of Medical Specialties (ABMS) boards of directors (BODs) has not previously been evaluated. Our objective was to determine the relative representation of women on ABMS BODs and compare it with the in-training and in-practice gender composition of the respective specialties. The composition of the ABMS BODs was obtained from websites in March 2016 for all Member Boards. Association of American Medical Colleges and American Medical Association data were utilized to identify current and future trends in gender composition. Although represented by a common board, neurology and psychiatry were evaluated separately because of their very different practices and gender demographic characteristics. A total of 25 specialties were evaluated. Of the 25 specialties analyzed, 12 BODs have proportional gender representation compared with their constituency. Seven specialties have a larger proportion of women serving on their boards compared with physicians in practice, and 6 specialties have a greater proportion of men populating their BODs. Based on the most recent trainee data (2013), women have increasing workforce representation in almost all specialties. Although women in both training and practice are approaching equal representation, there is variability in gender ratios across specialties. Directorship within ABMS BODs has a more equitable gender distribution than other areas of leadership in medicine. Further investigation is needed to determine the reasons behind this difference and to identify opportunities to engage women in leadership in medicine. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  12. A qualitative study on physicians' perceptions of specialty characteristics.

    Science.gov (United States)

    Park, Kwi Hwa; Jun, Soo-Koung; Park, Ie Byung

    2016-09-01

    There has been limited research on physicians' perceptions of the specialty characteristics that are needed to sustain a successful career in medical specialties in Korea. Medical Specialty Preference Inventory in the United States or SCI59 (specialty choice inventory) in the United Kingdom are implemented to help medical students plan their careers. The purpose of this study was to explore the characteristics of the major specialties in Korea. Twelve physicians from different specialties participated in an exploratory study consisting of qualitative interviews about the personal ability and emotional characteristics and job attributes of each specialty. The collected data were analysed with content analysis methods. Twelve codes were extracted for ability & skill attributes, 23 codes for emotion & attitude attributes, and 12 codes for job attributes. Each specialty shows a different profile in terms of its characteristic attributes. The findings have implications for the design of career planning programs for medical students.

  13. 76 FR 42112 - Specialty Crop Committee Stakeholder Listening Sessions

    Science.gov (United States)

    2011-07-18

    ...; ] DEPARTMENT OF AGRICULTURE Office of the Secretary Specialty Crop Committee Stakeholder Listening Sessions AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening sessions... Department of Agriculture announces two stakeholder listening sessions of the Specialty Crop Committee,...

  14. Surgical Specialty Residents More Likely to Receive the Arnold P. Gold Humanism and Excellence in Teaching Award.

    Science.gov (United States)

    Falcone, John L

    2015-01-01

    The Arnold P. Gold Humanism and Excellence in Teaching Awards are given by medical students to residents. The aim of this study is to evaluate the distribution of this award based on residency specialty. The hypothesis is that surgical residents more commonly receive this award. This was a retrospective study from 2004 to 2013. All award recipients were obtained from the Arnold P. Gold Foundation website. The specialties of award recipients were tabulated. The number of award winners per thousand specialty residents was estimated using the Accreditation Council for Graduate Medical Education Data Resource Book, adjusting for the number of awarding schools and resident specialties. All statistics used an α = 0.05. There were 2489 awards given during the study period, with 52.6% in medical specialties and 47.4% in surgical specialties (p = 0.45). The specialties most commonly awarded were General Surgery (22.3%), Internal Medicine (20.9%), and Obstetrics/Gynecology (20.4%). Adjusting for the number of eligible residents, there were 59.9 awards/1000 Obstetrics/Gynecology residents, 43.1 awards/1000 General Surgery residents, and 20.2 awards/1000 Internal Medicine residents (p Humanism and Excellence in Teaching Awards are more commonly given to surgical specialty residents. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  15. 低甲醛脲醛-石膏-膨润土基玉米缓释肥的制备%Preparation of Urea Formaldehyde-Gypsum-Bentonite Based Specialty Slowrelease Fertilizers for Corn

    Institute of Scientific and Technical Information of China (English)

    李娜; 邓跃全; 董发勤; 李丽君; 马春雪

    2013-01-01

    Based on the compound of urea formaldehyde and gypsum as the binder and compound with bentonite, a slow-release system was got, and the reasonable amount of slow-release nitrogen fertilizer (urea-gypsum), available nitrogen fertilizer (ammonium sulfate), phosphorus fertilizer or potassium fertilizer were added in according to the demand for N, P, K in different growth period of corn. Then through the extrusion mixing reaction, screening and granulation, the integration preparation technology, urea formaldehyde-gypsum-bentonite based specialty slow release nitrogen fertilizer and slow release compound fertilizer for corn were prepared. Fertilizers obtained were coated with polyvinyl formal (PVF) respectively, and corresponding coated fertilizers were got. Using the continuous leaching method, the release rates of N, P, K and S in slow release fertilizers were determined and were compared with conventional compound fertilizer, the results showed that the slow release properties of the fertilizers prepared by the integration preparation technology were better.%  以低甲醛脲醛和石膏的有机-无机复合物为粘结剂,与膨润土复配,形成缓释体系,根据玉米不同生长期对N、P、K的需要,合理配比缓效氮肥(尿素石膏)、速效氮肥(硫酸铵)、磷素肥料或钾素肥料的用量,通过挤压混合反应,振动筛分,圆盘造粒一体化制备技术制备低甲醛脲醛-石膏-膨润土基玉米专用缓释氮肥和缓释复合肥,分别用聚乙烯醇缩甲醛包膜(PVF),获得包膜缓释氮肥和包膜缓释复合肥;利用沙柱连续淋溶法对缓释肥料中N、P、K、S 4种养分的释放速率进行了测定,并与常规复合肥对比,结果表明其缓释性能良好。

  16. 76 FR 66965 - Treasure Coast Specialty Pharmacy Decision and Order

    Science.gov (United States)

    2011-10-28

    ... Enforcement Administration Treasure Coast Specialty Pharmacy Decision and Order On September 14, 2011... Registration, BT9856002, issued to Treasure Coast Specialty Pharmacy, be, and it hereby is, revoked. I further order that any pending application of Treasure Coast Specialty Pharmacy, to renew or modify his...

  17. Career Specialty Choice: A Combined Research-Intervention Project

    Science.gov (United States)

    Leong, F.T.L.; Hardin, E.E.; Gaylor, M.

    2005-01-01

    This research describes and evaluates a workshop aimed at promoting career specialty choice and examines relationships between measured career specialty interests, work values, and personality type. Three consecutive classes of second-year medical students (N=161) participated in a two-session specialty choice workshop. All participants in the…

  18. 15 CFR 2011.204 - Entry of specialty sugars.

    Science.gov (United States)

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Entry of specialty sugars. 2011.204... UNITED STATES TRADE REPRESENTATIVE ALLOCATION OF TARIFF-RATE QUOTA ON IMPORTED SUGARS, SYRUPS AND MOLASSES Specialty Sugar § 2011.204 Entry of specialty sugars. An importer or the importer's agent...

  19. Recent trends in specialty pharma business model

    Directory of Open Access Journals (Sweden)

    Mannching Sherry Ku

    2015-12-01

    Full Text Available The recent rise of specialty pharma is attributed to its flexible, versatile, and open business model while the traditional big pharma is facing a challenging time with patent cliff, generic threat, and low research and development (R&D productivity. These multinational pharmaceutical companies, facing a difficult time, have been systematically externalizing R&D and some even establish their own corporate venture capital so as to diversify with more shots on goal, with the hope of achieving a higher success rate in their compound pipeline. Biologics and clinical Phase II proof-of-concept (POC compounds are the preferred licensing and collaboration targets. Biologics enjoys a high success rate with a low generic biosimilar threat, while the need is high for clinical Phase II POC compounds, due to its high attrition/low success rate. Repurposing of big pharma leftover compounds is a popular strategy but with limitations. Most old compounds come with baggage either in lackluster clinical performance or short in patent life. Orphan drugs is another area which has gained popularity in recent years. The shorter and less costly regulatory pathway provides incentives, especially for smaller specialty pharma. However, clinical studies on orphan drugs require a large network of clinical operations in many countries in order to recruit enough patients. Big pharma is also working on orphan drugs starting with a small indication, with the hope of expanding the indication into a blockbuster status. Specialty medicine, including orphan drugs, has become the growth engine in the pharmaceutical industry worldwide. Big pharma is also keen on in-licensing technology or projects from specialty pharma to extend product life cycles, in order to protect their blockbuster drug franchises. Ample opportunities exist for smaller players, even in the emerging countries, to collaborate with multinational pharmaceutical companies provided that the technology platforms or

  20. Recent trends in specialty pharma business model.

    Science.gov (United States)

    Ku, Mannching Sherry

    2015-12-01

    The recent rise of specialty pharma is attributed to its flexible, versatile, and open business model while the traditional big pharma is facing a challenging time with patent cliff, generic threat, and low research and development (R&D) productivity. These multinational pharmaceutical companies, facing a difficult time, have been systematically externalizing R&D and some even establish their own corporate venture capital so as to diversify with more shots on goal, with the hope of achieving a higher success rate in their compound pipeline. Biologics and clinical Phase II proof-of-concept (POC) compounds are the preferred licensing and collaboration targets. Biologics enjoys a high success rate with a low generic biosimilar threat, while the need is high for clinical Phase II POC compounds, due to its high attrition/low success rate. Repurposing of big pharma leftover compounds is a popular strategy but with limitations. Most old compounds come with baggage either in lackluster clinical performance or short in patent life. Orphan drugs is another area which has gained popularity in recent years. The shorter and less costly regulatory pathway provides incentives, especially for smaller specialty pharma. However, clinical studies on orphan drugs require a large network of clinical operations in many countries in order to recruit enough patients. Big pharma is also working on orphan drugs starting with a small indication, with the hope of expanding the indication into a blockbuster status. Specialty medicine, including orphan drugs, has become the growth engine in the pharmaceutical industry worldwide. Big pharma is also keen on in-licensing technology or projects from specialty pharma to extend product life cycles, in order to protect their blockbuster drug franchises. Ample opportunities exist for smaller players, even in the emerging countries, to collaborate with multinational pharmaceutical companies provided that the technology platforms or specialty medicinal

  1. Predictors of final specialty choice by internal medicine residents.

    Science.gov (United States)

    Diehl, Andrew K; Kumar, Vineeta; Gateley, Ann; Appleby, Jane L; O'Keefe, Mary E

    2006-10-01

    Sociodemographic factors and personality attributes predict career decisions in medical students. Determinants of internal medicine residents' specialty choices have received little attention. To identify factors that predict the clinical practice of residents following their training. Prospective cohort study. Two hundred and four categorical residents from 2 university-based residency programs. Sociodemographic and personality inventories performed during residency, and actual careers 4 to 9 years later. International medical school graduates (IMGs) were less likely to practice general medicine than U.S. graduates (33.3% vs 70.6%, P personal attributes during the selection process.

  2. Electrochemical degradation of specialty chemical industry effluent.

    Science.gov (United States)

    Basha, C Ahmed; Soloman, P A; Velan, M; Miranda, Lima Rose; Balasubramanian, N; Siva, R

    2010-04-15

    Conventional wastewater treatment techniques are inefficient to manage large quantities of refractory organics discharged by specialty chemical industries. It is aimed in the present investigation to compare overall performance of the basic electrochemical reactor configurations such as batch, batch recirculation and continuous recycle reactors, in removing the organic part of wastewater from a medium-scale, specialty chemical industry. The effects of current density, supporting electrolyte concentration, electrolysis duration and fluid flow rate on the pollutant removal and energy consumption performances were critically evaluated. Continuous recycle reactor is found to be the better configuration, because of its flexibility of operation. Circulation flow rate and withdrawal flow rate enable control on transfer coefficients and treatment duration respectively. The ability of artificial neural network (ANN) in predicting the performance of the batch electrochemical treatment has also been demonstrated. 2009 Elsevier B.V. All rights reserved.

  3. Barriers to specialty care and specialty referral completion in the community health center setting.

    Science.gov (United States)

    Zuckerman, Katharine E; Perrin, James M; Hobrecker, Karin; Donelan, Karen

    2013-02-01

    To assess the frequency of barriers to specialty care and to assess which barriers are associated with an incomplete specialty referral (not attending a specialty visit when referred by a primary care provider) among children seen in community health centers. Two months after their child's specialty referral, 341 parents completed telephone surveys assessing whether a specialty visit was completed and whether they experienced any of 10 barriers to care. Family/community barriers included difficulty leaving work, obtaining childcare, obtaining transportation, and inadequate insurance. Health care system barriers included getting appointments quickly, understanding doctors and nurses, communicating with doctors' offices, locating offices, accessing interpreters, and inconvenient office hours. We calculated barrier frequency and total barriers experienced. Using logistic regression, we assessed which barriers were associated with incomplete referral, and whether experiencing ≥ 4 barriers was associated with incomplete referral. A total of 22.9% of families experienced incomplete referral. 42.0% of families encountered 1 or more barriers. The most frequent barriers were difficulty leaving work, obtaining childcare, and obtaining transportation. On multivariate analysis, difficulty getting appointments quickly, difficulty finding doctors' offices, and inconvenient office hours were associated with incomplete referral. Families experiencing ≥ 4 barriers were more likely than those experiencing ≤ 3 barriers to have incomplete referral. Barriers to specialty care were common and associated with incomplete referral. Families experiencing many barriers had greater risk of incomplete referral. Improving family/community factors may increase satisfaction with specialty care; however, improving health system factors may be the best way to reduce incomplete referrals. Copyright © 2013 Mosby, Inc. All rights reserved.

  4. [Determinants of primary care specialty choice].

    Science.gov (United States)

    Pawełczyk, Agnieszka; Pawełczyk, Tomasz; Bielecki, Jan

    2007-03-01

    This paper analyzes and synthesizes the literature on primary care specialty choice. Motivation for choosing medicine and its impact on recruitment to different types of medical work has been presented. Factors that influence medical students and young doctors to change specialty preference have also been explored. Variables, such as gender, martial status, age, income expectations and prestige, that affect medical students' specialty selection decisions for primary care, have been examined. Personality profiles of primary care physician have been evaluated and the influence of communication skills and knowledge of social psychology on his/her work have been analyzed. It is presented that other traits, such as patient-centeredness, needs to serve society and value orientation, is also associated with increases in numbers of students choosing primary care. The analyze shows that the preference for primary care is connected with being interested in diverse patients and health problems and also with being people-orientated. A survey conducted into Polish medical students' attitudes to primary care and family medicine is presented. There is a negative perception of family medicine among Polish students and doctors because of its long work hours and less time for family, insufficient diagnostic possibilities and monotony It is chosen because of lack of other possibilities, difficulties in employment and opportunity to become 'a specialist' in short time.

  5. [A new specialty is born: Vascular medicine].

    Science.gov (United States)

    Laroche, J-P

    2016-05-01

    On the 4th of December 2015, the French authorities officially recognized the birth of a specialty in vascular medicine entitled CO-DES cardiology-vascular/vascular Medicine. France is the 7th country to obtain this specialty after Switzerland, Germany, Austria, Czech Republic, Slovakia and Slovenia, six countries in the EEC. It has taken years to achieve a long but exciting experience: we went from hopes to disappointments, sometimes with the blues, but lobbying helping… with sustained confidence. This article tells the story of 30 years of struggle to achieve this vascular medicine specialty. Gaston Bachelard wrote: "Nothing is obvious, nothing is given, all is built." For the construction of vascular medicine, we had to overcome many obstacles, nothing was given to us, everything was conquered. Beware "The specialist is one who knows more and more things about an increasingly restricted field, up to 'knowing everything about nothing"' recalled Ralph Barton Ferry, philosopher; so there is room for modesty and humility but also convictions. The physical examination will remain the basis of our exercise. But let us recall the contributions of all those vascular physicians who practiced in the past, together with those currently active, who built day after day, year after year, a vascular medicine of quality. It is because of the trust of our colleagues and our patients that we can occupy the place that is ours today.

  6. Residents' views about family medicine specialty education in Turkey

    Directory of Open Access Journals (Sweden)

    Uzuner Arzu

    2010-04-01

    Full Text Available Abstract Background Residents are one of the key stakeholders of specialty training. The Turkish Board of Family Medicine wanted to pursue a realistic and structured approach in the design of the specialty training programme. This approach required the development of a needs-based core curriculum built on evidence obtained from residents about their needs for specialty training and their needs in the current infrastructure. The aim of this study was to obtain evidence on residents' opinions and views about Family Medicine specialty training. Methods This is a descriptive, cross-sectional study. The board prepared a questionnaire to investigate residents' views about some aspects of the education programme such as duration and content, to assess the residents' learning needs as well as their need for a training infrastructure. The questionnaire was distributed to the Family Medicine Departments (n = 27 and to the coordinators of Family Medicine residency programmes in state hospitals (n = 11 by e-mail and by personal contact. Results A total of 191 questionnaires were returned. The female/male ratio was 58.6%/41.4%. Nine state hospitals and 10 university departments participated in the study. The response rate was 29%. Forty-five percent of the participants proposed over three years for the residency duration with either extensions of the standard rotation periods in pediatrics and internal medicine or reductions in general surgery. Residents expressed the need for extra rotations (dermatology 61.8%; otolaryngology 58.6%; radiology 52.4%. Fifty-nine percent of the residents deemed a rotation in a private primary care centre necessary, 62.8% in a state primary care centre with a proposed median duration of three months. Forty-seven percent of the participants advocated subspecialties for Family Medicine, especially geriatrics. The residents were open to new educational methods such as debates, training with models, workshops and e

  7. Reform of the National College Entrance Examination and Enrollment System Based on Specialties Direction%以专业为导向的高考招生制度改革

    Institute of Scientific and Technical Information of China (English)

    夏洁

    2016-01-01

    高考制度自恢复以来历经改革,不断满足着人民的需求,然而随着社会的进步,高考制度的某些缺陷也日益凸显。其中,我国沿用多年的分批次、按学校录取引发了一系列的问题,如高校层级固化、办学积极性下降;高中教育过分看重学习成绩和名校,忽视了学生的兴趣发展和能力塑造;青少年缺乏明确清晰的发展目标,学习动力不足;教育领域缺乏竞争和创新,教育质量缺少质的飞跃等。以国务院深化考试招生制度改革为契机,分析高考现有投档录取方案存在的问题,并以浙江省录取改革方案为基础,构建“打破批次,按专业大类平行投递、按考生成绩分段同时录取”的高考投档及录取方案,并对新方案的价值追求、可行性和合法性进行分析,以期为相关研究提供参考。%After many reforms, the National College Entrance Examination System has met the needs of people continually since recovery.But with social progress, this system is producing some problems.For example,the current enrollment based on batch and school has caused hierarchy curing of colleges,which also reduced the enthusiasm of running schools.And high schools just seek scores and elite colleges thus ignore the interests and abilities of students.What's more,the youth not only lack learning motivation but also lack a clear target.And there is no competition among education thus there's no leap.Now the author takes the opportunity of the deep reform of the examination enrollment, analyzing the shortage of the current system and exploring a new scheme based on Zhejiang Province.This new scheme breaks the batch and highlights the specialties.It also makes the same time admission possible.By demonstrating the legality,the author hopes to offer some useful references.

  8. Caveat emptor: joint ventures with specialty hospitals.

    Science.gov (United States)

    Kahn, Charles N

    2006-06-01

    A specialty hospital joint venture between a health system and physician investors may implicate anti-kickback and tax laws when physicians self-refer patients to the hospital, raising the issue of conflict of interest. Physician self-referral can motivate behavior, such as cherry-picking patients and increased utilization, which in turn leads to windfall profits for physician owners and weakens classic community hospitals. Hopitals can best serve the interests of patients and improve performance by building enduring partnerships with physicians.

  9. Oral health in Brazil - Part II: Dental Specialty Centers (CEOs

    Directory of Open Access Journals (Sweden)

    Vinícius Pedrazzi

    2008-08-01

    Full Text Available The concepts of health promotion, self-care and community participation emerged during the 1970s and, since then, their application has grown rapidly in the developed world, showing evidence of effectiveness. In spite of this, a major part of the population in the developing countries still has no access to specialized dental care such as endodontic treatment, dental care for patients with special needs, minor oral surgery, periodontal treatment and oral diagnosis. This review focuses on a program of the Brazilian Federal Government named CEOs (Dental Specialty Centers, which is an attempt to solve the dental care deficit of a population that is suffering from oral diseases and whose oral health care needs have not been addressed by the regular programs offered by the SUS (Unified National Health System. Literature published from 2000 to the present day, using electronic searches by Medline, Scielo, Google and hand-searching was considered. The descriptors used were Brazil, Oral health, Health policy, Health programs, and Dental Specialty Centers. There are currently 640 CEOs in Brazil, distributed in 545 municipal districts, carrying out dental procedures with major complexity. Based on this data, it was possible to conclude that public actions on oral health must involve both preventive and curative procedures aiming to minimize the oral health distortions still prevailing in developing countries like Brazil.

  10. Exploring personal interests of physicians in hospitals and specialty clinics.

    Science.gov (United States)

    Koelewijn, Wout T; Ehrenhard, Michel L; Groen, Aard J; van Harten, Wim H

    2014-01-01

    Physicians' interests substantially influence intra-organizational dynamics in hospitals, though little is known about the actual content and structure of these interests. The objective of this study was to both identify and build a structured model of physicians' interests. Based on literature and 27 semi-structured interviews with physicians, a questionnaire containing 10 interests was developed. Next, 1475 physicians in the Netherlands filled out an online survey. Analyses of the data revealed a distinction between the primary interest of 'helping patients as well as possible' and nine secondary interests. Factor analysis identified the main secondary interest dimensions as work-related, setting-related, and life-related. Value attached to interests differs between specialties and types of hospitals. The influence of hospital type on the value attached to interests is stronger than the influence of specialty group on the value attached to interests. Insight in the relative importance of different interests may help policy-makers make decisions that foster shared interests. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Comparison of Women in Department Leadership in Obstetrics and Gynecology With Other Specialties

    Science.gov (United States)

    Hofler, Lisa G.; Hacker, Michele R.; Dodge, Laura E.; Schutzberg, Rose; Ricciotti, Hope A.

    2016-01-01

    Objective To compare the representation of women in Obstetrics and Gynecology department-based leadership to other clinical specialties, while accounting for proportions of women in historical residency cohorts. Methods This was a cross-sectional observational study. The gender of department-based leaders (chair, vice chair, division director) and residency program directors was determined from websites of 950 academic departments of Anesthesiology, Diagnostic Radiology, General Surgery, Internal Medicine, Neurology, Obstetrics and Gynecology, Pathology, Pediatrics, and Psychiatry. Each specialty's representation ratio—proportion of leadership roles held by women in 2013 divided by proportion of residents in 1990 who were women—and 95% confidence interval (CI) were calculated. A ratio of one indicates proportionate representation. Results Women were significantly under-represented among chairs for all specialties (ratios ≤0.60, P≤0.02) and division directors for all specialties except Anesthesiology (ratio: 1.13, 95% CI: 0.87–1.46) and Diagnostic Radiology (ratio: 0.97, 95% CI: 0.81–1.16). The representation ratio for vice chair was below 1.0 for all specialties except Anesthesiology; this finding reached statistical significance only for Pathology, Pediatrics, and Psychiatry. Women were significantly over-represented as residency program directors in General Surgery, Anesthesiology, Obstetrics and Gynecology, and Pediatrics (ratios >1.19, P≤0.046). Obstetrics and Gynecology and Pediatrics had the highest proportions of residents in 1990 and department leaders in 2013 who were women. Conclusion Despite having the largest proportion of leaders who were women, representation ratios demonstrate Obstetrics and Gynecology is behind other specialties in progression of women to departmental leadership. Women's over-representation as residency program directors raises concern because education-based academic tracks may not lead to major leadership roles. PMID

  12. Comparison of Women in Department Leadership in Obstetrics and Gynecology With Those in Other Specialties.

    Science.gov (United States)

    Hofler, Lisa G; Hacker, Michele R; Dodge, Laura E; Schutzberg, Rose; Ricciotti, Hope A

    2016-03-01

    To compare the representation of women in obstetrics and gynecology department-based leadership to other clinical specialties while accounting for proportions of women in historical residency cohorts. This was a cross-sectional observational study. The gender of department-based leaders (chair, vice chair, division director) and residency program directors was determined from websites of 950 academic departments of anesthesiology, diagnostic radiology, general surgery, internal medicine, neurology, obstetrics and gynecology, pathology, pediatrics, and psychiatry. Each specialty's representation ratio-proportion of leadership roles held by women in 2013 divided by proportion of residents in 1990 who were women-and 95% confidence interval (CI) were calculated. A ratio of 1 indicates proportionate representation. Women were significantly underrepresented among chairs for all specialties (ratios 0.60 or less, P≤.02) and division directors for all specialties except anesthesiology (ratio 1.13, 95% CI 0.87-1.46) and diagnostic radiology (ratio 0.97, 95% CI 0.81-1.16). The representation ratio for vice chair was below 1.0 for all specialties except anesthesiology; this finding reached statistical significance only for pathology, pediatrics, and psychiatry. Women were significantly overrepresented as residency program directors in general surgery, anesthesiology, obstetrics and gynecology, and pediatrics (ratios greater than 1.19, P≤.046). Obstetrics and gynecology and pediatrics had the highest proportions of residents in 1990 and department leaders in 2013 who were women. Despite having the largest proportion of leaders who were women, representation ratios demonstrate obstetrics and gynecology is behind other specialties in progression of women to departmental leadership. Women's overrepresentation as residency program directors raises concern because education-based academic tracks may not lead to major leadership roles.

  13. Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study

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    Saigal Priya

    2007-09-01

    Full Text Available Abstract Background Little research addresses how medical students develop their choice of specialty training in Japan. The purpose of this research was to elucidate factors considered by Japanese medical students when formulating their specialty choice. Methods We conducted qualitative interviews with 25 Japanese medical students regarding factors influencing specialty preference and their views on roles of primary versus specialty care. We qualitatively analyzed the data to identify factors students consider when developing specialty preferences, to understand their views about primary and subspecialty care, and to construct models depicting the pathways to specialization. Results Students mention factors such as illness in self or close others, respect for family member in the profession, preclinical experiences in the curriculum such as labs and dissection, and aspects of patient care such as the clinical atmosphere, charismatic role models, and doctor-patient communication as influential on their specialty preferences. Participating students could generally distinguish between subspecialty care and primary care, but not primary care and family medicine. Our analysis yields a "Two Career" model depicting how medical graduates can first train for hospital-based specialty practice, and then switch to mixed primary/specialty care outpatient practice years later without any requirement for systematic training in principles of primary care practice. Conclusion Preclinical and clinical experiences as well as role models are reported by Japanese students as influential factors when formulating their specialty preferences. Student understanding of family medicine as a discipline is low in Japan. Students with ultimate aspirations to practice outpatient primary care medicine do not need to commit to systematic primary care training after graduation. The Two Career model of specialization leaves the door open for medical graduates to enter primary

  14. BIOCHEMISTRY IN THE SPECIALTY IN VISUAL FUNCTION, AND VIRTUAL ENVIRONMENTS IN THE CICS UMA-IPN

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    Blanca Elisa Pérez-Magaña

    2014-07-01

    Full Text Available The higher education and postgraduate in Mexico." delivered at the National Polytechnic Institute is located in a period of constant modification and sustained that has led to the creation of new pedagogical proposals aimed at the promotion of learning emphasizing virtual education. The development of ICT (Information Technologies and Communication in the last few years has favored the emergence and consolidation of degrees, diplomas, Specialties, Master's Degrees among other, using the distance learning based on a web environment. This work analyzes the importance that had the Biochemistry course taught in the specialty of Visual Function in the CICS and UMA that allowed both to the students as the teachers try to virtually eliminate the disadvantages theoretical to traditional teaching. The results obtained in addition to the skills and competences acquired the students were highly successful, and it is hoped to be able to continue implementing such environments in other specialties and master's degrees.

  15. 高职院校旅游管理专业群基于能力本位课程体系的构建路径%The Developing Methodology of the Competency-based Education Curriculum in Specialty Cluster of Tourism Management in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    温黎明; 高玉飞

    2012-01-01

    The curriculum system of the Competency-based Education (CBE) in specialty cluster of tourism management follows the routines of the CBE theories, as well as a lot of localized innova- tions. The basis of the curriculum system in specialty cluster of tourism management of Qingdao Technical College is the analysis of the competencies which the students have mastered and what they should master. In the practice of the curriculum system building, the specialty cluster of tourism man- agement, with the reference to DACUM, determines what knowledge and competency the students have already mastered in a particular area, compares with the knowledge and competency which they should master thus to find out the gap in-between, to judge the students' proficiency, and then to or- ganize the curriculum and teaching as well.%旅游管理专业群基于能力本位的课程体系建设遵循能力本位教育理论的一般规律,同时也加入了大量的本土化创新元素。青岛职业技术学院旅游管理专业群课程该体系构建的基础是对学生已经掌握的和他们应该掌握的能力进行分析。在课程体系建设实践中,旅游管理专业群参考DACUM方法,确定学生在某一领域已经掌握了哪些知识和能力,并对照他们应该掌握的知识和能力,找出二者之间的差距,从而判断学生的熟练程度,然后以此为根据来组织课程与教学。

  16. BUSINESS DEVELOPMENT STRATEGY FOR SPECIALTY COFFEE

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    Vharessa Aknesia

    2015-01-01

    Full Text Available Specialty coffee is a coffee of premium quality that has been made through various stages of post-harvest processing and strictly controlled to produce distinctive taste of origins. PT Sinar Mayang Lestari is one of the companies that currently produce and develop specialty coffee type, Arabica Java Preanger. The objectives of the study are to examine competitive advantages and develop an alternative strategy that need to be done by PT Sinar Mayang Lestari for their business development. The research methods used are value chain analysis and VRIO framework to explore competitive advantage owned by the company. The result shows the company currently has a temporary competitive advantage of the technological resources and reputation. By using SWOT-AHP technique, the alternative strategies that can be done by company are as follows: 1 increasing the production of natural and honey coffee  type; 2 building coffee center in plantation site for sharing knowledge and innovation media to the farmers; 3 improving the competency of human resource in plantation, post harvest, and promoting area; 4 building management system gradually 5 forwarding integration by building roast and ground coffee business; and 6 maximizing the ability of the land and human resources through research and development.Keywords: competitive advantage, specialty coffee, SWOT-AHP, value chain, VRIOABSTRAKKopi special merupakan kopi dengan kualitas premium yang sudah melalui berbagai tahapan pengolahan pascapanen yang diawasi dengan ketat sehingga menghasilkan cita rasa yang khas sesuai dengan daerah asalnya. PT Sinar Mayang Lestari adalah salah satu perusahaan yang saatini memproduksi dan mengembangkan kopi spesial jenis Arabika Java Preanger. Tujuan dari penelitian ini adalah menganalisis keunggulan bersaing yang dimiliki dan mengembangkan alternative strategi yang perlu dilakukanoleh PT Sinar Mayang Lestari untuk pengembangan usahanya. Penelitian ini menggunakan analisis rantai

  17. Are new medical students' specialty preferences gendered? Related motivational factors at a Dutch medical school.

    NARCIS (Netherlands)

    Tongeren-Alers, M.L.G. van; Esch, M. van der; Verdonk, P.; Johansson, E.; Hamberg, K.; Lagro-Janssen, T.

    2011-01-01

    BACKGROUND: Female students currently outnumber male students in most medical schools. Some medical specialties are highly gender segregated. Therefore, it is interesting to know whether medical students have early specialization preferences based on their gender. Consequently, we like to know impor

  18. The concept and characteristics of clinical practice ability in Master Degree of Nursing (specialty)

    Institute of Scientific and Technical Information of China (English)

    Jing Zeng; Jing-Ci Zhu; Xiao-Yu Zhao

    2016-01-01

    The concepts of ability, practice ability, and professional practice ability were analyzed using a theoretical research method. Based on the results of the analysis, the concept of clinical practice ability for Master Degree of Nursing (specialty) students was defined, and the characteristics were interpreted to provide references for future in-depth studies.

  19. 基于艺术院校专业特色的文化课教学改革研究%Research on the Cultural Course Teaching Reform Based on the Specialty Features of Art School

    Institute of Scientific and Technical Information of China (English)

    张晓芳

    2015-01-01

    Art school is the cradle of professional art talents in China, and the cultural course teaching is an essential part to foster the talents. National policies, art school study atmosphere, teacher and other factors led to the difficult teaching situations of cultural course in art schools, and therefore multi-approaches should be applied to get rid of the dilemma, under the guidance of the principle of feasibility, proportionality, independence, the art specialty and student characteristics are fully excavated, and the advanced teaching theories are put into practice in order to explore new ways of combination between cultural course teaching and art specialty.%艺术院校基础文化课教学是培养艺术人才必不可少的环节。国家政策、学校学风建设、教师个人等从上至下的各种因素导致艺术院校文化课教学存在诸多困难,因此摆脱文化课教学困境必须多管齐下,在把握教学改革的可行性原则、适度性原则、独立性原则的基础上,充分挖掘艺术院校专业特色以及学生特点,将先进的教学理念运用于文化课教学实践,积极探索文化课教学与艺术专业有机结合的新途径。

  20. Estimation of physician supply by specialty and the distribution impact of increasing female physicians in Japan

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    Yasunaga Hideo

    2009-10-01

    Full Text Available Abstract Background Japan has experienced two large changes which affect the supply and distribution of physicians. They are increases in medical school enrollment capacity and in the proportion of female physicians. The purpose of this study is to estimate the future supply of physicians by specialty and to predict the associated impact of increased female physicians, as well as to discuss the possible policy implications. Methods Based on data from the 2004 and 2006 National Survey of Physicians, Dentists and Pharmacists, we estimated the future supply of physicians by specialty, using multistate life tables. Based on possible scenarios of the future increase in female physicians, we also estimated the supply of physicians by specialty. Results Even if Japan's current medical school enrollment capacity is maintained in subsequent years, the number of physicians per 1000 population is expected to increase from 2.2 in 2006 to 3.2 in 2036, which is a 46% increase from the current level. The numbers of obstetrician/gynecologists (OB/GYNs and surgeons are expected to temporarily decline from their current level, whereas the number of OB/GYNs per 1000 births will still increase because of the declining number of births. The number of surgeons per 1000 population, even with the decreasing population, will decline temporarily over the next few years. If the percentage of female physicians continues to increase, the overall number of physicians will not be significantly affected, but in specialties with current very low female physician participation rates, such as surgery, the total number of physicians is expected to decline significantly. Conclusion At the current medical school enrollment capacity, the number of physicians per population is expected to continue to increase because of the skewed age distribution of physicians and the declining population in Japan. However, with changes in young physicians' choices of medical specialties and as the

  1. Medical Specialty Choice and Related Factors of Brazilian Medical Students and Recent Doctors.

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    Ligia Correia Lima de Souza

    Full Text Available Choosing a medical specialty is an important, complex, and not fully understood process. The present study investigated the factors that are related to choosing and rejecting medical specialties in a group of students and recent medical doctors.A cross-sectional survey of 1,223 medical students and doctors was performed in Brazil in 2012. A standardized literature-based questionnaire was applied that gathered preferable or rejected specialties, and asked questions about extracurricular experiences and the influence of 14 factors on a Likert-type scale from 0 to 4. Specialties were grouped according to lifestyle categories: controllable and uncontrollable, which were subdivided into primary care, internal medicine, and surgical specialties. Notably, the time period of rejection was usually earlier than the time period of intended choice (p < 0.0001, χ(2 = 107.2. The choice mainly occurred during the internship period in medical school (n = 466; 38.7%. An overall large frequency of participation in extracurricular activities was observed (n = 1,184; 95.8%, which were highly associated with the respective medical area. Orthopedic surgery had the highest correlation with participation in specialty-specific organized groups (OR = 59.9, 95% CI = 21.6-166.3 and psychiatry was correlated with participation in research groups (OR = 18.0, 95% CI = 9.0-36.2. With regard to influential factors in controllable lifestyle specialties, "financial reason" (mean score ± standard deviation: 2.8 ± 1.0; median = 3 and "personal time" (3.1 ± 1.3; median = 4 were important factors. In primary care, these factors were less important (1.7 ± 1.3 and 1.7 ± 1.5, respectively; median = 2 for both, and higher scores were observed for "curricular internship" (3.2 ± 1.1, median = 4 and "social commitment" (2.6 ± 1.3, median = 3.The present findings provide important insights into developing strategies to stimulate interest in specialties based on the needs of the

  2. Factors Influencing the Selection of Surgical Specialty among Pakistani Medical Graduates

    Directory of Open Access Journals (Sweden)

    Avan B

    2003-01-01

    Full Text Available CONTEXT: The delineation between selection of surgery and non-surgery residency programmes could provide a pragmatic view of the influences on medical graduates' careers. This would also help coordinators and educators of residency programmes in surgery to further understand the dynamics of specialty selection. AIMS: To identify the different factors that influence the graduates to select surgical specialties in Pakistan. SETTINGS AND DESIGNS: A cross-sectional survey was conducted in 4 teaching hospitals of Karachi between July 1999 and January 2001. SUBJECTS and METHODS: A total of 455 residents in 1-5 years of residency programmes were contacted. Three hundred and forty-one residents consented to the interview. Residents who were registered both with the College of Physicians and Surgeons of Pakistan (CPSP and the Post Graduate Medical Education (PGME office of the selected hospitals were included in this study. STATISTICAL METHOD USED: Logistic regression analysis. RESULTS: Final multivariate analysis identified 4 factors that remained significantly associated with the selection of surgical specialty: deriving gratification from direct patient care (adjusted odds ratio [aOR] = 5.79; 95% confidence interval [CI]: 1.24, 26.99, procedure-based medical practice (aOR = 2.85; 95% CI: 1.23, 6.61, nature of clinical problems (aOR = 3.39; 95% CI: 1.47, 7.84, and lack of consideration of stress during professional work (aOR = 2.27, 95%CI: 1.25, 4.13. CONCLUSIONS: Direct patient care is perceived to be an integral part of surgery residency and immediate patient outcome is a positive influence in selecting surgical specialty. The inclination towards surgery appeared to be determined by the type of procedures and technical skills involved in its practice. The nature of clinical problems is an important determinant of the choice of specialty. Stress was not perceived to be an important influencing factor for those who decided to select surgical

  3. Perception of 1 st year medical students towards career choices and specialty of psychiatry

    Directory of Open Access Journals (Sweden)

    Suneet Kumar Upadhyaya

    2015-01-01

    Full Text Available Background: Shortage of psychiatrists is a worldwide phenomenon. If the factors that attract or repel students towards a specialty can be identified, it may be possible to encourage them towards it. Choice of specialty as a career depends on the complex interplay of experiences before, during or after exposure to the specialty. Objectives: The aim was to understand perceptions of 1 st year medical students regarding career choices and the specialty of psychiatry through a cross-sectional questionnaire-based study. Materials and Methods: Perceptions of 137 1 st year medical students from the Government Medical College were recorded using a semi-structured questionnaire. Students provided their opinions about future career choices; perspective of these specialties in terms of financial reward, reputation, work-life balance, challenging aspect, ability to help patients effectively and emotional stability; their preferences in life and interaction with psychiatrist and its impact. Statistical Analysis Used: One-way analysis of variance (ANOVA with post-hoc analysis by Tukey-Kramer test. Results: Surgery was a high priority for 69 (50% while psychiatry was a high priority only for 11 (8%. Surgery was highest for financial reward and reputation, but lowest for work-life balance. Psychiatry had higher emotional stability, however, its the reputation was lower than surgery, medicine, obstetrics and gynaecology and paediatrics. Students preferred reputation (41% over social service opportunities (43%, work-life balance (16%, and high-income (11%. Interaction with psychiatrist increased inclination for psychiatry in 69% (9/13 students. Conclusions: Psychiatry is not a preferred specialty among 1 st year medical students due to its poor reputation.

  4. [Problems in cardiology specialty training in Turkey].

    Science.gov (United States)

    Altun, Armağan

    2012-04-01

    Cardiology Specialty Training in our country should be made in accordance with the law numbered 1219 on the Practice of Medicine and Related Arts, and according to the Medical and Dental Specialist Training Regulation which is published according to the 9th article of this law. The duration of Cardiology Specialist Training has been defined as 4 years in our country. The European Society of Cardiology (ESC), European Union of Medical Specialists (UEMS), and the European Cardiology Section Foundation (ECSF) define the duration of Cardiology Specialist Training as 6 years. Therefore, insufficient Cardiology residency training occurs in our country due to the shortened length of time. In this report, the problems of the Cardiology Specialist Training in Turkey will be addressed under different headings.

  5. Dentistry's oldest specialty: orthodontics and dentofacial orthopedics.

    Science.gov (United States)

    George, Raymond

    2009-01-01

    The American Association of Orthodontists (AAO) has 15,500 members worldwide and is the oldest and largest of the recognized dental specialties. A strategic planning process has identified six key challenges, and this article describes the progress that is being made in the areas of (a) consumer education, (b) volunteer leadership development, (c) recruitment and retention of orthodontic educators, (d) relationships with ADA and other healthcare organizations, (e) the AAO's role in international orthodontics, and (f) advocacy. The AAO is working for freedom of choice in dental healthcare providers; fee-for-service dental care; orthodontic insurance coverage as a benefit of employment, with direct reimbursement as the preferred plan; self-referred access to specialists; private and public funding that promote quality orthodontic care; and the retention of tax deductibility of dental healthcare benefits, including orthodontic care.

  6. Specialty Fibers for Terahertz Generation and Transmission: A Review

    CERN Document Server

    Barh, Ajanta; Agrawal, G P; Varshney, R K; Rahman, B M A

    2015-01-01

    Terahertz (THz) frequency range, lying between the optical and microwave range covers a significant portion of the electro-magnetic spectrum. Though its initial usage started in the 1960s, active research in the THz field started only in the 1990s by researchers from both optics and microwaves disciplines. The use of optical fibers for THz application has attracted considerable attention in recent years. In this article, we review the progress and current status of optical fiber-based techniques for THz generation and transmission. The first part of this review focuses on THz sources. After a review on various types of THz sources, we discuss how specialty optical fibers can be used for THz generation. The second part of this review focuses on the guided wave propagation of THz waves for their transmission. After discussing various wave guiding schemes, we consider new fiber designs for THz transmission.

  7. Specialty preferences : Trends and perceptions among Saudi undergraduate medical students

    NARCIS (Netherlands)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C. C.

    2012-01-01

    Background: The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect student

  8. Gender bias in specialty preferences among Danish medical students

    DEFF Research Database (Denmark)

    Pedersen, Laura Erna Toftegaard; Skytte, Nanna Hasle Bak; Dissing, Agnete Skovlund

    2011-01-01

    Female medical students tend to prefer person-oriented specialties characterized by close doctor-patient contact and aspects of care. Conversely, male medical students tend to seek towards specialties with elements of autonomy, technology and "action" . Furthermore, female doctors will outnumber ...

  9. Specialty preferences : Trends and perceptions among Saudi undergraduate medical students

    NARCIS (Netherlands)

    Mehmood, Syed Imran; Kumar, Ashish; Al-Binali, Ali; Borleffs, Jan C. C.

    2012-01-01

    Background: The exploration of specialty choices by medical students is a hot debate as it affects several important determinants of health care delivery. This study was carried out to determine variation in specialty preferences during medical school training and the perceptions that affect

  10. Analysis of Enrollment Scale of Chinese Specialty Education

    Science.gov (United States)

    Hao, Jinmei; Li, Suke

    2017-01-01

    With the adjustment of industrial structure of China in recent years, the market urgently needs different levels of professionals. Specialty education is an important part of higher education in China, has its unique advantages. Through the analysis of the history data of specialty education in our country, the result shows that the specialty…

  11. Personality and Medical Specialty Choice: A Literature Review and Integration.

    Science.gov (United States)

    Borges, Nicole J.; Savickas, Mark L.

    2002-01-01

    Synthesizes studies categorized by medical specialties and using the following instruments into the Five Factor Model of personality: Adjective Check List, California Psychological Inventory, 16 Personality Factor Questionnaire, and Myers-Briggs Type Indicator. Suggests a loose association between personalty factors and medical specialties and…

  12. Expectations for Endoscopic Training During Gynaecological Specialty Training - Results of a Germany-wide Survey.

    Science.gov (United States)

    Gabriel, L; Solomayer, E; Schott, S; Heesen, A von; Radosa, J; Wallwiener, D; Rimbach, S; Juhasz-Böss, I

    2016-12-01

    Question: Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Methods: Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training. The questionnaires were sent via the Young Forum (Junges Forum) of the German Society of Gynaecology and Obstetrics (DGGG) and the newsletter of the Working Group for Gynaecological Endoscopy (AGE). Results: The evaluation of the study was based on 109 completed questionnaires. The resident junior doctors were 31 years old on average and were in their third to fourth year of their specialty training on average. The majority of the participants (87 %) considered the learning of endoscopic techniques to be very important and advocated regular participation in endoscopy training courses. Among the participants, 48 % were prepared to invest up to €1500 of their own funds to attend courses up to twice a year during the entire specialty training period. The expectations of the instructors and institutions focused on technical expertise, the willingness and time for teaching and on the number and range of surgical procedures, followed by being granted leave for the courses and having costs covered for the courses. Thirty-eight per cent stated that their expectations had been completely or mostly met and 62 % said they had been met in part or inadequately. Eighty-three per cent of

  13. Expectations for Endoscopic Training During Gynaecological Specialty Training – Results of a Germany-wide Survey

    Science.gov (United States)

    Gabriel, L.; Solomayer, E.; Schott, S.; Heesen, A. von; Radosa, J.; Wallwiener, D.; Rimbach, S.; Juhasz-Böss, I.

    2016-01-01

    Question: Endoscopy is an integral part of surgical gynaecology and is playing an increasingly important role in ensuring adequate gynaecological training in the context of specialty training in general. At present, little is known about the expectations and notions of young junior doctors with respect to endoscopic training. For this reason, junior doctors throughout Germany were surveyed on this topic and asked to share their opinions. Methods: Using an anonymized standardized survey, the following information was elicited: importance of endoscopic training, willingness to take courses, expectations for instructors and the hospital, ideas about the number of required operations, both as a surgical assistant and as a surgeon, as well as satisfaction with the current status of training. The questionnaires were sent via the Young Forum (Junges Forum) of the German Society of Gynaecology and Obstetrics (DGGG) and the newsletter of the Working Group for Gynaecological Endoscopy (AGE). Results: The evaluation of the study was based on 109 completed questionnaires. The resident junior doctors were 31 years old on average and were in their third to fourth year of their specialty training on average. The majority of the participants (87 %) considered the learning of endoscopic techniques to be very important and advocated regular participation in endoscopy training courses. Among the participants, 48 % were prepared to invest up to €1500 of their own funds to attend courses up to twice a year during the entire specialty training period. The expectations of the instructors and institutions focused on technical expertise, the willingness and time for teaching and on the number and range of surgical procedures, followed by being granted leave for the courses and having costs covered for the courses. Thirty-eight per cent stated that their expectations had been completely or mostly met and 62 % said they had been met in part or inadequately. Eighty-three per cent of

  14. 高职财经类特色专业建设中专业定位的探讨%The discussion on specialty position in construction of financial specialty in higher vocational education

    Institute of Scientific and Technical Information of China (English)

    牛国良; 程燕

    2016-01-01

    在高职财经类特色专业建设中,专业定位至关重要。通过分析目前高职财经类专业定位上存在的问题,提出了高职财经类专业定位的原则和途径。认为高职财经类特色专业适宜于“宽口径,窄定位”,关键是核心岗位要明确,并根据市场变化适时调整。%The paper analyzed current existing problems of financial specialty position in higher vocational colleges based on revealing significance on financial specialty position of characteristic specialty construction, pointed out the position principles and approaches of financial specialty in higher vocational colleges, considered it should be suitable for "wide aperture and narrow positioning" in the process of specialty construction in higher vocational colleges, and the key point of specialty positioning should be clearing core jobs, adjusting timely according to market changes as well.

  15. Physician wages across specialties: informing the physician reimbursement debate.

    Science.gov (United States)

    Leigh, J Paul; Tancredi, Daniel; Jerant, Anthony; Kravitz, Richard L

    2010-10-25

    Disparities in remuneration between primary care and other physician specialties may impede health care reform by undermining the sustainability of a primary care workforce. Previous studies have compared annual incomes across specialties unadjusted for work hours. Wage (earnings-per-hour) comparisons could better inform the physician payment debate. In a cross-sectional analysis of data from 6381 physicians providing patient care in the 2004-2005 Community Tracking Study (adjusted response rate, 53%), we compared wages across broad and narrow categories of physician specialties. Tobit and linear regressions were run. Four broad specialty categories (primary care, surgery, internal medicine and pediatric subspecialties, and other) and 41 specific specialties were analyzed together with demographic, geographic, and market variables. In adjusted analyses on broad categories, wages for surgery, internal medicine and pediatric subspecialties, and other specialties were 48%, 36%, and 45% higher, respectively, than for primary care specialties. In adjusted analyses for 41 specific specialties, wages were significantly lower for the following than for the reference group of general surgery (wage near median, $85.98): internal medicine and pediatrics combined (-$24.36), internal medicine (-$24.27), family medicine (-$23.70), and other pediatric subspecialties (-$23.44). Wage rankings were largely impervious to adjustment for control variables, including age, race, sex, and region. Wages varied substantially across physician specialties and were lowest for primary care specialties. The primary care wage gap was likely conservative owing to exclusion of radiologists, anesthesiologists, and pathologists. In light of low and declining medical student interest in primary care, these findings suggest the need for payment reform aimed at increasing incomes or reducing work hours for primary care physicians.

  16. Specialty pharmacies and other restricted drug distribution systems: financial and safety considerations for patients and health-system pharmacists.

    Science.gov (United States)

    Kirschenbaum, Bonnie E

    2009-12-15

    fourth tier of drugs with a large copayment based on a substantial percentage of the cost of the drug. The number and cost of specialty drugs are expected to increase in the future. New approaches and reimbursement models are emerging to manage the high cost of new pharmaceuticals. Health-system pharmacists can improve drug safety and manage costs by collaborating with group purchasing organizations, establishing policies for brown bagging, and making efforts to reconcile drug therapy provided in different settings through traditional drug channels and specialty pharmacies or other restricted drug distribution systems.

  17. 基于职业胜任素质的人力资源管理专业教改路径选择%Path Selection for Teaching Reform of Human Resource Management Specialty Based on Professional Competency

    Institute of Scientific and Technical Information of China (English)

    李鹏

    2013-01-01

    人力资源管理专业以开发学生职业胜任素质,提升其在职业生涯中持续发展的能力为导向,通过实地调研构建了人力资源管理人员的职业胜任素质模型,并在此基础上提出核心课程模块化、实践教学体系立体化和将社工元素介入专业教育等教学改革新路径。%The goal of human resource management specialty is to develop students' professional competency and enhance the sustainable development ability in their career. Through field research this paper built the professional competency model of human resources management personnel, and on this basis proposed new teaching reform paths, such as, core curriculum module oriented, three-dimensional practical teaching system and introducing social worker elements to professional education.

  18. 基于能力培养的软件工程专业建设与研究*%Research and Construction of Software Engineering Specialty Based on the Capability Development

    Institute of Scientific and Technical Information of China (English)

    闫俊伢

    2013-01-01

      从软件工程专业定位与指导思想出发,分析专业建设基本思路、教学改革与教学研究基本内容、师资队伍建设规划,同时对软件工程专业实践教学的内容进行研究,分析实践教学体系的具体内容,从而为提高软件工程专业的办学质量打下良好基础。%Embarks from the software engineering professional orientation and the guiding ideology, ana-lyzes the basic thought of specialty construction, teaching reformation and basic content of teaching research, planning of the teachers troop construction, At the same time, studies the software engineering practice teaching contents and analyzes system of practice teaching, im-proves the quality of software engineering education and lays a good foundation.

  19. 基于专业特点的双语系列课程设计与教学实施研究%Research on Bilingual Series Courses Design and Teaching Implementation Based on the Characteristics of Specialty

    Institute of Scientific and Technical Information of China (English)

    费丽娜; 苏丽丹

    2012-01-01

    高等职业教育是高等教育的一种类型,其教育的国际化水平是衡量高等职业教育水平的重要指标.本文分析了国土资源管理与测绘类专业双语系列课程的特性,提出了递进式双语系列课程设计模式,阐述了三阶段教学实施方案,对双语教学存在的问题提出了对策.%The higher vocational education is a type of higher education, the internationalization is a measure of an important indicator of the level of higher vocational education. This paper analyzes the characteristics of bilingual courses in the specialty of the land and resources management and surveying and mapping, proposes progressive bilingual series courses design model, describes the three stages of teaching implementation plan, and puts forward the countermeasures of bilingual education problems.

  20. Study on Quality Standard of Logistics Management Specialty Based on Analytic Hierarchy Process%基于层次分析法对高职物流管理专业质量标准的研究

    Institute of Scientific and Technical Information of China (English)

    闫玉苹

    2014-01-01

    By using the analytic hierarchy process, to study the quality standard of higher vocational logistics management, mainly from three aspects, including the ability of students to expand the index system, evaluation system of accomplishmentevaluation index system and logistics professional courses, total sorting table obtained professional quality standards of higher vocational logistics management,a little advice on the construction of logistics management specialty in Higher Vocational education.%运用层次分析法,对高职物流管理质量标准进行研究,主要从三个方面入手,包括学生能力拓展指标体系、教师修养测评指标体系和物流专业课程评价体系,得出高职物流管理专业质量标准的总排序表,对高职物流管理专业建设提供一点指导建议。

  1. 基于互联网创业的高职电子商务专业教学创新研究%Innovation of E-commerce Specialty Teaching in Vocational Colleges Based on Internet Entrepreneurship

    Institute of Scientific and Technical Information of China (English)

    孙礼辉

    2014-01-01

    E-commerce is a practical professional. The traditional "theory & practice" mode can’t provide a good atmosphere to e-commerce vocational students for exercise, which disconnect the talent training and business needs. E-commerce specialty teaching mode integrate internet entrepreneurship into professional training system, motivating students to learn, enabling students to acquire specialized skills in exercise. By building a "theory &practice&entrepreneurship"multidimensional training system, train talents that society really needs.%电子商务是一门实践性很强的专业,而传统的“理论+实训”模式不能为高职电子商务专业学生提供良好的氛围进行锻炼,导致人才培养与企业需求脱节。基于互联网创业的高职电子商务专业教学模式将互联网创业融入专业培养体系,以创业激励学生自觉学习,使学生在创业中掌握专业技能。通过构建“理论+实训+创业”的多维培养体系培养社会真正需要的人才。

  2. Exploration of Logistics Management Specialty Curricular System Reform Based on Vocational (Industrial) Standard%基于职业(行业)标准的物流管理专业课程体系改革的探索

    Institute of Scientific and Technical Information of China (English)

    周盛世

    2016-01-01

    通过对职业(行业)标准的全面分析,根据学校现有本科的教学体系,以及“3+4”贯通培养方案全面细致地规划与布置,制定合理完善的物流管理专业课程体系,培养应用型创新型人才,服务于区域经济社会的全面发展。%In this paper, through an overall analysis of the vocational (industrial) standard and according to the undergraduate education system of the university as well as the minute planning and deployment of the "3+4" start-to-end cultivation program, we formulated a fully-covered logistics management specialty curricular system for the cultivation of the applied innovative talents to serve the overall development of the regional economy and society.

  3. Commercial production of specialty chemicals and pharmaceuticals from biomass

    Energy Technology Data Exchange (ETDEWEB)

    McChesney, J.D. [Univ. of Mississippi, University, MS (United States)

    1993-12-31

    The chemical substances utilized in consumer products, and for pharmaceutical and agricultural uses are generally referred to as specialty chemicals. These may be flavor or fragrance substances, intermediates for synthesis of drugs or agrochemicals or the drugs or agrochemicals themselves, insecticides or insect pheromones or antifeedants, plant growth regulators, etc. These are in contrast to chemicals which are utilized in large quantities for fuels or preparation of plastics, lubricants, etc., which are usually referred to as industrial chemicals. The specific utilization of specialty chemicals is associated with a specific important physiochemical or biological property. They may possess unique properties as lubricants or waxes or have a very desirable biological activity such as a drug, agrochemical or perfume ingredient. These unique properties convey significant economic value to the specific specialty chemical. The economic commercial production of specialty chemicals commonly requires the isolation of a precursor or the specialty chemical itself from a natural source. The discovery, development and commercialization of specialty chemicals is presented and reviewed. The economic and sustainable production of specialty chemicals is discussed.

  4. Collaboration between paediatric surgery and other medical specialties in Nigeria

    Directory of Open Access Journals (Sweden)

    Philemon E Okoro

    2012-01-01

    Full Text Available Background: The quality of service and success of patient care and research in most fields of medicine depend on effective collaboration between different specialties. Paediatric surgery is a relatively young specialty in Nigeria and such collaborations are desirable. This survey assesses the nature and extent of collaboration between paediatric surgery and other specialties in Nigeria. Materials and Methods: This is a questionnaire survey carried out in November 2008 among paediatric surgeons and their trainees practising in Nigeria. Questionnaires were distributed and retrieved either by hand or e-mailing. The responses were then collated and analysed using the SPSS 17.0. Results: Forty-seven respondents were included in the survey. Forty-five (95.7% respondents thought that there was inadequate collaboration and that there was a need for an increased collaboration between paediatric surgery and other specialties. Anaesthesia, paediatrics and radiology are among the specialties where collaborations were most required but not adequately received. Collaboration had been required from these specialties in areas of patient care, training and research. Reasons for inadequate collaboration included the paucity of avenues for inter-specialty communication and exchange of ideas 33 (70.3%, lack of awareness of the need for collaboration 32 (68.1%, tendency to apportion blames for bad outcome 13 (27.7%, and mutual suspicion 8 (17%. Conclusion: There is presently inadequate collaboration between paediatric surgery and other specialties in Nigeria. There is a need for more inter-specialty support, communication, and exchange of ideas in order to achieve desirable outcomes.

  5. Student specialty plans, clinical decision making, and health care reform.

    Science.gov (United States)

    Williams, Robert L; Romney, Crystal; Kano, Miria; Wright, Randy; Skipper, Betty; Getrich, Christina; Susman, Andrew L; Zyzanski, Stephen J

    2014-05-01

    Health care reform aims to increase evidence-based, cost-conscious, and patient-centered care. Family medicine is seen as central to these aims in part due to evidence of lower cost and comparable quality care compared with other specialties. We sought evidence that senior medical students planning family medicine residency differ from peers entering other fields in decision-making patterns relevant to these health care reform aims. We conducted a national, anonymous, internet-based survey of senior medical students. Students chose one of two equivalent management options for a set of patient vignettes based on preventive care, medication selection, or initial chronic disease management scenarios, representing in turn evidence-based care, cost-conscious care, and patient-centered care. We examined differences in student recommendations, comparing those planning to enter family medicine with all others using bivariate and weighted, multilevel, multivariable analyses. Among 4,656 surveys received from seniors at 84 participating medical schools, students entering family medicine were significantly more likely to recommend patient management options that were more cost conscious and more patient centered. We did not find a significant difference between the student groups in recommendations for evidence-based care vignettes. This study provides preliminary evidence suggesting that students planning to enter family medicine may already have clinical decision-making patterns that support health care reform goals to a greater extent than their peers. If confirmed by additional studies, this could have implications for medical school admission and training processes.

  6. Two interesting cases highlighting an oblivious specialty of psychoneuroendocrinology

    Directory of Open Access Journals (Sweden)

    K. V. S. Hari kumar

    2012-01-01

    Full Text Available Psychoneuroendocrinology deals with the overlap disorders pertaining to three different specialties. Awareness about the somatic manifestations of psychiatric diseases and vice versa is a must for all the clinicians. The knowledge of this interlinked specialty is essential because of the obscure presentation of certain disorders. Our first case was treated as depressive disorder, whereas the diagnosis was hypogonadism with empty sella. Our second patient was managed as schizophrenia and the evaluation revealed bilateral basal ganglia calcification and a diagnosis of Fahr′s disease. We report these cases for their unusual presentation and to highlight the importance of this emerging specialty.

  7. Exploration and Practice of Mobile Communication Specialty Training Mode of Private Higher Vocational College Based on the "Action-oriented"%民办高职移动通信人才培养模式探索与实践

    Institute of Scientific and Technical Information of China (English)

    王俊; 徐宏庆; 王高山

    2013-01-01

    Taking the "Action -oriented" teaching philosophy as the guide, according to the mobile communication professional personnel training status, with running features of private higher vocational college, through the adjusting and construction of teaching system, including detailing professional ability cultivation objective, creating the "teaching factory" intergrating workplace environment and teaching environment and optimizing the teaching mode etc, make students of Mobile Communication technology specialty to enhance their vocational ability, get relevant enterprise high praise and have a demonstration effect in the construction of other private higher vocational college.%  以“行动导向”教学理念为引导,根据移动通信人才培养现状,结合民办高职校办学特点,开展了一系列行之有效的人才培养模式改革。通过细化职业能力培养目标,创建职场环境与教学环境相融合的“教学工厂”以及优化教学模式等教学体系的调整与建设,我移动通信专业毕业生的职业综合能力获得了较大的提升,在我省民办高职相关专业的建设中起到了一定的示范和带头作用。

  8. Improving the communication between teams managing boarded patients on a surgical specialty ward

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  9. Improving the communication between teams managing boarded patients on a surgical specialty ward.

    Science.gov (United States)

    Puvaneswaralingam, Shobitha; Ross, Daniella

    2016-01-01

    Transferring patients from the ward of their specialty or consultant is described as boarding. 1 Boarding patients is becoming increasingly prevalent due to greater pressure on hospital capacity. This practice compromises patient safety through delayed investigations, prolonged hospital stays, and increased risk of hospital-acquired infections. 1 2 We evaluated how regularly boarded patients were reviewed, and how effectively information regarding their management was communicated from their primary specialty to ward staff. We aimed to improve the frequency of patient reviews by ensuring that each patient was reviewed every weekday and increase communication between primary specialty, and medical and nursing teams by 20% from baseline during the data collection period. The project was based in the Otolaryngology ward in Ninewells Hospital, Dundee, where there was a high prevalence of boarded patients. Baseline data showed a clear deficit in communication between the primary specialty and ward staff with only 31% of patient reviews being communicated to ward doctors. We designed and implemented a communication tool, in the form of a sticker, to be inserted into patients' medical notes for use by the primary specialty. Implementation of the sticker improved communication between teams as stickers were completed in 93% of instances. In 88% of patient reviews, the junior doctor was informed of the management plan, showing a large increase from baseline. Through PDSA cycles, we aimed to increase the sustainability and reliability of the sticker; however, we faced challenges with sustainability of sticker insertion. We aim to engage more stakeholders to raise awareness of the problem, brainstorm solutions together, and review the production and implementation of stickers with senior hospital management to discuss the potential use of this tool within practice. There is potentially a large scope for utilisation of this communication tool on a local level, which we hope

  10. Primary care specialty career choice among Canadian medical students: Understanding the factors that influence their decisions.

    Science.gov (United States)

    Osborn, Heather Ann; Glicksman, Jordan T; Brandt, Michael G; Doyle, Philip C; Fung, Kevin

    2017-02-01

    To identify which factors influence medical students' decision to choose a career in family medicine and pediatrics, and which factors influence their decision to choose careers in non-front-line specialties. Survey that was created based on a comprehensive literature review to determine which factors are considered important when choosing practice specialty. Ontario medical school. An open cohort of medical students in the graduating classes of 2008 to 2011 (inclusive). The main factors that influenced participants' decision to choose a career in primary care or pediatrics, and the main factors that influenced participants' decision to choose a career in a non-front-line specialty. A total of 323 participants were included in this study. Factors that significantly influenced participants' career choice in family medicine or pediatrics involved work-life balance (acceptable hours of practice [P = .005], acceptable on-call demands [P = .012], and lifestyle flexibility [P = .006]); a robust physician-patient relationship (ability to promote individual health promotion [P = .014] and the opportunity to form long-term relationships [P high income (P students' career choice in family medicine and pediatrics, and 6 factors influenced the decision to choose a career in a non-front-line specialty. Medical students can be encouraged to explore a career in family medicine or pediatrics by addressing misinformation, by encouraging realistic expectations of career outcomes in the various specialties, and by demonstrating the capacity of primary care fields to incorporate specific motivating factors. Copyright© the College of Family Physicians of Canada.

  11. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India.

    Science.gov (United States)

    Kumar, Parmeshwar; Jithesh, Vishwanathan; Gupta, Shakti Kumar

    2015-01-01

    Though intensive care units (ICUs) only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Fisher's two-tailed t-test. Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  12. Theme: Staying Current--Small Animals and Specialty Crops.

    Science.gov (United States)

    Knight, James A.; And Others

    1986-01-01

    Six theme articles examine ways that vocational agriculture teachers can keep current, including related hobbies, resource persons, beekeeping as a supervised occupational experience, specialty crops such as fruits and nuts, an inservice poultry project, and trade and industry organizations. (SK)

  13. 75 FR 42431 - Onyx Specialty Papers, Inc; Notice Soliciting Applications

    Science.gov (United States)

    2010-07-21

    ..., Counsel for Onyx Specialty Papers, Inc., Van Ness Feldman, PC, 1050 Jefferson Street, NW., Suite 700... Regulations. Questions concerning this notice should be directed to Robert Bell, (202) 502-6062 or...

  14. career motivation and specialty choice of veterinary medical ...

    African Journals Online (AJOL)

    Analysis of the responses of 90 clinical veterinary students of the Usmanu ... as none of the students sampled wanted to specialize in these areas. KEY WORDS: Students, Veterinary Medicine, Career Motivation, Specialty Choice, Sokoto.

  15. Fiber Fabrication Facility for Non-Oxide and Specialty Glasses

    Data.gov (United States)

    Federal Laboratory Consortium — FUNCTION: Unique facility for the research, development, and fabrication of non-oxide and specialty glasses and fibers in support of Navy/DoD programs. DESCRIPTION:...

  16. Specialty Engineering Supplement to IEEE-15288.1

    Science.gov (United States)

    2015-05-15

    MISSILE SYSTEMS CENTER TAILORING SPECIALTY ENGINEERING SUPPLEMENT TO IEEE -15288.1 APPROVED FOR PUBLIC RELEASE; DISTRIBUTION...IS UNLIMITED 1 Tailoring of IEEE 15288.1: Specialty Engineering Supplement. 1. Intent of this Tailoring Document This tailoring document is...historically deemed valuable to mission assurance/success of high-reliability space systems. This tailoring document supplements IEEE 15288.1-2015 Annex E

  17. 中国民族院校外语学科专业发展及其研究综观--基于民族高等教育学研究文献的考察%The Development of Specialties and Disciplines of Foreign Languages and Literatures in Universities for Nationalities in China--A Literature Review Based on Related Research Documents of Ethnic Higher Education Studies

    Institute of Scientific and Technical Information of China (English)

    刘炜

    2015-01-01

    So far, there has not yet been any monographic study on the development of disciplines and specialties of foreign languag-es and literatures in universities for nationalities (UNC) in both the historical research of foreign language higher education and ethnic tertiary education research in China. This paper, based on related research documents of ethnic higher education studies, describes the status quo of the research into the development of disciplines and specialties of foreign languages and literatures in UNC in terms of spe-cialty establishment for undergraduate education, discipline authorization for academic degrees and characterized development of disci-plines and specialty. This paper also points out that the existing research literature has not offered a panoramic view of the historical de-velopment of disciplines and specialties of foreign languages and literatures in UNC due to its research intention as well as its incomplete data. Therefore, it is suggested that the future study should be a special project on a comprehensive and systematic investigation into the historical development of disciplines and specialties of foreign languages and literatures in UNC by means of consulting the records of the historical development of the universities, the statistic data of education for ethnic minorities from SEAC (the State Ethnic Affairs Com-mission) and specialty establishment and discipline authorization from MOE (the Ministry of Education) of PRC as well as related re-search documents,and the future study can provide useful data and insights for scientific planning and better development of specialties and disciplines of foreign languages and literatures in UNC.%中国民族院校外语专业学科发展在我国高等外语教育史和民族高等教育学中均无专题研究。基于中国民族高等教育学研究相关文献,文章从外语本专科教育专业设置、外语研究生教育学位点建设、外语学科专业特色化发展三个

  18. A cross-sectional study of aggression levels in physicians and orthopaedic surgeons: impact on specialty selection and training?

    Science.gov (United States)

    Barlow, T; Wight, A; Barlow, D

    2012-01-01

    Objectives To determine if current validated psychometric evaluations could determine a difference in basic behavioural characteristics between surgical and medical specialties. Design Cross-sectional study. Setting Two district general hospitals and one University teaching hospital in England, UK. Participants Internal medicine (16) and trauma and orthopaedic (20) consultants. Main outcome measures Aggression levels as assessed by the Buss and Warren questionnaire. The self-administered questionnaire assesses aggression in terms of physical, verbal, anger, hostility, indirect hostility and an overall assessment of aggression. Results All participants had aggression scores below the population average. We found a significant difference (P consultants scoring a mean of 61.1 (standard deviation [SD] 9.2) and physicians 51.3 (SD 9.5). When analysis of the five different subtypes of aggression was carried out, orthopaedic surgeons scored significantly higher in terms of verbal aggression (P = 0.005), hostility (P = 0.002) and indirect hostility (P = 0.03). Conclusion This study joins a growing evidence base for aspects of behaviour indicative of a given specialty. Aggression is a relatively stable behavioural characteristic from adolescence, and as such this is the first study of its type to suggest that the differences in behavioural characteristics seen between specialties are inherent, rather than learned. It is unclear if the differences observed represent an attraction of that specialty to the personality type or is required for success within the given specialty. Whether this can be used in terms of selection into higher specialty training, or influence training within specialties, requires further work. PMID:23476726

  19. 16 CFR 300.18 - Use of name of specialty fiber.

    Science.gov (United States)

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Use of name of specialty fiber. 300.18... specialty fiber. (a) In setting forth the required fiber content of a product containing any of the specialty fibers named in Section 2(b) of the Act, the name of the specialty fiber present may be used...

  20. Specialty Training's Organizational Readiness for curriculum Change (STORC): development of a questionnaire in a Delphi study.

    Science.gov (United States)

    Bank, Lindsay; Jippes, Mariëlle; van Luijk, Scheltus; den Rooyen, Corry; Scherpbier, Albert; Scheele, Fedde

    2015-08-05

    In postgraduate medical education (PGME), programs have been restructured according to competency-based frameworks. The scale and implications of these adjustments justify a comprehensive implementation plan. Organizational Readiness for Change (ORC) is seen as a critical precursor for a successful implementation of change initiatives. Though, ORC in health care settings is mostly assessed in small scale settings and in relation to new policies and practices rather than educational change. Therefore our aim with this work was to develop an instrument to asses Specialty Training's Organizational Readiness for curriculum Change (STORC). A Delphi procedure was conducted to examine the applicability of a preliminary questionnaire in PGME, which was based on existing instruments designed for business and health care organizations. The 41 panellists (19 trainees and 22 supervisors from 6 specialties) from four different countries who were confronted with an apparent curriculum change, or would be in the near future, were asked to rate the relevance of a 89-item web-based questionnaire with regard to changes in specialty training on a 5-point Likert scale. Furthermore, they were invited to make qualitative comments on the items. In two rounds the 89-item preliminary questionnaire was reduced to 44 items. Items were either removed, kept, adapted or added based on individual item scores and qualitative comments. In the absence of a gold standard, this Delphi procedure was considered complete when the overall questionnaire rating exceeded 4.0 (scale 0-5). The overall item score reached 4.1 in the second round, meeting our criteria for completion of this Delphi procedure. This Delphi study describes the initial validating step in the development of an instrument to asses Specialty Training's Organisational Readiness for curriculum Change (STORC). Since ORC is measured on various subscales and presented as such, its strength lies in analysing these subscales. The latter makes

  1. Specialty satisfaction, positive psychological capital, and nursing professional values in nursing students: A cross-sectional survey.

    Science.gov (United States)

    Woo, Chung Hee; Park, Ju Young

    2017-10-01

    Ideally, college majors should be chosen to achieve self-realization and correspond to self-concept. However, some students select a major based on extrinsic factors, rather than aptitude or interests, because of a lack of employment opportunities. If they have negative college experiences with an unsatisfactory major, they might not engage fully in their occupation following graduation. This study aimed to identify factors affecting specialty satisfaction in preclinical practice nursing-college students. A cross-sectional descriptive survey. A nonprobability convenience sample of 312 nursing-college students at colleges in Deajeon City, South Korea. The survey questionnaire was distributed to those who agreed to participate. Freshmen and sophomore nursing students (n=312). Participants were 312 students at colleges in Deajeon City. A structured questionnaire was used to collect data, which were analyzed using SPSS/WIN. Positive psychological capital and nursing professional values were positively correlated with specialty satisfaction. Significant predictors for specialty satisfaction included hope and optimism (as components of positive psychological capital), the roles of nursing service and originality of nursing (as nursing professional values), and aptitude/interests and job value (as motives for selecting a major). The findings suggested that nursing students' specialty satisfaction was partially linked to positive psychological capital and professional values. Therefore, the promotion of positive factors should be useful in enhancing specialty satisfaction in preclinical-practice nursing-college students. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Inventions on baker's yeast strains and specialty ingredients.

    Science.gov (United States)

    Gélinas, Pierre

    2009-06-01

    Baker's yeast is one of the oldest food microbial starters. Between 1927 and 2008, 165 inventions on more than 337 baker's yeast strains were patented. The first generation of patented yeast strains claimed improved biomass yield at the yeast plant, higher gassing power in dough or better survival to drying to prepare active dry baker's yeast. Especially between 1980 and 1995, a major interest was given to strains for multiple bakery applications such as dough with variable sugar content and stored at refrigeration (cold) or freezing temperatures. During the same period, genetically engineered yeast strains became very popular but did not find applications in the baking industry. Since year 2000, patented baker's yeast strains claimed aroma, anti-moulding or nutritive properties to better meet the needs of the baking industry. In addition to patents on yeast strains, 47 patents were issued on baker's yeast specialty ingredients for niche markets. This review shows that patents on baker's yeast with improved characteristics such as aromatic or nutritive properties have regularly been issued since the 1920's. Overall, it also confirms recent interest for a very wide range of tailored-made yeast-based ingredients for bakery applications.

  3. Challenges in referral communication between VHA primary care and specialty care.

    Science.gov (United States)

    Zuchowski, Jessica L; Rose, Danielle E; Hamilton, Alison B; Stockdale, Susan E; Meredith, Lisa S; Yano, Elizabeth M; Rubenstein, Lisa V; Cordasco, Kristina M

    2015-03-01

    Poor communication between primary care providers (PCPs) and specialists is a significant problem and a detriment to effective care coordination. Inconsistency in the quality of primary-specialty communication persists even in environments with integrated delivery systems and electronic medical records (EMRs), such as the Veterans Health Administration (VHA). The purpose of this study was to measure ease of communication and to characterize communication challenges perceived by PCPs and primary care personnel in the VHA, with a particular focus on challenges associated with referral communication. The study utilized a convergent mixed-methods design: online cross-sectional survey measuring PCP-reported ease of communication with specialists, and semi-structured interviews characterizing primary-specialty communication challenges. 191 VHA PCPs from one regional network were surveyed (54% response rate), and 41 VHA PCPs and primary care staff were interviewed. PCP-reported ease of communication mean score (survey) and recurring themes in participant descriptions of primary-specialty referral communication (interviews) were analyzed. Among PCPs, ease-of-communication ratings were highest for women's health and mental health (mean score of 2.3 on a scale of 1-3 in both), and lowest for cardiothoracic surgery and neurology (mean scores of 1.3 and 1.6, respectively). Primary care personnel experienced challenges communicating with specialists via the EMR system, including difficulty in communicating special requests for appointments within a certain time frame and frequent rejection of referral requests due to rigid informational requirements. When faced with these challenges, PCPs reported using strategies such as telephone and e-mail contact with specialists with whom they had established relationships, as well as the use of an EMR-based referral innovation called "eConsults" as an alternative to a traditional referral. Primary-specialty communication is a continuing

  4. The American Academy of Pediatric Dentistry and the specialty of pediatric dentistry.

    Science.gov (United States)

    Largent, Beverly A

    2009-01-01

    Founded in 1947, the American Academy of Pediatric Dentistry (AAPD) is a not-for-profit membership association representing the specialty of pediatric dentistry. The AAPD's 7,500 members are primary oral health care providers who offer comprehensive specialty treatment for millions of infants, children, adolescents, and individuals with special healthcare needs. The AAPD also represents general dentists who treat a significant number of children in their practices. As advocates for children's oral health, the AAPD develops and promotes evidence-based policies and guidelines, fosters research, contributes to scholarly work concerning pediatric oral health, and educates healthcare providers, policymakers, and the public on ways to improve children's oral health. The academy's philanthropic arm, Healthy Smiles, Healthy Children: The Foundation of the AAPD, advances the AAPD mission through the support and promotion of education, research, service, and policy development.

  5. Parsing abnormal grain growth in specialty aluminas

    Science.gov (United States)

    Lawrence, Abigail Kremer

    Grain growth in alumina is strongly affected by the impurities present in the material. Certain impurity elements are known to have characteristic effects on abnormal grain growth in alumina. Specialty alumina powders contain multiple impurity species including MgO, CaO, SiO2, and Na 2O. In this work, sintered samples made from alumina powders containing various amounts of the impurities in question were characterized by their grain size and aspect ratio distributions. Multiple quantitative methods were used to characterize and classify samples with varying microstructures. The grain size distributions were used to partition the grain size population into subpopulations depending on the observed deviation from normal behavior. Using both grain size and aspect ratio a new visual representation for a microstructure was introduced called a morphology frequency map that gives a fingerprint for the material. The number of subpopulations within a sample and the shape of the distribution on the morphology map provided the basis for a classification scheme for different types of microstructures. Also using the two parameters a series of five metrics were calculated that describe the character of the abnormal grains in the sample, these were called abnormal character values. The abnormal character values describe the fraction of grains that are considered abnormal, the average magnitude of abnormality (including both grain size and aspect ratio), the average size, and variance in size. The final metric is the correlation between grain size and aspect ratio for the entire population of grains. The abnormal character values give a sense of how different from "normal" the sample is, given the assumption that a normal sample has a lognormal distribution of grain size and a Gaussian distribution of aspect ratios. In the second part of the work the quantified measures of abnormality were correlated with processing parameters such as composition and heat treatment conditions. A

  6. The acceptance of dental operating microscope among advance education specialty programs in endodontics in the middle east

    Directory of Open Access Journals (Sweden)

    Mansour Alrejaie

    2012-01-01

    Full Text Available Aim: To present the current situation of dental operating microscopy (DOM training in the available Advance Specialty Education Programs in Endodontics in Arab Middle-Eastern countries. Materials and Methods: A web-based survey was sent to the electronic mail address of Advance Specialty Education programs of 15 Arab and middle east countries. The questions were limited to those who have an advanced specialty education program in Endodontics at their University if they are using an operating microscope? Results: Out of 15 countries, only 4 countries have microscopic technology in their Advance Education Programs in Endodontics. Conclusion: Few Arab Middle-Eastern countries have DOM in their advance education programs in endodontics. The highest authority in advancing endodontic education in the Arab Middle-East should consider in the near future the importance of this technology as standard care in teaching advance endodontics. An advance workshops should be organized regularly to provide enough knowledge about this standard educational technology.

  7. Specialty Payment Model Opportunities and Assessment: Oncology Simulation Report.

    Science.gov (United States)

    White, Chapin; Chan, Chris; Huckfeldt, Peter J; Kofner, Aaron; Mulcahy, Andrew W; Pollak, Julia; Popescu, Ioana; Timbie, Justin W; Hussey, Peter S

    2015-07-15

    This article describes the results of a simulation analysis of a payment model for specialty oncology services that is being developed for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services (CMS). CMS asked MITRE and RAND to conduct simulation analyses to preview some of the possible impacts of the payment model and to inform design decisions related to the model. The simulation analysis used an episode-level dataset based on Medicare fee-for-service (FFS) claims for historical oncology episodes provided to Medicare FFS beneficiaries in 2010. Under the proposed model, participating practices would continue to receive FFS payments, would also receive per-beneficiary per-month care management payments for episodes lasting up to six months, and would be eligible for performance-based payments based on per-episode spending for attributed episodes relative to a per-episode spending target. The simulation offers several insights into the proposed payment model for oncology: (1) The care management payments used in the simulation analysis-$960 total per six-month episode-represent only 4 percent of projected average total spending per episode (around $27,000 in 2016), but they are large relative to the FFS revenues of participating oncology practices, which are projected to be around $2,000 per oncology episode. By themselves, the care management payments would increase physician practices' Medicare revenues by roughly 50 percent on average. This represents a substantial new outlay for the Medicare program and a substantial new source of revenues for oncology practices. (2) For the Medicare program to break even, participating oncology practices would have to reduce utilization and intensity by roughly 4 percent. (3) The break-even point can be reduced if the care management payments are reduced or if the performance-based payments are reduced.

  8. Teaching Reform and Practice of Nursing Specialty Courses Based on Cultivation of Humanistic Caring Ability%以人文关怀能力培养为本位的护理专业课教学改革与实践

    Institute of Scientific and Technical Information of China (English)

    贾娟娟; 汪洪杰; 黄弋冰

    2013-01-01

    目的探讨以人文关怀能力培养为本位的护理专业课教学改革的效果。方法采用随机整群抽样,从某校二年级专科护生中抽取8个班作为研究对象,按随机数字表法分为观察组和对照组。对照组在护理专业课教学中遵循传统教学,观察组以人文关怀能力培养为本位对护理专业课的教学内容、教学方法及考核方式进行改革。临床实习中期分别对两组学生及其临床带教老师应用护生人文关怀能力量表和自行设计的调查问卷进行调查,评价实施效果。结果学期结束后护生自评及临床带教老师评价均显示观察组人文关怀能力高于对照组(P<0.05)。结论以人文关怀能力培养为本位的护理专业课教学改革有助于提高护生的人文关怀能力。%Objective To evaluate the effect of teaching reform of nursing specialty courses based on the cultivation of humanistic caring ability. Methods By cluster sampling, eight classes of sophomore nursing students were randomly divided into control group and experiment group. Traditional teaching method was applied in control group while in experiment group, based on the cultivation of humanistic caring ability, a new teaching method including reformed teaching content, teaching method and evaluation mode was used. In mid-term of clinical practice, nursing student humanistic caring ability scale and a self-designed questionnaire were used to evaluate the effect. Results Both nursing students’ self-evaluation and the evaluation on clinical teachers showed students in experiment group presented higher humanistic caring ability (P<0.05). Conclusion Nursing specialty courses based on the cultivation of humanistic caring ability help to enhance nursing students ’ humanistic caring ability.

  9. 广西新建应用型本科院校经管类专业校内实训基地建设研究%On Construction of Practice Teaching Base Inside Colleges for Economic and Management Specialty in the New- founded Undergraduate Colleges in Guangxi

    Institute of Scientific and Technical Information of China (English)

    蔡旺; 蔡旺清

    2012-01-01

    In order to improve practice ability of economy and management majors in the new - founded undergraduate colleges in Guangxi, it is imperative to establish practice teaching base inside colleges . The article analyzed the presentsituation of the practice teaching base inside colleges for economic and management specialty in the new - founded undergraduate colleges in Guangxi, and pointed out the problems they are facing in the construction the practice teaching base and the solutions to solve those problems.%为了提高广西新建应用型本科院校经济管理类专业学生实践技能,必须加强校内实训基地建设。通过实地调研,分析了广西新建应用型本科院校经管类专业校内实训基地建设现状,指出存在的问题,并从六个方面提出相应对策。

  10. The relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic odonto-stomatology from 2005 to 2012

    OpenAIRE

    SHAMIM, Thorakkal

    2015-01-01

    Background: There is a paucity of information about the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology. This study aimed to find the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology from 2005 to 2012 over an 8-year period. Methods: Bibliometric analysis was performed using web-based search during December 2013. ...

  11. Physical anthropology and the dental and medical specialties.

    Science.gov (United States)

    Krogman, W M

    1976-11-01

    The rise of two sub-specialties in Physical Antrhopology traces back to the Anatomy Departments of Schools of Medicine in Germany and France during the nineteenth century. The study of human diversity in bones and bodies was largely by medically-trained anatomists. There developed Medical Antropology and Dental Anthropology, employing osteometry and craniometry on the skeleton, somatometry and cephalometry on the living body. As a result cross-sectional studies gave way to longitudinal studies and X-ray techniques were added to purely mensurational procedures. In Medical Anthropology the specialties most directly concerned are pediatrics, plastic surgery, endocrinology, and orthopaedics. In Dental Anthropology the specialties most directly concerned are pedodontics, orthodontics, oral surgery, and prosthodontics. The contributions of Physical Anthropology to each is discussed.

  12. Women otolaryngologist representation in specialty society membership and leadership positions.

    Science.gov (United States)

    Choi, Sukgi S; Miller, Robert H

    2012-11-01

    To determine the proportion of female otolaryngologists in leadership positions relative to their number in the specialty, their membership in various otolaryngology organizations, and age. Cross-sectional analyses of otolaryngology organization membership with a subgroup analysis on female membership and leadership proportion comparing 5-year male/female cohort groups. Information on the number of members and leaders was obtained from various specialty societies by direct communication and from their Web sites between June and December 2010. The number of female and male otolaryngologists and their age distribution in 5-year age groups was obtained from the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). Statistical analyses were used to determine whether women had proportional membership and leadership representation in various specialty societies. Additionally, female representation in other leadership roles was analyzed using the male/female ratio within the 5-year cohort groups. Female otolaryngologists were found to constitute approximately 11% of practicing otolaryngologists. The American Society of Pediatric Otolaryngology had a higher proportion of female members (22%) compared to five other societies. When the gender composition within each organization was taken into account, female representation in specialty society leadership positions was proportionate to their membership across all societies. When gender and age were considered, women have achieved proportionate representation in each of the specialty societies' leadership positions. There was also proportionate representation of females as program directors, American Board of Otolaryngology directors, Residency Review Committee members, and journal editors/editorial board members. Finally, fewer female chairs or chiefs of departments/divisions were seen, but when age was taken into consideration, this difference was no longer significant. Women have achieved parity in

  13. Medical students' career indecision and specialty rejection: roads not taken.

    Science.gov (United States)

    Kassebaum, D G; Szenas, P L

    1995-10-01

    The authors used data from the AAMC Matriculating Student Questionnaire and Medical School Graduation Questionnaire to ascertain how closely the specialty or subspecialty choices of the 1991 and 1994 graduates of U.S. medical schools matched the preferences they had declared when they were matriculated; the extent to which these students strongly considered and then rejected choices that arose during medical school; and the graduation choices of the substantial number of students in both cohorts who were undecided about their careers when they entered medical school. Approximately 80% of the graduates in both classes rejected the specialty intentions they had declared when they began medical school. However, matriculation interests in the generalist specialties--family practice, general pediatrics, and general internal medicine--were more enduring for the 1994 cohort, while interests in the medical, surgical, and support specialties were less so. Large percentages of the 1991 and 1994 cohorts were undecided about their careers at matriculation (20.8% and 26.2%, respectively), and nearly the same proportions remained undecided at graduation. However, more of the graduates in the 1994 cohort who had initially been undecided reached decisions favoring one of the generalist specialties than was true for the 1991 cohort. Nearly half the 1994 graduates had strongly considered and then rejected an alternative to their matriculation interest that arose during medical school. Within the generalist specialties, both early and later interests in family practice were more durable than were those in general pediatrics and general internal medicine: for every student who retreated from tentative interest in family practice, another student's interest was reinforced or kindled.(ABSTRACT TRUNCATED AT 250 WORDS)

  14. A conceptual framework and protocol for defining clinical decision support objectives applicable to medical specialties

    Directory of Open Access Journals (Sweden)

    Timbie Justin W

    2012-09-01

    Full Text Available Abstract Background The U.S. Centers for Medicare and Medicaid Services established the Electronic Health Record (EHR Incentive Program in 2009 to stimulate the adoption of EHRs. One component of the program requires eligible providers to implement clinical decision support (CDS interventions that can improve performance on one or more quality measures pre-selected for each specialty. Because the unique decision-making challenges and existing HIT capabilities vary widely across specialties, the development of meaningful objectives for CDS within such programs must be supported by deliberative analysis. Design We developed a conceptual framework and protocol that combines evidence review with expert opinion to elicit clinically meaningful objectives for CDS directly from specialists. The framework links objectives for CDS to specialty-specific performance gaps while ensuring that a workable set of CDS opportunities are available to providers to address each performance gap. Performance gaps may include those with well-established quality measures but also priorities identified by specialists based on their clinical experience. Moreover, objectives are not constrained to performance gaps with existing CDS technologies, but rather may include those for which CDS tools might reasonably be expected to be developed in the near term, for example, by the beginning of Stage 3 of the EHR Incentive program. The protocol uses a modified Delphi expert panel process to elicit and prioritize CDS meaningful use objectives. Experts first rate the importance of performance gaps, beginning with a candidate list generated through an environmental scan and supplemented through nominations by panelists. For the highest priority performance gaps, panelists then rate the extent to which existing or future CDS interventions, characterized jointly as “CDS opportunities,” might impact each performance gap and the extent to which each CDS opportunity is compatible with

  15. Providing specialty consultant expertise to primary care: an expanding spectrum of modalities.

    Science.gov (United States)

    Kirsh, Susan R; Ho, P Michael; Aron, David C

    2014-10-01

    In most models of health care delivery, the bulk of services are provided in primary care and there is frequent request for the input of specialty consultants. A critical issue for current and future health care systems is the effective and efficient delivery of specialist expertise for clinicians and patients. Input on a patient's care from specialty consultants usually requires a face-to-face visit between the patient and the consultant. New and complementary models of knowledge sharing have emerged. We describe a framework assessment of a spectrum of knowledge-sharing methods in the context of a patient-centered medical home. This framework is based on our experience in the Veterans Health Administration and a purposive review of the literature. These newer modes of specialty consultation include electronic consultation, secure text messaging, telemedicine of various types, and population preemptive consults. In addition to describing these modes of consultation, our framework points to several important areas in which further research is needed to optimize effectiveness.

  16. Problems and Its Countermeasures on the Practice Base of Xinjiang Normal College---Taking the Uygur Language Specialty in Hotan Teachers College as an example%新疆师范类高专实习基地存在的问题及对策--以和田师专维吾尔语专业为例

    Institute of Scientific and Technical Information of China (English)

    杨绍固

    2015-01-01

    通过对和田师专维吾尔语专业教育实习基地建设现状的调查,新疆师范类高专实习基地建设普遍存在规章制度、与高校的双向交流、顶岗实习的教育研习制度三个方面的问题需要完善,建议详细考核条例、明确各方权利和义务、建设实习交流平台、建立长效的教育研习制度。%Through the investigation of the present situation of constructing education practice base for Uygur language specialty of Hetian Teachers College, the construction of practice base in Xinjiang Normal Colleges commonly exists three aspects need to improve, namely rules and regulations, the two-way communication with Colleges and Universities, the internship education learning system. It suggests detailed examination regulations, clears the rights and obligations of all parties, constructs practice platform, and establishes a long-term education learning system.

  17. The database for aggregate analysis of ClinicalTrials.gov (AACT and subsequent regrouping by clinical specialty.

    Directory of Open Access Journals (Sweden)

    Asba Tasneem

    Full Text Available BACKGROUND: The ClinicalTrials.gov registry provides information regarding characteristics of past, current, and planned clinical studies to patients, clinicians, and researchers; in addition, registry data are available for bulk download. However, issues related to data structure, nomenclature, and changes in data collection over time present challenges to the aggregate analysis and interpretation of these data in general and to the analysis of trials according to clinical specialty in particular. Improving usability of these data could enhance the utility of ClinicalTrials.gov as a research resource. METHODS/PRINCIPAL RESULTS: The purpose of our project was twofold. First, we sought to extend the usability of ClinicalTrials.gov for research purposes by developing a database for aggregate analysis of ClinicalTrials.gov (AACT that contains data from the 96,346 clinical trials registered as of September 27, 2010. Second, we developed and validated a methodology for annotating studies by clinical specialty, using a custom taxonomy employing Medical Subject Heading (MeSH terms applied by an NLM algorithm, as well as MeSH terms and other disease condition terms provided by study sponsors. Clinical specialists reviewed and annotated MeSH and non-MeSH disease condition terms, and an algorithm was created to classify studies into clinical specialties based on both MeSH and non-MeSH annotations. False positives and false negatives were evaluated by comparing algorithmic classification with manual classification for three specialties. CONCLUSIONS/SIGNIFICANCE: The resulting AACT database features study design attributes parsed into discrete fields, integrated metadata, and an integrated MeSH thesaurus, and is available for download as Oracle extracts (.dmp file and text format. This publicly-accessible dataset will facilitate analysis of studies and permit detailed characterization and analysis of the U.S. clinical trials enterprise as a whole. In

  18. Correlations of knowledge and preference of medical students for a specialty career: a case-study of youth health care

    Directory of Open Access Journals (Sweden)

    van der Wal Gerrit

    2008-01-01

    Full Text Available Abstract Background Medical students develop interest in a specialty career during medical school based on knowledge and clinical experience of different specialties. How valid this knowledge is and how this knowledge relates to the development of preference for a specialty is not known. We studied their "subjective" knowledge of a specialty (students' reported knowledge with "objective" knowledge of it (students actual knowledge as compared to reports of specialists and their preference for this specialty at different stages of education, and used youth health care as a case study. Methods Students from all years in two medical schools (N = 2928 were asked to complete a written questionnaire including (a a statement of their knowledge of youth health care (YHC ("subjective knowledge", (b their preference for a YHC career and (c a list of 47 characteristics of medical practice with the request to rate their applicability to YHC. A second questionnaire containing the same 47 characteristics were presented to 20 practicing youth health physicians with the request to rate the applicability to their own profession. This profile was compared to the profiles generated by individual student's answers, resulting in what we called "objective knowledge." Results Correlation studies showed that "subjective knowledge" was not related to "objective knowledge" of the YHC profession (r = 0.05, but significantly to career preference for this field (r = 0.29, P Conclusion Career preference aren't always related to prior experiences, or to actual knowledge of the area. This study shows how careful we should be to trust students' opinions and preferences about specialties; they probably need much guidance in career choice.

  19. Factors Influencing Participation in Clinical Trials: Emergency Medicine vs. Other Specialties

    Science.gov (United States)

    Kurt, Anita; Kincaid, Hope M.; Curtis, Charity; Semler, Lauren; Meyers, Matthew; Johnson, Melanie; Careyva, Beth A.; Stello, Brian; Friel, Timothy J.; Knouse, Mark C.; Smulian, John C.; Jacoby, Jeanne L.

    2017-01-01

    patients decide whether to participate in a clinical trial, only one scored statistically significantly different for EM (p<0.001). EM patients ranked “having all material provided in my own language” as the most helpful resource. Conclusion There are significant differences between EM patients and those of other specialties in the factors that influence their participation in clinical trials. Providing material in the patient’s own language, explaining the study well, and elucidating how their participation might benefit others in the future may help to improve enrollment in EM-based clinical trials. PMID:28874936

  20. Does a single specialty intensive care unit make better business sense than a multi-specialty intensive care unit? A costing study in a trauma center in India

    Directory of Open Access Journals (Sweden)

    Parmeshwar Kumar

    2015-01-01

    Full Text Available Context: Though intensive care units (ICUs only account for 10% of hospital beds, they consume nearly 22% of hospital resources. Few definitive costing studies have been conducted in Indian settings that would help determine appropriate resource allocation. Aim: To evaluate and compare the cost of intensive care delivery between multi-specialty and neurosurgery ICU in an apex trauma care facility in India. Materials and Methods: The study was conducted in a polytrauma and neurosurgery ICU at a 203 bedded level IV trauma care facility in New Delhi, India from May, 2012 to June 2012. The study was cross-sectional, retrospective, and record-based. Traditional costing was used to arrive at the cost for both direct and indirect cost estimates. The cost centers included in study were building cost, equipment cost, human resources, materials and supplies, clinical and nonclinical support services, engineering maintenance cost, and biomedical waste management. Statistical Analysis: Fisher′s two-tailed t-test. Results: Total cost/bed/day for the multi-specialty ICU was Rs. 14,976.9/- and for the neurosurgery ICU was Rs. 14,306.7/-, manpower constituting nearly half of the expenditure in both ICUs. The cost center wise and overall difference in the cost among the ICUs were statistically significant. Conclusions: Quantification of expenditure in running an ICU in a trauma center would assist healthcare decision makers in better allocation of resources. Although multi-specialty ICUs are more expensive, other factors will also play a role in defining the kind of ICU that need to be designed.

  1. Patient safety risks and patients treated by multiple specialties.

    NARCIS (Netherlands)

    Baines, R.; Bruijne, M. de; Langelaan, M.; Wagner, C.

    2013-01-01

    Objectives: To determine if the number of medical specialties treating a patient is associated with the risk of experiencing harm during hospital admission. Methods: We performed structured retrospective patient record review study by trained nurses and physicians. We included 20 hospitals in the N

  2. Personality and Values as Predictors of Medical Specialty Choice

    Science.gov (United States)

    Taber, Brian J.; Hartung, Paul J.; Borges, Nicole J.

    2011-01-01

    Research rarely considers the combined influence of personality traits and values in predicting behavioral outcomes. We aimed to advance a germinal line of inquiry that addresses this gap by separately and simultaneously examining personality traits and physician work values to predict medical specialty choice. First-year medical students (125…

  3. Burnout Comparison among Residents in Different Medical Specialties

    Science.gov (United States)

    Martini, Shahm; Arfken, Cynthia L.; Churchill, Amy; Balon, Richard

    2004-01-01

    Objective: To investigate resident burnout in relation to work and home-related factors. Method: Maslach Burnout Inventory was mailed to residents in eight different medical specialties, with a response rate of 35%. Results: Overall, 50% of residents met burnout criteria, ranging from 75% (obstetrics/gynecology) to 27% (family medicine). The first…

  4. Specialty and Systems Engineering Supplement to IEEE 15288.1

    Science.gov (United States)

    2017-08-28

    15288.1 Tailoring Language ............................................................................ 2 3.2.1 Specialty Engineering Analysis and...believed necessary to maintain the level or rigor required by national security space acquisitions . 2. Context IEEE-15288.1: 2014, Standard for...be: 1. Normative (requirements rather than informative guidance), 2. Tailored appropriately for specific acquisition /contract considerations, and 3

  5. An Integrated Strategy for Teaching Biochemistry to Biotechnology Specialty Students

    Science.gov (United States)

    Ouyang, Liming; Ou, Ling; Zhang, Yuanxing

    2007-01-01

    The faculty of biochemistry established an integrated teaching strategy for biotechnology specialty students, by intermeshing the case-study method, web-assistant teaching, and improved lecture format with a brief content and multimedia courseware. Teaching practice showed that the integrated teaching strategy could retain the best features of…

  6. 76 FR 22733 - Cable Statutory License: Specialty Station List

    Science.gov (United States)

    2011-04-22

    ... Adobe Portable Document File (PDF) format that contains searchable, accessible text (not an image... affidavit. List of Specialty Stations: Call Letter and Cities of License CBAFT, Moncton, New Brunswick..., Canada CBOFT, Ottawa, Ontario, Canada CBUFT, Vancouver, British Columbia, Canada CBVT, Quebec...

  7. 76 FR 72982 - Cable Statutory License: Specialty Station List; Correction

    Science.gov (United States)

    2011-11-28

    ... the Federal Register on November 8, 2011 at 76 FR 69288: On page 69289, WNYA-CA, Albany, NY was... Copyright Office Cable Statutory License: Specialty Station List; Correction AGENCY: Copyright Office... use of the cable compulsory license. In response to the publication of an initial list of...

  8. 2016 Guide to Nursing Certification Boards by Specialty.

    Science.gov (United States)

    Gavin, Cara

    2016-01-01

    Membership in a professional organization creates opportunities for individuals to grow in countless ways. Often, it allows us to develop new knowledge and form networks that change our lives. There are many advantages of becoming a member of a specialty organization. Each year, Dimensions of Critical Care Nursing is proud to provide an updated list of our professional nursing organizations.

  9. Using specialty advertising in a niche marketing plan.

    Science.gov (United States)

    Schwisow, C R

    1992-01-01

    While niche marketing is not a new strategy, an increasing number of competitors are pursuing the same niches, resulting in stiff competition within the health care industry, writes C. Ronald Schwisow. This means marketers need to be resourceful to maximize their communications efforts. One such approach is specialty advertising.

  10. Personality and Values as Predictors of Medical Specialty Choice

    Science.gov (United States)

    Taber, Brian J.; Hartung, Paul J.; Borges, Nicole J.

    2011-01-01

    Research rarely considers the combined influence of personality traits and values in predicting behavioral outcomes. We aimed to advance a germinal line of inquiry that addresses this gap by separately and simultaneously examining personality traits and physician work values to predict medical specialty choice. First-year medical students (125…

  11. IPM of specialty crops and community gardens in north Florida

    Science.gov (United States)

    Insect pests post serious challenges to specialty crops (vegetables, fruits and nut crops) and community gardens in North Florida. The major vegetable pests include silverleaf whitefly, Bemisia argentifolii; the green peach aphid, Myzus persicae; southeastern green stinkbug, Nezara viridula; brown s...

  12. Burnout Comparison among Residents in Different Medical Specialties

    Science.gov (United States)

    Martini, Shahm; Arfken, Cynthia L.; Churchill, Amy; Balon, Richard

    2004-01-01

    Objective: To investigate resident burnout in relation to work and home-related factors. Method: Maslach Burnout Inventory was mailed to residents in eight different medical specialties, with a response rate of 35%. Results: Overall, 50% of residents met burnout criteria, ranging from 75% (obstetrics/gynecology) to 27% (family medicine). The first…

  13. Assessing Student Interest and Familiarity with Professional Psychology Specialty Areas

    Science.gov (United States)

    Stark-Wroblewski, Kimberly; Wiggins, Tina L.; Ryan, Joseph J.

    2006-01-01

    The present study examined undergraduate psychology students' (N = 83) self-reported interest in and familiarity with five specialty areas in professional psychology: counseling psychology, clinical psychology, school psychology, forensic psychology, and criminal profiling. Results suggest that although students are quite interested in careers…

  14. Construction of Higher Vocation Customs Clearance and International Freight Transportation Specialties:Based on Experience of Nanyang Polytechnic%借鉴南洋理工学院经验促进高职报关与国际货运专业建设

    Institute of Scientific and Technical Information of China (English)

    李继宏

    2013-01-01

    介绍了新加坡南洋理工学院的课程设置、“双轨制”的课程体系、教学安排、项目教学模式、“教学工厂”和师资队伍建设的先进理念和做法,并以此为借鉴,就促进我国高职报关与国际货运专业建设提出了相关建议.%In this paper,we introduced the curricular setting of Singapore Nanyang Polytechnic,its duo-track course system,teaching arrangement,project-based teaching approach and other advanced teaching ideologies and methodologies concerning the "teaching factory" and teaching resource system construction and then drawing from its successful experience,proposed some suggestions on promoting the development of the higher vocational customs clearance and international freight transportation specialty in China.

  15. Hospital characteristics and patient populations served by physician owned and non physician owned orthopedic specialty hospitals

    Directory of Open Access Journals (Sweden)

    Vaughan-Sarrazin Mary S

    2007-09-01

    Full Text Available Abstract Background The emergence of physician owned specialty hospitals focusing on high margin procedures has generated significant controversy. Yet, it is unclear whether physician owned specialty hospitals differ significantly from non physician owned specialty hospitals and thus merit the additional scrutiny that has been proposed. Our objective was to assess whether physician owned specialty orthopedic hospitals and non physician owned specialty orthopedic hospitals differ with respect to hospital characteristics and patient populations served. Methods We conducted a descriptive study using Medicare data of beneficiaries who underwent total hip replacement (THR (N = 10,478 and total knee replacement (TKR (N = 15,312 in 29 physician owned and 8 non physician owned specialty orthopedic hospitals during 1999–2003. We compared hospital characteristics of physician owned and non physician owned specialty hospitals including procedural volumes of major joint replacements (THR and TKR, hospital teaching status, and for profit status. We then compared demographics and prevalence of common comorbid conditions for patients treated in physician owned and non physician owned specialty hospitals. Finally, we examined whether the socio-demographic characteristics of the neighborhoods where physician owned and non physician owned specialty hospitals differed, as measured by zip code level data. Results Physician owned specialty hospitals performed fewer major joint replacements on Medicare beneficiaries in 2003 than non physician owed specialty hospitals (64 vs. 678, P Conclusion Physician owned specialty orthopedic hospitals differ significantly from non physician owned specialty orthopedic hospitals and may warrant the additional scrutiny policy makers have proposed.

  16. Son the Development of Specialty School-Based Curriculum of Shuttlecock in Colleges and Universities%高校毽球特色校本课程开发的研究

    Institute of Scientific and Technical Information of China (English)

    郑治伟

    2011-01-01

    The experiences and lessons of shuttlecock schoole-based curriculum develoment in colleges and universities are concluded in this paper,and the basis of shuttlecock schoole-based curriculum development is discussed.The measures of shuttlecock school-based curriculum development are proposed,in order to provide certain references for the development of national folk sports project.%文章总结了晋中学院毽球校本课程开发的经验教训,探讨了高校毽球特色校本课程开发的依据,提出了毽球校本课程开发的措施,以期为民族民间体育的开发提供一定的借鉴。

  17. A review of the specialties that care for inpatient burns and smoke inhalation in the English counties of Lancashire and South Cumbria.

    Science.gov (United States)

    Rajpura, Arif

    2002-03-01

    Prevention is by far the best strategy to minimise the burden of burns and smoke inhalation injuries on public health. However, it is inevitable that some injuries will occur despite the best attempts to prevent them. We must, therefore, optimise treatment in order to restore individuals to the best possible condition. Previous experience has shown that a wide range of specialties, many of which are untrained in burn care medicine, are involved in the care of inpatient burns/smoke inhalation victims in the UK. In light of this, a local review of which specialties care for such injuries was conducted for the population of Lancashire and South Cumbria in the north-west of England. Using population-based health authority data from 1997 to 1999, all Hospital Episodes relating to a primary diagnosis of burns or smoke inhalation were ascertained. The results showed that 41% of all burns episodes were treated by specialties other than burns/plastics. The short lengths of stay in non-plastics/burns specialties suggest that relatively minor injuries are being admitted to these units. Analysis of smoke inhalation injuries showed admission to various different specialties. Admission to burn services ensures that key specialties are available for the care of complex burn injuries. These multidisciplinary teams include burn nurses, burn surgeons and burn anaesthetists/intensivists. From the data available, it was not possible to assess the appropriateness of admission of burns and smoke inhalation injuries to the various branches of medicine. In order to assess appropriateness, we need information on severity of injury and outcome of treatment in each specialty. Further research in this area is required since it is concerning that many burns/smoke inhalation injuries are being treated by specialties with no formal training in burn care medicine. This may have major implications for service planning alongside changes in referral patterns.

  18. 75 FR 32735 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-06-09

    ... the Le Rivage Hotel, 4800 Riverside Boulevard, Sacramento, California 95822. The public may file... programs affecting the specialty crop industry. The congressional legislation defines ``specialty crops... session. The listening session will elicit stakeholder input from industry and state representatives...

  19. 75 FR 34418 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-06-17

    ...; ] DEPARTMENT OF AGRICULTURE Office of the Secretary Notice of the Specialty Crop Committee's Stakeholder Listening Session AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening session. SUMMARY: The notice announces the Specialty Crop Committee's Stakeholder Listening Session....

  20. Bilingual teaching model based on the working project in the international trade specialty%国际贸易专业基于工作过程的双语教学模式探讨

    Institute of Scientific and Technical Information of China (English)

    宋丽娜

    2012-01-01

    The bilingual teaching model based on the working project can help students learn basic professional knowledge ef-fectively in two languages and lay a solid bilingual foundation which will help students fit in with their bilingual work very fast after graduation.%在国际贸易专业,基于工作过程的双语教学能充分以工作过程为导向,能为学生奠定扎实的双语知识基础,帮助学生就业后较快适应双语工作。

  1. Perception of 1 st year medical students towards career choices and specialty of psychiatry

    OpenAIRE

    Suneet Kumar Upadhyaya; Chintan M Raval

    2015-01-01

    Background: Shortage of psychiatrists is a worldwide phenomenon. If the factors that attract or repel students towards a specialty can be identified, it may be possible to encourage them towards it. Choice of specialty as a career depends on the complex interplay of experiences before, during or after exposure to the specialty. Objectives: The aim was to understand perceptions of 1 st year medical students regarding career choices and the specialty of psychiatry through a cross-sectional ...

  2. Implementation of a Cross-specialty Training Program in Basic Laparoscopy

    DEFF Research Database (Denmark)

    Bjerrum, Flemming; Sorensen, Jette Led; Thinggaard, Jette

    2015-01-01

    BACKGROUND AND OBJECTIVES: Several surgical specialties use laparoscopy and share many of the same techniques and challenges, such as entry approaches, equipment, and complications. However, most basic training programs focus on a single specialty. The objective of this study was to describe the ...... laparoscopy is feasible. There are several logistic benefits of using a cross-specialty approach; however, it is important that local departments include specialty-specific components, together with clinical departmental follow-up....

  3. 基于CDIO理念统计学专业导论课程的教学方法改革与探索%Teaching Reform of the Guidance Course of Statistics Specialty Based on CDIO Teaching Philosophy

    Institute of Scientific and Technical Information of China (English)

    陈明

    2013-01-01

      基于CDIO教育理念的专业教改实践,以统计学专业导论课的教学实践为例,在教学中,围绕CDIO理念要求具备的能力和素质,探讨以教学理念,理论教学方法,学生能力培养和考核评分标准的改革方法和具体措施,以期对统计学专业导论课的未来发展制定一个详细的规划。%Based on the teaching reform practice of CDIO teaching philosophy and taking the teaching practice of guidance course of statistics as an example, some specific measures based on CDIO teaching philosophy are presented in this paper. The abilities and qualities required in CDIO syllabus were regarded as the target of this teaching reform. The reform methods employed in teaching processing, such as the transformation of teaching philosophy, the improvement of classroom teaching, the cultivation of students' qualities, and the reform of evaluation criteria are discussed in hope of making a detailed plan for the future development of the guidance course of statistics.

  4. Practice on teaching innovation mode based on Outstanding Plan in Home Economics specialty%“卓越计划”下家政学专业教学实习创新模式实践

    Institute of Scientific and Technical Information of China (English)

    李磊

    2014-01-01

    The basic construction of home economics practice is to realize the sustainable development of talents training and professional guarantee system . Based on the “Outstanding Plan ,” the problems in basic construction of home economics professional practice are analyzed .According to the talent training goal and the market demand ,the home economics teaching practice base construction and operation management mechanism construction are practiced and researched .%吉林农业大学家政学专业是国家级特色专业,其教学实习建设是实现人才培养和专业可持续发展的制度保证。基于卓越人才培养计划下,分析了家政学专业实习建设过程中存在的现实问题,依据人才培养目标与行业需求,对家政学教学实习模式进行了创新构建与实践研究。

  5. Information Security: A Scientometric Study of the Profile, Structure, and Dynamics of an Emerging Scholarly Specialty

    Science.gov (United States)

    Olijnyk, Nicholas Victor

    2014-01-01

    The central aim of the current research is to explore and describe the profile, dynamics, and structure of the information security specialty. This study's objectives are guided by four research questions: 1. What are the salient features of information security as a specialty? 2. How has the information security specialty emerged and evolved from…

  6. The impact of clerkships on students' specialty preferences: what do undergraduates learn for their profession?

    NARCIS (Netherlands)

    Maiorova, T.; Stevens, F.; Scherpbier, A.; Zee, J. van der

    2008-01-01

    OBJECTIVE: Clinical experiences and gender have been shown to influence medical students' specialty choices. It remains unclear, however, which aspects of experiences make students favour some specialties and reject others. This study aimed to clarify the effects of clerkships on specialty choice an

  7. Broad support evident for the emerging specialty of orofacial pain.

    Science.gov (United States)

    Talley, R L; Fricton, J R; Okeson, J P

    2000-01-01

    The emerging field of Orofacial Pain is being considered by the American Dental Association for full status as a new dental specialty. Many recent advances in the neuroscience of orofacial pain have lead to treatments by orofacial pain dentists that provide significant relief for patients with chronic orofacial pain disorders. However, access to this care has been limited leaving many patients to continue to suffer. Subsequently, recent efforts to improve this by developing the field into a specialty have shown broad support among dentists and increased awareness of the benefits this field can provide for dentists and their patients. A recent survey of 805 individuals in the general population who reported having a persistent pain disorder revealed that more than four out of 10 people have yet to find adequate relief, saying their pain is out of control-despite having the pain for more than 5 years and switching doctors at least once. "This survey suggests that there are millions of people living with severe uncontrolled pain," says Russell Portenoy, MD, President of the American Pain Society. "This is a great tragedy. Although not everyone can be helped, it is very likely that most of these patients could benefit if provided with state-of-the-art therapies and improved access to pain specialists when needed." (1). Development of the field of Orofacial Pain into a dental specialty has been motivated primarily by this issue; patients with complex chronic orofacial pain disorders have not been historically treated well by any discipline of health care. Recent studies of chronic orofacial pain patients have found that these patients have a high number of previous clinicians and have endured many years with pain prior to seeing an orofacial pain dentist (2) (Fig. 1). Complex pain patients and the clinicians who see them are often confused about whom they should consult for relief of the painful disorder. Treatment for these patients within the existing structure of

  8. Identifying Telemedicine Services to Improve Access to Specialty Care for the Underserved in the San Francisco Safety Net

    Directory of Open Access Journals (Sweden)

    Ken Russell Coelho

    2011-01-01

    Full Text Available Safety-net settings across the country have grappled with providing adequate access to specialty care services. San Francisco General Hospital and Trauma Center, serving as the city's primary safety-net hospital, has also had to struggle with the same issue. With Healthy San Francisco, the City and County of San Francisco's Universal Healthcare mandate, the increased demand for specialty care services has placed a further strain on the system. With the recent passage of California Proposition 1D, infrastructural funds are now set aside to assist in connecting major hospitals with primary care clinics in remote areas all over the state of California, using telemedicine. Based on a selected sample of key informant interviews with local staff physicians, this study provides further insight into the current process of e-referral which uses electronic communication for making referrals to specialty care. It also identifies key services for telemedicine in primary and specialty care settings within the San Francisco public health system. This study concludes with proposals for a framework that seek to increase collaboration between the referring primary care physician and specialist, to prioritize institution of these key services for telemedicine.

  9. Curriculum System of Clinical Medical Specialties in College Level (General Medicine Direction) Based on Professional Competence%基于全科医师职业能力的专科层次临床医学专业(全科医学方向)课程体系研究

    Institute of Scientific and Technical Information of China (English)

    何坪; 邓宇; 罗利刚; 沈星亮; 杨晓梅; 何春玲; 陈凤兰; 吴建华

    2011-01-01

    Objective To comprehensively analyze the professional competence of general practitioners ( GP ) so as to construct curriculum system of clinical medical specialties ( general medicine direction ) in medical college. Methods Stratified random sampling was used to choose 12 GPs form community health service organizations. Questionnaire survey and group interview were conducted among them, and they were asked to write 1 - month work logs. A new curriculum system were decided after 2 rounds of experts' counseling through Delphi method. Results GP's main tasks were, in turn, observation of patients in temporary ward, diagnosis and treatment of patients, diagnosis and treatment of common symptoms, community health education. medical examination, health counseling services, chronic disease management, etc. According to GP's tasks and vocational ability, community - based curriculum system should be set up from 4 aspects of " prevention, health care, medical treatment and rehabilitation". Conclusion It is to set up curriculum system of clinical medical specialties ( general medicine direction ) based on GP's professional competence and implement the training mode of "community - based education combined with problem - based learning ( CBE - PBL )" that can adapt to the development of community health services to meet the demands for GP' training.%目的 深入分析全科医师职业能力,构建专科层次临床医学专业(全科医学方向)的课程体系.方法 分层随机抽样选取社区卫生服务机构12名全科医师进行问卷调查和小组访谈,让其填写1个月的工作日志.基于全科医师职业能力的专科层次临床医学专业(全科医学方向)课程体系经两轮专家咨询(Delphi法)后确定.结果 社区全科医师的主要任务依次为留观患者、疾病诊治、常见症状诊治、社区健康教育、健康体检、健康咨询、慢病管理等.按全科医师工作任务和职业能力从"预防、保健、医

  10. Study on Adaptability Teaching Reformation of Chinese Pharmacy Based on the Characteristics of Non-medical Specialty%基于非医类专业特点的中药学适应性教改研究

    Institute of Scientific and Technical Information of China (English)

    杨碧仙

    2011-01-01

    中药学主要阐述中药的药性、功效特点及其配伍应用,是我院制药工程专业一门必修的专业基础课。从教学实际出发,结合多年教学改革实践,基于学生的学科学习特点,并立足于社会对药学相关人才提出的知识全面、综合素质高、适应性强的要求,对中药学的适应性教学改革进行了研究探讨。%Chinese Pharmacy mainly described the medicine performance,efficacy characteristic and compatible application of Traditional Chinese medicine.It's a compulsory basic course to pharmaceutical engineering in Guiyang University.This paper,from the reality of teaching,combined with years of teaching reform,was based on academic learning characteristics and social requirements for pharmacy-related talent of comprehensive knowledge,high quality and adaptable,study of adaptation teaching reformation in medicine.

  11. Research on the Cultivation Model of Software Technology Specialty Based on CDIO Engineering Education Philosophy%基于CDIO理念的高职软件技术专业人才培养模式研究

    Institute of Scientific and Technical Information of China (English)

    贾家新

    2016-01-01

    In view of present situation of China′s higher vocational college of software technology talent cultivation it is necessary to learn the international advanced the concept of CDIO Engineering Education.Then,we need to establish our own talent cultivation model.The theory curriculum system teaching system and evaluation system were based on CDIO philosophy.Also,it is important to deepen software technology professional talent cultivation model.Meanwhile,weshould improve the quality of personnel training,and enhance highGquality software and technical talents.%针对我国高等职业院校软件技术专业人才培养的现状,借鉴国际先进的 CDIO 工程教育理念,分别从人才培养模式的构建、理论课程体系的构建、实践教学体系的构建、考核评价体系的构建等四个方面进行基于CDIO 理念软件技术专业人才培养的研究,探索软件技术专业人才培养模式的建设与改革,提高人才培养质量,为国家培养更多高素质技能应用型软件技术人才。

  12. 基于商业服务能力培养的经管类专业教学模式改革%The Teaching Mode Reform for Economics and Management Specialty based on Business Service Skills Training

    Institute of Scientific and Technical Information of China (English)

    谈留芳

    2016-01-01

    经管类专业毕业生的就业问题日趋严重,如何提高经管类专业毕业生就业竞争力、商业服务能力,对于经管类专业的人才培养至关重要。本文以满足企业人才需求为原则,探讨经管类专业课程体系、实践教学体系、教学方法及考核评价方式等方面的改革,以期增强学生的专业能力,提高学生对岗位的适应能力。%T he employment situation for economics and management graduates is becoming more and more serious ,so it is urgent to promote the graduates’ employment competitive‐ness ,for w hich business service skills training is the key .Based on the job requirements for economic and management graduates ,this essay discusses the teaching reform from the as‐pects of course system ,skills training system ,teaching method and evaluation ,with a view to strengthening students’ professional ability and improving their adaptability to the job .

  13. [Reinventing specialty training of physicians? Principles and challenges].

    Science.gov (United States)

    Morán-Barrios, J; Ruiz de Gauna Bahillo, P

    2010-01-01

    In a world undergoing constant change, in the era of globalisation, the training of medical professionals should be under constant review so that it can be tailored to meet the needs of this society in transition. This is all the more true at times of economic uncertainty, such as the current conditions, which have a direct impact on health services. Professionals need new Competencies for new times. Over the last decade initiatives have emerged in various Anglo-Saxon countries which have defined a framework of basic Competencies that all medical specialists should demonstrate in their professional practice. In addition to this, we must respond to the creation of the European Higher Education Area which has implications for specialised training. In Spain, training for medical specialists was in need of an overhaul and the recently passed law (Real Decreto 183/2008) will allow us to move forward and implement, in medical education, initiatives and innovations required in our medical centres, to respond to the new society and bring us in line with international professional education and practice. The way forward is a Competency-based model for medical education with assessment of these Competencies using simple instruments, validated and accepted by all the stakeholders. The institutions involved (hospitals, medical centres and other health care services) should trial different approaches within the general framework established by the current legislation and be conscious of the duty they have to society as accredited training organisations. Accordingly, they should consolidate their teaching and learning structures and the various different educational roles (Director of Studies, Tutors, and other teaching positions), showing the leadership necessary to allow proper implementation of their training programmes. For this, the Spanish Autonomous Regions must develop their own legislation regulating Medical Specialty Training. So, medical professionals should receive

  14. Validity of a cross-specialty test in basic laparoscopic techniques (TABLT)

    DEFF Research Database (Denmark)

    Thinggaard, Ebbe; Bjerrum, Flemming; Strandbygaard, Jeanett

    2015-01-01

    was shown to be reliable, with an intraclass correlation coefficient of 0·99 (P Pearson's r value of 0·73 (P ... correlation between the level of laparoscopic experience and performance score. A reasonable pass-fail standard was established using contrasting groups methods. CONCLUSION: TABLT can be used for the assessment of basic laparoscopic skills and can help novice surgical trainees in different specialties gain...... included novice, intermediate and experienced surgeons. All participants performed the TABLT test. Performance scores were calculated based on time taken and errors made. Evidence of validity was explored using a contemporary framework of validity. RESULTS: Some 60 individuals participated. The TABLT...

  15. Gender inflexion in the construction of a new medical specialty

    Directory of Open Access Journals (Sweden)

    Rachel Aisengart Menezes

    2008-01-01

    Full Text Available This article presents the constitution of a new medical specialty, Palliative Care, directed to patients "out of therapeutic possibilities". The concept emerged around 1960 in England and was implemented in Brazil a couple of years before 1990. It is characterized by an active attendance of the dying process. It postulates a "spiritual assistance" to the patient and his/her family members, including the emotional universe. Ethnographical observation and interviews with Brazilian professionals showed a majority of women among the health teams involved in this proposal. This article discusses and analyses the connection between the construction of the specialty and gender representation among these professionals that reflects popular social images about death, beliefs, emotions and the roles played by women and men in these subjects.

  16. [A historical view of the specialty of clinical microbiology].

    Science.gov (United States)

    Pérez, Evelio Perea; Álvarez, Rogelio Martín

    2010-10-01

    Clinical microbiology today is a well established specialty in Spain whose development has necessarily been linked to improvements in the diagnosis, treatment and prevention of infectious diseases. Over time, clinical, teaching, and research structures have been organized around these diseases. In addition, a scientific society for specialists in infectious diseases (Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica) has been set up, which in turn, publishes the journal ENFERMEDADES INFECCIOSAS Y MICROBIOLOGÍA CLÍNICA, and organizes congresses, meetings, working groups and a quality control program, etc. Clinical microbiologists will continue to be needed to meet future challenges (identification of new pathogenic microorganisms, methodological changes, diagnostic quality and speed, nosocomial infections, the development of antimicrobial resistance, etc.), which constitute a well-defined area of knowledge specific to our specialty. Copyright © 2010 Elsevier España S.L. All rights reserved.

  17. The value of independent specialty designation for interventional cardiology.

    Science.gov (United States)

    Blankenship, James C; Powell, Wayne A; Gray, Dawn R; Duffy, Peter L

    2017-01-01

    Interventional cardiology has finally completed, after 26 years of advocacy, a professional hat trick: independent board certification, membership as a unique specialty in the American Medical Association House of Delegates (AMA HOD), and recognition by the Centers for Medicaid and Medicare Services (CMS) as a separate medical specialty. This article points out how these distinctions for interventional cardiology and its professional society, the Society for Cardiovascular Angiography and Interventions (SCAI), have led to clear and definite benefits for interventional cardiologists and their patients. We focus on the least understood of these three-recognition by CMS and its implications for reimbursement and quality assessment for interventional cardiologists. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  18. Implementing cognitive behavioral therapy in specialty medical settings

    OpenAIRE

    Magidson, Jessica F.; Weisberg, Risa B.

    2014-01-01

    This article is an introduction to the second issue of a two-part Special Series on integrating cognitive behavioral therapy (CBT) into medical settings. The first issue focused on integrating CBT into primary care, and this issue focuses on implementing CBT in other specialty medical settings, including cancer treatment, HIV care, and specialized pediatric medical clinics. Models for treatment delivery to improve ease of implementation are also discussed, including telehealth and home-delive...

  19. Lipid components and oxidative status of selected specialty oils

    Energy Technology Data Exchange (ETDEWEB)

    Madawala, S. R. P.; Kochhar, S. P.; Dutta, P. C.

    2012-11-01

    Many vegetable oils are marketed as specialty oils because of their retained flavors, tastes and distinct characteristics. Specialty oil samples which were commercially produced and retailed were purchased from local superstores in Reading, UK, and Uppsala, Sweden and profiled for detailed lipid composition and oxidative status. These oil samples include: almond, hazelnut, walnut, macadamia nut, argan, avocado, grape seed, roasted sesame, rice bran, cold pressed, organic and cold pressed, warm pressed and refined rapeseed oils. The levels of PV were quite low (0.5-1.3mEq O{sub 2}/kg) but AV and Rancimat values at 100 degree centigrade (except for rapeseed oils) varied considerably at (0.5-15.5) and (4.2-37.0 h) respectively. Macadamia nut oil was found to be the most stable oil followed by argan oil, while walnut oil was the least stable. Among the specialty oils, macadamia nut oil had the lowest (4%) and walnut oil had the highest (71%) level of total PUFA. The organic cold pressed rapeseed oil had considerably lower PUFA (27%) compared with other rapeseed oils (28- 35%). In all the samples, {alpha}- and {gamma}- tocopherols were the major tocopherols; nut oils had generally lower levels. Total sterols ranged from 889 to 15,106 {mu}g/g oil. The major sterols were {beta}-sitosterol (61-85%) and campesterol (6-20%). Argan oil contained schottenol (35%) and spinasterol (32%). Compared with literature values, no marked differences were observed among the differently processed, organically grown or cold pressed rapeseed oils and other specialty oils in this study. (Author) 33 refs.

  20. Structure–property relationship of specialty elastomer–clay nanocomposites

    Indian Academy of Sciences (India)

    Anirban Ganguly; Madhuchhanda Maiti; Anil K Bhowmick

    2008-06-01

    The present work deals with the synthesis of specialty elastomer [fluoroelastomer and poly (styrene--ethylene-co-butylene--styrene (SEBS)]–clay nanocomposites and their structure–property relationship as elucidated from morphology studies by atomic force microscopy, transmission electron microscopy and X-ray diffraction and physico-mechanical properties. Due to polarity match, hydrophilic unmodified montmorillonite clay showed enhanced properties in resulting fluoroelastomer nanocomposites, while hydrophobic organo-clay showed best results in SEBS nanocomposites.

  1. Equity, public policy and outpatient specialty mental health services.

    Science.gov (United States)

    Savoca, E

    1993-01-01

    This study provides evidence on the role of the public sector in the allocation of ambulatory specialty mental health services across income groups in the adult population. Results suggest that in the early to mid-1980s, the tax and transfer system effectively lowered the price of services to the poor and the rich, thus causing the highest use by persons at the extreme ends of the income distribution. High utilization at the low end of the income scale can be largely attributed to publicly provided insurance. A comparison of demand prior to the Medicaid cuts brought on by the Omnibus Budget and Reconciliation Act (OBRA) of 1981 with post-OBRA estimates reveals the extreme sensitivity of demand to changes in coverage. Among upper income groups the results imply that the implicit price of specialty mental health care falls as income rises. This finding is consistent with the hypothesis that the government's exclusion of health benefits and expenditures from taxation effectively lowers the price of medical services to individuals in high marginal income tax brackets. It also suggests that recent proposals to limit the tax exclusion of employer-paid premiums may lead to a more equitable distribution of resources in the specialty mental health sector.

  2. Shale oil specialty markets: Screening survey for United States applications

    Energy Technology Data Exchange (ETDEWEB)

    1987-12-01

    EG and G requested J. E. Sinor Consultants Inc. to carry out an initial screening study on the possibilities for producing specialty chemicals from oil shale. Raw shale oil is not an acceptable feedstock to refineries and there are not enough user of heavy fuel oil in the western oil shale region to provide a dependable market. The only alternatives are to hydrotreat the oil, or else ship it long distances to a larger market area. Either of these alternatives results in a cost penalty of several dollars per barrel. Instead of attempting to enter the large-volume petroleum products market, it was hypothesized that a small shale oil facility might be able to produce specialty chemicals with a high enough average value to absorb the high costs of shipping small quantities to distant markets and still provide a higher netback to the plant site than sales to the conventional petroleum products market. This approach, rather than attempting to refine shale oil or to modify its characteristics to satisfy the specifications for petroleum feedstocks or products, focuses instead on those particular characteristics which distinguish shale oil from petroleum, and attempts to identify applications which would justify a premium value for those distinctive characteristics. Because byproducts or specialty chemicals production has been a prominent feature of oil shale industries which have flourished for periods of time in various countries, a brief review of those industries provides a starting point for this study. 9 figs., 32 tabs.

  3. Topical anaesthesia in children: reducing the need for specialty referral.

    LENUS (Irish Health Repository)

    O'Connor, Gabrielle

    2012-01-31

    OBJECTIVE: The management of wounds in children is stressful, not only for the child, but also for parents and staff. In our Emergency Department (ED), we currently do not have a paediatric sedation policy, and thus children requiring suturing, not amenable to distraction and infiltrative anaesthesia, are referred to specialty teams for general anaesthesia. We proposed that the introduction of a topical anaesthetic gel (lidocaine, adrenaline, tetracaine - LAT) might help to reduce the number of referrals, by allowing the ED staff to perform the procedures, in combination with nonpharmacological approaches. METHODS: We carried out a retrospective review of ED records of all children aged 14 years or less attending with wounds, over an 8-month period, from 01 May 2007 to 31 January 2008. RESULTS: Two hundred and one (50.6%) patients presented before the introduction of LAT gel, whereas 196 (49.3%) patients presented afterwards. A total of 39 (19.4%) patients were referred for specialty review pre-LAT, whereas only 19 (9.7%) patients were referred in the LAT group. Of these, 31 (15.4%) pre-LAT and 15 (7.7%) LAT group required general anaesthesia. There is a significant difference between these two groups, using Fischer\\'s exact test, P=0.018. CONCLUSION: We have found that the introduction of topical anaesthetic gel in ED has significantly reduced the number of children with wounds referred to specialty teams for general anaesthesia. This has important implications for patient safety and hospital resources.

  4. A Study of Higher Vocational English Teaching Based on Students' Major-Taking Software Technology Specialty as an Example%基于学生专业的高职基础英语教学--以软件技术专业为例

    Institute of Scientific and Technical Information of China (English)

    王芳

    2013-01-01

    With the development of science and technology and the change of post requirements, only if basic English teaching connects with students' major, can it adjust to the needs of the job market. Two of the main problems are the out-of-date teaching materials and English teachers' short of the knowledge of students' major. With software technology specialty as an example, this paper points out that English teachers should find out what knowledge in the teaching materials is connected with students' major and do his/her best to reflect students' major in English teaching through expanding vocabulary and explaining grammar, and reform the teaching contents of listening, speaking, reading and writing based on the requirements of the post ability so as to advance the employment and professional development of students.%科学技术的发展和岗位能力需求的变化要求基础英语教学必须与所教学生的专业相衔接,才能适应就业市场的需求。教材落伍和英语教师对学生专业知识匮乏是基础英语教学的主要问题,以软件技术专业为例,指出应充分挖掘教材与专业相关的知识,通过词汇扩展、语法讲解、根据岗位能力要求,改革听、说、读、写内容,做到英语教学与学生专业相结合,促进学生就业和职业发展。

  5. PBL教学法在食品专业有机化学实验教学中的应用%Application of the Problem-based Learning (PBL) Teaching Method in the Course of Organic Chemistry Experiment in Food Specialty

    Institute of Scientific and Technical Information of China (English)

    粟立丹; 杨芳; 戢得蓉; 吕秋冰

    2016-01-01

    Organic Chemistry experiment is an important practice course for students majoring in food specialty. It plays an important role in cultivating students’ practice and innovation ability. Based on the problems existing in the teaching of organic chemistry experiment, the PBL teaching method is applied to the Organic Chemistry experiment teaching. The implementation methods of PBL teaching method in Organic Chemistry experiment course of food major were reviewed including creating problem situation, exploring problem solutions and teacher commenting and other aspects. Practice showed that PBL teaching method can significantly improve the students’ comprehensive ability, promote students’ thinking, and achieved a better teaching effect.%有机化学实验是食品专业学生一门重要的实践课程,对培养学生的实践能力和创新能力起着重要的作用。结合我校有机化学实验教学中存在的问题,将PBL教学法应用到有机化学实验教学中。本文从创设问题情景,探索问题解决方法和教师点评等方面论述了PBL教学法在食品专业有机化学实验课程中实施的具体方法。实践表明, PBL教学法能够显著提高学生的综合能力,促进学生思考,取得了较好的教学效果。

  6. Establishment of the Talent Training Mode for Pharmaceutical Specialty in Retail Pharmacies Based on the Modern Apprenticeship%基于现代学徒制的药学专业零售药店方向人才培养模式构建

    Institute of Scientific and Technical Information of China (English)

    袁海建; 王卉; 周涛

    2015-01-01

    目的:构建基于现代学徒制的药学专业零售药店方向人才培养模式,提高高职高专药学专业教学质量.方法:依据人才培养方案所涉及的基本内容,从人才培养目标定位、招生招工方式、教学方案制订、课程体系开发、教学过程安排、学制和证书获取等方面进行探讨,分析药学专业零售药店方向实施现代学徒制的可行性.结果:药学专业人才应掌握必要的医药学理论、相关法律法规和药店经营与管理基本流程的相关知识;培养的对象可以是企业招聘的员工,也可以是注册入学的高中生或二次筛选的在校生;在培养中应突出药店内的实践技能培训,由校企双方协商制订教学方案,组成课程开发委员会,确定零售药店各岗位必需具备的知识和能力水平,形成课程;在教学实施中可采用双主体育人、双导师教学,以工学交替的形式开展;学生可实行弹性学制.结论:构建基于现代学徒制的药学专业零售药店方向人才培养模式,可以提高高职高专药学专业教学质量.但在构建课程体系时,应考虑到学生的可持续发展性,谨慎地根据零售药店方向人才需求的特点,设置有针对性的相关课程.%OBJECTIVE:To establish the talent training mode for pharmaceutical specialty in retail pharmacies based on mod-ern apprenticeship,and improve the teaching quality of pharmacy major in vocational colleges. METHODS:According to the basic content of talent training program,the contents including the talent training goal orientation,the recruitment mode,the teaching plan formulation,the curriculum system development,the teaching arrangement,the length of schooling and the certificate acquisi-tion were studied to analyze the feasibility of carrying out the modern apprenticeship of pharmaceutical specialty in retail pharma-cies. RESULTS:Pharmaceutical talents should master the necessary medicine theory,knowledge of relevant laws

  7. Medical student debt and major life choices other than specialty

    Directory of Open Access Journals (Sweden)

    James Rohlfing

    2014-11-01

    Full Text Available Background: Median indebtedness at graduation is now more than $170,000 for graduates of US Medical Schools. Debate still exists as to whether higher debt levels influence students to choose high paying non-primary care specialties. Notably, no previous research on the topic has taken into account cost of attendance when constructing a debt model, nor has any research examined the non-career major life decisions that medical students face. Methods: Medical students were surveyed using an anonymous electronic instrument developed for this study. The survey was delivered through a link included in a study email and students were recruited from school wide listservs and through snowball sampling (students were encouraged to share a link to the survey with other medical students. No incentives were offered for survey completion. Results: Responses were recorded from 102 US Allopathic medical schools (n=3,032, with 22 institutions (11 public, 11 private meeting inclusion criteria of 10% student body response proportion (n=1,846. Students with higher debt relative to their peers at their home institution reported higher frequencies of feeling callous towards others, were more likely to choose a specialty with a higher average annual income, were less likely to plan to practice in underserved locations, and were less likely to choose primary care specialties. Students with higher aggregate amounts of medical student loan debt were more likely to report high levels of stress from their educational debt, to delay getting married and to report disagreement that they would choose to become a physician again, if given the opportunity to revisit that choice. Increases in both aggregate and relative debt were associated with delaying having children, delaying buying a house, concerns about managing and paying back educational debt, and worrying that educational debt will influence one's specialty choice. Conclusions: Medical student debt and particularly debt

  8. Professional burnout syndrome in doctors of surgical specialties in Ukraine: causes, consequences, labor optimization ways.

    Science.gov (United States)

    Skurupii, Dmytro A; Kholod, Dmytro A; Sonnik, Evgen G

    The professional burnout syndrome (PBS) affects quality of medical care provision for people, which is acquires the special actuality in terms of reforming the health care system. To study ways to improve the efficiency of doctors of surgical specialties based on analyzes of PBS and its consequences. A survey of psychological tests and 62 surgical doctors was carried out. It was found out that the PBS reaches a peak after 11 to 15 years of working experience. Anesthesiologists have high levels of PBS, emotional exhaustion, cynicism, low desire for career growth, frequent misunderstanding with the administration, they prefer 8-hour working day, and relieve stress by sleeping and consuming alcohol. Obstetrician-gynecologists show moderate level of PBS and emotional exhaustion, high degree of cynicism, strong desire for career growth, frequent misunderstandings with patients and their relatives, prefer 8-hour working day, relieve stress by smoking and socializing with family and friends. Traumatic surgeons have moderate level of PBS, emotional exhaustion, high degree of cynicism, strong desire for career growth, frequent misunderstandings with their colleagues of related specialties, prefer the 24-hour working day, and reli eve their stress with alcohol and sports. Surgeons have moderate level of PBS, emotional exhaustion, low degree of cynicism, moderate desire for career growth, frequent misunderstandings with their colleagues of related specialties, prefer the 8-hour working day, and relieve stress by smoking and sleeping. PBS is most expressed in doctors having working experience of 11 to 15 years and in anesthesiologists. They get professional deformations. These features should be considered in course of organization of working process of medical teams.

  9. INTERDISCIPLINARY CONNECTIONS IN THE PROCESS OF EDUCATING TO MATHEMATICS OF STUDENTS OF ECONOMIC SPECIALTIES

    Directory of Open Access Journals (Sweden)

    Zasyadko O. V.

    2016-05-01

    Full Text Available In this article, we examine questions about realization of interdisciplinary connections in the process of teaching of mathematics the students of economic specialties. Taking into account the circumstance that economic specialties are integrating information from mathematical, natural, humanitarian and socioeconomic disciplines, going near the selection of maintenance of course of mathematics must be oriented to the mathematical apparatus for all cycles forming certain abilities and skills. Thus, in the process of teaching mathematics we have to emphasize the necessity of maintenance of "vertical" connections in a course mathematics, marking that maintenance of flat rate of mathematics can not be certain from the cleanly pragmatic point of view, based only on the specific of future specialty of studying, without the account of internal logic of mathematics, id est., from a course mathematicians we must not eliminate questions and divisions, not having a direct professional orientation, but providing internal subject connections or the logic of the discipline. Accordance to the criterion of internal subject integrity means, that maintenance of the course of mathematics will not grow into totality of fragmentary information necessary for the special preparation, and will possess necessary plenitude, logical uncontradiction and sequence. On the other hand, it is necessary to accent attention on the study of the different processes and phenomena, lighted up in general professional disciplines, as studying of all these questions must be of the ponderable use in the professional becoming of future specialist, i.e. the special importance is acquired by interdisciplinary integration connections at the level of which the applied professional orientation of the studied material comes true

  10. Specialty setting and students’ specialty choices of German universities of applied sciences:Taking Technische Hochschule Deggendorf as an example%德国应用技术大学专业设置及学生专业选择--以德国代根多夫应用技术大学为例

    Institute of Scientific and Technical Information of China (English)

    蔡彬清

    2016-01-01

    German universities of applied sciences are characterized by applied specialty setting in-tegrated deeply into the transformation and development of regional industry and flexible choice policy of students’ specialties. Taking Deggendorf Institute of Technology as an example, the prac-tices of applied specialty setting and students ’ specialty choices of German universities of applied sciences are focused. The advantages of the universities in specialty setting and the students’ spe-cialty choices are discussed. The cultivation orientation of applied professionals can be realized by three ways: establishing a talent demand forecasting and specialty early preditting system;formulating a dynamic specialty evaluation system, and promoting the construction of characteristic specialty and specialty groups that serve diversified sectors of the industry; constructing a distin-guished specialty system catered to the regional industrial development. Secondly, the innovation of the training mode of applied professionals can be promoted by two ways:formulating and implemen-ting the directors or board system participated by industry and enterprises, evaluation system of spe-cialty setting, and performance evaluation system of professionals training, strengthening industry and education integrated specialty setting. Thirdly, specialty settings can be optimized by establishing students’ specialty choice-based specialty competition mechanism.%与区域产业转型发展深度融合的应用性专业设置以及灵活的学生专业选择政策,是德国应用技术大学的显著特征。以德国代根多夫应用技术大学为例,可以得到相关借鉴与启示:第一,建立人才需求预测和专业预警机制、专业动态评估制度,推进服务产业的特色专业和专业群建设,构建契合产业发展、根植当地、特色鲜明的专业体系,以实现应用型人才培养定位。第二,制定和实施行业企业和用人单位参

  11. Choice of the specialty of diagnostic radiology by results of the competitive examination to assign residency positions from 2006 to 2015.

    Science.gov (United States)

    Murias Quintana, E; Sánchez Lasheras, F; Fernández-Somoano, A; Romeo Ladrero, J M; Costilla García, S M; Cadenas Rodríguez, M; Baladrón Romero, J B

    To analyze the profile of residency candidates choosing the specialty of diagnostic radiology in function of variables related to the positions available in different years. We compiled the data published on the Spanish Ministry of Health's website during the acts celebrated to allow residency candidates to choose positions based on the results of the competitive examinations held from 2006 to 2015, comparing the specialty of diagnostic radiology with the other specialties available in terms of positions available, net questions, sex, nationality, and order of choice of the position. The specialty of diagnostic radiology occupied the 16(th) position in the ranking of specialties according to the median number of order in the choice for each of the positions offered in the years studied. The first diagnostic radiology residency position was usually assigned after 75 candidates had chosen other specialties, and the last position was usually assigned after 3700 to 4100 candidates had chosen their positions. During the period studied, of those who chose diagnostic radiology 58% were women and 76% were Spanish nationality. Candidates preferred hospitals in the Autonomous Community of Madrid, and the hospital chosen with the lowest median position (highest score on the competitive examination) was the Hospital Clínic de Barcelona. Diagnostic radiology is chosen by candidates with good positioning in the ranking according to official examination results, is less likely than other specialties to be chosen by women, and is chosen mostly by Spanish physicians. Candidates prefer large hospitals in provincial capitals. Copyright © 2017 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Fusion splicing of double-clad specialty fiber using active alignment technology

    Institute of Scientific and Technical Information of China (English)

    Shupeng Yin; Ping Yan; Mali Gong; Jianwei He; Chen Fu

    2011-01-01

    @@ The fusion splicing of double-clad (DC) specialty fibers based on active alignment is crucial to the investigation of high-power monolithic fiber lasers. Given the wave-guiding characteristic of DC fiber, a light stripper is introduced in an active alignment experiment. We propose a novel method for stripping light that is convenient, highly efficient, and low cost. This method is also effective for low-numerical-aperture beams that escape from the fiber core. A splice loss as low as 0.05 dB is achieved.%The fusion splicing of double-clad (DC) specialty fibers based on active alignment is crucial to the investigation of high-power monolithic fiber lasers. Given the wave-guiding characteristic of DC fiber, a light stripper is introduced in an active alignment experiment. We propose a novel method for stripping light that is convenient, highly efficient, and low cost. This method is also effective for low-numerical-aperture beams that escape from the fiber core. A splice loss as low as 0.05 dB is achieved.

  13. [Evaluation of secondary care in oral health: a study of specialty clinics in Brazil].

    Science.gov (United States)

    Goes, Paulo Sávio Angeiras de; Figueiredo, Nilcema; Neves, Jerlucia Cavalcanti das; Silveira, Fabiana Moura da Motta; Costa, José Felipe Riani; Pucca Júnior, Gilberto Alfredo; Rosales, Maritza Sosa

    2012-01-01

    This article discusses the evaluation of secondary care in the area of health surveillance. This was a descriptive and normative/evaluative study. Performance analysis drew on secondary data, based on a historical series of dental procedures conducted at the specialized dental clinics implemented in Brazil and recorded by the Outpatient Information System of the Unified National Health System (SIA/SUS) in 2007, as well as primary data from site visits to the clinics, based on questionnaires completed by clinic staff. Performance of the clinics was poor in most regions of the country, and the North of Brazil had the lowest percentage of specialty services implemented. The indicator "Performance of Secondary Care in Oral Health" was 64.4%. The type 3 specialty clinics showed better results in terms of performance and achievement of targets. The study showed the need to review the legal framework for implementing specialized dental clinics by adjusting the criteria and norms, as well as definition of new standards for achievement of goals in the evaluation and monitoring of these services.

  14. Investigation of the teaching cognition and capabilities of clinical advisers for masters degree level nursing specialty graduate students

    Directory of Open Access Journals (Sweden)

    Xiao-Lei Zhao

    2014-03-01

    Conclusion: Clinical advisers for nursing specialty graduate students in our survey were generally inexperienced with regarding to training and culturing nursing graduate students. These advisers were prepared for core teaching competency, but were not qualified to conduct scientific research. Based on these results, it would be beneficial to provide the clinical advisers more training on teaching cognition for graduate students and improve their competency to perform scientific research.

  15. Personality predictors of surgical specialties choice among students of nursing

    Directory of Open Access Journals (Sweden)

    Dorota Turska

    2017-01-01

    Full Text Available Background Holland’s theory of congruence, according to which one’s career choice is an expression of personality traits common to a given profession, constitutes a theoretical background for this research. The construct of the Distinct Surgical Personality (DSP is an exemplification of the idea of a congruent match between one’s personality and the requirements of the medical environment. In previous studies the authors revised their proposition concerning the DSP concept to include not only personality traits but also preferred values. This paper aims at verifying the proposition that this concept may also refer to students of nursing who select surgical specialties. Participants and procedure The study involved 163 students of nursing at the Medical University of Lublin aged 21-29 (M = 23.19, SD = 3.67. Students who opted for surgical specialities constituted the criterion group (N = 98. The study employed the Polish versions of the Personality Inventory NEO-FFI and the Schwartz Value Survey. Results There are two significant predictors of surgical specialties choice in nursing: a higher-level value of openness to change and extraversion. The tested model, which incorporates personality traits and preferred values, has proved congruent with the data, and allows for the proper classification of 79% of students who declared surgical specialties. Conclusions The results suggest the existence of a specific personality of surgical nurses. While clear adaptability to the specific environment has been determined, there are differences with respect to the concept of DSP, referring to doctors, widely discussed in the literature. In both cases these constructs look different, and are dependent on various types of professional activities within the therapeutic team.

  16. Access to specialty mental health services among women in California.

    Science.gov (United States)

    Kimerling, Rachel; Baumrind, Nikki

    2005-06-01

    The Anderson behavioral model was used to investigate racial and ethnic disparities in access to specialty mental health services among women in California as well as factors that might account for such disparities. The study was a cross-sectional examination of a probability sample of 3,750 California women. The main indicators of access to services were perceived need, service seeking, and service use. Multivariate models were constructed that accounted for need and enabling and demographic variables. Significant racial and ethnic variations in access to specialty mental health services were observed. African-American, Hispanic, and Asian women were significantly less likely to use specialty mental health services than white women. Multivariate analyses showed that Hispanic and Asian women were less likely than white women to report perceived need, even after frequent mental distress had been taken into account. Among women with perceived need, African-American and Asian women were less likely than white women to seek mental health services after differences in insurance status had been taken into account. Among women who sought services, Hispanic women were less likely than white women to obtain services after adjustment for the effects of poverty. Need and enabling factors did not entirely account for the observed disparities in access to services. Additional research is needed to identify gender- and culture-specific models for access to mental health services in order to decrease disparities in access. Factors such as perceived need and decisions to seek services are important factors that should be emphasized in future studies.

  17. Specialty-specific admission: a cost-effective intervention?

    LENUS (Irish Health Repository)

    Slattery, E

    2012-02-01

    INTRODUCTION: Cost effectiveness of healthcare has become an important component in its delivery. Current practices need to be assessed and measured for variations that may lead to financial savings. Speciality specific admission is known not only to lead improved clinical outcomes but also to lead important cost reductions. METHODS: All patients admitted to an Irish teaching hospital via the emergency department over a 2-year period with a gastroenterology (GI) related illness were included in this analysis.GI illness was classified using the Disease related grouping (DRG) system. Mean length of stay (LOS) and patient level costing (PLC) were calculated. Differences between DRGs with respect to speciality (i.e. specialist vs. non-specialist) were calculated for the five commonest DRGs. RESULTS: Significant variations in LOS and PLC were demonstrated in the DRGs. Mean LOS varied with increasing complexity, from 3.2 days for non-complex GI haemorrhage to 14.4 days for complex alcohol related cirrhosis as expected. A substantial difference in LOS within DRG groups was demonstrated by large standard deviations in the mean (up to 8.1 days in some groups) and was independent of complexity of cases. PLC also varied widely in both complex and non-complex cases with standard deviations of up to 17,342 noted. Specialty-specific admission was associated with shorter LOS for most GI admissions. CONCLUSION: Significant disparity exists for both LOS and PLC for most GI diagnoses. Specialty-specific admissions are associated with reduced LOS. Specialty-specific admission would appear to be cost-effective which may also lead to improved clinical outcomes.

  18. Implementing cognitive behavioral therapy in specialty medical settings.

    Science.gov (United States)

    Magidson, Jessica F; Weisberg, Risa B

    2014-11-01

    This article is an introduction to the second issue of a two-part Special Series on integrating cognitive behavioral therapy (CBT) into medical settings. The first issue focused on integrating CBT into primary care, and this issue focuses on implementing CBT in other specialty medical settings, including cancer treatment, HIV care, and specialized pediatric medical clinics. Models for treatment delivery to improve ease of implementation are also discussed, including telehealth and home-delivered treatment. The six articles in this series provide examples of how to transport CBT techniques that are largely designed for implementation in outpatient mental health settings to specialized medical settings, and discuss unique considerations and recommendations for implementation.

  19. Trigeminal neuralgia – a coherent cross-specialty management program

    DEFF Research Database (Denmark)

    Heinskou, Tone; Maarbjerg, Stine; Rochat, Per Bjørnstad

    2015-01-01

    BACKGROUND: Optimal management of patients with classical trigeminal neuralgia (TN) requires specific treatment programs and close collaboration between medical, radiological and surgical specialties. Organization of such treatment programs has never been described before. With this paper we aim......: The described cross-speciality management program proved to be feasible and to have acceptable waiting times for referral and highly specialized work-up of TN patients in a public tertiary referral centre for headache and facial pain. Early high quality MRI ensured correct diagnosis and that the neurosurgeons...

  20. [Research of genetics teaching in biological teacher-training specialty].

    Science.gov (United States)

    Zhang, Yu

    2008-02-01

    Genetics is an essential subject of life science, at the same time, it is a required course in the major of biology. Some colleges such as: agriculture, forest, animals, medicine, teacher-training and general college all offer genetics, because of the difference in specialized character and aim of training, genetics has the distinction in the system of knowledge and laying particular emphasis on content. The author seeks how to make genetics well in teaching content, method and so on in biological teacher-training specialty, and puts views.

  1. Problems attendance in physical education students of technical specialties

    Directory of Open Access Journals (Sweden)

    Vladymyr Petrenko

    2014-12-01

    Full Text Available Purpose: to examine the relevant aspects of motivation attendance in physical education students of technical specialties and make adjustments to the process of improving the quality of teaching. Material and Methods: during the study used the following methods: general scientific – analysis, comparison, generalization; sociological, questionnaire, interview; Mathematics and statistics. The study involved students of ICT Zhytomyr State Technological University, only 238 people. Results: the tendency changes of success in physical education and physical training of students of ICT. Conclusions: pedagogical experiment confirmed the positive impact of physical education classes in which students choose their maintenance is carried out on a competitive basis in accordance with personal interests and needs.

  2. «Interventional Neuroradiology: a neuroscience sub-specialty?».

    Science.gov (United States)

    Rodesch, Georges; Picard, Luc; Berenstein, Alex; Biondi, Alessandra; Bracard, Serge; Choi, In Sup; Feng, Ling; Hyogo, Toshio; Lefeuvre, David; Leonardi, Marco; Mayer, Thomas; Miyashi, Shigeru; Muto, Mario; Piske, Ronie; Pongpech, Sirintara; Reul, Jurgen; Soderman, Michael; Chuh, Dae Sul; Tampieri, Donatella; Taylor, Allan; Terbrugge, Karel; Valavanis, Anton; van den Berg, René

    2013-09-01

    Interventional Neuroradiology (INR) is not bound by the classical limits of a specialty, and is not restricted by standard formats of teaching and education. Open and naturally linked towards neurosciences, INR has become a unique source of novel ideas for research, development and progress allowing new and improved approaches to challenging pathologies resulting in better anatomo-clinical results. Opening INR to Neurosciences is the best way to keep it alive and growing. Anchored in Neuroradiology, at the crossroad of neurosciences, INR will further participate to progress and innovation as it has often been in the past.

  3. Water Use and Treatment in Container-Grown Specialty Crop Production: A Review.

    Science.gov (United States)

    Majsztrik, John C; Fernandez, R Thomas; Fisher, Paul R; Hitchcock, Daniel R; Lea-Cox, John; Owen, James S; Oki, Lorence R; White, Sarah A

    2017-01-01

    While governments and individuals strive to maintain the availability of high-quality water resources, many factors can "change the landscape" of water availability and quality, including drought, climate change, saltwater intrusion, aquifer depletion, population increases, and policy changes. Specialty crop producers, including nursery and greenhouse container operations, rely heavily on available high-quality water from surface and groundwater sources for crop production. Ideally, these growers should focus on increasing water application efficiency through proper construction and maintenance of irrigation systems, and timing of irrigation to minimize water and sediment runoff, which serve as the transport mechanism for agrichemical inputs and pathogens. Rainfall and irrigation runoff from specialty crop operations can contribute to impairment of groundwater and surface water resources both on-farm and into the surrounding environment. This review focuses on multiple facets of water use, reuse, and runoff in nursery and greenhouse production including current and future regulations, typical water contaminants in production runoff and available remediation technologies, and minimizing water loss and runoff (both on-site and off-site). Water filtration and treatment for the removal of sediment, pathogens, and agrichemicals are discussed, highlighting not only existing understanding but also knowledge gaps. Container-grown crop producers can either adopt research-based best management practices proactively to minimize the economic and environmental risk of limited access to high-quality water, be required to change by external factors such as regulations and fines, or adapt production practices over time as a result of changing climate conditions.

  4. Reflections on the Brand Building of Animation Specialty under the Industry Background of the Current “Broad Animation”Based on the Case Study of Jingling Institute of Technology%“大动画”产业背景下动画专业品牌化建设的思考--以金陵科技学院为例

    Institute of Scientific and Technical Information of China (English)

    袁晓黎

    2015-01-01

    Owing to the rapid development of animation industry under the background of the current“broad animation”,animation specialty which has undertaken the burden of training animation talents,also needs continuous reform and innovation in many aspects:training targets,teaching phi-losophy,teaching content,teaching management and faculty team,so as to form own distinctive char-acteristics and brand effect.Taking the animation specialty of Jingling Institute of Technology as an example,from the characteristics of the current broad animation industry development and the neces-sity of professional branding construction to think over,this article has the benchmarking analysis on animation specialty with the first-class universities,and attempts to have an exploratory research on the strategy of the brand building of the animation specialty.%当前“大动画”产业发展日新月异,承担培养动画人才重任的高校也需要在人才培养目标、教学理念、教学内容、教学管理、师资队伍等多个方面不断改革创新,形成自己鲜明的办学特色和品牌效应。对当前“大动画”产业发展的特征、动画专业品牌化建设的必要性进行了思考,以金陵科技学院动画专业为例,并与一流高校动画专业进行对标分析,对动画专业品牌化建设的策略进行了探讨。

  5. 基于专业群平台的外语专业协同创新发展模式%Research on the Development of Foreign Languages Majors under the Mode of Collaborative Innovation Based on the Construction of Specialty Clusters in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    易勇

    2015-01-01

    The construction of specialty clusters has become one of the important reforms in higher vocational education. The development of Foreign Languages Majors has encountered a lot of bottleneck problems under the construction of specialty clusters in higher vocational colleges, for instance, the division of specialty clusters, the collaborative development with other majors, etc. Several models conducted in practice are not in a position to solve the above problems after a thorough analysis on them. It can be found that collaborative innovation may exactly provide an effective way or thinking mode to deal with this kind of problems through a comparative study on the connotation of the two concepts: Specialty clusters and Collaborative innovation.%专业群建设是我国高等职业教育重大改革举措之一,然而外语专业在现行专业群建设中遭遇很多瓶颈问题。通过对目前实践中几种不同模式的分析表明,国内高校专业群现有协同模式难以很好地解决以上问题。只有理顺专业群与协同创新两者的内涵与主从关系,践行协同创新理念,才能为解决这一类问题提供正确的思路和办法。

  6. THE READINESS OF FUTURE TEACHER OF INFORMATICS TO CAREER GUIDANCE ON IT-SPECIALTY AS A PEDAGOGICAL PROBLEM

    Directory of Open Access Journals (Sweden)

    Nataliia О. Ponomarova

    2017-06-01

    Full Text Available In today's realities, the problem of preparing future teachers to career guidance with pupils is of particular importance. The article is devoted to clarifying the essence of the readiness of future teachers of informatics to work career guidance of pupils on IT-specialty. The article disclosed the content of the main components of the same readiness: motivational, cognitive, practical-activity and reflective components. In the content of each of the components is selected the invariant part (base, independent of the subject of specialization of teachers and areas of career guidance and variable part (which takes into account the specific of subject area "Informatics" and the features of IT- industry as a sphere of career guidance.The detected specificity of these components should become a basis for the further justification and development of the practically demanded model of preparation of the future teacher of informatics to career guidance of pupils on IT-specialty.

  7. Commentary on "Otolaryngology-head and neck surgery physician workforce issues an analysis for future specialty planning" by Kim, Cooper, and Kennedy.

    Science.gov (United States)

    Pryor, Shannon P; Brodsky, Linda; Chandrasekhar, Sujana S; Zaretsky, Lauren; Taylor, Duane J; Yaremchuk, Kathleen L; Pillsbury, Harold C

    2012-02-01

    An impending physician shortage has been projected. The article by Kim, Cooper, and Kennedy, titled "Otolaryngology-Head and Neck Surgery Physician Workforce Issues: An Analysis for Future Specialty Planning," is an attempt to evaluate and address this potential shortage as it applies to otolaryngology. The authors of this comment have concerns about the article's assumptions, design, and recommendations. Kim et al attempt to extrapolate data from other specialties and other countries to the US otolaryngology workforce, use that data in modeling methods without demonstrated validity, and based on their analysis, they recommend drastic changes to otolaryngologic training and practice in the United States. Particularly troublesome are (1) the emphasis placed on gender and part-time work and (2) the measurement of productivity defined as hours worked per week. Before redefining our specialty, more thorough and systematic data acquisition and review are necessary to meet the needs of our patients now and in the future.

  8. Students to Surgeons: Increasing Matriculation in Surgical Specialties.

    Science.gov (United States)

    Grover, Karan; Agarwal, Prateek; Agarwal, Nitin; Tabakin, Marcia D; Swan, Kenneth G

    2016-12-01

    Introduction Our nation suffers from a shortage in surgeons. This deficiency must be addressed at the medical student level. Increasing faculty and resident interaction with junior students augments surgical interest. Our surgical interest group has recently redefined its role to address these concerns. Methods A multifocal approach has been implemented to increase interest in the surgical specialties. Each academic year, senior students recruit first and second year students to our group to establish early exposure. Members receive didactic presentations from surgical faculty, addressing various topics, on a biweekly basis. In addition, scrubbing, knot-tying, and suturing workshops address technical skills throughout the semester. Membership and match data were collated and analyzed. Results Over the past 5 years, the enrollment in the student interest group increased significantly from 112 to 150. Accordingly, we have observed a parallel increase in the number of students who have successfully matched into surgical residencies. A record number of students (37) from the class of 2013 matched into surgical specialties, representing an 85% increase over the last decade. After creating bylaws and electing societal officers, the group has been recognized by the school's Student Council and given financial support. At present, the group is fiscally solvent with support from the institution, surgery department, and faculty. Conclusion As the demand for surgeons increases so too does the need to increase student interest in surgery. Our school has been successful because of our surgical interest group, and we encourage other schools to adopt a similar approach. © The Author(s) 2016.

  9. Assessment of operative times of multiple surgical specialties in a public university hospital.

    Science.gov (United States)

    Costa, Altair da Silva

    2017-01-01

    To evaluate the indicators duration of anesthesia, operative time and time patients stay in the operating rooms of different surgical specialties at a public university hospital. It was done by a descriptive cross-sectional study based on the operating room database. The following stages were measured: duration of anesthesia, procedure time and patient length of stay in the room of the various specialties. We included surgeries carried out in sequence in the same room, between 7:00 a.m. and 5 p.m., either elective or emergency. We calculated the 80th percentile of the stages, where 80% of procedures were below this value. The study measured 8,337 operations of 12 surgical specialties performed within one year. The overall mean duration of anesthesia of all specialties was 178.12±110.46 minutes, and the 80th percentile was 252 minutes. The mean operative time was 130.45±97.23 minutes, and the 80th percentile was 195 minutes. The mean total time of the patient in the operating room was 197.30±113.71 minutes, and the 80th percentile was 285 minutes. Thus, the variation of the overall mean compared to the 80th percentile was 41% for anesthesia, 49% for surgeries and 44% for operating room time. In average, anesthesia took up 88% of the operating room period, and surgery, 61%. This study identified patterns in the duration of surgery stages. The mean values of the specialties can assist with operating room planning and reduce delays. Avaliar os indicadores de tempo da anestesia, da operação e da permanência do paciente em sala de diversas especialidades do centro cirúrgico de um hospital universitário. Foi realizado em estudo descritivo transversal a partir da base de dados do centro cirúrgico e mensuradas as seguintes etapas: duração de anestesia, tempo do procedimento e tempo de permanência do paciente em sala das diversas especialidades. Foram incluídas as operações realizadas em sequência na mesma sala, das 7h às 17h, eletivas ou de urg

  10. A survey of sub-specialty preferences of radiography students of the University of Lagos, Nigeria

    Directory of Open Access Journals (Sweden)

    E T Namah

    2013-01-01

    Full Text Available Background: Technological advances and computing have expanded both the scope and capacity of diagnostic medical imaging (the radiography profession. This has created many diverse imaging modalities which in turn, have culminated in different sub-specialties in the profession. Objective: The aims of the study were to determine the level of awareness of imaging sub-specialties, preferred sub specialties and reasons for preferences of sub-specialties in senior level radiography students of the University of Lagos. Methods: The study was a prospective cross-sectional survey. Consents were obtained before the students were recruited for the study. Data Collection and Analysis: A questionnaire semi-structured in line with objectives of the study was used in data collection. A computer software Epi Info version 3.3 was used to analyze data while results were expressed as percentages of responses and were presented in tables and pie charts. Results : Greater than 90% showed awareness of sub-specialties in the radiography profession whereas 35% preferred ultrasonography to other sub-specialties. The least preferred sub-specialty was conventional radiography (4.3%. Remuneration (73.3% and less physical exertion (73.3% were major attractors to preferred sub-specialties whereas concerns over radiation hazard were major detractors (58.3%. Conclusion : Awareness of sub-specialties in the radiography profession was high amongst students studied. Furthermore, ultrasonography was the most preferred sub-specialty among the respondents. Remuneration was the main attractor to sub-specialties whereas fears over effects of ionizing radiation were the major detractors to some sub-specialties.

  11. Research on Platform Construction of Manufacturing Practice for Industrial Design Specialty in Colleges

    OpenAIRE

    Xiaowei Jiang; Yumei Song

    2015-01-01

    In view of that manufacturing practice is indispensable practical link of industrial design specialty, the author analyzes the current situation of manufacturing practice in industrial design specialty and the existing problem in manufacturing practice system, discussing the necessity of research on manufacturing practice for industrial design specialty. Among them establishing the manufacturing practice factory of industrial design on campus, which lets the student enter and learn various pr...

  12. Perceived effects of specialty nurse certification: a review of the literature.

    Science.gov (United States)

    Wade, Charlene H

    2009-01-01

    Recent evidence suggests that specialty nurse education and certification may improve the quality of patient care. Specialty nurse certification also may improve nurses' job satisfaction and sense of empowerment, as well as positively affect collaboration with other health care team members. Despite the evidence that there are intrinsic rewards for specialty certification, the lack of extrinsic value to nurses makes it unlikely that greater numbers of nurses will be attracted to certification unless health care administrators increase opportunities for recognition and greater compensation.

  13. How to start and operate a National Emergency Medicine specialty organisation

    Directory of Open Access Journals (Sweden)

    Elizabeth L. DeVos

    2014-12-01

    Full Text Available As a service for the International Federation for Emergency Medicine, a task force of the Specialty Implementation Committee wrote this manuscript of guidelines for developing a National Emergency Medicine (EM specialty organisation. This manuscript offers structural and procedural considerations for creating or developing an EM specialty organisation in a country or region that currently does not have one. It was written in response to requests for aid in developing a country’s specialty of EM. International EM leaders with experience in the development of national organisations have reviewed these guidelines.

  14. DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY--AMONG RESIDENT DOCTORS IN NIGERIA

    National Research Council Canada - National Science Library

    Osuoji, Roland I; Adebanji, Atinuke; Abdulsalam, Moruf A; Oludara, Mobolaji A; Abolarinwa, Abimbola A

    2015-01-01

    This study examined medical specialty selection by Nigerian resident doctors using a marketing research approach to determine the selection criteria and the role of perceptions, expected remuneration...

  15. Doctors who considered but did not pursue specific clinical specialties as careers: questionnaire surveys.

    Science.gov (United States)

    Goldacre, Michael J; Goldacre, Raph; Lambert, Trevor W

    2012-04-01

    To report doctors' rejection of specialties as long-term careers and reasons for rejection. Postal questionnaires. United Kingdom. Graduates of 2002, 2005 and 2008 from all UK medical schools, surveyed one year after qualification. Current specialty choice; any choice that had been seriously considered but not pursued (termed 'rejected' choices) with reasons for rejection. 2573 of 9155 respondents (28%) had seriously considered but then not pursued a specialty choice. By comparison with positive choices, general practice was under-represented among rejected choices: it was the actual choice of 27% of respondents and the rejected choice of only 6% of those who had rejected a specialty. Consideration of 'job content' was important in not pursuing general practice (cited by 78% of those who considered but rejected a career in general practice), psychiatry (72%), radiology (69%) and pathology (68%). The surgical specialties were the current choice of 20% of respondents and had been considered but rejected by 32% of doctors who rejected a specialty. Issues of work-life balance were the single most common factor, particularly for women, in not pursuing the surgical specialties, emergency medicine, the medical hospital specialties, paediatrics, and obstetrics and gynaecology. Competition for posts, difficult examinations, stressful working conditions, and poor training were mentioned but were mainly minority concerns. There is considerable diversity between doctors in their reasons for finding specialties attractive or unattractive. This underlines the importance of recruitment strategies to medical school that recognize diversity of students' interests and aptitudes.

  16. Epistemological Beliefs and Practices of Science Faculty with Education Specialties: Combining Teaching Scholarship and Interdisciplinarity

    Science.gov (United States)

    Addy, Tracie Marcella

    2011-12-01

    Across the United States institutions of higher education address educational reform by valuing scholarship that focuses on teaching and learning, especially in STEM fields. University science departments can encourage teaching scholarship by hiring science faculty with education specialties (SFES), individuals who have expertise in both science and science education. The goal of this study was to understand how the epistemological beliefs and teaching practices of SFES relate to national reform efforts in science teaching promoting student-centered instruction. The research questions guiding this investigation were: (1) What epistemological belief systems do science faculty with education specialties espouse concerning the teaching and learning of science?; and (2) What are the classroom practices of science faculty with education specialties? How are these practices congruent with the reform efforts described by the National Research Council (1996, 2001, 2003)? The theoretical framework guiding the study was interdisciplinarity, the integration of knowledge between two or more disciplines (science and science pedagogy). The research design employed mixed (qualitative and quantitative) approaches and focused on 25 volunteer SFES participants. The TBI, ATI, and RTOP were used to triangulate self-report and videotaped teaching vignettes, and develop profiles of SFES. Of the 25 SFES participants, 82 percent of their beliefs were transitional or student-centered beliefs. Seventy-two percent of the 25 SFES espoused more student-focused than teacher focused approaches. The classroom practices of 10 SFES were on average transitional in nature (at the boundary of student-focused and teacher-focused). The beliefs of SFES appeared to be influenced by the sizes of their courses, and were positive correlated with reform-based teaching practices. There was a relationship between the degree to which they implemented reform-based practice and their perceived level of

  17. Geographic Access to Specialty Mental Health Care Across High- and Low-Income US Communities.

    Science.gov (United States)

    Cummings, Janet R; Allen, Lindsay; Clennon, Julie; Ji, Xu; Druss, Benjamin G

    2017-05-01

    With the future of the Affordable Care Act and Medicaid program unclear, it is critical to examine the geographic availability of specialty mental health treatment resources that serve low-income populations across local communities. To examine the geographic availability of community-based specialty mental health treatment resources and how these resources are distributed by community socioeconomic status. Measures of the availability of specialty mental health treatment resources were derived using national data for 31 836 zip code tabulation areas from 2013 to 2015. Analyses examined the association between community socioeconomic status (assessed by median household income quartiles) and resource availability using logistic regressions. Models controlled for zip code tabulation area-level demographic characteristics and state indicators. Dichotomous indicators for whether a zip code tabulation area had any (1) outpatient mental health treatment facility (more than nine-tenths of which offer payment arrangements for low-income populations), (2) office-based practice of mental health specialist physician(s), (3) office-based practice of nonphysician mental health professionals (eg, therapists), and (4) mental health facility or office-based practice (ie, any community-based resource). Of the 31 836 zip code tabulation areas in the study, more than four-tenths (3382 of 7959 [42.5%]) of communities in the highest income quartile (mean income, $81 207) had any community-based mental health treatment resource vs 23.1% of communities (1841 of 7959) in the lowest income quartile (mean income, $30 534) (adjusted odds ratio, 1.74; 95% CI, 1.50-2.03). When examining the distribution of mental health professionals, 25.3% of the communities (2014 of 7959) in the highest income quartile had a mental health specialist physician practice vs 8.0% (637 of 7959) of those in the lowest income quartile (adjusted odds ratio, 3.04; 95% CI, 2.53-3.66). Similarly, 35.1% of the

  18. A Biochemistry and Molecular Biology Experiment and Evaluation System for Biotechnology Specialty Students: An Effective Evaluation System to Improve the Biochemistry and Molecular Biology Experiment Teaching

    Science.gov (United States)

    Li, Suxia; Wu, Haizhen; Zhao, Jian; Ou, Ling; Zhang, Yuanxing

    2010-01-01

    In an effort to achieve high success in knowledge and technique acquisition as a whole, a biochemistry and molecular biology experiment was established for high-grade biotechnology specialty students after they had studied essential theory and received proper technique training. The experiment was based on cloning and expression of alkaline…

  19. [Supply and demand of medical specialists in the health facilities of the Ministry of Health: national, regional and by type of specialty gaps].

    Science.gov (United States)

    Zevallos, Leslie; Pastor, Reyna; Moscoso, Betsy

    2011-06-01

    To characterize the supply, demand and the gap of medical specialists in facilities of the Ministry of Health of Peru (MINSA) at the national, regional and specialty type levels. Observational, descriptive study through which we calculated the supply of medical specialists using secondary sources of MINSA. The analysis of the demand for medical specialists was based on two methodologies: the need for specialists according to the guidelines of classification of the health facilities and according to the epidemiological and demographic profile. The arithmetic difference between the estimated demand and the supply was the procedure used to calculate the gap of medical specialists. The Ministry of Health has a total supply at the national level of 6,074 medical specialists of which 61.5% belong to the clinical specialties, 33.2% to the surgical specialties, 4.9% specialities related to aid to diagnosis and treatment and 0.4% to public health specialties. According to the categorization guideline there is a total demand of 11,176 medical specialists and according to the epidemiological and demographic profile of 11,738. The national estimated gaps found are similar in both methods, although they differ widely across regions and by type of specialty. At the regional level, the gaps are greater in Loreto, Piura, Puno and Madre de Dios when estimating the defficit in relation to the supply. Regarding the speciality, the gap is greater in the four basic specialties: gynecology and obstetrics, pediatrics, internal medicine and general surgery. There is a waid gap between supply and demand of medical specialists at the national and regional levels, as a whole representing approximately 45% of the current offer, regardless of the estimation method.

  20. [Medical specialty choice: what impact of teaching? Results of a survey of two medical schools].

    Science.gov (United States)

    Gaucher, Sonia; Thabut, Dominique

    2013-04-01

    Determinants of career choice are numerous. The impact of teaching has not yet been reported. The objectives were to assess determinants of career choice among DCEM 4 (sixth year) medical students at Paris Descartes University and Pierre-et-Marie-Curie University; and to determine the impact of teaching on career choice. Prospective study based on an online survey, after the 2011 National Grading Examination, among 865 DCEM 4 students. Collection of socio-demographic data, commonly reported determinants of medical specialty choice, and the impact of the teaching on this choice. Two hundred and seven (24%) students (67% female) answered the survey. During their medical studies, students changed their mind on their career choice an average of 3 times (range 0-10). Nearly 60% of them made their final choice during the fifth year. Choices varied significantly between the beginning and end of the studies (Pchoice, surgical careers were mainly chosen by male students (19.8% of males vs. 9.9% of females, P=0.04), whereas medical careers were chosen equally by males and females (37.7% vs. 35.5%, P=0.75). The main determinant was interest in the specialty (96% of students), followed by perceived quality of life (56% of students). Teaching was a determinant for 74% of students, of whom 88% were influenced by the teaching they received during their clinical training. In 42% of cases, the teacher did not belong to the university corpus. In 10% of cases, students were discouraged from their choice by a teacher (a university professor in 50%). Our results highlight the impact of both teaching and the teacher on medical students' career choice. If career choice is now compelled in France by the "careers law", teaching is more than ever an effective way of interesting students in specialties which might appear less attractive. At a time when the selection of candidates for hospital-university careers is mainly based on publications, this study calls for reflection on the

  1. Guideline.gov: A Database of Clinical Specialty Guidelines.

    Science.gov (United States)

    El-Khayat, Yamila M; Forbes, Carrie S; Coghill, Jeffrey G

    2017-01-01

    The National Guidelines Clearinghouse (NGC), also known as Guideline.gov, is a database of resources to assist health care providers with a central depository of guidelines for clinical specialty areas in medicine. The database is provided free of charge and is sponsored by the U.S. Department of Health and Human Services and the Agency for Healthcare Research and Quality. The guidelines for treatment are updated regularly, with new guidelines replacing older guidelines every five years. There are hundreds of current guidelines with more added each week. The purpose and goal of NGC is to provide physicians, nurses, and other health care providers, insurance companies, and others in the field of health care with a unified database of the most current, detailed, relevant, and objective clinical practice guidelines.

  2. Research on development characteristics of railway logistics specialty under “the Belt and Road” strategy

    Directory of Open Access Journals (Sweden)

    Zhifeng Zhao

    2017-06-01

    Full Text Available With the proposed “the Belt and Road” strategy in China, the railway logistics specialty becomes one of the important links which draws more attention. Based on this, the paper studies transport route of railway logistics and sets up its model of the optimal route combining with ant colony algorithm. It carries out simulation analysis of each parameter of ant colony algorithm and chooses the optimal region of corresponding parameter. By taking railway logistics in Hubei Province as an example, the optimal transport route plan and its schematic drawing are required through calculation, which provides the important guidance on railway logistics transportation under “the Belt and Road” strategy in China

  3. Microbial production of specialty organic acids from renewable and waste materials.

    Science.gov (United States)

    Alonso, Saúl; Rendueles, Manuel; Díaz, Mario

    2015-01-01

    Microbial production of organic acids has become a fast-moving field due to the increasing role of these compounds as platform chemicals. In recent years, the portfolio of specialty fermentation-derived carboxylic acids has increased considerably, including the production of glyceric, glucaric, succinic, butyric, xylonic, fumaric, malic, itaconic, lactobionic, propionic and adipic acid through innovative fermentation strategies. This review summarizes recent trends in the use of novel microbial platforms as well as renewable and waste materials for efficient and cost-effective bio-based production of emerging high-value organic acids. Advances in the development of robust and efficient microbial bioprocesses for producing carboxylic acids from low-cost feedstocks are also discussed. The industrial market scenario is also reviewed, including the latest information on the stage of development for producing these emerging bio-products via large-scale fermentation.

  4. A SPECIALIZATION THAT COMES FROM SPECIALTY: bringing closer magazine and specialized journalism in Vida Simples

    Directory of Open Access Journals (Sweden)

    Frederico De Mello Brandão Tavares

    2011-12-01

    Full Text Available This paper discusses the processes that involve the creation of a specialized magazine concerned with a major theme, reflecting on how, based on this context, it is possible to attain the form of a type of specialized journalism. It starts from an analysis of the editorials (“letters to the readers” of Vida Simples (Simple Life, a monthly published by Editora Abril, noting how the magazine, when speaking of itself, allows the perception of its specific characteristics that compose its editorial identity and characterize the “form” of its journalism, its way of “being a magazine”. At the end of the text, there is the observation of how the issue of the quality of life - the central focus of the publication – by incorporating the journalistic logic of the magazine and at the same time being incorporated by it, makes it take on the appearance of a specialty which is consequently reflected in its specialization.

  5. A specialization that comes from specialty: bringing closer magazine and specialized journalism in Vida Simples

    Directory of Open Access Journals (Sweden)

    Frederico De Mello Brandão Tavares

    2011-12-01

    Full Text Available This paper discusses the processes that involve the creation of a specialized magazine concerned with a major theme, reflecting on how, based on this context, it is possible to attain the form of a type of specialized journalism. It starts from an analysis of the editorials (“letters to the readers” of Vida Simples (Simple Life, a monthly published by Editora Abril, noting how the magazine, when speaking of itself, allows the perception of its specific characteristics that compose its editorial identity and characterize the “form” of its journalism, its way of “being a magazine”. At the end of the text, there is the observation of how the issue of the quality of life - the central focus of the publication – by incorporating the journalistic logic of the magazine and at the same time being incorporated by it, makes it take on the appearance of a specialty which is consequently reflected in its specialization.

  6. 78 FR 28627 - Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant, Specialty Manufacturing...

    Science.gov (United States)

    2013-05-15

    ... Employment and Training Administration Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant..., also doing business as Duluth Hardboard Plant, Specialty Manufacturing Division, a subsidiary of Koch... workers of Georgia Pacific, LLC, also doing business as Duluth Hardboard Plant, Specialty...

  7. Root-knot nematode resistance, yield, and fruit quality of specialty melons grafted onto cucumis metulifer

    Science.gov (United States)

    Interest in specialty melons (Cucumis melo) with distinctive fruit characteristics has grown in the United States in recent years. However, disease management remains a major challenge in specialty melon production. In this study, grafting experiments were conducted to determine the effectiveness of...

  8. Marketing of specialty forest products in the southeast: opportunities for research, education and outreach (poster abstract)

    Science.gov (United States)

    A.L. Hammett; J.L. Chamberlain

    1999-01-01

    The specialty forest products sector in the Southeast is growing rapidly - perhaps faster than in other sections of the country. In 1993, the state of Virginia exported almost 10 percent of the national total of wild harvested ginseng. On a yearly basis, the value of the specialty forest products extracted from Virginia?s forests has been estimated at $35 million. The...

  9. 40 CFR 414.80 - Applicability; description of the specialty organic chemicals subcategory.

    Science.gov (United States)

    2010-07-01

    ... 40 Protection of Environment 28 2010-07-01 2010-07-01 true Applicability; description of the specialty organic chemicals subcategory. 414.80 Section 414.80 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) EFFLUENT GUIDELINES AND STANDARDS ORGANIC CHEMICALS, PLASTICS, AND SYNTHETIC FIBERS Specialty Organic Chemicals §...

  10. 76 FR 45397 - Export Inspection and Weighing Waiver for High Quality Specialty Grain Transported in Containers

    Science.gov (United States)

    2011-07-29

    ..._homepage/serv_sstd_tablepdf.pdf . The growing market for high quality specialty grain exported in... permanent waiver is consistent with the intent of the USGSA and will allow this market to continue to grow... Sec. 800.18(b) of the USGSA regulations. As the high quality specialty grain market has expanded,...

  11. 75 FR 41693 - Export Inspection and Weighing Waiver for High Quality Specialty Grains Transported in Containers

    Science.gov (United States)

    2010-07-19

    ... small businesses and on whether this waiver should be made permanent. The growing market for high... this market to continue to grow, GIPSA is issuing this interim final rule to (1) extend by 2 years the... specialty market has expanded, the volume of this specialty product has begun to exceed the 15,000...

  12. 77 FR 40353 - Onyx Specialty Papers, Inc; Notice of Availability of Environmental Assessment

    Science.gov (United States)

    2012-07-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Onyx Specialty Papers, Inc; Notice of Availability of Environmental..., 52 FR 47897), Commission staff has reviewed the Onyx Specialty Papers, Inc.'s application...

  13. Communicative Principle of Teaching Foreign Language at Non-linguistic Specialties of the University

    Directory of Open Access Journals (Sweden)

    Olga A. Andreyeva

    2013-01-01

    Full Text Available The article is concerned with the problem of teaching foreign language at non-linguistic specialties of the university. The authors determine the communicative principle as the main trend of training foreign language at non-linguistic specialties of the university. This principle can be implemented both in the language teaching process and in working out of teaching materials and textbooks

  14. On Syllabus Design for the Specialty of Electromechanical Equipment Maintenance and Management in Vocational College

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    We carried out researches on the syllabus design for the specialty of electromechanical equipment maintenance & management in vocational college. Our researches involve the following aspects: (1) The training objective of the specialty; (2) the curriculum system; (3) The teaching methodology; and (4) Field training.

  15. 75 FR 27536 - Notice of the Specialty Crop Committee's Stakeholder Listening Session

    Science.gov (United States)

    2010-05-17

    ... Office of the Secretary Notice of the Specialty Crop Committee's Stakeholder Listening Session AGENCY: Research, Education, and Economics, USDA. ACTION: Notice of stakeholder listening session. SUMMARY: In... Agriculture announces a stakeholder listening session of the Specialty Crop Committee, under the auspices...

  16. Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

    Science.gov (United States)

    Monroe, C Douglas; Chin, Karen Y

    2013-05-01

    The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

  17. Dental specialty, career preferences and their influencing factors among final year dental students in Saudi Arabia

    Directory of Open Access Journals (Sweden)

    Hassan Suliman Halawany

    2017-01-01

    Conclusion: The results of this study show the top preferred specialties and career choices which can be a baseline for establishing national policies and for the improvement of graduate programs. There seems to be a need to promote mentoring activities and provide guidance and encouragement to pre-doctoral dental students in selecting the most appropriate specialty within their capability domain.

  18. 78 FR 79658 - Okanagan Specialty Fruits, Inc.; Availability of Plant Pest Risk Assessment and Environmental...

    Science.gov (United States)

    2013-12-31

    ... from Okanagan Specialty Fruits, Inc., seeking a determination of nonregulated status of apple events... No. APHIS-2012-0025] Okanagan Specialty Fruits, Inc.; Availability of Plant Pest Risk Assessment and Environmental Assessment for Determination of Nonregulated Status of Apples Genetically Engineered To...

  19. Telemedicine for urban uninsured: a pilot framework for specialty care planning for sustainability.

    Science.gov (United States)

    Maffei, Roxana; Hudson, Yelena; Dunn, Kim

    2008-11-01

    A national approach to medical care for the uninsured is for the provision of primary and preventive care through Community Health Centers. Access to specialty care for both Medicaid and uninsured patients is in decline even though specialty care has been shown to be cost-effective and improve outcomes. The consequences could result in further deterioration of the health of the uninsured and underinsured populations and increasing costs born by the insured and safety net providers. Telemedicine can provide specialty services efficiently if planned with a business model to sustain the program. This paper outlines a pilot framework to plan and cost-justify telemedicine specialty care for the uninsured and marginally insured. This potential framework is supported by data from an urban community with the highest concentration of uninsured in the country: Houston, Texas. Further study and evaluation will be needed once the framework and tools are implemented to empirically prove the sustainability of telemedicine specialty care for the urban uninsured.

  20. Niche players in health policy: medical specialty societies in Congress 1969-2002.

    Science.gov (United States)

    Rabinowitz, Aaron; Laugesen, Miriam

    2010-10-01

    Scholars and commentators alike have long used 'organized medicine' as shorthand for the American Medical Association (AMA). However, organized medicine has increasingly shown signs of fragmentation into specialty societies over the last two decades. While the AMA remains the largest association of physicians, and wields a great deal of influence in political circles, its use as a proxy for organized medicine may warrant reevaluation due to the changing political organization of medicine. We developed a unique database of specialty medical society appearances before all Congressional committees by combining records from Lexis-Nexis Congressional and the Policy Agendas database. Descriptive statistics were used to evaluate the participation of specialty societies by committee and by hearing type. The Herfindahl-Hirschman Index (HHI) was used to measure whether specialty societies develop niche roles with specific committees, and the Chi-Square Goodness of Fit test was used to study the distribution of specialty society testimonies in health hearings more formally. We found that although the AMA participates in Congressional hearings at a higher rate than any other individual medical specialty society, it accounts for a decreasing percentage of all specialty society appearances over time. In addition, specialty societies have developed niche and monopoly roles in health policymaking as well as relationships with particular congressional committees over time. We conclude that the increasing participation of specialty medical societies in the policymaking process is important because medical societies do not testify solely to promote the economic self-interest of their members. Specialization in medicine has segmented lobbying roles, such that specialty societies have a different focus than the AMA. Thus, 'organized medicine' and the AMA are no longer synonymous.

  1. Development of complex sales promotion of educational services in the specialty «Management of innovation activities»

    Directory of Open Access Journals (Sweden)

    J.O. Timokhina

    2011-12-01

    Full Text Available In this article describes the complex of sales promotion of educational services in the specialty "Management of innovation activity" and proposed plan of decision to boost sales promotion for a new specialty in the Ukrainian education market.

  2. Impact of physician specialty on quality care for patients hospitalized with decompensated cirrhosis.

    Directory of Open Access Journals (Sweden)

    Nicholas Lim

    Full Text Available Decompensated cirrhosis is a common precipitant for hospitalization, and there is limited information concerning factors that influence the delivery of quality care in cirrhotic inpatients. We sought to determine the relation between physician specialty and inpatient quality care for decompensated cirrhosis.We reviewed 247 hospital admissions for decompensated cirrhosis, managed by hospitalists or intensivists, between 2009 and 2013. The primary outcome was quality care delivery, defined as adherence to all evidence-based specialty society practice guidelines pertaining to each specific complication of cirrhosis. Secondary outcomes included new complications, length-of-stay, and in-hospital death.Overall, 147 admissions (59.5% received quality care. Quality care was given more commonly by intensivists, compared with hospitalists (71.7% vs. 53.1%, P = .006, and specifically for gastrointestinal bleeding (72% vs. 45.8%, P = .03 and hepatic encephalopathy (100% vs. 63%, P = .005. Involvement of gastroenterology consultation was also more common in admissions in which quality care was administered (68.7% vs. 54.0%, P = .023. Timely diagnostic paracentesis was associated with reduced new complications in admissions for refractory ascites (9.5% vs. 46.6%, P = .02, and reduced length-of-stay in admissions for spontaneous bacterial peritonitis (5 days vs. 13 days, P = .02.Adherence to quality indicators for decompensated cirrhosis is suboptimal among hospitalized patients. Although quality care adherence appears to be higher among cirrhotic patients managed by intensivists than by hospitalists, opportunities for improvement exist in both groups. Rational and cost-effective strategies should be sought to achieve this end.

  3. Structured Data Entry in the Electronic Medical Record: Perspectives of Pediatric Specialty Physicians and Surgeons.

    Science.gov (United States)

    Bush, Ruth A; Kuelbs, Cynthia; Ryu, Julie; Jiang, Wen; Chiang, George

    2017-05-01

    The Epic electronic health record (EHR) platform supports structured data entry systems (SDES), which allow developers, with input from users, to create highly customized patient-record templates in order to maximize data completeness and to standardize structure. There are many potential advantages of using discrete data fields in the EHR to capture data for secondary analysis and epidemiological research, but direct data acquisition from clinicians remains one of the largest obstacles to leveraging the EHR for secondary use. Physician resistance to SDES is multifactorial. A 35-item questionnaire based on Unified Theory of Acceptance and Use of Technology, was used to measure attitudes, facilitation, and potential incentives for adopting SDES for clinical documentation among 25 pediatric specialty physicians and surgeons. Statistical analysis included chi-square for categorical data as well as independent sample t-tests and analysis of variance for continuous variables. Mean scores of the nine constructs demonstrated primarily positive physician attitudes toward SDES, while the surgeons were neutral. Those under 40 were more likely to respond that facilitating conditions for structured entry existed as compared to the two older age groups (p = .02). Pediatric surgeons were significantly less positive than specialty physicians about SDES effects on Performance (p = .01) and the effect of Social Influence (p = .02); but in more agreement that use of forms was voluntary (p = .02). Attitudinal differences likely reflect medical training, clinical practice workflows, and division specific practices. Identified resistance indicate efforts to increase SDES adoption should be discipline-targeted rather than a uniform approach.

  4. [Usefulness of an online education platform for the medical and surgical emergencies specialty in Mexico].

    Science.gov (United States)

    Loria-Castellanos, Jorge

    2014-01-01

    Determine the usefulness of a Moodle-type education platform for knowledge development with residents in the medical and surgical emergencies (MSE) specialty. This quasi-experimental study compared the departmental evaluations of MSE residents in two Mexican hospital units after they did their academic work using different educational strategies. The control group used a traditional format (classroom-style teaching with guided discussion), while the comparison group had access to a variety of resources (forums, chat, wikis, downloaded files) on a Moodle-type platform. Nonparametric statistics were used. The study was conducted during the 2010 - 2011 and 2011 - 2012 academic years. Three versions of the course were made available online, geared to the academic level of the residents (first, second, or third year). There were statistically significant differences in the mid-year evaluations, and improvements were even greater in the evaluations at the end of the academic year, especially for the third-year residents. In both academic years, the mid-year evaluations reported that only one resident in the control group performed within the average range, while the majority were in the lower range. The resources most used with the platform Moodle were downloaded files (77%) and the forum (63%). Still, 46.4% of the residents said that they encountered some type of limitation when they used the platform, the main one being lack of time (76.9%). The Moodle-type education platform appears to be useful and to offer greater opportunities for knowledge development compared with the traditional strategies. It is recommended that educational strategies based on Moodle-type platforms be implemented for MSE and other medical specialties.

  5. How many referrals to a pediatric orthopaedic hospital specialty clinic are primary care problems?

    Science.gov (United States)

    Hsu, Eric Y; Schwend, Richard M; Julia, Leamon

    2012-01-01

    Many primary care physicians believe that there are too few pediatric orthopaedic specialists available to meet their patients' needs. However, a recent survey by the Practice Management Committee of the Pediatric Orthopaedic Society of North America found that new referrals were often for cases that could have been managed by primary care practitioners. We wished to determine how many new referral cases seen by pediatric orthopaedic surgeons are in fact conditions that can be readily managed by a primary care physician should he/she chose to do so. We prospectively studied all new referrals to our hospital-based orthopaedic clinic during August 2010. Each new referral was evaluated for whether it met the American Board of Pediatrics criteria for being a condition that could be managed by a primary care pediatrician. Each referral was also evaluated for whether it met the American Academy of Pediatrics Surgery Advisory Panel guidelines recommending referral to an orthopaedic specialist, regardless of whether it is for general orthopaedics or pediatric orthopaedics. On the basis of these criteria, we classified conditions as either a condition manageable by primary care physicians or a condition that should be referred to an orthopaedic surgeon or a pediatric orthopaedic surgeon. We used these guidelines not to identify diagnosis that primary care physicians should treat but, rather, to compare the guideline-delineated referrals with the actual referrals our specialty pediatric orthopaedic clinic received over a period of 1 month. A total of 529 new patient referrals were seen during August 2010. A total of 246 (47%) were considered primary care conditions and 283 (53%) orthopaedic specialty conditions. The most common primary care condition was a nondisplaced phalanx fracture (25/246, 10.1%) and the most common specialty condition was a displaced single-bone upper extremity fracture needing reduction (36/283, 13%). Only 77 (14.6%) of the total cases met the strict

  6. A survey of dentists in the United States regarding a specialty in craniofacial pain.

    Science.gov (United States)

    Simmons, H Clifton; Kilpatrick, Steven R

    2004-01-01

    In an effort to explore whether a specialty for craniofacial pain is warranted, the American Academy of Craniofacial Pain (AACP) commissioned an opinion survey of dentists. The survey population (N=4000) was stratified by specialty, so that dentists in affected areas would be adequately represented: 500 orthodontists and dentofacial orthopedists, 500 oral and maxillofacial surgeons, 500 periodontists, 500 prosthodontists, and 2,000 general practitioners. A total of 930 dentists responded for a 23.2% response rate. The survey had multiple purposes: 1. to measure the percentage of craniofacial pain patients perceived in dental patient populations; 2. to determine whether each dentist prefers to treat the disorder or; 3. prefers to refer craniofacial pain patients to clinicians specializing in the disorder; and 4. whether dentists favor/oppose the formation of a craniofacial pain specialty. The respondents' perception of the prevalence of craniofacial pain among their patients was 13.9%. A majority of the responding dentists, 54.7%, are in favor of a craniofacial pain specialty. Overall, 65% of dentists treat craniofacial pain patients, although more than half, 55%, of all dentists also refer such patients. Even 43.6% of dentists who regularly treat craniofacial pain favor a specialty, while 76% of those who do not treat such patients favor the specialty. The data presented here advocate development of a dental specialty in craniofacial pain.

  7. Factors influencing choice of medical specialty of preresidency medical graduates in southeastern Nigeria.

    Science.gov (United States)

    Eze, Boniface Ikenna; Okoye, Onochie Ike; Maduka-Okafor, Ferdinand Chinedu; Aguwa, Emmanuel Nwabueze

    2011-09-01

    This study examined the determinants of specialty choice of preresidency medical graduates in southeastern Nigeria. We used a comparative cross-sectional survey of preresidency medical graduates who took the Basic Sciences Examination of the Postgraduate Medical College in Enugu, southeastern Nigeria, in March 2007. Data on participants' demographics and specialty selected, the timing of the decision, and factors in specialty selection were collected using a questionnaire. Data were examined using descriptive and analytical statistics. P choice was more frequently influenced by personal interest (66.6%), career prospects (9.1%), and appraisal of own skills/aptitudes (5.6%), and it was least affected by altruistic motives (1.7%) and influence of parents/relations (1.7%). The respondents selected specialties at different rates: obstetrics and gynecology (22.6%), surgery (19.6%), pediatrics (16.0%), anesthesiology (3.1%), psychiatry (0.3%), and dentistry (0.0%). Most (97.2%) participants had decided on specialty choice by the end of their fifth (of a total 16 years) postgraduate year. The participants significantly more frequently preferred surgery and pediatrics to other disciplines (P medical graduates in southeastern Nigeria were influenced by personal interest, career prospects, and personal skills/aptitude in deciding which specialty training to pursue. The most frequently chosen specialties were surgery and pediatrics. These findings have implications for Nigeria's education and health care policy makers.

  8. [Influence of personality and learning styles in the choice of medical specialty].

    Science.gov (United States)

    Bitran, Marcela; Zúñiga, Denisse; Lafuente, Monserrat; Viviani, Paola; Mena, Beltrán

    2005-10-01

    Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people self-select into the medical specialties according to their personality or the professional practice in a particular field influences their behavior. To explore the possible association between the graduate's personality features and learning styles and their chosen specialty. The psychological preferences and learning styles of 65 students of the 2001-graduating cohort of the Pontificia Universidad Católica de Chile School of Medicine were evaluated with the Myers Briggs Type Indicator and the Kolb Learning Style Inventory, respectively. These variables were correlated with the information of their specialty choice or occupation two years after graduation. Graduates distributed unevenly in different areas of the medical profession. Surgical specialties concentrated a larger proportion of extraverted, intuitive and structured doctors, whereas in Pediatrics and Internal Medicine predominated intuitive and people-oriented MD's. Primary Care concentrated individuals with introverted, intuitive and flexible attitudes. Convergent learners (interested in problem-solving) preferred Surgery and Primary Care whereas Assimilator learners (abstract-reflexive) chose more frequently Internal Medicine, Pediatrics and Psychiatry. According to their personality and learning style, graduates tend to self-select into different medical specialties. This information may help medical graduates to guide their specialty choice process, and medical educators to develop learning experiences that take into account the individual differences of their residents.

  9. Specialties differ in which aspects of doctor communication predict overall physician ratings.

    Science.gov (United States)

    Quigley, Denise D; Elliott, Marc N; Farley, Donna O; Burkhart, Q; Skootsky, Samuel A; Hays, Ron D

    2014-03-01

    Effective doctor communication is critical to positive doctor-patient relationships and predicts better health outcomes. Doctor communication is the strongest predictor of patient ratings of doctors, but the most important aspects of communication may vary by specialty. To determine the importance of five aspects of doctor communication to overall physician ratings by specialty. For each of 28 specialties, we calculated partial correlations of five communication items with a 0-10 overall physician rating, controlling for patient demographics. Consumer Assessment of Healthcare Providers and Systems Clinician and Group (CG-CAHPS®) 12-month Survey data collected 2005-2009 from 58,251 adults at a 534-physician medical group. CG-CAHPS includes a 0 ("Worst physician possible") to 10 ("Best physician possible") overall physician rating. Five doctor communication items assess how often the physician: explains things; listens carefully; gives easy-to-understand instructions; shows respect; and spends enough time. Physician showing respect was the most important aspect of communication for 23/28 specialties, with a mean partial correlation (0.27, ranging from 0.07 to 0.44 across specialties) that accounted for more than four times as much variance in the overall physician rating as any other communication item. Three of five communication items varied significantly across specialties in their associations with the overall rating (p < 0.05). All patients valued respectful treatment; the importance of other aspects of communication varied significantly by specialty. Quality improvement efforts by all specialties should emphasize physicians showing respect to patients, and each specialty should also target other aspects of communication that matter most to their patients. The results have implications for improving provider quality improvement and incentive programs and the reporting of CAHPS data to patients. Specialists make important contributions to coordinated patient

  10. Factors that impact medical student and house-staff career interest in brain related specialties.

    Science.gov (United States)

    Kamour, Abdulbaset H; Han, Dong Y; Mannino, David M; Hessler, Amy B; Kedar, Sachin

    2016-10-15

    There is a national shortage of physicians in brain related specialties (neurology, neurosurgery and psychiatry), with fewer students training in these specialties. This study explored socio-economic and experiential factors that determined medical trainees' interest in brain related specialties. Medical students and house-staff at a state university medical school completed a 46-item questionnaire sent as an anonymous email survey. Survey response rate was 22% (n=258). Eighty-eight (34.1%) trainees were interested in brain related specialties. Prior neuroscience experience (29.6%) and effective medical school neuroscience courses (23.9%) were identified as important by those interested in brain related specialties, while "neurophobia" was reported by 30% of those not interested. Multivariate regression model showed that effective college neuroscience course increased the likelihood for interest in brain related specialties (OR=2.28, 95% CI 1.22, 4.28). Factors which decreased the likelihood included parent's possessing professional degree (OR=0.37, 95% CI 0.17, 0.80), personal annual income>$50,000 (OR=0.40, 0.18, 0.87) and current debt level≥$100,000 (OR=0.33, 0.17, 0.64). The proportion of trainees interested in brain related specialties decreased from 51.7% (1st year medical students) to 27% (4th year students) and 25.3% among house-staff (χ(2) test of trend p=0.001). Socioeconomic (current personal debt and annual income) and experiential factors (college neuroscience course) influence a medical trainee's interest in brain related specialties. Career guidance and improved, better and early exposure to neurosciences may help mitigate trend for decreased interest in brain related specialties. Copyright © 2016 Elsevier B.V. All rights reserved.

  11. Lipid components and oxidative status of selected specialty oils

    Directory of Open Access Journals (Sweden)

    P. Madawala, S. R.

    2012-06-01

    Full Text Available Many vegetable oils are marketed as specialty oils because of their retained flavors, tastes and distinct characteristics. Specialty oil samples which were commercially produced and retailed were purchased from local superstores in Reading, UK, and Uppsala, Sweden and profiled for detailed lipid composition and oxidative status. These oil samples include: almond, hazelnut, walnut, macadamia nut, argan, avocado, grape seed, roasted sesame, rice bran, cold pressed, organic and cold pressed, warm pressed and refined rapeseed oils. The levels of PV were quite low (0.5-1.3mEq O₂/kg but AV and Rancimat values at 100 °C (except for rapeseed oils varied considerably at (0.5-15.5 and (4.2-37.0 h respectively. Macadamia nut oil was found to be the most stable oil followed by argan oil, while walnut oil was the least stable. Among the specialty oils, macadamia nut oil had the lowest (4% and walnut oil had the highest (71% level of total PUFA. The organic cold pressed rapeseed oil had considerably lower PUFA (27% compared with other rapeseed oils (28- 35%. In all the samples, α- and γ- tocopherols were the major tocopherols; nut oils had generally lower levels. Total sterols ranged from 889 to 15,106 μg/g oil. The major sterols were β-sitosterol (61-85% and campesterol (6-20%. Argan oil contained schottenol (35% and spinasterol (32%. Compared with literature values, no marked differences were observed among the differently processed, organically grown or cold pressed rapeseed oils and other specialty oils in this study.

    Muchos aceites vegetales se venden como aceites especiales debido a su flavor, gusto y características distintas. Muestras de aceites especiales de almendra, avellana, nuez, nuez de macadamia, argán, aguacate, semillas de uva, de sésamo tostadas, salvado de arroz, y aceites orgánico de semillas de colza prensado en frío y, prensado caliente, y refinados que se producen y comercializan al por menor, se obtuvieron en

  12. Do Legal Issues Deserve Space in Specialty Medical Journals ?

    Science.gov (United States)

    Nagpal, Neeraj

    2016-02-01

    Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not. If he is then it is the bounded duty of the Association of Physicians of India to challenge this judgment in a higher court of law and seek clear guidelines from MCI as well as Supreme Court on the issue. Editors of Specialty journals have a responsibility of selecting the best articles from those which are submitted to them to be published. Ultimately space in these journals is limited and hence the responsibility to select is enormous and simultaneously reason for rejection of an academic paper also has to be substantial. The question is "do issues which are not core to the specialty concerned deserve space in these?" Physicians and Internists in India have tended to brush under the carpet legal issues effecting their profession. Surgical specialties specially obstetricians and their associations have to some extent recognized the problem and taken steps to address the issue specially as regard PCPNDT Act.1 Physicians are more complacent and regard the Consumer Protection Act (CPA) 19862 and problems associated with it to primarily concern the surgical specialties. What is forgotten is that the maximum penalty of 6.08 crore plus interest of 5.5 cr has been awarded in case involving a patient treated primarily by a physician and on whom no surgical procedure was performed.3 It has also to be realized that there is no limit on the amount of compensation which can be asked for under CPA.2 Compensations have been awarded by National

  13. Medical specialty considerations by medical students early in their clinical experience

    Directory of Open Access Journals (Sweden)

    Weissman Charles

    2012-03-01

    Full Text Available Abstract Background Specialty selection by medical students determines the future composition of the physician workforce. Selection of career specialties begins in earnest during the clinical rotations with exposure to the clinical and intellectual environments of various specialties. Career specialty selection is followed by choosing a residency program. This is the period where insight into the decision process might help healthcare leaders ascertain whether, when, and how to intervene and attempt to influence students' decisions. The criteria students consider important in selecting a specialty and a residency program during the early phases of their clinical rotations were examined. Methods Questionnaires distributed to fifth-year medical students at two Israeli medical schools. Results 229 of 275 (83% questionnaires were returned. 80% of the students had considered specialties; 62% considered one specialty, 25% two, the remainder 3-5 specialties. Students took a long-range view; 55% considered working conditions after residency more important than those during residency, another 42% considered both equally important. More than two-thirds wanted an interesting and challenging bedside specialty affording control over lifestyle and providing a reasonable relationship between salary and lifestyle. Men were more interested in well-remunerated procedure-oriented specialties that allowed for private practice. Most students rated as important selecting a challenging and interesting residency program characterized by good relationships between staff members, with positive treatment by the institution, and that provided much teaching. More women wanted short residencies with few on-calls and limited hours. More men rated as important residencies affording much responsibility for making clinical decisions and providing research opportunities. More than 50% of the students considered it important that their residency be in a leading department, and in

  14. 基于产业发展与岗位需求的高职电类专业与课程建设的研究%Research on Course Construction of Higher Vocational Electricity Specialty Based on Industry Development and Job Demand

    Institute of Scientific and Technical Information of China (English)

    邵帅

    2016-01-01

    This paper presents the basic principles for course construction of higher vocational e‐lectricity specialty combining with the industrial structure and job demand ,and it discusses higher voca‐tional electricity course construction program that can deal with regional industrial structure adjustment and development ,and the problem in higher vocational electricity course construction that should be paid attention is put forward .%文本提出了结合产业结构与岗位需求对高职电类专业与课程建设的基本原则,探讨了应对区域产业结构调整与发展过程中高职电类专业与课程建设的方案,明确了电类专业与课程建设中应注意的问题。

  15. Analysis on the Talent cultivation Question of the Connection between Secondary and Higher Vocational Education Based on Computer Multimedia Technology Specialty%浅析计算机多媒体技术专业中高职衔接人才培养问题

    Institute of Scientific and Technical Information of China (English)

    谢志强

    2014-01-01

    Taking computer multimedia technology specialty of Guangdong Teacher College of Foreign Language and Arts as an example, This paper introduces the talent cultivation mode and function of the connection between secondary and higher voca⁃tional education, explains primary question existed the talent cultivation of the connection between secondary and higher voca⁃tional education and solving countermeasure.%该文以广东外语艺术职业学院计算机多媒体技术专业为例,介绍了中高职衔接人才培养的模式和作用,阐述了中高职衔接人才培养存在的主要问题和解决对策。

  16. Expanding access to hepatitis C virus treatment--Extension for Community Healthcare Outcomes (ECHO) project: disruptive innovation in specialty care.

    Science.gov (United States)

    Arora, Sanjeev; Kalishman, Summers; Thornton, Karla; Dion, Denise; Murata, Glen; Deming, Paulina; Parish, Brooke; Brown, John; Komaromy, Miriam; Colleran, Kathleen; Bankhurst, Arthur; Katzman, Joanna; Harkins, Michelle; Curet, Luis; Cosgrove, Ellen; Pak, Wesley

    2010-09-01

    The Extension for Community Healthcare Outcomes (ECHO) Model was developed by the University of New Mexico Health Sciences Center as a platform to deliver complex specialty medical care to underserved populations through an innovative educational model of team-based interdisciplinary development. Using state-of-the-art telehealth technology, best practice protocols, and case-based learning, ECHO trains and supports primary care providers to develop knowledge and self-efficacy on a variety of diseases. As a result, they can deliver best practice care for complex health conditions in communities where specialty care is unavailable. ECHO was first developed for the management of hepatitis C virus (HCV), optimal management of which requires consultation with multidisciplinary experts in medical specialties, mental health, and substance abuse. Few practitioners, particularly in rural and underserved areas, have the knowledge to manage its emerging treatment options, side effects, drug toxicities, and treatment-induced depression. In addition, data were obtained from observation of ECHO weekly clinics and database of ECHO clinic participation and patient presentations by clinical provider. Evaluation of the ECHO program incorporates an annual survey integrated into the ECHO annual meeting and routine surveys of community providers about workplace learning, personal and professional experiences, systems and environmental factors associated with professional practice, self-efficacy, facilitators, and barriers to ECHO. The initial survey data show a significant improvement in provider knowledge, self-efficacy, and professional satisfaction through participation in ECHO HCV clinics. Clinicians reported a moderate to major benefit from participation. We conclude that ECHO expands access to best practice care for underserved populations, builds communities of practice to enhance professional development and satisfaction of primary care clinicians, and expands sustainable

  17. [Training in internal medicine and its specialties: universities' proposals].

    Science.gov (United States)

    Norero, C

    1996-04-01

    Medical School graduates can enter a medicine subspecialty training program upon completion of a 3 year Internal Medicine residency. The Ministry of Health has contributed to postgraduate training by defining the type of physician the country needs, and by financial support of specially (Internal Medicine) training. Before 1995, when applicants began being charged a fee, finding for subspecialty training was provided exclusively by the universities. Currently, 450 training post are available for 550 graduates from all medical schools. Of these, 59 are in Internal Medicine and 58 in its subspecialties. A quantitative analysis of 40 years of training programs in Internal Medicine by the traditional medical schools shows that only the Catholic University of Chile Medical School privileges subspecially training whereas all other schools favor general Internal Medicine training. A high number of Internal Medicine trainees never take final examination. Nevertheless, training through practice, not necessarily in a university setting, accounts for 67% of Autonomous National Corporation for Certification of Medical Specialties. CONACEM accredited subspecialists. About 63% of those who finish an Internal Medicine training program decide to go into subspecialization. It is felt that subspecialization involves technical as well as non-professional aspects, such as a philosophical stance towards the search for truth through research and creativity. An integral education in a subspecialty can only be given by the university. Non-university centers, however, can contribute to subspecialization by allowing trainees to gain access to newer technology or to larger numbers of patients. A critical question is how many subspecialists should exist in relation to the number of generalists and according to the country's health requirements. In my personal view, the proportion of subspecialists is excessive. The decision to subspecialize should not be exclusively a personal choice, but

  18. Specialty choice preference of medical students according to personality traits by Five-Factor Model

    National Research Council Canada - National Science Library

    Oh Young Kwon; So Youn Park

    2016-01-01

    Purpose: The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. Methods...

  19. 40 CFR 407.80 - Applicability; description of the canned and miscellaneous specialties subcategory.

    Science.gov (United States)

    2010-07-01

    ...: Added ingredients; baby food; corn, potato, and tortilla chips; ethnic foods; jams and jellies; mayonnaise and dressings; soups; and tomato-starch-cheese canned specialties. When a plant is subject...

  20. 75 FR 6377 - Onyx Specialty Papers, Inc.; Notice of Availability of Draft Environmental Assessment

    Science.gov (United States)

    2010-02-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Onyx Specialty Papers, Inc.; Notice of Availability of Draft Environmental... filed electronically via Internet in lieu of paper. The Commission strongly encourages...

  1. Using geographic information system tools to improve access to MS specialty care in Veterans Health Administration.

    Science.gov (United States)

    Culpepper, William J; Cowper-Ripley, Diane; Litt, Eric R; McDowell, Tzu-Yun; Hoffman, Paul M

    2010-01-01

    Access to appropriate and timely healthcare is critical to the overall health and well-being of patients with chronic diseases. In this study, we used geographic information system (GIS) tools to map Veterans Health Administration (VHA) patients with multiple sclerosis (MS) and their access to MS specialty care. We created six travel-time bands around VHA facilities with MS specialty care and calculated the number of VHA patients with MS who resided in each time band and the number of patients who lived more than 2 hours from the nearest specialty clinic in fiscal year 2007. We demonstrate the utility of using GIS tools in decision-making by providing three examples of how patients' access to care is affected when additional specialty clinics are added. The mapping technique used in this study provides a powerful and valuable tool for policy and planning personnel who are evaluating how to address underserved populations and areas within the VHA healthcare system.

  2. THE SPECIALTY OF EMERGENCY MEDICINE IN CHILE: 20 YEARS OF HISTORY

    Directory of Open Access Journals (Sweden)

    WK Mallon

    2017-03-01

    Full Text Available Chile is uniquely situated to be a leader in South American development of the specialty of Emergency Medicine. Chilean emergency medicine has successfully transitioned from a novelty training idea to a nationally and internationally recognized entity with serious public health goals. There are more residency training programs in Chile than in any other South American or Latin American country, and the specialty is formally recognized by the Ministry of Health. Chilean emergency medicine thought leaders have networked internationally with multiple groups, intelligently used outside resources, and created durable academic relationships. While focusing on locally important issues and patient care they have successfully advanced their agenda. Despite this, the specialty faces many new challenges and remains fragile but sustainable. Policy makers and the Chilean MOH need to be acutely aware of this fragility to preserve the progress achieved so far, and support ongoing maturation of the specialty of Emergency Medicine.

  3. Consumer Specialty Products Association Letter and EPA Response re: Minimum Risk Pesticide Exemption Petition

    Science.gov (United States)

    The Consumer Specialty Products Association petitioned EPA to exclude from the minimum risk pesticide exemption pesticides claiming to control “pests of significant public health importance” and require registration. View the petition and EPA's response.

  4. Challenges in Specialty Coffee Processing and Quality Assurance

    Directory of Open Access Journals (Sweden)

    Palmiro Poltronieri

    2016-10-01

    Full Text Available Coffee is an important crop that assures a sustainable economy to farmers in tropical regions. A dramatic concern for coffee production is currently represented by climate change, which threatens the survival of Coffea arabica cultivation worldwide and imposes modifications of the agronomic practices to prevent this risk. The quality of coffee beans depends on optimized protocols of cultivation, ripe berries collection, and removal of the outer fruit layers by dry or wet processes and moisture reduction. Storage and shipment represent two steps where bean quality needs to be preserved by preventing fungal contamination that may impact the final product and form mycotoxins, mainly ochratoxin A. In this review, we describe the challenges faced by the coffee industry to guarantee quality from production to roasting and brewing. An overview of novel technologies, such as the application of starter cultures in fermentation and the exploitation of industrial enzymes in accelerating the process of flavour development in coffee beans, is given. Moreover, the results of studies on microbial populations on coffee and the differences found in fungi, yeasts and bacteria composition among the investigations, are summarized. In particular, this review describes new attempts to contain the development of mycotoxigenic fungi, through the application of antagonistic microorganisms such as S. cerevisiae. The new wave of specialty coffees, i.e., those with a cupping score higher than 85/100, is also presented. It is shown how, through careful coffee production methods and controlled fermentation processes, coffee producers may increase their income by assuring high standards of quality and high added value for the coffee experience sector.

  5. Evaluation of the educational climate for specialty trainees in dermatology.

    Science.gov (United States)

    Goulding, J M R; Passi, V

    2016-06-01

    Dermatology specialty trainees (STs) in the United Kingdom (UK) are few in number and will join a thinly spread national consultant body. It is of paramount importance to deliver training programmes of the highest quality for these doctors, central to which is the establishment and maintenance of an educational climate conducive to learning. To conduct a pilot study to evaluate the educational climate for dermatology STs in one UK deanery (West Midlands). Secondary analysis of published data was performed, from the UK's General Medical Council (GMC) national training survey, and the Job Evaluation Survey Tool (JEST) administered by the West Midlands deanery. A modified online version of the Postgraduate Hospital Educational Environment Measure (PHEEM) was circulated among dermatology STs. The GMC's survey data show that UK dermatology STs rated their training highly in comparison with undifferentiated UK postgraduate trainees. West Midlands dermatology STs (n = 22) scored very similarly to UK dermatology STs. The JEST gave broadly encouraging results, with 21/22 (95%) happy to recommend their posts to colleagues. The modified PHEEM yielded a global mean score of 96.5/152, attracting the descriptor 'more positive than negative but room for improvement'. Despite inherent methodological limitations, the GMC, JEST and modified PHEEM surveys have revealed useful comparative triangulated data which allows the conclusion that West Midlands dermatology STs seem to be training in a favourable educational climate. This represents an important facet of the quality assurance process for medical education, and allows insight into areas which may require improvement. © 2015 European Academy of Dermatology and Venereology.

  6. Publication trends of research articles from infectious diseases specialty in a medical journal from India

    OpenAIRE

    Hari Kumar KVS; Aravinda, K.

    2012-01-01

    Background: Details about research productivity in the infectious diseases specialty from India are lacking. Objective: To analyse publishing trends and research productivity of articles related to infectious diseases in the Journal of the Association of Physicians of India (JAPI). Materials and Methods : We carried out bibliometric analysis of articles related to infectious diseases specialty from JAPI published between 2000 and 2011. Data were derived from the journal′s website and the arti...

  7. Stability of and Factors Related to Medical Student Specialty Choice of Psychiatry.

    Science.gov (United States)

    Goldenberg, Matthew N; Williams, D Keith; Spollen, John J

    2017-09-01

    Targeted efforts are needed to increase the number of medical students choosing psychiatry, but little is known about when students decide on their specialty or what factors influence their choice. The authors examined the timing and stability of student career choice of psychiatry compared with other specialties and determined what pre- and intra-medical school factors were associated with choosing a career in psychiatry. Using survey data from students who graduated from U.S. allopathic medical schools in 2013 and 2014 (N=29,713), the authors computed rates of psychiatry specialty choice at the beginning and end of medical school and assessed the stability of that choice. A multivariate-adjusted logistic regression and recursive partitioning were used to determine the association of 29 factors with psychiatry specialty choice. Choice of psychiatry increased from 1.6% at the start of medical school to 4.1% at graduation. The stability of psychiatry specialty choice from matriculation to graduation, at just over 50%, was greater than for any other specialty. However, almost 80% of future psychiatrists did not indicate an inclination toward the specialty at matriculation. A rating of "excellent" for the psychiatry clerkship (odds ratio=2.66), a major in psychology in college (odds ratio=2.58), and valuing work-life balance (odds ratio=2.25) were the factors most strongly associated with psychiatry career choice. Students who enter medical school planning to become psychiatrists are likely to do so, but the vast majority of students who choose psychiatry do so during medical school. Increasing the percentage of medical students with undergraduate psychology majors and providing an exemplary psychiatry clerkship are modifiable factors that may increase the rate of psychiatry specialty choice.

  8. Surgery or general medicine: a study of the reasons underlying the choice of medical specialty

    Directory of Open Access Journals (Sweden)

    Patrícia Lacerda Bellodi

    Full Text Available CONTEXT: The reality of medical services in Brazil points towards expansion and diversification of medical knowledge. However, there are few Brazilian studies on choosing a medical specialty. OBJECTIVE: To investigate and characterize the process of choosing the medical specialty among Brazilian resident doctors, with a comparison of the choice between general medicine and surgery. TYPE OF STUDY: Stratified survey. SETTING: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (HC-FMUSP. METHODS: A randomized sample of resident doctors in general medicine (30 and surgery (30 was interviewed. Data on sociodemographic characteristics and the moment, stability and reasons for the choice of specialty were obtained. RESULTS: The moment of choice between the two specialties differed. Surgeons (30% choose the specialty earlier, while general doctors decided progressively, mainly during the internship (43%. Most residents in both fields (73% general medicine, 70% surgery said they had considered another specialty before the current choice. The main reasons for general doctors' choice were contact with patients (50%, intellectual activities (30% and knowledge of the field (27%. For surgeons the main reasons were practical intervention (43%, manual activities (43% and the results obtained (40%. Personality was important in the choice for 20% of general doctors and for 27% of surgeons. DISCUSSION: The reasons found for the choice between general medicine and surgery were consistent with the literature. The concepts of wanting to be a general doctor or a surgeon are similar throughout the world. Personality characteristics were an important influencing factor for all residents, without statistical difference between the specialties, as was lifestyle. Remuneration did not appear as a determinant. CONCLUSION: The results from this group of Brazilian resident doctors corroborated data on choosing a medical specialty from other countries

  9. DETERMINANTS OF SPECIALTY CHOICE OF RESIDENT DOCTORS; CASE STUDY--AMONG RESIDENT DOCTORS IN NIGERIA.

    Science.gov (United States)

    Osuoji, Roland I; Adebanji, Atinuke; Abdulsalam, Moruf A; Oludara, Mobolaji A; Abolarinwa, Abimbola A

    2015-01-01

    This study examined medical specialty selection by Nigerian resident doctors using a marketing research approach to determine the selection criteria and the role of perceptions, expected remuneration, and job placement prospects of various specialties in the selection process. Data were from the Community of residents from April 2014 to July 2014. The cohort included 200 residents, but only 171 had complete information. Data were obtained from a cross section of resident doctors in the Lagos State University Teaching Hospital and at the 2014 Ordinary General Meeting of the National Association of Resident Doctors(NARD) where representatives from over 50 Teaching hospitals in Nigeria attended. Using a client behaviour model as a framework, a tripartite questionnaire was designed and administered to residents to deduce information on their knowledge about and interests in various specialties, their opinions of sixteen specialties, and the criteria they used in specialty selection. A total of 171 (85.5%) questionnaires were returned. ln many instances, consistency between selection criteria and perceptions of a specialty were accompanied by interest in pursuing the specialty. Job security, job availability on completion of programme, duration of training and qualifying examinations were highly correlated with p value training and practice related variables loaded on it while the second component was loaded with job security and financial remuneration related variables. Using marketing research concepts for medical specialty selection (Weissmanet al 2012) stipulates that choice of speciality is influenced by criteria and perception. This study shows that job security expected financial remuneration, and examination requirements for qualification are major determinants of the choice of speciality for residents.

  10. Application-specific specialty microstructured optical fibers for mid-IR and THz photonics (Invited)

    DEFF Research Database (Denmark)

    Pal, Bishnu P.; Barh, Ajanta; Varshney, Ravi K.

    2016-01-01

    A review of several of our designed specialty microstructured optical fibers (MOFs) for mid-IR and THz generation and transmission including high power transmission is presented. Extensive results on performance of the designed MOFs are described.......A review of several of our designed specialty microstructured optical fibers (MOFs) for mid-IR and THz generation and transmission including high power transmission is presented. Extensive results on performance of the designed MOFs are described....

  11. Specialty fibers for 160, 320 and 640 Gb/s signal processing

    DEFF Research Database (Denmark)

    Oxenløwe, Leif Katsuo; Berg, Kim Skaalum; Clausen, Anders;

    2004-01-01

    Specialty highly non-linear fibers are experimentally characterized as signal processing components in ultra high-speed OTDM systems. Pulse compression to 359 fs and demultiplexing of 160, 320 and 640 Gb/s signals are demonstrated.......Specialty highly non-linear fibers are experimentally characterized as signal processing components in ultra high-speed OTDM systems. Pulse compression to 359 fs and demultiplexing of 160, 320 and 640 Gb/s signals are demonstrated....

  12. Sub-specialty training in head and neck surgical oncology in the European Union.

    Science.gov (United States)

    Manganaris, Argyris; Black, Myles; Balfour, Alistair; Hartley, Christopher; Jeannon, Jean-Pierre; Simo, Ricard

    2009-07-01

    Sub-specialty training in otorhinolaryngology and head and neck surgery (ORL-HNS) is not standardised across European Union (EU) states and remains diverse. The objective of this study was to assess the current status of sub-specialty training programmes in head and neck surgical oncology within the European Union (EU-15). A postal questionnaire was distributed to 41 representative members of the European Federation of Otorhinolaryngological Societies (EUFOS) in the specialty of ORL-HNS in 15 EU states. The questionnaire included questions regarding the sub-specialty practice, structure, length, access, examination procedures and certification, future developments and also a space for individual comments. Thirty-one respondents (75.6%) from major training centres in 15 different European countries replied. Overall, the data revealed major diversity for all aspects analysed, between and within the different European countries. Only four EU states had formal sub-specialty training in head and neck surgical oncology. This includes Finland, Germany, The Netherlands, and the United Kingdom. In the rest of EU states, the last year of residency programmes is often spent as an introduction to one of the sub-specialties. Sub-specialty training in head and neck surgical oncology within the EU at present is clearly underdeveloped. Issuing a European diploma in ORL-HNS could be an initial step towards assessing the skills acquired during specialist training within the different European countries and formalising specialist training. This would establish a uniform measure for evaluating candidacy for sub-specialty training both across the EU and for USA, Canada or Australia.

  13. Specialty choice preference of medical students according to personality traits by Five-Factor Model

    Directory of Open Access Journals (Sweden)

    Oh Young Kwon

    2016-03-01

    Full Text Available Purpose: The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. Methods: A questionnaire survey of Year 4 medical students (n=110 in July 2015 was administered. We evaluated the personality traits of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness by using the Korean version of Big Five Inventory. Questions about general characteristics, medical specialties most preferred as a career, motivational factors in determining specialty choice were included. Data between five personality traits and general characteristics and motivational factors affecting specialty choice were analyzed using Student t-test, Mann-Whitney test and analysis of variance. Results: Of the 110 eligible medical students, 105 (95.4% response rate completed the questionnaire. More Agreeableness students preferred clinical medicine to basic medicine (p=0.010 and more Openness students preferred medical departments to others (p=0.031. Personal interest was the significant motivational factors in more Openness students (p=0.003 and Conscientiousness students (p=0.003. Conclusion: Medical students with more Agreeableness were more likely to prefer clinical medicine and those with more Openness preferred medical departments. Personal interest was a significant influential factor determining specialty choice in more Openness and Conscientiousness students. These findings may be helpful to medical educators or career counselors in the specialty choice process.

  14. Specialty choice preference of medical students according to personality traits by Five-Factor Model.

    Science.gov (United States)

    Kwon, Oh Young; Park, So Youn

    2016-03-01

    The purpose of this study was to determine the relationship between personality traits, using the Five-Factor Model, and characteristics and motivational factors affecting specialty choice in Korean medical students. A questionnaire survey of Year 4 medical students (n=110) in July 2015 was administered. We evaluated the personality traits of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness by using the Korean version of Big Five Inventory. Questions about general characteristics, medical specialties most preferred as a career, motivational factors in determining specialty choice were included. Data between five personality traits and general characteristics and motivational factors affecting specialty choice were analyzed using Student t-test, Mann-Whitney test and analysis of variance. Of the 110 eligible medical students, 105 (95.4% response rate) completed the questionnaire. More Agreeableness students preferred clinical medicine to basic medicine (p=0.010) and more Openness students preferred medical departments to others (p=0.031). Personal interest was the significant motivational factors in more Openness students (p=0.003) and Conscientiousness students (p=0.003). Medical students with more Agreeableness were more likely to prefer clinical medicine and those with more Openness preferred medical departments. Personal interest was a significant influential factor determining specialty choice in more Openness and Conscientiousness students. These findings may be helpful to medical educators or career counselors in the specialty choice process.

  15. Mining Local Specialties for Travelers by Leveraging Structured and Unstructured Data

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    Kai Jiang

    2012-01-01

    Full Text Available Recently, many local review websites such as Yelp are emerging, which have greatly facilitated people's daily life such as cuisine hunting. However they failed to meet travelers' demands because travelers are more concerned about a city's local specialties instead of the city's high ranked restaurants. To solve this problem, this paper presents a local specialty mining algorithm, which utilizes both the structured data from local review websites and the unstructured user-generated content (UGC from community Q&A websites, and travelogues. The proposed algorithm extracts dish names from local review data to build a document for each city, and applies tfidf weighting algorithm on these documents to rank dishes. Dish-city correlations are calculated from unstructured UGC, and combined with the tfidf ranking score to discover local specialties. Finally, duplicates in the local specialty mining results are merged. A recommendation service is built to present local specialties to travelers, along with specialties' associated restaurants, Q&A threads, and travelogues. Experiments on a large data set show that the proposed algorithm can achieve a good performance, and compared to using local review data alone, leveraging unstructured UGC can boost the mining performance a lot, especially in large cities.

  16. Acceptance of pharmaceutical gifts. Variability by specialty and job rank in a Saudi healthcare setting.

    Science.gov (United States)

    Alosaimi, Fahad; Alkaabba, Abdulaziz; Qadi, Mahdi; Albahlal, Abdullah; Alabdulkarim, Yasir; Alabduljabbar, Mohammad; Alqahtani, Faisal

    2013-08-01

    To examine the variability in accepting different types of gifts by clinical specialty as well as job rank among physicians working in Saudi Arabia. This cross-sectional study was carried out between March and July of 2012 in different regions of Saudi Arabia. A self-administrated questionnaire was developed and administered to all participants, both in paper and electronic formats. A total of 281 participants answered the question `do you accept pharmaceutical gifts and/or promotions?` Most of the participants (80.1%) admitted acceptance of pharmaceutical gifts of any type. The most common gifts accepted were free drug samples (58.2%), stationary items such as pens and notepads (52.9%), free meals (37.8%), financial support to attend educational activities (33.3%), prepaid promotion cards/codes (7.1%), and funding research (5.8%).While there were no significant differences in the overall gift acceptance by job rank or specialty, there were significant differences in type-specific gift acceptance by job rank and specialty. There were some differences in the reasons behind gift acceptance by specialty and job rank. The results of this study indicate that gift acceptance among physicians working in Saudi Arabia is common; however, there was no significant differences in the overall gift acceptance by job rank or specialty. Nevertheless, there were significant differences in type-specific gift acceptance by job rank and specialty.

  17. Existing FDA pathways have potential to ensure early access to, and appropriate use of, specialty drugs.

    Science.gov (United States)

    Kesselheim, Aaron S; Tan, Yongtian Tina; Darrow, Jonathan J; Avorn, Jerry

    2014-10-01

    Specialty drugs are notable among prescription drugs in that they offer the possibility of substantial clinical improvement, come with important risks of adverse events and mortality, can be complex to manufacture or administer, and are usually extremely costly. The Food and Drug Administration (FDA) plays a critical role in ensuring that patients who could benefit from specialty drugs have access to them in a timely fashion. In this article we review the different strategies that the FDA can use to approve and influence the post-approval prescribing of specialty drugs. When specialty drugs show promise in early clinical trials, the FDA can expedite the drugs' availability to patients through expanded access programs and expedited approval pathways that speed regulatory authorization. After approval, to ensure that specialty drugs are directed to the patients who are most likely to benefit from them, the FDA can limit the scope of the drugs' indications, encourage the development of companion diagnostic tests to indicate which patients should receive the drugs, or require that manufacturers subject them to Risk Evaluation and Mitigation Strategies to ensure that their use is appropriately limited to a restricted population that is aware of the drugs' risks and benefits. Implementing these existing regulatory approaches can promote timely patient access to specialty drugs while preventing expensive and potentially inappropriate overuse.

  18. Specialty food safety concerns and multilingual resource needs: an online survey of public health inspectors.

    Science.gov (United States)

    Pham, Mai T; Jones, Andria Q; Sargeant, Jan M; Marshall, Barbara J; Dewey, Catherine E

    2010-12-01

    The province of Ontario, Canada, has a highly diverse and multicultural population. Specialty foods (i.e., foods from different cultures) are becoming increasingly available at retail food outlets and foods service establishments across the province; as a result, public health inspectors (PHIs) are increasingly required to assess the safety of foods with which they may be unfamiliar. The aim of this study was to investigate the concerns, perceptions, and self-identified needs of PHIs in Ontario with regard to specialty foods and food safety information resources in languages other than English. A cross-sectional online survey of 239 PHIs was conducted between April and June 2009. The study found that while some food safety information resources were available in languages other than English, fewer than 25% of respondents (56/239) were satisfied with the current availability of these resources. With regard to specialty foods, 60% of respondents (143/239) reported at least one specialty food with which they were not confident about their current food safety knowledge, and 64% of respondents (153/239) reported at least one specialty food with which they were dissatisfied with the current availability of food safety information. Therefore, the development of additional food safety information resources for specialty foods, and food safety resources in additional languages may provide enhanced support to PHIs involved in protecting and promoting a safe food supply.

  19. 高等职业学校商务英语专业学生实习就业意向调查、分析及对策——以扬州商务高等职业学校2011级商务英语专业实习生为视角%Survey,Analysis and Countermeasures of Vocational Schools Business English Specialty Students’ Internship Employment Intentions: Based on Survey of Students of Business English Specialty of 2011 in Yangzhou Vocational Business College

    Institute of Scientific and Technical Information of China (English)

    张燕燕

    2012-01-01

    For learning the employment intentions of intern of Business English specialty, the author takes interns of Business English specially of 2011 in vocational school, and makes an investigation on it. The result shows that their employment orientation is not accurate enough, career expectations are unrealistic, entrepreneurial spirit is not enough, interest for the profession is not enough, and puts forward the measure such as adjusting Business English talent training programs, improving the confidence of student's employment, changing the concept of student's employment, carrying out entrepreneurship education, strengthening employment guidance, to achieve successful employment.%为了解商务英语专业实习生就业意向,本人对扬州商务高等职业学校2011级商务英语专业实习生进行调查,并对调查结果进行分析和探讨,发现学生就业定位不够准确,职业期望不切实际,创业精神不够,对所学专业兴趣不够,并提出调整商务英语人才培养方案,提高学生就业信心,转变学生就业观念,开展创业教育,加强就业指导,实现顺利就业的对策.

  20. Assessment of the Level of Satisfaction and Unmet Data Needs for Specialty Drug Formulary Decisions in the United States.

    Science.gov (United States)

    Choi, Yoonyoung; Navarro, Robert P

    2016-04-01

    Formulary management within a limited budget is critical, especially for specialty drugs, which are used for serious medical conditions and are very expensive. Despite attempts to summarize the pertinent evidence, it is uncertain whether data needs of formulary decision makers for specialty drugs are satisfied. To assess the level of satisfaction of specialty drug formulary decision makers with regards to the strength of current available data sources and unmet needs regarding clinical, economic, and unpublished evidence. This study targeted pharmacists and physicians involved with formulary decision making at health plans or pharmacy benefit management companies at the national, large regional, and local levels. 95 individuals were invited to participate (without compensation) in a 21-item, web-based survey (Qualtrics), which was open from June 14 to July 31, 2014. The responses were coded for descriptive and statistical analysis. Statistical analyses included the Kruskal-Wallis test, analysis of variance, and the Mann-Whitney-Wilcoxon test. Of 95 pharmacists or physicians, 40 respondents initiated the survey, and 33 respondents completed the survey (response rate = 34.7%). Drug formulary decision makers infrequently rated data evidence strength (17.1% "always"). Clinical data evidence strength was rated highest with published randomized controlled trials (RCTs; mean [SD] = 4.06 [0.87] of 5.0), while participant organizations' internal data were rated highest for economic data evidence strength (mean [SD] = 3.91 [1.07] of 5.0). Decision makers rated the highest unmet need as more data generated from head-to-head RCTs (mean [SD] = 2.94 [0.25] of 3.0) and cost-effectiveness analyses (mean [SD] = 2.53 [0.67] of 3.0). The participants believed manufacturers might be in the best position to satisfy their desire for head-to-head RCTs (mean [SD] = 4.31 [1.09] of 5.0). Despite a variety of data sources, drug formulary decision makers continue to rely on published RCTs or

  1. Questions of professional-oriented teaching of foreign language for students of economic specialty

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    Sibul Victoria Vladimirovna

    2015-03-01

    Full Text Available The article discusses the problem of the content of professional-oriented teaching of a foreign language to students of non-linguistic specialties, which is particularly relevant from the viewpoint of the increasing role of foreign language communication in the professional activity of modern professionals. The purpose of foreign language teaching in non-linguistics universities is to achieve a level that is sufficient for practical use of a foreign language in future career. Thus, if foreign language at linguistic university is a special base, at non-linguistic universities it is an application to general professional knowledge base and skills, so at non-linguistic universities the statement of ultimate goal requires specification. Thus, it is sufficient to consider the contents of foreign language teaching at non-linguistic faculties as the totality of what students should learn in the education process, the quality and level of foreign language should correlate with their needs and goals, as well as the goals and objectives of this level of training. Selection of the content is intended to promote the broad development of the student’s personality, its preparation for future careers.

  2. Veteran satisfaction and treatment preferences in response to a posttraumatic stress disorder specialty clinic orientation group.

    Science.gov (United States)

    Schumm, Jeremiah A; Walter, Kristen H; Bartone, Anne S; Chard, Kathleen M

    2015-06-01

    To maximize accessibility to evidence-based treatments for posttraumatic stress disorder (PTSD), the United States Department of Veterans Affairs (VA) has widely disseminated cognitive processing therapy (CPT) and prolonged exposure (PE) therapy to VA clinicians. However, there is a lack of research on veteran preferences when presented with a range of psychotherapy and medication options. This study uses a mixed-method approach to explore veteran satisfaction with a VA PTSD specialty clinic pre-treatment orientation group, which provides education about available PTSD treatment options. This study also tested differences in treatment preference in response to the group. Participants were 183 US veterans. Most were White, male, and referred to the clinic by a VA provider. Results indicated high satisfaction with the group in providing an overview of services and helping to inform treatment choice. Most preferred psychotherapy plus medications (63.4%) or psychotherapy only (30.1%). Participants endorsed a significantly stronger preference for CPT versus other psychotherapies. PE was significantly preferred over nightmare resolution therapy and present-centered therapy, and both PE and cognitive-behavioral conjoint therapy were preferred over virtual reality exposure therapy. Results suggest that by informing consumers about evidence-based treatments for PTSD, pre-treatment educational approaches may increase consumer demand for these treatment options.

  3. The influence of temperament and character profiles on specialty choice and well-being in medical residents

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    Martin Sievert

    2016-09-01

    Full Text Available Background Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. Methods 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI and the Satisfaction with Life Scale (SWLS. Clusters of personality profiles were identified without regard to medical specialty, and then the personality clusters were tested for association with their choice of specialty by co-clustering analysis. Life satisfaction was tested for association with personality traits and medical specialty by linear regression and analysis of variance. Results We identified five clusters of people with distinct personality profiles, and found that these were associated with particular medical specialties Physicians with an “investigative” personality profile often chose pathology or internal medicine, those with a “commanding” personality often chose general surgery, “rescuers” often chose emergency medicine, the “dependable” often chose pediatrics, and the “compassionate” often chose psychiatry. Life satisfaction scores were not enhanced by personality-specialty congruence, but were related strongly to self-directedness regardless of specialty. Conclusions The personality profiles of physicians were strongly associated with their medical specialty choices. Nevertheless, the relationships were complex: physicians with each personality profile went into a variety of medical specialties, and physicians in each medical specialty had variable personality profiles. The plasticity and resilience of physicians were more important for their life

  4. The influence of temperament and character profiles on specialty choice and well-being in medical residents

    Science.gov (United States)

    Sievert, Martin; Zwir, Igor; Cloninger, Kevin M.; Lester, Nigel; Rozsa, Sandor

    2016-01-01

    Background Multiple factors influence the decision to enter a career in medicine and choose a specialty. Previous studies have looked at personality differences in medicine but often were unable to describe the heterogeneity that exists within each specialty. Our study used a person-centered approach to characterize the complex relations between the personality profiles of resident physicians and their choice of specialty. Methods 169 resident physicians at a large Midwestern US training hospital completed the Temperament and Character Inventory (TCI) and the Satisfaction with Life Scale (SWLS). Clusters of personality profiles were identified without regard to medical specialty, and then the personality clusters were tested for association with their choice of specialty by co-clustering analysis. Life satisfaction was tested for association with personality traits and medical specialty by linear regression and analysis of variance. Results We identified five clusters of people with distinct personality profiles, and found that these were associated with particular medical specialties Physicians with an “investigative” personality profile often chose pathology or internal medicine, those with a “commanding” personality often chose general surgery, “rescuers” often chose emergency medicine, the “dependable” often chose pediatrics, and the “compassionate” often chose psychiatry. Life satisfaction scores were not enhanced by personality-specialty congruence, but were related strongly to self-directedness regardless of specialty. Conclusions The personality profiles of physicians were strongly associated with their medical specialty choices. Nevertheless, the relationships were complex: physicians with each personality profile went into a variety of medical specialties, and physicians in each medical specialty had variable personality profiles. The plasticity and resilience of physicians were more important for their life satisfaction than was

  5. Specialty preferences of 1st year medical students in a Saudi Medical School – Factors affecting these choices and the influence of gender

    Science.gov (United States)

    Kaliyadan, Feroze; Amin, Tarek Tawfik; Qureshi, Habib; Al Wadani, Fahad

    2015-01-01

    Background and Aims: In recent years there has been a growing appreciation of the issues of career preference in medicine as it affects student learning and academic performance. Various factors influence the specialty choices of medical students. Some specialties tend to attract students more than others. One possible consequence of this would be a mismatch between health needs and specialist numbers in the region. This study investigated the career preferences of 1st year medical students in a Saudi medical school and to assess factors affecting these choices. Materials and Methods: The study was a cross-sectional survey carried out on the 1st year undergraduate students in the college of medicine, King Faisal University, Saudi Arabia. A total of 109 students (57 female and 52 males) responded to the questionnaire which was initially administered to all the students of the 1st year – A total of 120 students (response rate was 90.8%). A mixed method approach was used and qualitative data from open-ended questions were analyzed based on thematic analysis. Results: The top choices were general surgery, internal medicine, and pediatrics. Among female students; the top specialty choices were: General surgery (23%), pediatrics (18%), and dermatology (15%). Among the male students; the top choices were: General surgery (54%) and internal medicine (23%). Of the total, 57% of the students agreed or strongly agreed that primary aptitude was the main factor affecting the choice. Only 31% felt that there was a significant influence of role model, 48% felt that the advice of others – peers and family, would be a factor influencing their choices, and 53% agreed that specialty choice would influence their future learning patterns. Males were more likely to choose a specialty based on actual aptitude for the specialty, financial rewards, and scope for research; and this gender difference was statistically significant. Conclusion: Surgery was the top-choice in both genders

  6. Geriatria, uma especialidade centenária =Geriatrics, a centenarian medical specialty

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    Schwanke, Carla Helena Augustin

    2009-01-01

    Full Text Available Objetivos: para comemorar o centenário da Geriatria, os autores apresentam uma revisão sobre o fenômeno do envelhecimento, o indivíduo idoso, as características da medicina geriátrica e um resumo da sua história. Fonte de dados: foi realizada uma revisão da literatura através de artigos localizados nas bases MedLine e LILACS, além de livros, dissertações, teses e diretrizes governamentais. Síntese dos dados: a Geriatria é a área da medicina que cuida da saúde e das doenças da velhice; que lida com os aspectos físicos, mentais, funcionais e sociais nos cuidados agudos, crônicos, de reabilitação, preventivos e paliativos dos idosos; e que ultrapassa a “medicina centrada em órgãos e sistemas” oferecendo tratamento holístico, em equipes interdisciplinares e com o objetivo principal de otimizar a capacidade funcional e melhorar a qualidade de vida e a autonomia dos idosos. A capacidade funcional, a autonomia e a qualidade de vida são o cerne desta especialidade médica. O geriatra, na prática assistencial diária, lida com questões peculiares como a heterogeneidade dos pacientes e dos cenários de atendimento; a concomitância de múltiplas patologias (plurimorbidade; as síndromes geriátricas (“gigantes da geriatria”; a dificuldade de identificação de todos os problemas do idoso (fenômeno do iceberg; a polifarmácia; a fragilidade; a vulnerabilidade; as várias perdas que o idoso apresenta; e a terminalidade. Conclusões: a Geriatria é a especialidade médica responsável pelos aspectos clínicos do envelhecimento e pelos amplos cuidados de saúde necessários às pessoas idosas. Pela sua complexidade somada ao envelhecimento populacional, torna-se uma especialidade instigante, desafiadora e contemporânea. Aims: To commemorate the centennial of the geriatrics, the authors present a review of the population aging, the elderly individual, the characteristics of the geriatric medicine, and its history. Source of

  7. PS3-28: Telemedicine Specialty Consultation in a Medically Underserved Community

    Science.gov (United States)

    Palen, Ted; Bodily, Mike

    2010-01-01

    Background and Aims: During the current national health care reform discussions, health information technologies (HIT) are receiving a lot of attention as means of lowering health care costs, improving access to health care, reducing errors during the delivery of healthcare, and improving health outcomes. Patients in rural or medically underserved areas find it difficult to obtain and maintain adequate access to health care. Telemedicine (TM) services can exchange video and audio information between healthcare providers and patients in different locations. For individuals in rural communities TM may improve access to care through the use of novel care delivery models. We are conducting a proof of concept (POC) study to evaluate the use of TM consultation between a primary care clinic in a medically underserved region of southern Colorado and a specialty care (endocrinology) clinic in Denver. Methods: This is a prospective health services POC study. We are taking advantage of a “natural experiment,” the expansion of primary care services into a medically underserved area of southern Colorado, to examine the requirements for establishing TM services between a rural primary care clinic and metropolitan based specialists. Results: Technical requirements included establishing network capabilities (512 kbps ISDN, H.320), 2 Mbps IP (H.323 or SIP), wirelss LAN connection, encryption embedded transmissions (H.235 and IEEE 802.1 x authentication); and remote monitoring equipment (exam camera, ENT/otoscope, electronic digital audio stethoscope (frequency: 40 Hz–2000 Hz, response: 45 Hz–1.6 KHz). Legal requirements involved the review of both federal and state statutes governing the use of TM for patient care and geographical/population requirements. Billing and regulatory requirements entail ensuring the use of the correct CPT and modifiers codes for TM and making sure these are operational within the medical record. Establishing criteria to ensure patients are

  8. Performance measures of the specialty referral process: a systematic review of the literature

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    Guevara James P

    2011-07-01

    Full Text Available Abstract Background Performance of specialty referrals is coming under scrutiny, but a lack of identifiable measures impedes measurement efforts. The objective of this study was to systematically review the literature to identify published measures that assess specialty referrals. Methods We performed a systematic review of the literature for measures of specialty referral. Searches were made of MEDLINE and HealthSTAR databases, references of eligible papers, and citations provided by content experts. Measures were eligible if they were published from January 1973 to June 2009, reported on validity and/or reliability of the measure, and were applicable to Organization for Economic Cooperation and Development healthcare systems. We classified measures according to a conceptual framework, which underwent content validation with an expert panel. Results We identified 2,964 potentially eligible papers. After abstract and full-text review, we selected 214 papers containing 244 measures. Most measures were applied in adults (57%, assessed structural elements of the referral process (60%, and collected data via survey (62%. Measures were classified into non-mutually exclusive domains: need for specialty care (N = 14, referral initiation (N = 73, entry into specialty care (N = 53, coordination (N = 60, referral type (N = 3, clinical tasks (N = 19, resource use (N = 13, quality (N = 57, and outcomes (N = 9. Conclusions Published measures are available to assess the specialty referral process, although some domains are limited. Because many of these measures have been not been extensively validated in general populations, assess limited aspects of the referral process, and require new data collection, their applicability and preference in assessment of the specialty referral process is needed.

  9. Gender differences in specialty preference and mismatch with real needs in Japanese medical students

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    Harada Tadanari

    2010-02-01

    Full Text Available Abstract Background The shortage of doctors and maldistribution among specialties are of great concern in the Japanese health care system. This study investigated specialty preference in medical students of one university, and examined gender differences and compared their preference with real needs. Methods We conducted a self-administered questionnaire including specialty preference in all students of one medical university. Preference was assessed by the five-level probability of their future choice: 1 = very low, 2 = low, 3 = moderate, 4 = high, and 5 = very high. The proportion of 4 or 5 was calculated as the preference rate. The real needs (magnitude of doctor shortage in the prefecture were drawn from two different surveys. The relationship between the sex-specific preference rate by specialty and real needs was assessed by Spearman's correlation coefficient. Results Internal medicine showed the highest preference rate, followed by general surgery, pediatrics, and emergency medicine. There was no significant correlation between the preference rates of men and women (r = 0.27, p = 0.34. The preference rates for general surgery, orthopedics, neurosurgery, and emergency medicine were significantly higher in men than in women, while those of obstetrics & gynecology, pediatrics, and dermatology were significantly higher in women. The magnitude of doctor shortage by specialty from two surveys were significantly correlated with the total preference rate and men's preference rate (r = 0.54 to 0.74, but not with women's preference rate (r = 0.06 and 0.32. Conclusions This study elucidated not only gender differences in specialty preference but also the relationship to real needs. Critical gender differences and mismatch with real needs were found in women. In addition to traditional gender roles and insufficient support for women's participation in Japan, gender differences and mismatch influence the current and future maldistribution of

  10. A Psicologia Social como especialidade: paradoxos do mundo Psi Social Psychology as a specialty: paradoxes of the Psychologist's world

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    Heliana de Barros Conde Rodrigues

    2005-04-01

    Full Text Available O artigo problematiza o processo de criação de uma especialidade em Psicologia Social, campo até então considerado imune à constituição dos especialismos tão comuns em nossa área de atuação. Para tanto, recorre a conceitos da Análise Institucional - Efeito Weber, Efeito Lukács, campo de intervenção e campo de análise -, que funcionam como ferramentas na apreciação tanto da história recente da Psicologia Social no Brasil quanto da definição oficial da Psicologia Social como especialidade.The article problematizes the creation process of a specialty in Social Psychology. Unlike other fields of our professional area, Social Psychology was until recent seen as immune to the constitution of speciality. The study is based on the concepts of Institucional Analysis, such as Weber Effect, Lukács Effect, intervention field and analysis field. Such concepts are used as tools in order to appreciate the recent history of the Social Psychology in Brazil and the official definition of Social Psychology as a specialty.

  11. Sales of Forestry-Related Specialty License Plates in the Southern United States: A County Level Empirical Analysis

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    Shaun M. Tanger

    2016-07-01

    Full Text Available In recent years, specialty license plates have become an increasingly popular way to raise awareness and show support for a myriad of issues with which the plate is linked. Several states and various organizations that provide forestry education have developed forestry license plates. Vehicle owners can purchase the plates to show their support towards forestry by buying the forestry license plates, which generates revenue for the provider organization. Using county-level data from five states in the Southeastern United States, a statistical model was developed to examine explanatory factors of forestry-based specialty license plate sales in 2014. Using linear count regression modeling, we observed that the significant predictor variables of plate sales were income per capita, population density, the percentage of acres that are forested in the county, acres of forest in the county that are privately owned, percentage of people who are 65 or older, and presence of the forest industry in the county. Plate sales were positively correlated with the presence of the forest industry in the county.

  12. Medical Specialty Society Sponsored Data Registries – Opportunities in Plastic Surgery

    Science.gov (United States)

    Hume, Keith M.; Crotty, Catherine A.; Simmons, Christopher J.; Neumeister, Michael W.; Chung, Kevin C.

    2014-01-01

    Clinical data registries are commonly used worldwide and are implemented for a variety of purposes ranging from physician or facility clinic logs for tracking patients, collecting outcomes data, to measuring quality improvement or safety of medical devices. In the United States, the Food and Drug Administration has used data collected through registries to facilitate the drug and device regulatory process, ongoing surveillance during the product life-cycle, and for disease appraisals. Furthermore, the Centers for Medicare and Medicaid Services, in certain instances, base registry participation and submitting data to registries as factors for reimbursement decisions. The purpose of this article is to discuss the use of clinical data registries, the role that medical specialty societies, in particular the American Society of Plastic Surgeons and The Plastic Surgery Foundation, can have in the development and management of registries, and the opportunities for registry use in Plastic Surgery. As outcomes data are becoming essential measures of quality healthcare delivery, participating in registry development and centralized data collection has become a critical effort for Plastic Surgery to engage in to proactively participate in the national quality and performance measurement agenda. PMID:23806935

  13. Strategic response by providers to specialty hospitals, ambulatory surgery centers, and retail clinics.

    Science.gov (United States)

    Burns, Lawton R; David, Guy; Helmchen, Lorens A

    2011-04-01

    Radical innovation and disruptive technologies are frequently heralded as a solution to delivering higher quality, lower cost health care. According to the literature on disruption, local hospitals and physicians (incumbent providers) may be unable to competitively respond to such "creative destruction" and alter their business models for a host of reasons, thus threatening their future survival. However, strategic management theory and research suggest that, under certain conditions, incumbent providers may be able to weather the discontinuities posed by the disrupters. This article analyzes 3 disruptive innovations in service delivery: single-specialty hospitals, ambulatory surgical centers, and retail clinics. We first discuss the features of these innovations to assess how disruptive they are. We then draw on the literature on strategic adaptation to suggest how incumbents develop competitive responses to these disruptive innovations that assure their continued survival. These arguments are then evaluated in a field study of several urban markets based on interviews with both incumbents and entrants. The interviews indicate that entrants have failed to disrupt incumbent providers primarily as a result of strategies pursued by the incumbents. The findings cast doubt on the prospects for these disruptive innovations to transform health care.

  14. Performance of the tutorial function in the Professor of Hematology, specialty: Clinical Laboratory.

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    Oriol Meneses Echemendia

    2014-09-01

    Full Text Available In the context of the battle of ideas, arises the career, degree in health technology, imposing new challenges to the medical university context, inserting new actors to the teaching - learning process and with them the professor-tutor's figure. For that reason , an evaluative project was developed in the hematology profile in the specialty of clinical laboratory, with the purpose of elaborating a strategy for the improvement of the teaching tutorial, on the base of systematic-structural-functional model; giving answer to the main detected problems. To carry out the study was used a qualitative focus, selecting the integrated paradigm. It was done an investigation action in the seven municipal university headquarters of the county where the process of teaching-learning of the new pedagogic model is developed in the profile. once selecting the scale of priority of the detected difficulties using the interaction and the interdependence among investigator and investigated, the "methodological strategy for the improvement of the teaching tutorial in hematology of clinical laboratory" was designed to propose three strategic actions, valued positively by the expert ones who endorsed the feasibility and effectiveness of their setting in practice to contribute to the improvement of the teaching tutorial in the formation of health technologies.

  15. Mission X in Japan, an Education Outreach Program Featuring Astronautical Specialties and Knowledge

    Science.gov (United States)

    Niihori, Maki; Yamada, Shin; Matsuo, Tomoaki; Nakao, Reiko; Nakazawa, Takashi; Kamiyama, Yoshito; Takeoka, Hajime; Matsumoto, Akiko; Ohshima, Hiroshi; Mukai, Chiaki

    In the science field, disseminating new information to the public is becoming increasingly important, since it can aid a deeper understanding of scientific significance and increase the number of future scientists. As part of our activities, we at the Japan Aerospace Exploration Agency (JAXA) Space Biomedical Research Office, started work to focus on education outreach featuring space biomedical research. In 2010, we launched the Mission X education program in Japan, named after “Mission X: Train Like an Astronaut” (hereinafter called “Mission X”), mainly led by NASA and European Space Agency (ESA). Mission X is an international public outreach program designed to encourage proper nutrition and exercise and teaching young people to live and eat like astronauts. We adopted Mission X's standpoint, and modified the program based on the originals to suit Japanese culture and the students' grade. Using astronauts as examples, this mission can motivate and educate students to instill and adopt good nutrition and physical fitness as life-long practices.Here we introduce our pilot mission of the “Mission X in Japan” education program, which was held in early 2011. We are continuing the education/public outreach to promote the public understanding of science and contribute to science education through lectures on astronautical specialties and knowledge.

  16. The spatiality of specialty coffee bars and the cognitive-cultural economy in Amsterdam

    Directory of Open Access Journals (Sweden)

    Reza Shaker Ardekani

    2016-12-01

    Full Text Available Economic restructuring has led to the emergence of new socio-economic arrangements in cities based on the cognitive-cultural economy. Furthermore, the arrival of new middle classes in inner-cities has contributed to a renaissance of interest in urban culture and new consumption spaces. Focusing on specialty coffee bars (SCBs, the study explores their spatial patterns and spatial distributions in Amsterdam in order to find the spatial correlations between new urban consumption spaces and their locational economic strategies in terms of the cognitive-cultural opportunities. By employing geographic information system (GIS, the findings suggest a positive spatial correlation between urban areas involved in the cognitive-cultural economy and the concentration of SCBs. Although the argued correlation does not imply causation, it provides distinct insights related to the interconnectedness of new urban consumption spaces and their contextual urban economy. The paper also slightly touches upon some of the capabilities of GIS in the field of urban studies and poses some questions for further investigations.

  17. Investigation of science faculty with education specialties within the largest university system in the United States.

    Science.gov (United States)

    Bush, Seth D; Pelaez, Nancy J; Rudd, James A; Stevens, Michael T; Tanner, Kimberly D; Williams, Kathy S

    2011-01-01

    Efforts to improve science education include university science departments hiring Science Faculty with Education Specialties (SFES), scientists who take on specialized roles in science education within their discipline. Although these positions have existed for decades and may be growing more common, few reports have investigated the SFES approach to improving science education. We present comprehensive data on the SFES in the California State University (CSU) system, the largest university system in the United States. We found that CSU SFES were engaged in three key arenas including K-12 science education, undergraduate science education, and discipline-based science education research. As such, CSU SFES appeared to be well-positioned to have an impact on science education from within science departments. However, there appeared to be a lack of clarity and agreement about the purpose of these SFES positions. In addition, formal training in science education among CSU SFES was limited. Although over 75% of CSU SFES were fulfilled by their teaching, scholarship, and service, our results revealed that almost 40% of CSU SFES were seriously considering leaving their positions. Our data suggest that science departments would likely benefit from explicit discussions about the role of SFES and strategies for supporting their professional activities.

  18. [Celedonio Calatayud-Costa and the birth of the specialty, the Spanish Society of Medical Radiology, and the journal: the beginning of a century of Spanish radiology].

    Science.gov (United States)

    Puyalto de Pablo, P; Sánchez Fernández, J J; García Santos, J M

    2012-01-01

    Dr. Celedonio Calatayud-Costa, an eminent Spanish radiologist, electrical engineer, researcher, and co-founder of the Spanish Society of Electrical Engineering and Medical Radiology, was also the founder of the Spanish Journal of Electrical Engineering and Medical Radiology. The journal, the first journal dedicated specifically to the incipient specialty of electrology, from which radiology would later develop, was the official publication of that primordial Society, and was thus the first antecessor of Radiología, which is today the official journal of the Spanish Society of Medical Radiology. This article analyzes the figure of Dr. Calatayud, based on the scant information available about him, in the centennial of the publication of his journal. Criticized by some and eulogized by others, knowledge about this controversial figure is essential to any understanding of the beginnings of the specialty and its scientific publication in Spain.

  19. Construction of Teaching Skill Evaluation System for Physics Specialty Normal Major Students%流化床干燥特性曲线研究

    Institute of Scientific and Technical Information of China (English)

    尹卫东

    2015-01-01

    Teachers ’ professionalization requires normal major student must grasp practiced teaching skill . Based on the requirements of teaching skill of the physics major students , this paper constructs a teaching skill e-valuation system for the physics specialty normal major student , using analytic hierarchy process method .It pro-vides the basis for the quantitative evaluation of the teaching skill of the physics specialty normal student .%利用流化床技术对硅胶进行干燥,研究气流速度、气流温度等因素对硅胶干燥特性的影响。通过获得的恒定干燥条件下的干燥曲线、干燥速率曲线,研究气流温度、气流速度对干燥速率的影响。

  20. Proceedings of the 2009 annual general conference and associated specialty conferences of the Canadian Society for Civil Engineering : on the leading edge[Includes the CSCE forum on professional practice and career development : 1. international engineering mechanics and materials specialty conference : 1. international/3. coastal, estuarine and offshore engineering specialty conference : 2. international/8. construction specialty conference

    Energy Technology Data Exchange (ETDEWEB)

    Lye, L.; Burrell, B.; Snow, M.; Hussein, A.; Thomas, M.; Isgor, B.; Elliott, C.; Christian, J.; Rankin, J. [Canadian Society for Civil Engineering, Montreal, PQ (Canada)] (eds.)

    2009-07-01

    This 2009 international conference of the Canadian Society for Civil Engineering (CSCE) focused on the findings of the latest research and the emergence of the civil engineering profession. It was held in conjunction with the following specialty conferences: the first international and first engineering mechanics and materials (IEMM)specialty conference; the first international and third international hydrotechnical coastal estuarine and offshore engineering specialty conference (IHSC); the second international and eighth construction specialty (ICS) conference; and the forum on professional practice and career development (FPD). The conference and associated specialty conferences provided a forum to discuss recent developments in all areas of civil engineering. Delegates from industrial, research, and academic institutions presented innovative technologies in the different areas of civil engineering and identified future directions for sustainable development. The presentations addressed a broad range of issues, such as the need for sustainable infrastructure while improving the safety of roads, dams, water supply and sewage treatment systems. Technical sessions addressed infrastructure management issues, risk assessment, hydrotechnical engineering and transportation engineering. The conference featured 182 presentations, of which 19 have been catalogued separately for inclusion in this database. refs., tabs., figs.

  1. Personality as a prognostic factor for specialty choice: a prospective study of 4 medical school classes.

    Science.gov (United States)

    Markert, Ronald J; Rodenhauser, Paul; El-Baghdadi, Mariam M; Juskaite, Kornelija; Hillel, Alexander T; Maron, Bradley A

    2008-02-27

    To augment the availability of medical care for a population that is older and more ethnically diverse, the number of US medical schools is increasing and existing medical schools are enlarging their class sizes. Predictors of specialty choice, especially primary care careers, are helpful to medical school officials and faculty involved in medical school recruitment and counseling and to students planning their career paths. The objective was to examine the association between personality characteristics and specialty choice. The Neuroticism-Extraversion-Openness Personality Inventory Revised (NEO PI-R) was administered to 4 Tulane University School of Medicine (New Orleans, Louisiana) classes (2003-2006). The NEO PI-R is a measure of 5 personality characteristics (neuroticism, extraversion, openness, agreeableness, and conscientiousness), with each domain having 6 underlying facets. The specialty choice of graduates was obtained from the National Residency Matching Program. Starting in 1999, 595 students matriculated and by June 2006, 542 (91%) had matched to residency programs in 22 specialties. There were differences among specialties for neuroticism (P = .006), openness (P personality characteristics on their path to making career choices.

  2. Certificate-of-Need regulation in outpatient surgery and specialty care: implications for plastic surgeons.

    Science.gov (United States)

    Pacella, Salvatore J; Comstock, Matthew; Kuzon, William M

    2005-09-15

    For plastic surgeons, independent development of outpatient surgical centers and specialty facilities is becoming increasingly common. These facilities serve as important avenues not only for increasing access and efficiency but in maintaining a sustainable, competitive specialty advantage. Certificate of Need regulation represents a major hurdle to plastic surgeons who attempt to create autonomy in this fashion. At the state level, Certificate of Need programs were initially established in an effort to reduce health care costs by preventing unnecessary capital outlays for facility expansion (i.e., managing supply of health care resources) in addition to assisting with patient safety and access to care. The purpose of this study was to examine the effect of Certificate of Need regulations on health care costs, patient safety, and access to care and to discuss specific implications of these regulations for plastic surgeons. Within Certificate of Need states, these regulations have done little, if anything, to control health care costs or affect patient safety. Presently, Certificate of Need effects coupled with recent provisions in the Medicare Modernization Act banning development of specialty hospitals may restrict patient access to ambulatory surgical and specialty care. For the plastic surgeon, these effects not only act as an economic barrier to entry but can threaten the efficiencies gained from providing surgical care in an ambulatory setting. An appreciation of these effects is critical to maintaining specialty autonomy and access to fiscal policy.

  3. Choosing a career in paediatrics: do trainees' views change over the first year of specialty training?

    Science.gov (United States)

    Goodyear, Helen M; Lakshminarayana, Indumathy; Wall, David; Bindal, Taruna

    2014-09-01

    To look at why a regional cohort of UK doctors chose a paediatric career and to ascertain views on their career near the end of training year one. A 20-item questionnaire was sent to all new regional paediatric specialty trainees. Three focus groups were held with trainees near the end of year one to elicit key themes. West Midlands Deanery, UK. Twenty-nine new regional paediatric specialty trainees in year one completed the questionnaire. A total of 15 trainees participated in the focus groups near the end of year one training. Reasons for choosing a paediatric career and factors which further influence career choice for trainees during their first specialty training year. Key influencing factors for choosing paediatrics were enjoying working with children and positive undergraduate experience of the specialty. All trainees had paediatrics as their first choice specialty and undertook a paediatric Foundation post. Near the end of year one, doubts were cast on career aspirations due to seeing middle grade colleagues struggling with work-life balance and a growing feeling that family came first. Senior trainees need to be aware that they act as powerful role models for their more junior colleagues and therefore have an influential role on how juniors perceive a paediatric career. Family friendly flexible working patterns in paediatrics are vital to retain junior trainees. All paediatric staff are role models and need to be enthusiastic, keen to teach and to promote a positive working environment.

  4. A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties.

    Science.gov (United States)

    Park, Chanmin; Lee, Yeon Jung; Hong, Minha; Jung, Chul-Ho; Synn, Yeni; Kwack, Young-Sook; Ryu, Jae-Sung; Park, Tae Won; Lee, Seong Ae; Bahn, Geon Ho

    2016-04-01

    We assessed empathy in medical residents, including factors modifying empathy and the relationship between empathy and burnout. Participants (n = 317 residents, response rate = 42%) from 4 university hospitals completed a socio-demographic questionnaire, the Jefferson Scale of Empathy (Health Professional version, Korean edition), and the Maslach Burnout Inventory (MBI). Participants were classified by medical specialty: "people-oriented specialty" (POS group) or "technology-oriented specialty" (TOS group), with more women in the POS than in the TOS group, χ(2) = 14.12, P < 0.001. Being female, married, and having children were factors related to higher empathy (gender, t = -2.129, P = 0.034; marriage, t = -2.078, P = 0.038; children, t = 2.86, P = 0.005). Within specialty group, POS residents showed higher empathy scores in the fourth as compared to the first year, F = 3.166, P = 0.026. Comparing POS and TOS groups by year, fourth year POS residents had significantly higher scores than did fourth year TOS residents, t = 3.349, P = 0.002. There were negative correlations between empathy scores and 2 MBI subscales, emotional exhaustion (EE) and depersonalization (DP). Additionally, first year POS residents had higher DP scores than did first year TOS residents, t = 2.183, P = 0.031. We suggest that factors important for empathy are type of medical specialty, marriage, siblings, and children. Burnout state may be related to decreasing empathy.

  5. Much ado about nothing? The financial impact of physician-owned specialty hospitals.

    Science.gov (United States)

    Chakravarty, Sujoy

    2016-06-01

    The U.S. hospital industry has recently witnessed a number of policy changes aimed at aligning hospital payments to costs and these can be traced to significant concerns regarding selection of profitable patients and procedures by physician-owned specialty hospitals. The policy responses to specialty hospitals have alternated between payment system reforms and outright moratoriums on hospital operations including one in the recently enacted Affordable Care Act. A key issue is whether physician-owned specialty hospitals pose financial strain on the larger group of general hospitals through cream-skimming of profitable patients, yet there is no study that conducts a systematic analysis relating such selection behavior by physician-owners to financial impacts within hospital markets. The current paper takes into account heterogeneity in specialty hospital behavior and finds some evidence of their adverse impact on profit margins of competitor hospitals, especially for-profit hospitals. There is also some evidence of hospital consolidation in response to competitive pressures by specialty hospitals. Overall, these findings underline the importance of the payment reforms aimed at correcting distortions in the reimbursement system that generate incentives for risk-selection among providers groups. The identification techniques will also inform empirical analysis on future data testing the efficacy of these payment reforms.

  6. COGNITIVE STYLES OF STUDENTS, STUDYING DOUBLE SPECIALTIES WITH DIFFERENT SUCCESS LEVEL

    Directory of Open Access Journals (Sweden)

    N. V. Zhbankova

    2014-09-01

    Full Text Available The article analyses the problem of psychological determination of the successful double specialty education in higher institution. The question of peculiarities of cognitive styles affecting mastering of subjects of a certain specialty and two specialties simultaneously is posed. On the basis of the analysis of the history of cognitive style studies two approaches to understanding their nature are distinguished: as constant and not interconnected peculiarities of cognitive activity and as adaptive cognitive strategies formed by an individual to solve different problems. We introduce some research data of cognitive styles of students with different degree of success in mastering a double specialty History and English Philology: successful in learning the foreign language, successful in learning History and weak and successful in subjects of both specialties. A set of methods identifying the following parameters of cognitive styles was used in the study: “fielddependency – fieldindependency”, “analyticity – syntheticity”, “impulsiveness – reflexivity”, “intellectual lability” and “leading representative systems”. It was brought to light that groups of respondents possess significant differences in every parameter of the cognitive styles. On the basis of analytical interpretation of the research data the conclusion is drawn that a cognitive style can be both specialized and quite flexible, adaptive, which depends on the range of modalities used for perception and digestion of information (what modalities are used, in what quantity and combination.

  7. 浅谈高职院校旅游专业学生素质的培养%On Cultivating Students' Quality of Tourism Specialty in Higher Vocational Colleges

    Institute of Scientific and Technical Information of China (English)

    谭彬

    2014-01-01

    The development of the tourism industry requires that there are relevant talents to keep abreast of its development. Only the tourism specialty students have high quality, can they adapt to the future work. Based on the elaboration of the present situation of students' quality of tourism specialty in vocational colleges, this paper analyses the significance and countermeasures of improving professional quality of tourism specialty students.%旅游业的发展必须要有其适应的人才来保证,而旅游专业培养的学生必须要有很高的素质才能适应今后工作。本文在阐述高职院校旅游专业学生素质现状的基础上,分析提高旅游专业学生素质培养的意义和对策。

  8. The relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic odonto-stomatology from 2005 to 2012.

    Science.gov (United States)

    Shamim, Thorakkal

    2015-01-01

    There is a paucity of information about the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology. This study aimed to find the relationship of forensic odontology with various dental specialties in the articles published in the Journal of Forensic Odonto-Stomatology from 2005 to 2012 over an 8-year period. Bibliometric analysis was performed using web-based search during December 2013. Out of the total 97 published articles, the maximum number of published articles were related to oral medicine and radiology (20) and community dentistry (20), followed by orthodontics (18), prosthodontics (15), and oral pathology and microbiology (8), pedodontics (7), oral and maxillofacial surgery (4) and conservative dentistry and endodontics (3). Among the articles published in Journal of Forensic Odonto-Stomatology, mass disasters (10) and bite mark analysis (10), followed by sexual dimorphism (8) and dental fraud and malpractice (8), followed by craniofacial superimposition (6) and identification (6) form the major attraction of the contributors. This paper has tried to evaluate the new working classification proposed for forensic odontology based on its relationship with other dental specialties.

  9. The Dynamics of Triads in Aggregated Journal-Journal Citation Relations: Specialty Developments at the Above-Journal Level

    OpenAIRE

    2015-01-01

    Dyads of journals related by citations can agglomerate into specialties through the mechanism of triadic closure. Using the Journal Citation Reports 2011, 2012, and 2013, we analyze triad formation as indicators of integration (specialty growth) and disintegration (restructuring). The strongest integration is found among the large journals that report on studies in different scientific specialties, such as PLoS ONE, Nature Communications, Nature, and Science. This tendency towards large-scale...

  10. PTV VISSIM SIMULATION SOFTWARE USE FOR PROFESSIONALS IN «TRANSPORT TECHNOLOGIES» AND «AUTOMOBILE TRANSPORT» SPECIALTIES TRAINING

    Directory of Open Access Journals (Sweden)

    Volodymyr O. Sistuk

    2016-05-01

    Full Text Available The prospect of training quality improving of bachelors and masters in «Automobile transport» and «Transport technologies» specialties was considered, basing on the use of simulation software in the educational process. A review of the software products market was prepared, with the result of the component PTV VISSIM pre-selection. The simulation model of a real crossroad was developed to demonstrate its capabilities. Based on the analysis of application functions aptness to the city transport network complex objects simulation requirements, the expediency of the solution use during vocational certificate credit courses of students of Transport Faculty of Kryvyi Rih National University was grounded.

  11. Lessons learned in pilot testing specialty consultations to benefit individuals with lower limb loss.

    Science.gov (United States)

    Elnitsky, Christine; Latlief, Gail; Gavin-Dreschnack, Deborah; Harris, Melanie; Campbell, Robert

    2012-01-01

    Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program. Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  12. Implementation of a novel occupational and environmental medicine specialty teleconsultation service: the VHA experience.

    Science.gov (United States)

    Eaton, Jennifer L; Mohr, David C; Mohammad, Amir; Kirkhorn, Steven; Gerstel-Santucci, Christina; McPhaul, Kathleen; Hodgson, Michael J

    2015-02-01

    Occupational and environmental medicine (OEM) physician specialty practices continue to grow in scope and intensity across the Veterans Health Administration. This study characterizes the implementation of a novel, nationwide telemedicine program that provides OEM specialty consultation to providers across the Veterans Health Administration. We examined provider requests and specialist responses for a 6-month pilot from May to October 2013. Characteristics of consult users, determinants of case complexity, and specific applications of OEM specialty expertise were identified. Over a 6-month period, employee occupational health providers consulted the OEM telemedicine pilot a total of 65 times. Employee occupational health providers without formal training repeatedly identified complex cases related to work and disability. The program has created a new system management solution to deliver expert, in-depth consultation and real-time provider education in OEM.

  13. Lessons Learned in Pilot Testing Specialty Consultations to Benefit Individuals with Lower Limb Loss

    Directory of Open Access Journals (Sweden)

    Christine Elnitsky

    2012-12-01

    Full Text Available Telerehabilitation technologies enable the delivery of rehabilitation services from providers to people with disabilities as well as specialty care consultations. This article discusses the barriers experienced when planning and pilot testing a telerehabilitation multi-site specialty consultation for specialists in their medical centers, and the lessons learned. The barriers included integration and participation, coordination across organizational units, and privacy and information security. Lessons learned included the need for collaboration across multiple departments, telerehabilitation equipment back-ups, and anonymous and private communication protocols. Despite delays resulting from coordination at multiple levels of a national organization, we developed a program plan and successfully implemented a pilot test of the southeast region program.  Specialty consultation using telerehabilitation delivery methods requires identifying provider preferences for technological features. Lessons learned could inform development of outpatient telerehabilitation for patients with amputations and studies of patients and providers involved in telerehabilitation.

  14. Distance to Veterans Administration Medical Centers as a Barrier to Specialty Care for Homeless Women Veterans.

    Science.gov (United States)

    Gawron, Lori M; Pettey, Warren B P; Redd, Andrew M; Suo, Ying; Gundlapalli, Adi V

    2017-01-01

    Homeless women Veterans have a high prevalence of chronic mental and physical conditions that necessitate frequent healthcare visits, but travel burdens to specialty services may be overwhelming to navigate for this population, especially for those in rural settings. Access to specialty care is a key priority in the Veterans Health Administration (VHA) and understanding the geographic distribution and rural designation of this population in relation to medical centers (VAMC) can assist in care coordination. We identified 41,747 women Veterans age 18-44y with administrative evidence of homelessness in the VHA anytime during 2002-2015. We found 7% live in rural settings and 29% live >40miles from a VAMC. The mean travel distance for homeless women Veterans with a rural designation to a VAMC specialty center was 107 miles. Developing interventions to overcome this travel burden and engage vulnerable Veterans in necessary care can improve overall health outcomes for this high-risk population.

  15. Specialty distribution of physician assistants and nurse practitioners in North Carolina.

    Science.gov (United States)

    Fraher, Erin P; Morgan, Perri; Johnson, Anna

    2016-04-01

    Physician workforce projections often include scenarios that forecast physician shortages under different assumptions about the deployment of physician assistants (PAs) and nurse practitioners (NPs). These scenarios generally assume that PAs and NPs are an interchangeable resource and that their specialty distributions do not change over time. This study investigated changes in PA and NP specialty distribution in North Carolina between 1997 and 2013. The data show that over the study period, PAs and NPs practiced in a wide range of specialties, but each profession had a specific pattern. The proportion of PAs-but not NPs-reporting practice in primary care dropped significantly. PAs were more likely than NPs to report practice in urgent care, emergency medicine, and surgical subspecialties. Physician workforce models need to account for the different and changing specialization trends of NPs and PAs.

  16. Developing a new specialty – sport and exercise medicine in the UK

    Directory of Open Access Journals (Sweden)

    Michael Cullen

    2010-03-01

    Full Text Available Michael CullenDepartment of Sport and Exercise Medicine, Musgrave Park Hospital, Belfast, UKAbstract: Sports physicians have existed since ancient times. However as a recognised specialty, sports medicine is a relatively new discipline and even today very few countries have formal postgraduate training programmes which allow doctors to pursue a career in this discipline. This paper outlines the development of sport and exercise medicine in the United Kingdom, describing the journey leading to specialty recognition in 2005 and the progress being made towards establishing it as an integral component of the National Health Service in the 21st century.Keywords: sport and exercise medicine, specialty development, curriculum and training programmes

  17. 特用玉米种子的可持续生产%Sustainable seed production for specialty Corns

    Institute of Scientific and Technical Information of China (English)

    顾明

    2004-01-01

    Corn is one of major cereal grains grown in the world, exceeded only by rice and wheat in terms of quantity produced. In the past decades we have witnessed important development in corn production and its role both in human and animal nutrition. In China, corn is produced on 2.3 million hectares annually and plays an important role in the economy of the country. Most of the corn produced in China is marketed as commodity corn, which is fed to livestock largely except for human consumption; only little corn production is marketed as specialty corns. Greater emphasis is being given to the development of new processes and new products to enhance the value of corn. Specialty corn production is one way of these programs. The potential to enhance use of corn for specialty purposes based on existing uses, and develop new products to meet the needs of future generations. It is believed that the acreage for specialty corns grown will be increased with the improvement of people's living standard. As a result, the amount of their seeds required will increase consequently. Sustainable seed production of specialty corns is obviously very important and urgent because these programs have unique characteristics that require careful handling and monitoring during their development for specific needs.%玉米是主要粮食作物之一.在世界范围内,玉米的产量仅次于水稻、小麦而居第三位.玉米生产在过去的几十年里发展很快,对人们的生活和畜牧业的发展起着举足轻重的作用.在我国,玉米常年播种面积稳定在230万hm2左右,除了作为人们食用外,其大部分产品作为动物饲料.玉米栽培的类型绝大部分为马齿型和部分硬粒型品种,只有极少数为特用玉米.为提高玉米的价值,各国进行了种种努力,特用玉米生产就是其中一种途径.玉米潜在的特殊用途可基于现有的产品和开发新的产品相结合,以满足不断增长人口的需要.可以相信,随着经济的

  18. 高校外语类专业实践教学模式探索%Research on the Practice Teaching Mode of Foreign Language Specialty in Colleges and Universities

    Institute of Scientific and Technical Information of China (English)

    赵晶

    2012-01-01

    The function of practice teaching in foreign language specialty is more important than before.Based on the three parts in practice teaching of foreign language specialty,and aiming at the shortage of current experimental curriculum systems of foreign language specialty,the conformity in experimental curricula of foreign language specialty is being discussed.The experimental curricula of foreign language specialty can be separated into three types,that is,the type of integration,design and originality.On that basis,different types of experimental curriculum modes are being discussed,including the autonomous teaching mode and the interaction teaching mode,in order to provide useful reference of practice teaching mode for foreign language specialty.%外语类专业实践教学的地位和作用日益突出。从外语类专业实践教学的三大环节出发,针对当前外语类专业实验课程体系的不足,讨论了外语类实验课程的整合,并将实验课程分为综合型、设计型和创新型三种类型。并且探讨了不同类型的实践教学模式,包括自主学习模式和互动式实践教学模式,以期为外语类专业的实践教学模式改革提供借鉴。

  19. Irrigation Trials for ET Estimation and Water Management in California Specialty Crops

    Science.gov (United States)

    Johnson, L.; Cahn, M.; Martin, F.; Lund, C.; Melton, F. S.

    2012-12-01

    Accurate estimation of crop evapotranspiration (ETc) can support efficient irrigation water management, which in turn brings benefits including surface water conservation, mitigation of groundwater depletion/degradation, energy savings, and crop quality assurance. Past research in California has revealed strong relationships between canopy fractional cover (Fc) and ETc of certain specialty crops, while additional research has shown the potential of monitoring Fc by satellite remote sensing. California's Central Coast is the leading region of cool season vegetable production in the U.S. Monterey County alone produces more than 80,000 ha of lettuce and broccoli (about half of U.S. production), valued at $1.5 billion in 2009. Under this study, we are conducting ongoing irrigation trials on these crops at the USDA Agricultural Research Station (Salinas) to compare irrigation scheduling via plant-based ETc approaches, by way of Fc, with current industry standard-practice. The following two monitoring approaches are being evaluated - 1) a remote sensing model employed by NASA's prototype Satellite Irrigation Management System, and 2) an online irrigation scheduling tool, CropManage, recently developed by U.C. Cooperative Extension. Both approaches utilize daily grass-reference ETo data as provided by the California Irrigation Management Irrigation System (CIMIS). A sensor network is deployed to monitor applied irrigation, volumetric soil water content, soil water potential, deep drainage, and standard meteorologic variables in order to derive ETc by a water balance approach. Evaluations of crop yield and crop quality are performed by the research team and by commercial growers. Initial results to-date indicate that applied water reductions based on Fc measurements are possible with little-to-no impact on yield of crisphead lettuce (Lactuca sativa). Additional results for both lettuce and broccoli trials, conducted during summer-fall 2012, are presented with respect to

  20. Study on the Talents Training Mode of Human Resource Management Specialty in Higher Vocational Colleges Based on School-enterprise Coordination Innovation--Taking Guangdong Vocational Institute of Public Administration as an Example%基于校企协同创新的高职人力资源管理专业人才培养模式研究--以广东行政职业学院为例

    Institute of Scientific and Technical Information of China (English)

    钟莉

    2014-01-01

    The school-enterprise coordination innovation is the important way for innovating talents training mode of higher voca⁃tional colleges. There are many problems existed in the talents training mode of human resource management specialty in higher vo⁃cational colleges:the lack of effective coordination in the talents training plan formulation and occupation post demand;the lack of effective coordination in the training base construction and enterprise practice;the lack of effective coordination in theory and prac⁃tice due to lack of double qualified teachers;and yet not building safeguard mechanism of the school-enterprise coordination innova⁃tion, etc. We need to optimize curriculum setting, innovate talents training practice teaching mode, construct specialized and diversi⁃fied practice system, construct teaching staff with double qualified teachers and establish security mechanisms of the school-enter⁃prise coordination innovation to comprehensively and systematically guarantee the smooth implementation of professional talents training of human resource management in higher vocational colleges.%校企协同创新是高职院校创新人才培养模式的重要途径。高职人力资源管理专业在人才培养过程中存在:人才培养方案制订与职业岗位需求缺乏有效协同;实训基地建设滞后,与企业实践缺乏有效协同;“双师”型教师缺乏,理论与实践缺乏有效协同;尚未构建校企协同创新保障机制等问题。通过优化课程设置、创新人才培养实践教学模式、构建专业化和多元化的实训体系、建立“双师型”教师队伍及构建协同创新的机制等,全面系统化地保障高职人力资源管理专业人才培养的顺利实施。

  1. Formation and stability analysis of parabolic pulses through specialty microstructured optical fibers at 2.1 μm

    Science.gov (United States)

    Biswas, P.; Adhikary, P.; Biswas, A.; Ghosh, S. N.

    2016-10-01

    We report a numerical study on formation and stability of parabolic pulses during their propagation through highly nonlinear specialty optical fibers. Here, we have formed a parabolic pulse at wavelength of 2.1 μm from a Gaussian input pulse with 1.9 ps FWHM and 75 W peak power after traveling through only 20 cm length from the input end of a 1 m long chalcogenide glass based microstructured optical fiber (MOF). Dependence on input pulse shapes towards most efficient conversion into self-similar states is reported. The stability in terms of any deviation from dissipative self-similar nature of such pulses has been analyzed by introducing a variable longitudinal loss profile within the spectral loss window of the MOF, and detailed pulse shapes are captured. Moreover, three different dispersion regimes of propagation have been considered to study the suitability to support most stable propagation of the pulse.

  2. The dynamics of triads in aggregated journal-journal citation relations: specialty developments at the above-journal level

    NARCIS (Netherlands)

    de Nooy, W.; Leydesdorff, L.

    2015-01-01

    Dyads of journals—related by citations—can agglomerate into specialties through the mechanism of triadic closure. Using the Journal Citation Reports 2011, 2012, and 2013, we analyze triad formation as indicators of integration (specialty growth) and disintegration (restructuring). The strongest inte

  3. 78 FR 34091 - Wausau Paper Mills, LLC; Specialty Papers Acquisition, LLC; Notice of Application for Transfer of...

    Science.gov (United States)

    2013-06-06

    ... Energy Regulatory Commission Wausau Paper Mills, LLC; Specialty Papers Acquisition, LLC; Notice of..., Wausau Paper Mills, LLC (transferor) and Specialty Papers Acquisition, LLC (transferee) filed an... the end of your comments. If unable to be filed electronically, documents may be paper-filed. To paper...

  4. 76 FR 50285 - Fiscal Year 2012 Tariff-Rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar...

    Science.gov (United States)

    2011-08-12

    ... TRADE REPRESENTATIVE Fiscal Year 2012 Tariff-Rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar and Sugar-Containing Products AGENCY: Office of the United States Trade Representative... quotas for imported raw cane sugar, refined and specialty sugar and sugar-containing products. DATES...

  5. 77 FR 57180 - Fiscal Year 2013 Tariff-rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar...

    Science.gov (United States)

    2012-09-17

    ... REPRESENTATIVE Fiscal Year 2013 Tariff-rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar, and Sugar-Containing Products AGENCY: Office of the United States Trade Representative. ACTION: Notice... raw cane sugar, refined and specialty sugar, and sugar-containing products. DATES: Effective Date...

  6. 75 FR 50796 - Fiscal Year 2011 Tariff-Rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar...

    Science.gov (United States)

    2010-08-17

    ... TRADE REPRESENTATIVE Fiscal Year 2011 Tariff-Rate Quota Allocations for Raw Cane Sugar, Refined and Specialty Sugar, and Sugar-Containing Products AGENCY: Office of the United States Trade Representative... quotas for imported raw cane sugar, refined and specialty sugar, and sugar-containing products. DATES...

  7. The dynamics of triads in aggregated journal-journal citation relations: specialty developments at the above-journal level

    NARCIS (Netherlands)

    de Nooy, W.; Leydesdorff, L.

    2015-01-01

    Dyads of journals—related by citations—can agglomerate into specialties through the mechanism of triadic closure. Using the Journal Citation Reports 2011, 2012, and 2013, we analyze triad formation as indicators of integration (specialty growth) and disintegration (restructuring). The strongest inte

  8. 75 FR 879 - National Starch and Chemical Company Specialty Starches Division Including On-Site Leased Workers...

    Science.gov (United States)

    2010-01-06

    ... Employment and Training Administration National Starch and Chemical Company Specialty Starches Division..., applicable to workers of National Starch and Chemical Company, Specialty Starches Division, Island Falls.... The workers were engaged in the production of drum dried and modified food starches. New...

  9. The Evolution of Specialties in the CACREP Standards: CACREP's Role in Unifying the Profession

    Science.gov (United States)

    Bobby, Carol L.

    2013-01-01

    This article explores the evolution of the Council for Accreditation of Counseling and Related Educational Programs' (CACREP's) accreditation of program area specialties and how CACREP's decision to accredit specialties as separate programs has affected the counseling profession's ability to view itself as a single profession.…

  10. 78 FR 28633 - Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant, Specialty Manufacturing...

    Science.gov (United States)

    2013-05-15

    ... Employment and Training Administration Georgia Pacific LLC, Also Doing Business as Duluth Hardboard Plant..., applicable to workers of Georgia Pacific, LLC, also doing business as Duluth Hardboard Plant, Specialty...-W-82,035 is hereby issued as follows: All workers of Georgia Pacific, LLC, also doing business...

  11. Medical Imaging Field of Magnetic Resonance Imaging: Identification of Specialties within the Field

    Science.gov (United States)

    Grey, Michael L.

    2009-01-01

    This study was conducted to determine if specialty areas are emerging in the magnetic resonance imaging (MRI) profession due to advancements made in the medical sciences, imaging technology, and clinical applications used in MRI that would require new developments in education/training programs and national registry examinations. In this…

  12. 48 CFR 252.225-7009 - Restriction on Acquisition of Certain Articles Containing Specialty Metals.

    Science.gov (United States)

    2010-10-01

    ... particles in circuits, using interconnections of electrical devices such as resistors, inductors, capacitors... of the following elements: Aluminum, chromium, cobalt, molybdenum, nickel, niobium (columbium...., a special reinforced handle made of specialty metal is added to a COTS item). (C) If two or...

  13. Influence of growth regulators on plant growth, yield, and skin color of specialty potatoes

    Science.gov (United States)

    2,4-D has been used since the 1950’s to enhance color in red-skinned potatoes, but there is little research on the potential use of other plant growth regulators to improve tuber skin color in the wide range of specialty potatoes now available on the market. Field trials conducted at Parma, ID in 20...

  14. Purple Pelisse: A specialty fingerling potato with purple skin and flesh and medium specific gravity

    Science.gov (United States)

    Purple Pelisse is a specialty fingerling potato with purple skin and dark purple flesh. It has medium maturity and sets a large number of smooth, small, fingerling-shaped tubers. The tubers have medium specific gravity and high levels of antioxidants. This potato variety is mainly intended for the f...

  15. Personality Patterns of Physicians in Person-Oriented and Technique-Oriented Specialties

    Science.gov (United States)

    Borges, Nicole J.; Gibson, Denise D.

    2005-01-01

    This study investigated differences in personality patterns between person-oriented and technique-oriented physicians. It tested an integrative framework by converting the scores on the Personality Research Form (PRF) to the Big-Five factors and built a predictive model of group membership in clinical specialty area. PRF scores from 238 physicians…

  16. Factors influencing the choice of anaesthesia as a field of specialty ...

    African Journals Online (AJOL)

    been found to influence the choice of specialty in the medical education. ... factors associated with medical school curricula among others.1. Trends in ... which in turn affects the training of surgeons. .... their senior and junior clerkship, making a total of 24 weeks at ... during clinical clerkship influences career decision among.

  17. 77 FR 13326 - Carpenter Technology Corporation and Latrobe Specialty Metals, Inc.; Analysis of Proposed...

    Science.gov (United States)

    2012-03-06

    ... Carpenter Technology Corporation and Latrobe Specialty Metals, Inc.; Analysis of Proposed Agreement... section below. Write ``Carpenter Latrobe, File No. 111 0207'' on your comment, and file your comment... receive it on or before March 29, 2012. Write ``Carpenter Latrobe, File No. 111 0207'' on your...

  18. 9 CFR 381.167 - Other poultry dishes and specialty items.

    Science.gov (United States)

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Other poultry dishes and specialty..., DEPARTMENT OF AGRICULTURE AGENCY ORGANIZATION AND TERMINOLOGY; MANDATORY MEAT AND POULTRY PRODUCTS INSPECTION AND VOLUNTARY INSPECTION AND CERTIFICATION POULTRY PRODUCTS INSPECTION REGULATIONS Definitions...

  19. 76 FR 312 - Notice of Funds Availability (NOFA) Inviting Applications for the Specialty Crop Block Grant...

    Science.gov (United States)

    2011-01-04

    ...) cash receipt data for the 50 States and the Commonwealth of Puerto Rico, 2007 Census of Agriculture cash receipts for Guam, the U.S. Virgin Islands, and the Commonwealth of the Northern Mariana Islands, and 2002 Census of Agriculture cash receipts for American Samoa) specialty crop production data in...

  20. 77 FR 6531 - Notice of Funds Availability (NOFA) Inviting Applications for the Specialty Crop Block Grant...

    Science.gov (United States)

    2012-02-08

    ... production using the latest available (2010 National Agricultural Statistics Service (NASS) cash receipt data for the 50 States and the Commonwealth of Puerto Rico, 2007 Census of Agriculture cash receipts for... Agriculture cash receipts for American Samoa) specialty crop production data in all states whose...

  1. The relation between specialty choice of psychology students and their interests, personality, and cognitive abilities

    NARCIS (Netherlands)

    Wicherts, J.M.; Vorst, H.C.M.

    2010-01-01

    The aim of this longitudinal study was to investigate differences in interests, personality, and cognitive abilities between students majoring in the six specialties of psychology at the University of Amsterdam. Results show that students at Social Psychology and Work and Organizational Psychology

  2. Medical Imaging Field of Magnetic Resonance Imaging: Identification of Specialties within the Field

    Science.gov (United States)

    Grey, Michael L.

    2009-01-01

    This study was conducted to determine if specialty areas are emerging in the magnetic resonance imaging (MRI) profession due to advancements made in the medical sciences, imaging technology, and clinical applications used in MRI that would require new developments in education/training programs and national registry examinations. In this…

  3. Factors Affecting the Choice of Anesthesiology by Medical Students for Specialty Training.

    Science.gov (United States)

    Chandra, Phool; Hughes, Mark

    1984-01-01

    A study of medical students' choice of anesthesiology as a specialty and the quality of clerkships available established several factors in students' choice, including the negative effect of certified registered nurse anesthetists on the operating room floor. A study of relationships with nurse practitioners, physician's assistants, and…

  4. Magnitude of the residue analyses in specialty crops from experimental applications of triazole fungicides.

    Science.gov (United States)

    The IR-4 Project conducts the research required for the registration of pest control products on specialty crops such as fruits, vegetables, herbs, and others. The Tifton IR-4 Analytical Laboratory is one of the program’s five regional laboratories that conduct magnitude of the residue analyses on ...

  5. The effects of camera lenses and dental specialties on the perception of smile esthetics

    Science.gov (United States)

    Sajjadi, Seyed Hadi; Khosravanifard, Behnam; Esmaeilpour, Mozhgan; Rakhshan, Vahid; Moazzami, Fatemeh

    2015-01-01

    Background and Aim: The purpose of this study was to investigate whether different camera lenses and dental specialties can affect the perception of smile esthetics. Methods: In the first phase of this study, 40 female smile photographs (taken from dental students) were evaluated by six orthodontists, three specialists in restorative dentistry, and three prosthodontists to select the most beautiful smiles. The 20 students with the best smile ranks were again photographed in standard conditions, but this time with two different lenses: Regular and then macro lenses. Each referee evaluated the beauty of the smiles on a visual analog scale. The referees were blinded of the type of lenses, and the images were all coded. The data were analyzed using two-way analysis of variance (ANOVA), Kruskal–Wallis and Mann–Whitney U-tests (alpha = 0.05, alpha = 0.0167). Results: The lenses led to similar scores of beauty perception (Mann–Whitney P = 0.8). There was no difference between subjective beauty perception of specialties (Kruskal–Wallis P = 0.6). Two-way ANOVA indicated no significant role for lenses (P = 0.1750), specialties (P = 0.7677), or their interaction (P = 0.7852). Conclusion: The photographs taken by a regular lens and then digitally magnified can be as appealing as close-up photographs taken by a macro lens. Experts in different specialties (orthodontics, prosthodontics, and restorative dentistry) showed similar subjective judgments of smile beauty. PMID:26952147

  6. Peer nominations as related to academic attainment, empathy, personality, and specialty interest.

    Science.gov (United States)

    Pohl, Charles A; Hojat, Mohammadreza; Arnold, Louise

    2011-06-01

    To test the hypotheses that peer nomination is associated with measures of (1) academic performance, (2) empathy, (3) personality, and (4) specialty interest. In 2007-2008, 255 third-year medical students at Jefferson Medical College were asked to nominate classmates they considered the best in six areas of clinical and humanistic excellence. The authors compared students who received nominations with those who did not, analyzing differences in academic performance, personality factors (empathy as measured by the Jefferson Scale of Empathy and personality qualities as measured by the Zuckerman-Kuhlman Personality Questionnaire), and specialty interests. A comparison of the 155 students who received at least one peer nomination with the 100 students who received none found no significant difference in scores on objective examinations; nominated students, however, were rated significantly higher in clinical competence by faculty in six core third-year clerkships. Nominated students were also significantly more empathic and "active." In addition, a larger proportion of nominated students choose "people-oriented" (rather than "technology- or procedure-oriented") specialties. These results confirmed the hypotheses that peer nomination can predict clinical competence, empathy and other positive personal qualities, and interest in people-oriented specialties. Thus, in the assessment of medical students, peer nomination holds promise as a valid indicator of positive dimensions of professionalism.

  7. 27 CFR 6.84 - Point of sale advertising materials and consumer advertising specialties.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Point of sale advertising....84 Point of sale advertising materials and consumer advertising specialties. (a) General. The act by an industry member of giving or selling point of sale advertising materials and consumer advertising...

  8. Pain medicine: The case for an independent medical specialty and training programs.

    Science.gov (United States)

    Dubois, Michel Y; Follett, Kenneth A

    2014-06-01

    Over the last 30 years, pain has become one of the most dynamic areas of medicine and a public health issue. According to a recent Institute of Medicine report, pain affects approximately 100 million Americans at an estimated annual economic cost of $560 to $635 billion and is poorly treated overall. The American Board of Medical Specialties (ABMS) recognizes a pain subspecialty, but pain care delivery has struggled with increasing demand and developed in an inconsistent and uncoordinated fashion. Pain education is insufficient and highly variable. Multiple pain professional organizations have led to fragmentation of the field and lack of interdisciplinary agreement, resulting in confusion regarding who speaks for pain medicine. In this Perspective, the authors argue that ABMS recognition of pain medicine as an independent medical specialty would provide much needed structure and oversight for the field and would generate credibility for the specialty and its providers among medical peers, payers, regulatory and legislative agencies, and the public at large. The existing system, managed by three ABMS boards, largely excludes other specialties that contribute to pain care, fails to provide leadership from a single professional organization, provides suboptimal training exposure to pain medicine, and lengthens training, which results in inefficient use of time and educational resources. The creation of a primary ABMS conjoint board in pain medicine with its own residency programs and departments would provide better coordinated training, ensure the highest degree of competence of pain medicine specialists, and improve the quality of pain care and patient safety.

  9. The relation between specialty choice of psychology students and their interests, personality, and cognitive abilities

    NARCIS (Netherlands)

    Wicherts, J.M.; Vorst, H.C.M.

    2010-01-01

    The aim of this longitudinal study was to investigate differences in interests, personality, and cognitive abilities between students majoring in the six specialties of psychology at the University of Amsterdam. Results show that students at Social Psychology and Work and Organizational Psychology w

  10. Women in Urology Residency, 1978-2013: A Critical Look at Gender Representation in Our Specialty.

    Science.gov (United States)

    Halpern, Joshua A; Lee, Una J; Wolff, Erika M; Mittal, Sameer; Shoag, Jonathan E; Lightner, Deborah J; Kim, Soo; Hu, Jim C; Chughtai, Bilal; Lee, Richard K

    2016-06-01

    To evaluate changes over time in female representation among urology residents compared to those within other specialties. Urology match data were obtained from the American Urological Association from 1996 to 2015. Trends in match rates of male and female urology applicants were assessed. Data for gender representation among residencies were extracted from reports in the Journal of the American Medical Association from 1978 to 2013. We compared the annual percentage of women among urology residents vs residents of other specialties over time. Mean number of male vs female urology applicants per year was 285.0 ± 27.1 vs 76.5 ± 21.8 (P women, respectively (80.7% and 13.5%). The largest growth occurred in urology among all other specialties (P women among all specialties during the study period, women have remained a minority among urology residents. Gender representation within urology is a reflection of many factors and demonstrates a need for further improvement. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Access to Specialty Health Care for Rural American Indians in Two States

    Science.gov (United States)

    Baldwin, Laura-Mae; Hollow, Walter B.; Casey, Susan; Hart, L. Gary; Larson, Eric H.; Moore, Kelly; Lewis, Ervin; Andrilla, C. Holly A.; Grossman, David C.

    2008-01-01

    Context: The Indian Health Service (IHS), whose per capita expenditure for American Indian and Alaska Native (AI/AN) health services is about half that of the US civilian population, is the only source of health care funding for many rural AI/ANs. Specialty services, largely funded through contracts with outside practitioners, may be limited by…

  12. 75 FR 5561 - Notice of Funds Availability (NOFA) Inviting Applications for the Specialty Crop Block Grant...

    Science.gov (United States)

    2010-02-03

    ... Agricultural Marketing Service Notice of Funds Availability (NOFA) Inviting Applications for the Specialty Crop Block Grant Program--Farm Bill (SCBGP-FB) AGENCY: Agricultural Marketing Service, USDA. ACTION: Notice. SUMMARY: The Agricultural Marketing Service (AMS) announces the availability, of $55,000,000 in...

  13. 77 FR 41362 - Okanagan Specialty Fruits, Inc.; Availability of Petition for Determination of Nonregulated...

    Science.gov (United States)

    2012-07-13

    ..., Inc., seeking a determination of nonregulated status of apple events designated as events GD743 and... Animal and Plant Health Inspection Service Okanagan Specialty Fruits, Inc.; Availability of Petition for Determination of Nonregulated Status of Apples Genetically Engineered To Resist Browning AGENCY: Animal...

  14. On the Influence of Poverty Relief and Educational Aid on Normal University Students' Specialty Development

    Science.gov (United States)

    Yun, Pei

    2008-01-01

    This paper explores the influence of poverty relief and educational aid on the development of normal university students in their specialty; in particular, it focuses on its influence on their teaching internship, their study of professional courses, and the formation of professional ethics. The implementation of poverty relief and educational…

  15. Differences in the Clinical Outcome of Osteomyelitis by Treating Specialty: Orthopedics or Infectology.

    Science.gov (United States)

    Arias Arias, Carolina; Tamayo Betancur, Maria Carolina; Pinzón, Miguel Alejandro; Cardona Arango, Doris; Capataz Taffur, Cesar Antonio; Correa Prada, Edgar

    2015-01-01

    Osteomyelitis is a heterogeneous infection with regard to etiology and treatment, and currently no single management protocol exists. Management of the condition is typically an interdisciplinary approach between orthopedics and infectious disease; however, the orthopedist is often the person who manages treatment. The aim of the study was to determine differences in the outcome of osteomyelitis according to its treating specialty and to identify factors associated with the recurrence of the disease. An ambispective cohort study of 129 patients with osteomyelitis was conducted and the proportions for qualitative variables and central tendency and dispersion measures for quantitative variables were calculated; the latter were tested for normality using the Shapiro-Wilk test. A bivariate analysis was conducted with measures of association based on the chi square test and crude relative risk. A logistic regression model was applied and statistical significance was set at p orthopedics or infectious disease. Patients who were treated by an orthopedist alone presented a greater risk of relapse or reinfection (RR = 4.6; 95% CI 2.3;8.9). Risk factors of osteomyelitis recurrence as determined in the regression model included the following: age of 57 years or older (RR = 1.3; 95% 0.3;5.2), long bones (RR = 1.9; 95% CI 0.5;7.1), fracture (RR = 5.0; 95% CI 0.4;51.4), monotherapy (RR = 3.0; 95% CI 0.6;14.5), receiving less than 4 weeks of antibiotics (RR = 1.5; 95% CI 0.2;10.1), inadequate treatment (RR = 3.1; 95% CI 0.4;20.1), and receiving orthopedics treatment (RR = 5.5; 95% CI 1.6;18.2). Most patients evaluated jointly by orthopedics and infectious disease received adequate treatment for osteomyelitis and had fewer relapses.

  16. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres

    Directory of Open Access Journals (Sweden)

    van Lent Wineke AM

    2010-08-01

    Full Text Available Abstract Background Benchmarking is one of the methods used in business that is applied to hospitals to improve the management of their operations. International comparison between hospitals can explain performance differences. As there is a trend towards specialization of hospitals, this study examines the benchmarking process and the success factors of benchmarking in international specialized cancer centres. Methods Three independent international benchmarking studies on operations management in cancer centres were conducted. The first study included three comprehensive cancer centres (CCC, three chemotherapy day units (CDU were involved in the second study and four radiotherapy departments were included in the final study. Per multiple case study a research protocol was used to structure the benchmarking process. After reviewing the multiple case studies, the resulting description was used to study the research objectives. Results We adapted and evaluated existing benchmarking processes through formalizing stakeholder involvement and verifying the comparability of the partners. We also devised a framework to structure the indicators to produce a coherent indicator set and better improvement suggestions. Evaluating the feasibility of benchmarking as a tool to improve hospital processes led to mixed results. Case study 1 resulted in general recommendations for the organizations involved. In case study 2, the combination of benchmarking and lean management led in one CDU to a 24% increase in bed utilization and a 12% increase in productivity. Three radiotherapy departments of case study 3, were considering implementing the recommendations. Additionally, success factors, such as a well-defined and small project scope, partner selection based on clear criteria, stakeholder involvement, simple and well-structured indicators, analysis of both the process and its results and, adapt the identified better working methods to the own setting, were found

  17. Widespread distribution and unexpected variation among science faculty with education specialties (SFES) across the United States.

    Science.gov (United States)

    Bush, Seth D; Pelaez, Nancy J; Rudd, James A; Stevens, Michael T; Tanner, Kimberly D; Williams, Kathy S

    2013-04-30

    College and university science departments are increasingly taking an active role in improving science education. Perhaps as a result, a new type of specialized science faculty position within science departments is emerging--referred to here as science faculty with education specialties (SFES)--where individual scientists focus their professional efforts on strengthening undergraduate science education, improving kindergarten-through-12th grade science education, and conducting discipline-based education research. Numerous assertions, assumptions, and questions about SFES exist, yet no national studies have been published. Here, we present findings from a large-scale study of US SFES, who are widespread and increasing in numbers. Contrary to many assumptions, SFES were indeed found across the nation, across science disciplines, and, most notably, across primarily undergraduate, master of science-granting, and PhD-granting institutions. Data also reveal unexpected variations among SFES by institution type. Among respondents, SFES at master of science-granting institutions were almost twice as likely to have formal training in science education compared with other SFES. In addition, SFES at PhD-granting institutions were much more likely to have obtained science education funding. Surprisingly, formal training in science education provided no advantage in obtaining science education funding. Our findings show that the SFES phenomenon is likely more complex and diverse than anticipated, with differences being more evident across institution types than across science disciplines. These findings raise questions about the origins of differences among SFES and are useful to science departments interested in hiring SFES, scientific trainees preparing for SFES careers, and agencies awarding science education funding.

  18. [Personality of medical students declaring surgical specialty choice in the context of prospective medical practice style].

    Science.gov (United States)

    Skrzypek, Michał; Turska, Dorota

    2015-01-01

    Specialty choice made by medical students takes into account the nature of future medical practice. Holland's congruence theory, according to which career choice is treated as an expression of personality characteristics common for all representatives of the same profession, has served as a theoretical background for own research on the subject matter. Spectacular exemplification of fit between mental resources--personality characteristics and working environment requirements, is the concept of distinct surgical personality (DSP), widely discussed in worldwide literature of the subject (although not in native one). The article offers an author's broadened perception of DSP conception encompassing not only personality characteristics, but also values preference. The research aims at verifying the hypothesis that a given personality constellation directs the choice of surgery as a prospective specialty made by medical students, as well as allows predicting the style of future vocational practice, characterized by dominant instrumental activities, with little emphasis on affective medical actions, typical for technique-oriented specialties. The study involved a total of 223 students of fourth year of medical studies at Medical University of Lublin. Students declaring their choice of surgical specialty constituted the criterion group (N = 93). The control group comprised of students who declared their choice of person-oriented specialties, aimed at work with patient approached holistically (N = 75), in accordance with dichotomous specialty division adopted for the research purposes. Polish adaptations of NEO Five-Factor Inventory (NEO-FFI) by Costa and McCrae and Schwartz Value Survey were applied. The use of multivariate logistic regression indicates three crucial predictions of surgical specialty choice: 'neuroticism' and 'agreeableness' (personality trials-negative predictors) and 'self-enhancement' (value meta-category - positive predictors), however the latter

  19. Evaluation of Specialty Drug Price Trends Using Data from Retrospective Pharmacy Sales Transactions.

    Science.gov (United States)

    Penington, Robert; Stubbings, Jo Ann

    2016-09-01

    The past 25 years have seen a substantial increase in the effect of specialty drugs on patient care. These agents were initially not considered financially viable because they often served a comparatively small market of patients. However, the extended monopoly afforded to manufacturers of these drugs by the Orphan Drug Act of 1983 has made treatment of rare diseases, which specialty drugs often target, a more viable option. As a result, pharmaceutical companies began to increase research and development expenditures in this area, and the pipeline of specialty drugs began to grow in the late 1980s. To analyze the annual change in wholesale acquisition cost (WAC) pricing of specialty drugs sold over a period of 11 years. Pharmacy claims data, including date and WAC, were collected for each specialty drug transaction that occurred from 2002 through 2013 at the University of Illinois at Chicago Ambulatory Care Pharmacy Department. The data were organized to create a chronological sequence of WAC values from the initial to final sales of each available drug. Those values were then used to calculate annual percentage of change in WAC. These results were grouped into subsets and graphed in order to illustrate the effects that various factors had on the annual changes in price. The price of the specialty drugs studied has generally shown a greater rate of increase since experiencing a trough rate increase in 2009 of 4.08%. The economic crisis of 2008 created a short pause in this overall trend, but increases in the rate of price growth have since rebounded. WACs increased at a rate of 7.03% or greater from 2010 through the end of the study period. There was a clear increase over the last few years of the study in the number of drugs with more than 10% annual increases in WAC, which has also shown a rebound after the economic crisis at the end of the last decade. Specialty drugs are getting more expensive at a faster rate over time. The period from 2010 to 2013, the final

  20. Dental specialty, career preferences and their influencing factors among final year dental students in Saudi Arabia.

    Science.gov (United States)

    Halawany, Hassan Suliman; Binassfour, Abdullah Salman; AlHassan, Waleed Khalid; Alhejaily, Rami Ayed; Al Maflehi, Nassr; Jacob, Vimal; Abraham, Nimmi Biju

    2017-01-01

    The purpose of this study was to investigate evolving trends in dental post graduate specialty preferences and career aspirations among final year dental students in Saudi Arabia. A cross sectional survey using a self-administered questionnaire was conducted among final year dental students from seventeen universities in Saudi Arabia. The questionnaire enquired about socio-demographic details and the ranking of three of their best preferences among the list of specialties/general dentistry and career options. They were also enquired about their opinion regarding the total time required to become a dentist and their intention to go for further studies abroad. The questionnaire assessed factors influencing their choices using a 5 point Likert scale ranging from extremely important to not important. Binary logistic regression to examine the combined effect of several independent variables on the likelihood of choosing a dental specialization/general dentistry and career option were analyzed. The overall response rate was 64.6%. Restorative and Aesthetic Dentistry was the most preferred specialty (n = 98; 17.7%) followed by Endodontics (n = 78; 14.1%); Prosthodontics (n = 65; 11.7%) and Orthodontics (n = 63; 11.4%). The two most preferred careers were 'Civilian dentist in public sector' followed by 'Academic services dentist'. Overall, students reported that the influence of family members in the dental profession, preference for private practice and specific interest in patient population as the most important factors in choosing a specialty/general dentistry. Intellectual content of the specialty was ranked the least important. On the other hand, the most important factors for choosing a career were variety of non-clinical duties, access to child care facilities and research opportunities. The results of this study show the top preferred specialties and career choices which can be a baseline for establishing national policies and for the improvement of

  1. Correlates of physician burnout across regions and specialties: a meta-analysis

    Science.gov (United States)

    2013-01-01

    Background Health care organizations globally realize the need to address physician burnout due to its close linkages with quality of care, retention and migration. The many functions of health human resources include identifying and managing burnout risk factors for health professionals, while also promoting effective coping. Our study of physician burnout aims to show: (1) which correlates are most strongly associated with emotional exhaustion (EE) and depersonalization (DP), and (2) whether the associations vary across regions and specialties. Methods Meta-analysis allowed us to examine a diverse range of correlates. Our search yielded 65 samples of physicians from various regions and specialties. Results EE was negatively associated with autonomy, positive work attitudes, and quality and safety culture. It was positively associated with workload, constraining organizational structure, incivility/conflicts/violence, low quality and safety standards, negative work attitudes, work-life conflict, and contributors to poor mental health. We found a similar but weaker pattern of associations for DP. Physicians in the Americas experienced lower EE levels than physicians in Europe when quality and safety culture and career development opportunities were both strong, and when they used problem-focused coping. The former experienced higher EE levels when work-life conflict was strong and they used ineffective coping. Physicians in Europe experienced lower EE levels than physicians in the Americas with positive work attitudes. We found a similar but weaker pattern of associations for DP. Outpatient specialties experienced higher EE levels than inpatient specialties when organization structures were constraining and contributors to poor mental health were present. The former experienced lower EE levels when autonomy was present. Inpatient specialties experienced lower EE levels than outpatient specialties with positive work attitudes. As above, we found a similar but weaker

  2. Graduate education in general surgery and its related specialties and subspecialties in the United States.

    Science.gov (United States)

    Bell, Richard H

    2008-10-01

    Each year, approximately 1,000 graduating medical students enter training in general surgery and its related specialties and subspecialties in the United States. Traditionally, residents who want to practice vascular surgery, plastic surgery, thoracic surgery, and other specialties and subspecialties derived from general surgery have been required to complete five years of training in general surgery before embarking on further training. However, three phenomena have recently emerged that are changing the picture of surgical training: (1) proliferation of fellowships in subspecialties of general surgery, (2) increasing desire of subspecialties of general surgery for recognition as specialties in their own right, and (3) pressure to reduce or eliminate the traditional general surgery training required before specialization or subspecialization. In the meantime, and perhaps as a consequence of these changes, traditional general surgery has become less attractive as a specialty and there has been significant concern about the quality of training in general surgery. As a result of fewer trainees electing general surgery as a career, there is now increasing evidence of a shortage of surgeons who are able to handle a reasonably broad caseload of emergency care in general surgery and trauma.Many of these issues are currently being addressed by the profession. Among the initiatives underway are developing a standardized curriculum in general surgery, appropriately apportioning operative experience between residency and fellowship, considering alternative pathways for training in subspecialties, and developing a system for oversight of advanced surgical training fellowships. The system for governance of graduate surgical education in the United States is less centralized than in other countries. One initiative that has been undertaken to improve coordination of efforts between educational and regulatory bodies is the formation of the Surgical Council on Resident Education

  3. Variations in the management of fibromyalgia by physician specialty: rheumatology versus primary care

    Science.gov (United States)

    Able, Stephen L; Robinson, Rebecca L; Kroenke, Kurt; Mease, Philip; Williams, David A; Chen, Yi; Wohlreich, Madelaine; McCarberg, Bill H

    2016-01-01

    Purpose To evaluate the effect of physician specialty regarding diagnosis and treatment of fibromyalgia (FM) and assess the clinical status of patients initiating new treatment for FM using data from Real-World Examination of Fibromyalgia: Longitudinal Evaluation of Costs and Treatments. Patients and methods Outpatients from 58 sites in the United States were enrolled. Data were collected via in-office surveys and telephone interviews. Pairwise comparisons by specialty were made using chi-square, Fisher’s exact tests, and Student’s t-tests. Results Physician specialist cohorts included rheumatologists (n=54), primary care physicians (n=25), and a heterogeneous group of physicians practicing pain or physical medicine, psychiatry, neurology, obstetrics and gynecology, osteopathy, or an unspecified specialty (n=12). The rheumatologists expressed higher confidence diagnosing FM (4.5 on a five-point scale) than primary care physicians (4.1) (P=0.037). All cohorts strongly agreed that recognizing FM is their responsibility. They agreed that psychological aspects of FM are important, but disagreed that symptoms are psychosomatic. All physician cohorts agreed with a multidisciplinary approach including nonpharmacological and pharmacological treatments, although physicians were more confident prescribing medications than alternative therapies. Most patients reported moderate to severe pain, multiple comorbidities, and treatment with several medications and nonpharmacologic therapies. Conclusion Physician practice characteristics, physician attitudes, and FM patient profiles were broadly similar across specialties. The small but significant differences reported by physicians and patients across physician cohorts suggest that despite published guidelines, treatment of FM still contains important variance across specialties.

  4. Primary care, the ROAD less traveled: what first-year medical students want in a specialty.

    Science.gov (United States)

    Clinite, Kimberly L; Reddy, Shalini T; Kazantsev, Stephanie M; Kogan, Jennifer R; Durning, Steven J; Blevins, Terri; Chou, Calvin L; Diemer, Gretchen; Dunne, Dana W; Fagan, Mark J; Hartung, Paul J; Mechaber, Hilit F; Paauw, Douglas S; Wong, Jeffrey G; DeZee, Kent J

    2013-10-01

    Medical students are increasingly choosing non-primary-care specialties. Students consider lifestyle in selecting their specialty, but how entering medical students perceive lifestyle is unknown. This study investigates how first-year students value or rate lifestyle domains and specialty-selection characteristics and whether their ratings vary by interest in primary care (PC). During the 2012-2013 academic year, the authors conducted a cross-sectional survey of first-year medical students from 11 MD-granting medical schools. Using a five-point Likert-type scale (1 = not important at all; 5 = extremely important), respondents rated the importance of 5 domains of good lifestyle and 21 characteristics related to specialty selection. The authors classified students into five groups by PC interest and assessed differences by PC interest using one-way analysis of variance. Of 1,704 participants, 1,020 responded (60%). The option "type of work I am doing" was the highest-rated lifestyle domain (mean 4.8, standard deviation [SD] 0.6). "Being satisfied with the job" was the highest-rated specialty-selection characteristic (mean 4.7, SD 0.5). "Availability of practice locations in rural areas" was rated lowest (mean 2.0, SD 1.1). As PC interest decreased, the importance of "opportunities to work with underserved populations" also decreased, but importance of "average salary earned" increased (effect sizes of 0.98 and 0.94, respectively). First-year students valued enjoying work. The importance of financial compensation was inversely associated with interest in PC. Examining the determinants of enjoyable work may inform interventions to help students attain professional fulfillment in PC.

  5. Empathy differences by gender and specialty preference in medical students: a study in Brazil.

    Science.gov (United States)

    Santos, Mariana A; Grosseman, Suely; Morelli, Thiago C; Giuliano, Isabela C B; Erdmann, Thomas R

    2016-05-21

    We have conducted this study to assess medical students' empathy and to examine empathy differences by students' socio-demographic characteristics, including gender, and specialty preference. We have conducted a cross-sectional and descriptive research. Among 595 medical students registered at the Federal University of Santa Catarina (Brazil) in 2012, we have selected a sample of 320 enrolled in the first, third, fifth, seventh, ninth, eleventh, and in the last semester of the course. The response rate obtained was 70.6% (n=226). Data was collected by using a self-report questionnaire, and the variables analyzed included course semester, socio-demographic characteristics (such as age, gender, household monthly income and parents level of education), students' specialty preference, and empathy assessed by the Jefferson Scale of Empathy. We have used descriptive statistics, 95% Confidence Interval for percentages, Student's t-test, and Analysis of Variance to analyze the data. Mean empathy among students was (M=119.7, SD=9.9), with no difference by according to semester (F=1.5, p=.2). Empathy means were higher among females (M=118.3, SD=10.6) than among males (M=121.0, SD=9.3, t=-2.1, p=.032). Students who preferred a people-oriented specialty obtained significantly higher mean scores (M=121.5, SD=8.1) in comparison to students who preferred technology-oriented specialties (M=118.0, SD=11.3, t=2.4, p=.02). Our study has found consistently high scores of empathy among medical students enrolled in all levels of training at the Federal University of Santa Catarina, and higher empathy among women and students who intend to pursue a people-oriented specialty. Conclusions on higher empathy among medical students require further study.

  6. Prescribing of FDA-approved and compounded hormone therapy differs by specialty.

    Science.gov (United States)

    Constantine, Ginger D; Archer, David F; Graham, Shelli; Bernick, Brian A; Mirkin, Sebastian

    2016-10-01

    To determine the prescribing patterns of general practitioners (GPs), obstetrician/gynecologists (OB/GYNs), and wellness physicians (WPs) of menopausal hormone therapy (HT) for both compounded (CHT) and Food and Drug Administration (FDA)-approved products, using a survey of US physicians. Nine thousand one US physicians were invited to participate in a survey to report on their HT-prescribing patterns. Physicians were eligible if they prescribed HT for at least six patients per month. The survey was completed by 440 eligible physicians (893 responded of 9,001 invited) including 171 GPs, 170 OB/GYNs, and 84 WPs. Physicians prescribed HT for 15% to 30% of their female patients, with WPs numerically most likely to prescribe HT. Menopausal symptoms were the leading reason for HT prescriptions among all specialties. WPs seemed more likely to prescribe HT for general/cardiovascular health (28%), and for shorter durations, than other specialties. WPs prescribed proportionally more compounded (vs FDA-approved) estrogens/progestogens than GPs or OB/GYNs, but OB/GYNs seemed to prescribe more compounded dehydroepiandrosterone and testosterone (prescribed alone) than did others. OB/GYNs seemed least likely to consider CHT being more safe or effective than FDA-approved HT. Symptom relief was the main determinant of efficacy for all specialties; WPs also used blood (61%) or saliva testing (25%) for dose adjustment. Although all physician specialties surveyed prescribed HT, differences in prescribing CHT versus FDA-approved formulations by medical specialty/practice seemed to exist. Of those surveyed, OB/GYNs and GPs prescribed proportionally more FDA-approved HT, whereas WPs, similarly, prescribed more CHT. More discussion is needed concerning physicians' decisions to prescribe CHT versus FDA-approved formulations.

  7. High and specialty-related musculoskeletal disorders afflict dental professionals even since early training years

    Directory of Open Access Journals (Sweden)

    Jianru YI

    2013-07-01

    Full Text Available OBJECTIVE: To determine how early musculoskeletal disorders (MSDs develop in dental professionals and to explore the potential differences among distinct dental specialties. MATERIAL AND METHODS: 271 dental postgraduates majoring in five dental specialties were recruited, i.e., orthodontics, prosthodontics, endodontics, periodontics and alveolar surgery. 254 age-matched non-dental postgraduates served as the control. The standardized Nordic questionnaire on MSDs and a self-report questionnaire regarding correlative factors (only for dental postgraduates were answered through emails. Reliability of responses was assessed applying test-retest method. RESULTS: The intraclass correlation coefficient of participants' answers ranged from 0.89 to 0.96. Dental postgraduates had significantly higher prevalence of MSDs than the control group, especially at neck, upper back and lower back. In all dental specialties included, high prevalence of MSDs was reported at neck (47.5%-69.8%, shoulders (50.8%-65.1%, lower back (27.1%-51.2% and upper back (25.6%-46.5%, with lower prevalence at elbows (5.1%-18.6%, hips (3.4%-16.3% and ankles (5.1%-11.6%. Periodontics students reported the worst MSDs in most body regions except wrists and knees, which were more prevalent for prosthodontic and alveolar surgery students, respectively. Furthermore, year of clinical work, clinical hours per week and desk hours per week were found as risk factors for MSDs, whereas physical exercise and rest between patients as protective factors. CONCLUSIONS: High and specialty-related MSDs afflict dental professionals even since very early stage of careers. Prevention aimed at the specialty-related characteristics and the risk/protective factors revealed in this study should be introduced to dental personnel as early as possible.

  8. Access to specialty care in autism spectrum disorders-a pilot study of referral source

    Directory of Open Access Journals (Sweden)

    West Therese

    2011-05-01

    Full Text Available Abstract Background In the United States, a medical home model has been shown to improve the outcomes for children with special health care needs. As part of this model, primary care physicians provide comprehensive medical care that includes identification of delayed and/or atypical development in children and coordination of care with specialists. However, it is not clear if families of children with Autism Spectrum Disorder (ASD rely on the medical home model for care of their child to the same extent as families of children with other special health care needs. This study aims to add to the understanding of medical care for children with ASD by examining the referral source for specialty care. Methods This retrospective study was accomplished by evaluating parent completed intake data for children with ASD compared to those with other neurological disorders in a single physician Pediatric Neurology Practice at a major urban medical center in Northern New Jersey. To account for referral bias, a similar comparison study was conducted using a multispecialty ASD practice at the same medical center. Parent reported "source of referral" and "reason for the referral" of 189 ASD children and 108 non-ASD neurological disordered children were analyzed. Results The specialty evaluations of ASD were predominantly parent initiated. There were significantly less referrals received from primary care physicians for children with ASD compared to children with other neurodevelopmental disorders. Requirement of an insurance referral was not associated with a primary care physician prompted specialty visit.We identified different patterns of referral to our specialty clinics for children with ASD vs. children with other neurolodevelopmental disorders. Conclusion The majority of the families of children with ASD evaluated at our autism center did not indicate that a primary care physician initiated the specialty referral. This study suggests that families of

  9. Insurance status of patients admitted to specialty cardiac and competing general hospitals: are accusations of cherry picking justified?

    Science.gov (United States)

    Cram, Peter; Pham, Hoangmai H; Bayman, Levent; Vaughan-Sarrazin, Mary S

    2008-05-01

    There has been widespread concern that procedurally oriented specialty hospitals select well-insured patients for admission, while avoiding the underinsured, but data are limited. To determine if specialty cardiac hospitals admit a higher proportion of well-insured patients than general hospitals and/or preferentially transfer patients with less generous insurance to other acute care hospitals. A retrospective study of patients admitted to specialty cardiac and general hospitals with acute myocardial infarction (AMI; N = 41,863), congestive heart failure (CHF; N = 51,696), percutaneous coronary intervention (PCI; N = 73,966), and coronary artery bypass grafting (CABG; N = 33,327) using 2000-2004 all-payor data from Arizona, California, and Texas. Proportion of all admissions in specialty and general hospitals with more generous insurance (Medicare or private insurance), interhospital transfer patterns of patients with less generous insurance by specialty and general hospitals. Specialty hospitals admitted a higher proportion of patients with more generous insurance for both the medical cohort (AMI and CHF) (92.4% vs. 89.0%; P hospital, odds of admission to specialty hospitals were significantly higher for patients with more generous insurance compared to patients with less generous insurance for the medical cohort [odds ratio (OR), 1.16; 95% confidence interval (CI), 1.07-1.27; P hospitals were more or less likely to transfer patients with more or less generous insurance to another hospital. The analysis was limited to 3 states and we were unable to track the care of patients after transfer. Patients with more generous insurance are significantly more likely to gain admission to specialty hospitals. Alternatively, we found no evidence that specialty hospitals preferentially transfer patients with less generous insurance who are admitted. Overall, these findings suggest that specialty hospitals may contribute to segregation of the healthcare system along

  10. Recurrence of inguinal hernias repaired in a large hernia surgical specialty hospital and general hospitals in Ontario, Canada.

    Science.gov (United States)

    Malik, Atiqa; Bell, Chaim M; Stukel, Thérèse A; Urbach, David R

    2016-02-01

    The effect of hospital specialization on the risk of hernia recurrence after inguinal hernia repair is not well described. We studied Ontario residents who had primary elective inguinal hernia repair at an Ontario hospital between 1993 and 2007 using population-based, administrative health data. We compared patients from a large hernia specialty hospital (Shouldice Hospital) with those from general hospitals to determine the risk of recurrence. We studied 235 192 patients, 27.7% of whom had surgery at Shouldice hospital. The age-standardized proportion of patients who had a recurrence ranged from 5.21% (95% confidence interval [CI] 4.94%-5.49%) among patients who had surgery at the lowest volume general hospitals to 4.79% (95% CI 4.54%-5.04%) who had surgery at the highest volume general hospitals. In contrast, patients who had surgery at the Shouldice Hospital had an age-standardized recurrence risk of 1.15% (95% CI 1.05%-1.25%). Compared with patients who had surgery at the lowest volume hospitals, hernia recurrence among those treated at the Shouldice Hospital was significantly lower after adjustment for the effects of age, sex, comorbidity and income level (adjusted hazard ratio 0.21, 95% CI 0.19-0.23, p hernia repair at Shouldice Hospital was associated with a significantly lower risk of subsequent surgery for recurrence than repair at a general hospital. While specialty hospitals may have better outcomes for treatment of common surgical conditions than general hospitals, these benefits must be weighed against potential negative impacts on clinical care and the financial sustainability of general hospitals.

  11. A Process for Working with Families across Counseling Specialties.

    Science.gov (United States)

    Kaplan, David M.

    This chapter discusses the development of an approach to counseling that allows counselors to incorporate family counseling into their individual counseling practices. The six-stage counseling process that is presented draws upon a broad-based behavior therapy/social learning theory approach. The stages of this process are identified as: establish…

  12. Exploring personal interests of physicians in hospitals and specialty clinics

    NARCIS (Netherlands)

    Koelewijn, W.; Ehrenhard, M.L.; Groen, A.J.; Harten, van W.H.

    2013-01-01

    Physicians' interests substantially influence intra-organizational dynamics in hospitals, though little is known about the actual content and structure of these interests. The objective of this study was to both identify and build a structured model of physicians' interests. Based on literature and

  13. Behavioral Exploration of Career and Specialty Choice in Medical Students

    Science.gov (United States)

    Borges, Nicole J.

    2007-01-01

    Understanding the process by which students naturally construct and internalize their educational experiences relating to career development is important to career counseling. The author investigated how exploratory behaviors during a community-based field experience course contributed to the vocational development of 1st-year medical students.…

  14. Search and Rescue. Auxiliary Operational Specialty Course. Student Text.

    Science.gov (United States)

    Coast Guard, Washington, DC.

    This text, based on the National Search and Rescue (SAR) Plan, was prepared to provide a course of study on common procedures for SAR operations so that any basically qualified person in the U.S. Coast Guard Auxiliary can effectively accomplish a SAR mission and act as on-scene commander if required. There are 13 chapters: Introduction to Search…

  15. The microbiological safety of ready-to-eat specialty meats from markets and specialty food shops: a UK wide study with a focus on Salmonella and Listeria monocytogenes.

    Science.gov (United States)

    Gormley, F J; Little, C L; Grant, K A; de Pinna, E; McLauchlin, J

    2010-04-01

    From 2359 specialty meats (continental sausages, cured/fermented, dried meats) sampled from markets and specialty food shops, 98.9% of samples were of satisfactory or acceptable microbiological quality. However, 16 (0.7%) were unsatisfactory as a result of Escherichia coli, Staphylococcus aureus or Listeria spp. contamination (>or=10(2) CFU/g), and nine (0.4%) were unacceptable due to presence of Salmonella spp. or Listeria monocytogenes (>10(2) CFU/g). Meats with unacceptable levels of L. monocytogenes were within shelf life (range: 8-143 days remaining). Nine different subtypes of L. monocytogenes were detected with sero/AFLP type 1/2c VII predominating (37%), although this subtype was not overrepresented in any particular meat type (P > 0.05). Ninety-six percent of continental sausages and cured/fermented products were stored at production chain. Most samples (72.7%, 8/11) with unsatisfactory levels of E. coli were sliced on request, suggesting cross-contamination at point of sale. This study highlights the importance of ensuring that products do not become contaminated before final packaging, that storage conditions are controlled, and that durability dates are an accurate indication of the shelf life of the product so as to minimise the potential for L. monocytogenes to be present at levels hazardous to health at the point of sale.

  16. [Monitoring evaluation system for high-specialty hospitals].

    Science.gov (United States)

    Fajardo Dolci, Germán; Aguirre Gas, Héctor G; Robledo Galván, Héctor

    2011-01-01

    Hospital evaluation is a fundamental process to identify medical units' objective compliance, to analyze efficiency of resource use and allocation, institutional values and mission alignment, patient safety and quality standards, contributions to research and medical education, and the degree of coordination among medical units and the health system as a whole. We propose an evaluation system for highly specialized regional hospitals through the monitoring of performance indicators. The following are established as base thematic elements in the construction of indicators: safe facilities and equipment, financial situation, human resources management, policy management, organizational climate, clinical activity, quality and patient safety, continuity of care, patients' and providers' rights and obligations, teaching, research, social responsibility, coordination mechanisms. Monitoring refers to the planned and systematic evaluation of valid and reliable indicators, aimed at identifying problems and opportunity areas. Moreover, evaluation is a powerful tool to strengthen decision-making and accountability in medical units.

  17. E-cigarette specialty retailers: Data to assess the association between retail environment and student e-cigarette use

    OpenAIRE

    Bostean, Georgiana; Crespi, Catherine M.; Vorapharuek, Patsornkarn; McCarthy, William J

    2017-01-01

    The retail environment is a major social determinant of health, yet little is known about the e-cigarette specialty retailer environment. The e-cigarette specialty retail environment may be associated with e-cigarette use by middle and high school students, an issue that was addressed in a recent article entitled, “E-cigarette use among students and e-cigarette specialty retailer presence near schools,” by Bostean and colleagues (G. Bostean, C.M. Crespi, P. Vorapharuek, W.J. McCarthy, 2016 [1...

  18. Setting the stage for the AJO-DO: the haphazard times before orthodontic specialty journals.

    Science.gov (United States)

    Peck, Sheldon

    2015-01-01

    The professional distinction of "surgeon-dentist," created in France in the 18th century, stimulated dentistry's early advance as a learned profession. By 1841, Pierre-Joachim Lefoulon coined the term "orthodontosie," which was the root of "orthodontics and dentofacial orthopedics" as a distinct academic field and a specialty. In 1907, the American Orthodontist became the first scientific journal in the world completely devoted to orthodontics. Its failure after 5 years of publication prompted former editor Martin Dewey to find a new publisher for an orthodontic specialty journal. In 1915, the International Journal of Orthodontia was created with Dewey as editor. After some years, its name was changed to the American Journal of Orthodontics, which later became the American Journal of Orthodontics and Dentofacial Orthopedics, or AJO-DO. Today, the AJO-DO at 100 years is a mainstay of scientific advancement in orthodontics. Copyright © 2015 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  19. Transgenic hybrid poplar for sustainable and scalable production of the commodity/specialty chemical, 2-phenylethanol.

    Directory of Open Access Journals (Sweden)

    Michael A Costa

    Full Text Available Fast growing hybrid poplar offers the means for sustainable production of specialty and commodity chemicals, in addition to rapid biomass production for lignocellulosic deconstruction. Herein we describe transformation of fast-growing transgenic hybrid poplar lines to produce 2-phenylethanol, this being an important fragrance, flavor, aroma, and commodity chemical. It is also readily converted into styrene or ethyl benzene, the latter being an important commodity aviation fuel component. Introducing this biochemical pathway into hybrid poplars marks the beginnings of developing a platform for a sustainable chemical delivery system to afford this and other valuable specialty/commodity chemicals at the scale and cost needed. These modified plant lines mainly sequester 2-phenylethanol via carbohydrate and other covalently linked derivatives, thereby providing an additional advantage of effective storage until needed. The future potential of this technology is discussed. MALDI metabolite tissue imaging also established localization of these metabolites in the leaf vasculature.

  20. The role of emergency medicine physicians in trauma care in North America: evolution of a specialty

    Directory of Open Access Journals (Sweden)

    Grossman Michael D

    2009-08-01

    Full Text Available Abstract The role of Emergency Medicine Physicians (EMP in the care of trauma patients in North America has evolved since the advent of the specialty in the late 1980's. The evolution of this role in the context of the overall demands of the specialty and accreditation requirements of North American trauma centers will be discussed. Limited available data published in the literature examining the role of EMP's in trauma care will be reviewed with respect to its implications for an expanded role for EMPs in trauma care. Two training models currently in the early stages of development have been proposed to address needs for increased manpower in trauma and the critical care of trauma patients. The available information regarding these models will be reviewed along with the implications for improving the care of trauma patients in both Europe and North America.

  1. Environmental impact of using specialty feed ingredients in swine and poultry production

    DEFF Research Database (Denmark)

    Kebreab, E; Liedke, Alexander; Caro, D.

    2016-01-01

    Livestock production has a variety of environmental impacts such as greenhouse gas emissions, water pollution, acidification, and primary energy consumption. The demand for livestock products is expected to grow substantially, creating even more environmental pressure. The use of specialty feed...... ingredients (SFI) such as supplemented AA and phytase can reduce nutrient input into the system without compromising productivity and consequently can reduce emissions. The global change impact of using SFI in pig and broiler production systems in Europe and North and South America was studied. A life cycle...... assessment according to international standards (ISO 14040/44) analyzed contributions from producing SFI and animals to global change. Three different alternatives were analyzed. In addition, partial sensitivity analysis was conducted using 5 scenarios for each region for both production systems. Specialty...

  2. Nephrology registry gives specialty control of quality data.

    Science.gov (United States)

    Weinstein, Adam; Beckrich, Amy; Singer, Dale

    2015-11-01

    It is important for providers and practices to begin working with registry level data. Submitting data to a qualified clinical data registry currently satisfies Meaningful Use Stage II menu set items. In the future, with the rollout of MIPS and the increasing focus on sharing risk, registry data will be used as a benchmark for both publicly-reported performance (the physician compare program will be linked to provider-level QCDR data) and modifications to reimbursement. It is important to remember that PQRS data is the basis for the value based modifier now and MIPS- related quality data after 2018. The RPA has launched and is evolving a unique and versatile nephrology-specific data collection and analytics tool. In collaboration with the American Society of Diagnostic and Interventional Nephrology, vascular access measures will be added to the registry for 2016. The registry and the analytics platform is a tier of software operating above your practice management system and EHR and, if data can be obtained, it can span all the locations in which nephrologists provide care.

  3. Evaluation of two selection tests for recruitment into radiology specialty training.

    Science.gov (United States)

    Patterson, Fiona; Knight, Alec; McKnight, Liam; Booth, Thomas C

    2016-07-11

    This study evaluated whether two selection tests previously validated for primary care General Practice (GP) trainee selection could provide a valid shortlisting selection method for entry into specialty training for the secondary care specialty of radiology. We conducted a retrospective analysis of data from radiology applicants who also applied to UK GP specialty training or Core Medical Training. The psychometric properties of the two selection tests, a clinical problem solving (CPS) test and situational judgement test (SJT), were analysed to evaluate their reliability. Predictive validity of the tests was analysed by comparing them with the current radiology selection assessments, and the licensure examination results taken after the first stage of training (Fellowship of the Royal College of Radiologists (FRCR) Part 1). The internal reliability of the two selection tests in the radiology applicant sample was good (α ≥ 0.80). The average correlation with radiology shortlisting selection scores was r = 0.26 for the CPS (with p radiology but would benefit from further refinement for use in radiology to ensure that the test specification is relevant. The evidence on whether the SJT may be appropriate for shortlisting in radiology is limited. However, these results may be expected to some extent since the SJT is designed to measure non-academic attributes. Further validation work (e.g. with non-academic outcome variables) is required to evaluate whether an SJT will add value in recruitment for radiology specialty training and will further inform construct validity of SJTs as a selection methodology.

  4. Publication trends of research articles from infectious diseases specialty in a medical journal from India

    Directory of Open Access Journals (Sweden)

    KVS Hari Kumar

    2012-01-01

    Full Text Available Background: Details about research productivity in the infectious diseases specialty from India are lacking. Objective: To analyse publishing trends and research productivity of articles related to infectious diseases in the Journal of the Association of Physicians of India (JAPI. Materials and Methods : We carried out bibliometric analysis of articles related to infectious diseases specialty from JAPI published between 2000 and 2011. Data were derived from the journal′s website and the articles were analysed for type (original article, case reports, etc., microorganism (bacterial, viral, etc. place of the research and timelines for publication. Results : Out of 2977 articles published in JAPI over last 12 years, 256 articles belong to infectious diseases subspecialty. Infectious diseases contributed 11-18% of the published articles per year in JAPI during the last decade. Original articles (31%, case reports (38% and correspondence (22% constitute the majority of article types, while remaining 9% was made up by images. Bacterial (22%, protozoal and helminthic (20%, HIV (15% and mycobacterial (16% diseases lead the type of microorganisms represented in the research articles. Mumbai (16%, Delhi (9% and Kolkata (7% are the top three places contributing to the articles, followed by Chandigarh and Chennai. Original articles and case reports took approximately 14 months for publication, as compared to 6 months for an image (P < 0.0001. Conclusion : Infectious diseases specialty contributes about 15% of articles per annum in JAPI. HIV and tuberculosis together account for 30% of published litearture with fair representation from other organisms. Mumbai and Delhi are the leading contributors towards research productivity in this specialty.

  5. The adherence impact of a program offering specialty pharmacy services to patients using retail pharmacies.

    Science.gov (United States)

    Moore, Janice M; Matlin, Olga S; Lotvin, Alan M; Brennan, Troyen A; Falkenrath, Randy; Kymes, Steven; Singh, Surya C; Kyrychenko, Pavlo; Shrank, William H

    2016-01-01

    A new service model integrates the specialty pharmacy's comprehensive service with the retail pharmacy's patient contact, giving patients options for medication delivery to home, pharmacy, or doctor's office. Evaluate the impact of the new service model on medication adherence. Retrospective cohort study One hundred fifteen CVS retail stores in Philadelphia participated in a pilot from May 2012 to October 2013, and 115 matched CVS retail stores from around the nation served as controls. All eligible patients from the intervention and control stores received specialty medications through CVS retail pharmacies prior to implementation of the new service model. The intervention patients were transitioned from retail pharmacy service to the specialty pharmacy with delivery options. The control patients received standard retail pharmacy services. Proportion of days covered and first fill persistence were tracked for 12 months before and after program implementation. Under the new service model, 228 patients new to therapy in the post period had a 17.5% increase in the rate of obtaining a second fill as compared to matched controls. Patients on therapy in both the pre- and the post-periods had a pre-post increase of 6.6% in average adherence rates and a pre-post increase of 10.8% in optimal adherence rates as compared to 326 matched controls. The study demonstrated significant improvement in both adherence to therapy and first-fill persistence among patients in the new service model integrating specialty pharmacy's comprehensive services with the retail pharmacy's patient contact and medication delivery choices. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  6. Information Security: A Scientometric Study of the Profile, Structure, and Dynamics of an Emerging Scholarly Specialty

    Science.gov (United States)

    2014-03-01

    analysis to study biotechnology research and development. Co-classification, according to McCain, relies on the interpretation of subject analysts...difficulties when mapping higher levels entities (e.g., specialties). Chen and Guan (2011) argued that nanotechnology, biotechnology , and pharmaceuticals...China, United States, and Russia all led as the highest producers of research literature from 2000 to 2011, respectively. Baskaran argued that there is

  7. Beyond yields: Climate change effects on specialty crop quality and agroecological management

    Directory of Open Access Journals (Sweden)

    Selena Ahmed

    2016-03-01

    Full Text Available Abstract Climate change is impacting the sustainability of food systems through shifts in natural and human dimensions of agroecosystems that influence farmer livelihoods, consumer choices, and food security. This paper highlights the need for climate studies on specialty crops to focus not only on yields, but also on quality, as well as the ability of agroecological management to buffer climate effects on quality parameters. Crop quality refers to phytonutrient and secondary metabolite profiles and associated health and sensory properties that influence consumer buying decisions. Through two literature reviews, we provide examples of specialty crops that are vulnerable to climate effects on quality and examples of climate-resilient agroecological strategies. A range of specialty crops including fruits, vegetables, tree nuts, stimulants, and herbs were identified to respond to climate variables with changes in quality. The review on climate-resilient strategies to mitigate effects on crop quality highlighted a major gap in the literature. However, agricultural diversification emerged as a promising strategy for climate resilience more broadly and highlights the need for future research to assess the potential of diversified agroecosystems to buffer climate effects on crop quality. We integrate the concepts from our literature review within a socio-ecological systems framework that takes into account feedbacks between crop quality, consumer responses, and agroecosystem management. The presented framework is especially useful for two themes in agricultural development and marketing, nutrition-sensitive agriculture and terroir, for informing the design of climate-change resilient specialty crop systems focused on management of quality and other ecosystem services towards promoting environmental and human wellbeing.

  8. About training of Kazakh students of not language specialties basis of scientific speech

    OpenAIRE

    Ospanova D.

    2016-01-01

    The article discusses the process of written scientific speech training should include two components: teaching understanding and evaluating texts that make the scientific speech in all its substantive and problematic species and learning the rules of creating texts in the chosen specialty. The idea about functional languages develops in the theory vernaculars among which numerous languages of science take essentially important place; studying of these languages represents the theory and prac...

  9. Survey on the perception of urology as a specialty by medical students

    Science.gov (United States)

    Kim, Soojin; Farrokhyar, Forough; Braga, Luis H.

    2016-01-01

    Introduction: Upon inquiring with medical students and urologists across Canada, it is evident that urology is perceived as a male-dominant specialty, among other stereotypes. These misperceptions may hamper the recruitment of the best and brightest trainees. With that in mind, we surveyed medical students at our institution to obtain an objective assessment of their perception of urology and to determine the cause for misperceptions. Methods: A 25-factor, validated, anonymous, cross-sectional, self-reported, electronic survey was sent to all medical students at McMaster University to assess their perception of urology. The survey was piloted among students and educational leaders to optimize face and content validity, and minimize measurement bias. Six variables (years in training, role model, a family member or friend in urology, gender, and exposure) were selected a priori and entered into a logistic regression model to determine factors associated with a positive impression of the specialty. Results: The overall response rate was 70%. Of the respondents, 66% had no exposure to urology and 61% found the amount of exposure to be inadequate. Urology staff and resident involvement in education was considered to be poor by over 30% of medical students. Over 70% perceived urology to be a specialty with a great gender imbalance. On multivariate analysis, exposure to urology was the most important factor (purology exposure and poor staff and resident involvement in undergraduate education were seen as potential causes for misperceptions of the specialty. Increasing exposure to urology, encouraging female students, constant effort to approach senior students, and providing mentorship are found to be important factors in establishing a positive perception of urology PMID:27800058

  10. Developing a new specialty – sport and exercise medicine in the UK

    OpenAIRE

    Michael Cullen

    2010-01-01

    Michael CullenDepartment of Sport and Exercise Medicine, Musgrave Park Hospital, Belfast, UKAbstract: Sports physicians have existed since ancient times. However as a recognised specialty, sports medicine is a relatively new discipline and even today very few countries have formal postgraduate training programmes which allow doctors to pursue a career in this discipline. This paper outlines the development of sport and exercise medicine in the United Kingdom, describing the journey leading to...

  11. An Investigation on the Campus Practice Base Construction for College Students of Management Specialty —— Taking HP Campus Store of the College of Economics and Management of Shenyang Agricultural University for Example%经济管理类大学生校园实习基地建设调查分析——以沈阳农业大学经济管理学院惠普校园店为例

    Institute of Scientific and Technical Information of China (English)

    李专; 曲骥; 吴晓; 牛晓飞

    2012-01-01

    以沈阳农业大学经济管理类校园实习基地“惠普校园店”为调查对象,以本科生为抽样调查样本,问卷调查结果分析发现,校同实习基地建设应与专业课学习结合,为保障实习效果,应根据专业、届别和实习方向差异设置实习项目,使学生很好融人具体实习内容中。二是校内实习基地建设需要专业指导教师,强调教师应具备较宽和扎实的专业知识,有效地启发和解答学生提出的问题,督促学生对职业知识的获取。三是校内实习基地建设需要配备一支良好的管理队伍,要从学校体制上高度重视,根据实习基地建设特点,采用灵活的人力、财力倾斜政策,使更多大学生能够有机会进入实习基地,激活经济管理类专业学生实习动力,通过良性基地建设体制,使学生努力地提高自身综合素质,主动适应未来工作需要。四是校内实习基地建立要充分给学生以更多的自主性。实现自主经营,自主选择实习时间,自由支配实习进度。学生应在自主经营过程中发现、分析和解决问题,体验企业经营管理中的一系列职业训练过程。%An investigation was conducted, in which the HP campus store based in Shenyang Agricultural University as campus practice base for the students of economics and management was chosen as investigation objects and the undergraduates of the university served as investigating samples. The result showed: the campus practice bases construction should combine with student study of specialized courses to strengthen the practice effect, for which practice programs should be set up according to the difference between specialties, the difference between grades and the difference between practice orientations so that students could be in harmony with specific practice contents; the campus practice bases construction should be provided with teachers, who should possess broad and

  12. Final priority; Rehabilitation Training: Rehabilitation Long-Term Training program--rehabilitation specialty areas. Final priority.

    Science.gov (United States)

    2014-07-23

    The Assistant Secretary for Special Education and Rehabilitative Services announces a priority under the Rehabilitation Training: Rehabilitation Long-Term Training program. The Assistant Secretary may use this priority for competitions in fiscal year (FY) 2014 and later years in order to fund any of the rehabilitation specialty areas listed in this notice. The specific rehabilitation specialty areas to be funded in a given year will be listed in a notice inviting applications. This priority is designed to ensure that the Department funds high-quality rehabilitation programs in the following nine rehabilitation specialty areas of national need: Rehabilitation Administration (84.129C); Rehabilitation Technology (84.129E); Vocational Evaluation and Work Adjustment (84.129F); Rehabilitation of Individuals Who Are Mentally Ill (84.129H); Rehabilitation Psychology (84.129J); Rehabilitation of Individuals Who are Blind or Have Vision Impairments (84.129P); Rehabilitation of Individuals Who are Deaf or Hard of Hearing (84.129Q); Job Development and Job Placement Services (84.129R); and Comprehensive System of Personnel Development (84.129W). These programs must meet rigorous standards in order to provide rehabilitation professionals the training and qualifications necessary to meet the current challenges facing State vocational rehabilitation (VR) agencies and related agencies and assist individuals with disabilities in achieving high-quality employment outcomes.

  13. The role of motivational factors which make interns choose specialty of dermatovenerologist

    Directory of Open Access Journals (Sweden)

    Filonova A.V.

    2015-09-01

    Full Text Available Objective: to analyze the main motivational and psychological factors influencing the success of the process of becoming a young medical interns in the specialty «Dermatovenereology». Materials and methods. The study involved 49 interns in the specialty «Dermatovenereology» (22 people studied in 2013-2014, 27 people — in 2014-2015. For the diagnosis it was used a Shortened multi-factor Personality inventory (RESINS, the technique of "career Anchors" diagnostic value orientations in karyes-re (E. Shane, translation and adaptation of V.A. Chiker, V. E. Vinokurov, «Survey of young specialists-sheet» developed by GUZ «SACVD» Results: A greater number of doctors interns of 2013 and 2014 and 2014-2015 chose the specialty «Dermatovenerology» because of the possibility to work in the field of cosmetology. Conclusions. These results provide the possibility of selecting candidates for future employment, identify motivate innovative features, the ability of young professionals.

  14. Interdisciplinary development of a preconception health curriculum for four medical specialties.

    Science.gov (United States)

    Freda, Margaret Comerford; Chazotte, Cynthia; Bernstein, Peter; Harrison, Ellen

    2002-02-01

    A group of obstetricians and gynecologists, along with physicians from three other medical specialties, nurses, and midwives, developed a curriculum on preconception health care for women. This curriculum was specifically aimed at residents in obstetrics and gynecology, internal medicine, pediatrics, and family medicine. The curriculum was designed to convince these physicians that they needed to participate in promotion of preconception health for many reasons, such as the need to teach women to take folic acid daily because it significantly decreases the incidence of neural tube defects. Because over 50% of all pregnancies are unplanned, it is imperative that all physicians think of themselves as preconception health providers. Our group then taught the curriculum to medical students, residents, fellows, and attending physicians in all specialties at four hospitals affiliated with the medical college. Evaluation of the curriculum in 171 physicians who participated revealed that only a small percentage of physicians took folic acid daily themselves. Almost 36% of the obstetricians did not currently provide preconception care for their patients. Most physicians in all specialties believed that the curriculum provided them with useful information for their practice. The March of Dimes is currently distributing this curriculum on its Web site.

  15. SPECIALTY OF ROTOR’S DRIVE MECHANISM OSCILLATIONS

    Directory of Open Access Journals (Sweden)

    V. S. Loveikin

    2016-02-01

    Full Text Available Purpose. Scientific work is devoted to study the influence of dynamic coefficients of bearings segment (coefficients of resistance and recirculating power on stability and subharmonics self-oscillating components of the rotor vibration in unstable region of rotational speeds. Methodology. The study is based on the methods: the theory of vibrations of mechanical systems with lumped parameters; Lagrange functions; linear algebra. Findings. The researchers made: a justification of the discrete two-mass model of an unbalanced rotor, which takes into account the influence of rotation on dynamic coefficients; b analysis and improvement of methods for engineering analysis of stability and parameter subharmonic self-oscillations in the unstable range of frequencies of rotation of the rotor; c installation and classification of the main rotor causes of vibrations constructive or those arising in the manufacture, assembly and operation of the machine, and on the other hand, rotary systems specific for non-conservative forces, that lead under certain conditions to the self-oscillation; d determination (identification the characteristics/differences of rotor vibration, which lies in the fact that in most cases they are associated with the transverse vibrations of the rotors, while torsional or longitudinal oscillations play the incomparably smaller role, and therefore the last in this study were rejected; eit is shown that the characteristic feature of the functioning of rotor systems of modern machines and units have no direct relationship with the level of vibration with amount of power that is transmitted through them or produced engine. Originality. In this paper the authors first considered the nonlinear response bearing lubrication layer, namely the coefficients of resistance and circulating forces that determine the dynamic coefficient of segment bearings. Practical value. The engineering calculations subharmonic stability and self-oscillations of

  16. Differences in the Clinical Outcome of Osteomyelitis by Treating Specialty: Orthopedics or Infectology.

    Directory of Open Access Journals (Sweden)

    Carolina Arias Arias

    Full Text Available Osteomyelitis is a heterogeneous infection with regard to etiology and treatment, and currently no single management protocol exists. Management of the condition is typically an interdisciplinary approach between orthopedics and infectious disease; however, the orthopedist is often the person who manages treatment. The aim of the study was to determine differences in the outcome of osteomyelitis according to its treating specialty and to identify factors associated with the recurrence of the disease. An ambispective cohort study of 129 patients with osteomyelitis was conducted and the proportions for qualitative variables and central tendency and dispersion measures for quantitative variables were calculated; the latter were tested for normality using the Shapiro-Wilk test. A bivariate analysis was conducted with measures of association based on the chi square test and crude relative risk. A logistic regression model was applied and statistical significance was set at p < 0.05, including the model of relevant clinical variables that fit the Hosmer-Lemeshow test. We found that 70% of patients were treated either by orthopedics or infectious disease. Patients who were treated by an orthopedist alone presented a greater risk of relapse or reinfection (RR = 4.6; 95% CI 2.3;8.9. Risk factors of osteomyelitis recurrence as determined in the regression model included the following: age of 57 years or older (RR = 1.3; 95% 0.3;5.2, long bones (RR = 1.9; 95% CI 0.5;7.1, fracture (RR = 5.0; 95% CI 0.4;51.4, monotherapy (RR = 3.0; 95% CI 0.6;14.5, receiving less than 4 weeks of antibiotics (RR = 1.5; 95% CI 0.2;10.1, inadequate treatment (RR = 3.1; 95% CI 0.4;20.1, and receiving orthopedics treatment (RR = 5.5; 95% CI 1.6;18.2. Most patients evaluated jointly by orthopedics and infectious disease received adequate treatment for osteomyelitis and had fewer relapses.

  17. Rapid Development of Specialty Population Registries and Quality Measures from Electronic Health Record Data*. An Agile Framework.

    Science.gov (United States)

    Kannan, Vaishnavi; Fish, Jason S; Mutz, Jacqueline M; Carrington, Angela R; Lai, Ki; Davis, Lisa S; Youngblood, Josh E; Rauschuber, Mark R; Flores, Kathryn A; Sara, Evan J; Bhat, Deepa G; Willett, DuWayne L

    2017-06-14

    Creation of a new electronic health record (EHR)-based registry often can be a "one-off" complex endeavor: first developing new EHR data collection and clinical decision support tools, followed by developing registry-specific data extractions from the EHR for analysis. Each development phase typically has its own long development and testing time, leading to a prolonged overall cycle time for delivering one functioning registry with companion reporting into production. The next registry request then starts from scratch. Such an approach will not scale to meet the emerging demand for specialty registries to support population health and value-based care. To determine if the creation of EHR-based specialty registries could be markedly accelerated by employing (a) a finite core set of EHR data collection principles and methods, (b) concurrent engineering of data extraction and data warehouse design using a common dimensional data model for all registries, and (c) agile development methods commonly employed in new product development. We adopted as guiding principles to (a) capture data as a byproduct of care of the patient, (b) reinforce optimal EHR use by clinicians, (c) employ a finite but robust set of EHR data capture tool types, and (d) leverage our existing technology toolkit. Registries were defined by a shared condition (recorded on the Problem List) or a shared exposure to a procedure (recorded on the Surgical History) or to a medication (recorded on the Medication List). Any EHR fields needed - either to determine registry membership or to calculate a registry-associated clinical quality measure (CQM) - were included in the enterprise data warehouse (EDW) shared dimensional data model. Extract-transform-load (ETL) code was written to pull data at defined "grains" from the EHR into the EDW model. All calculated CQM values were stored in a single Fact table in the EDW crossing all registries. Registry-specific dashboards were created in the EHR to display

  18. Strengthening Clinical Specialty Training (Internships, Residencies, and Professional Master's Degree Programs) to Better Meet the Needs of the Veterinary Profession

    Science.gov (United States)

    Cello, R. M.

    1977-01-01

    The author suggests that attempts to strengthen clinical specialty training must begin with a coordinated effort on the part of all schools to establish graduate clinical education as a fundamental, important and independent element of their academic programs. (LBH)

  19. Contingent Valuation Analysis of an Otolaryngology and Ophthalmology Emergency Department: The Value of Acute Specialty Care.

    Science.gov (United States)

    Naunheim, Matthew R; Kozin, Elliot D; Sethi, Rosh K; Ota, H G; Gray, Stacey T; Shrime, Mark G

    2017-03-01

    Specialty emergency departments (EDs) provide a unique mechanism of health care delivery, but the value that they add to the medical system is not known. Evaluation of patient preferences to determine value can have a direct impact on resource allocation and direct-to-specialist care. To assess the feasibility of contingent valuation (CV) methodology using a willingness-to-pay (WTP) survey to evaluate specialty emergency services, in the context of an ophthalmology- and otolaryngology-specific ED. Contingent valuation analysis of a standalone otolaryngology and ophthalmology ED. Participants were English-speaking adults presenting to a dedicated otolaryngology and ophthalmology ED. The WTP questions were assessed using a payment card format, with reference to an alternative modality of treatment (ie, general ED), and were analyzed with multivariate regression. Validated WTP survey administered from October 14, 2014, through October 1, 2015. Sociodemographic data, level of distress, referral data, income, and WTP. A total of 327 of 423 (77.3%) ED patients responded to the WTP survey, with 116 ophthalmology and 211 otolaryngology patients included (52.3% female; mean [range] age, 46 [18-90] years). The most common reason for seeking care at this facility was a reputation for specialty care for both ear, nose, and throat (80 [37.9%]) and ophthalmology (43 [37.1%]). Mean WTP for specialty-specific ED services was $377 for ophthalmology patients, and $321 for otolaryngology patients ($340 overall; 95% CI, $294 to $386), without significant difference between groups (absolute difference, $56; 95% CI, $-156 to $43). Self-reported level of distress was higher among ear, nose, and throat vs ophthalmology patients (absolute difference, 0.47 on a Likert scale of 1-7; 95% CI, 0.10 to 0.84). Neither level of distress, income, nor demographic characteristics influenced WTP, but patients with higher estimates of total visit cost were more likely to have higher WTP (β coefficient

  20. Differential prescribing of opioid analgesics according to physician specialty for Medicaid patients with chronic noncancer pain diagnoses.

    Science.gov (United States)

    Ringwalt, Chris; Gugelmann, Hallam; Garrettson, Mariana; Dasgupta, Nabarun; Chung, Arlene E; Proescholdbell, Scott K; Skinner, Asheley Cockrell

    2014-01-01

    Despite >20 years of studies investigating the characteristics of patients seeking or receiving opioid analgesics, research characterizing factors associated with physicians' opioid prescribing practices has been inconclusive, and the role of practitioner specialty in opioid prescribing practices remains largely unknown. To examine the relationships between physicians' and other providers' primary specialties and their opioid prescribing practices among patients with chronic noncancer pain (CNCP). Prescriptions for opioids filled by 81,459 Medicaid patients with CNCP in North Carolina (USA), 18 to 64 years of age, enrolled at any point during a one-year study period were examined. χ2 statistics were used to examine bivariate differences in prescribing practices according to specialty. For multivariable analyses, maximum-likelihood logistic regression models were used to examine the effect of specialty on prescribing practices, controlling for patients' pain diagnoses and demographic characteristics. Of prescriptions filled by patients with CNCP, who constituted 6.4% of the total sample of 1.28 million individuals, 12.0% were for opioids. General practitioner⁄family medicine specialists and internists were least likely to prescribe opioids, and orthopedists were most likely. Across specialties, men were more likely to receive opioids than women, as were white individuals relative to other races⁄ethnicities. In multivariate analyses, all specialties except internal medicine had higher odds of prescribing an opioid than general practitioners: orthopedists, OR 7.1 (95% CI 6.7 to 7.5); dentists, OR 3.5 (95% CI 3.3 to 3.6); and emergency medicine physicians, OR 2.7 (95% CI 2.6 to 2.8). Significant differences in opioid prescribing practices across prescriber specialties may be reflective of differing norms concerning the appropriateness of opioids for the control of chronic pain. If so, sharing these norms across specialties may improve the care of patients with

  1. Creating Quality Online Materials for Specialty Nurse Practitioner Content: Filling a Need for the Graduate Nurse Practitioner.

    Science.gov (United States)

    Hoffmann, Rosemary L; Klein, Sara Jo; Rosenzweig, Margaret Q

    2016-01-18

    Nurse practitioners are entering specialized areas of practice immediately after graduation from nurse practitioner (NP) education and certification and are finding employment in specialized areas such as oncology. Rapidly achieving a knowledge base in this highly specialized area of medicine coupled with the stress of the new nurse practitioner role can lead to a very difficult orientation and transition period. There are several methods to provide specialized education to NPs during their orientation period. Unfortunately, limitations such as a lack of motivated mentors, limited opportunities to practice the desired skill set or a lack of structure in regards to curriculum quality, and the learning needs of the new nurse hinder the NP's transition to practice. In response to either inadequate or non-standardized orientation to the specialty role of the oncology NP (ONP), a web-enhanced educational tool, funded through the National Cancer Institute, was developed for use in the USA: Oncology Nurse Practitioner Web Education Resource (ONc-PoWER). The development of ONc-PoWER was based upon essential education for NPs new to cancer care, adult learning theory, Bloom's Taxonomy, and foundations of quality online education. The five interactive web-based modules provide specialized education for the nurse practitioner new to oncology along with an on-site mentor to assist the NP in applying the course content to clinical practice.

  2. 新形势下医药营销专业的发展对策%Development countermeasures of pharmaceutical marketing specialty in the new situation

    Institute of Scientific and Technical Information of China (English)

    李红丽

    2015-01-01

    Based on the system theory and integral theory,this paper analyzes the development opportunities,orientation and measures of pharmaceutical marketing specialty of Henan College of Traditional Chinese Medicine.Then it puts forward the inherent structure integration of the existing courses,highlighting the characteristics of Chinese medicine reform,strengthening Chinese medicine health literacy of specialized course teachers of marketing,constructing the inter-specialty teaching team, actively exploring new teaching means and method,establishing Chinese medicine health products and service marketing planning studio,and formulating a series system of comprehensive reform of marketing specialty in order to realize the overall improvement of the quality of marketing professional education at medical colleges.%以系统论和整体论思想,分析了河南中医学院市场营销专业的发展机遇、定位与措施,并提出整合现有课程内在结构,突出中医药特色化改革;加强市场营销专业任课教师的中医药健康素养,组建交叉专业教学团队;积极尝试新的教学方式与方法;成立中医药健康产品与服务营销策划工作室;制定市场营销专业综合改革系列制度,以实现医药院校市场营销专业办学质量的全面提高。

  3. 高校社会学专业实践教学的开展%T he Implementation of Practice T eaching in Sociology Specialty in U niversities

    Institute of Scientific and Technical Information of China (English)

    汤夺先; 李静

    2013-01-01

    In view of the fact that practice teaching does not receive due attention in undergraduate programs of sociology specialty , this paper takes University A as its suject to conduct a questionnaire survey to collect first-hand data about the practice teaching . It aims at revealing the urgency and necessity of carrying out practice teaching . Based on an analysis of the nature of practice teaching in sociology specialty ,it classifies practice teaching into two types :cognitive apprenticeship and teacher-student interaction . It also puts forth some methods for implementing practice teaching so as to cultivate high quality talents of sociology specialty .%针对社会学专业本科教学过程中实践教学不突出的现状,在系统梳理文献的基础上,以A大学为例,采用问卷调查法获得第一手资料,总结出社会学实践教学开展的紧迫性及必要性。在对社会学专业实践教学的内涵进行辨析基础上,将社会学实践教学分为认知学徒式实践教学及师生互动式实践教学两种类型,并基于两种类型,提出社会学实践教学的具体实施办法。

  4. Inspiring the next generation of Cardiothoracic Surgeons: an easily reproducible, sustainable event increases UK undergraduate interest in the specialty.

    Science.gov (United States)

    Bridgeman, Andrew; Findlay, Ross; Devnani, Aroon; Lim, Diana; Loganathan, Krizun; McElnay, Philip; West, Douglas; Coonar, Aman

    2016-01-01

    There is believed to be declining interest in cardiothoracic surgical careers among UK medical students. Relative lack of undergraduate exposure to the specialty compared with other surgical specialties may be partly responsible. Using pre- and postintervention analysis, we assessed the ability of a student-led extracurricular engagement event to increase undergraduate interest in the specialty. Fifty-four students attended and 50 (93%) participated in the study. Of the total, 32% of delegates had identified a cardiothoracic mentor, with only 8 and 4% exposed to cardiac and thoracic surgery, respectively, compared with 50% exposed to other surgical specialties. Self-reported understanding of cardiothoracic training increased from 20 to 80% (P event; 77% of delegates reported increased interest in the specialty. We demonstrate that it is possible to provide a free-to-user event that increases engagement using a student-led design. Similar events could increase interest in the specialty and may improve recruitment rates. Current levels of cardiothoracic exposure are very low among UK students.

  5. [Impact of the Core Training Law on preventive medicine and public health training and other common medical specialties].

    Science.gov (United States)

    Latasa, Pello; Gil-Borrelli, Christian; Aguilera, José Antonio; Reques, Laura; Barreales, Saúl; Ojeda, Elena; Alemán, Guadalupe; Iniesta, Carlos; Gullón, Pedro

    2016-01-01

    The purpose of the Core Training Law (CTL) is to amend specialised medical training to include 24 months of common training. The aim of this study is to assess its potential impact on the Preventive Medicine and Public Health (PM&PH) training programme and other medical specialties. The programmes of the 21 common medical specialties were analysed and the recommended training periods for each specialty collected, before the information was agreed upon by three observers. The training impact was calculated as the percentage of months that should be amended per specialty to adapt to the common training schedule. The Preventive Medicine and Public Health training programme is the specialty most affected by the Core Training Law (100%, 24 months). Intensive medicine (0%, 0 months) and medical oncology (17%, 4 months) is the least affected. The CTL affects the common medical specialties in different ways and requires a complete reorganisation of the activities and competencies of PM&PH professionals. Copyright © 2016 SESPAS. Published by Elsevier Espana. All rights reserved.

  6. What's the Right Referral Rate? Specialty Referral Patterns and Curricula Across I3 Collaborative Primary Care Residencies.

    Science.gov (United States)

    Gwynne, Mark; Page, Cristen; Reid, Alfred; Donahue, Katrina; Newton, Warren

    2017-02-01

    Specialty physician visits account for a significant portion of ambulatory visits nationally, contribute significantly to cost of care, and are increasing over the past decade. Marked variability in referral rates exists among primary care practices without obvious causality. We present data describing the referral process and specialty referral curriculum within the I3 collaborative. Residency directors were surveyed about residency characteristics related to referrals. Specialty physician referral rates were obtained from each program and then correlated to program characteristics referral rates in four domains: presence and type of referral curriculum, process of referral review, faculty preceptor characteristics, and use of referral data for administrative processes. The survey response rate was 87%; 10 programs submitted complete referral data. Three programs (23%) reported a formal curriculum addressing the process of making a referral, and four programs (31%) reported a curriculum on appropriateness of subspecialty referrals. Specialty referral rates varied from 7%-31% of active residency patients, with no relationship to age, payor status, or race. Marked variability in referral rates and patterns exist within primary care residency training programs. Specialty referral practices are a key driver of total cost of care yet few curricula exist that address appropriateness, quantity, or process of specialty referrals. Practice patterns often develop during residency training, therefore an opportunity exists to improve training and practice around referrals.

  7. Abstracts of the Canadian Society for Civil Engineering annual conference including the general conference, the 1. international structural specialty conference, the 1. international construction specialty conference, and the 1. specialty conference on disaster mitigation : towards a sustainable future[General Conference

    Energy Technology Data Exchange (ETDEWEB)

    El-Badry, M.; Loov, R.E.; Ruwanpura, J.; El-Hacha, R. [Calgary Univ., AB (Canada); Kroman, J. [City of Calgary, AB (Canada); Rankin, J. [New Brunswick Univ., Fredericton, NB (Canada). Dept. of Civil Engineering; Dunaszegi, L. [Earth Tech Canada Inc., Calgary, AB (Canada)] (eds.)

    2006-07-01

    This conference provided a forum for national and international practicing engineers, researchers and technical experts to discuss sustainable solutions to infrastructure development. Discussions focused on recent developments in new technologies for building more economic and sustainable infrastructure, while improving the safety of buildings, bridges, roads, water supply and sewage treatment systems. The conference was held in conjunction with associated specialty conferences, including a first international structures specialty conference, a first international construction specialty conference, and a first specialty conference on disaster mitigation. This book of abstracts highlights all the specialty conferences and accompanies a CD-ROM that has the full text of all the papers. Manuscripts of the full papers submitted to the specialty conferences were peer-reviewed by international scientific committees. The general conference provided a forum to learn about new technologies and future directions in various areas of civil engineering. It included a special theme session on sustainable development and a special session on innovation and information technology. Other technical sessions focused on topics such as civil engineering history and education; infrastructure management and renewal; asset management; risk assessment and management; engineering materials and mechanics; environmental engineering and science; hydrotechnical engineering; cold region engineering; and, transportation engineering. The general conference featured 88 presentations, of which 15 have been catalogued separately for inclusion in this database.

  8. Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014.

    Science.gov (United States)

    Schaffer, Adam C; Jena, Anupam B; Seabury, Seth A; Singh, Harnam; Chalasani, Venkat; Kachalia, Allen

    2017-05-01

    Although physician concerns about medical malpractice are substantial, national data are lacking on the rate of claims paid on behalf of US physicians by specialty. To characterize paid malpractice claims by specialty. A comprehensive analysis was conducted of all paid malpractice claims, with linkage to physician specialty, from the National Practitioner Data Bank from January 1, 1992, to December 31, 2014, a period including an estimated 19.9 million physician-years. All dollar amounts were inflation adjusted to 2014 dollars using the Consumer Price Index. The dates on which this analysis was performed were from May 1, 2015, to February 20, 2016, and from October 25 to December 16, 2016. For malpractice claims (n = 280 368) paid on behalf of physicians (in aggregate and by specialty): rates per physician-year, mean compensation amounts, the concentration of paid claims among a limited number of physicians, the proportion of paid claims that were greater than $1 million, severity of injury, and type of malpractice alleged. From 1992-1996 to 2009-2014, the rate of paid claims decreased by 55.7% (from 20.1 to 8.9 per 1000 physician-years; P < .001), ranging from a 13.5% decrease in cardiology (from 15.6 to 13.5 per 1000 physician-years; P = .15) to a 75.8% decrease in pediatrics (from 9.9 to 2.4 per 1000 physician-years; P < .001). The mean compensation payment was $329 565. The mean payment increased by 23.3%, from $286 751 in 1992-1996 to $353 473 in 2009-2014 (P < .001). The increases ranged from $17 431 in general practice (from $218 350 in 1992-1996 to $235 781 in 2009-2014; P = .36) to $114 410 in gastroenterology (from $276 128 in 1992-1996 to $390 538 in 2009-2014; P < .001) and $138 708 in pathology (from $335 249 in 1992-1996 to $473 957 in 2009-2014; P = .005). Of 280 368 paid claims, 21 271 (7.6%) exceeded $1 million (4304 of 69 617 [6.2%] in 1992-1996 and 4322 of 54 081 [8.0%] in 2009

  9. Choosing surgery as a specialty: opinions of medical students about surgery and surgeons.

    Science.gov (United States)

    Borracci, Raúl A; Ferraina, Pedro; Arribalzaga, Eduardo B; Poveda Camargo, Ricardo L

    2014-11-01

    Since the number of applicants to residencies in general surgery in Argentina seems to be decreasing, we designed this work with the objective of studying the factors considered undesirable by students when choosing surgery as a specialty. Between March and April 2012, one-hundred students were surveyed with a structured questionnaire with true/false binary answers in an observational case-control design. The survey contained 26 statements that made reference to characteristics of surgery as a specialty, or about the personality and lifestyle of surgeons, as they could be perceived by students. As a control group the same survey was applied to 20 surgeons who were in contact with the students and that could represent a role model for them during their rotation in surgery. Comparison between students and surgeons showed no difference in most answers, except in «surgery has poor reimbursement» (OR: 8,9; P=.0001), «there is not enough job demand» (OR: 8,1; P=.015), «surgery restrains intellectual development» (OR: 17,5; P=.014), «surgeons have too many non-scheduled activities» (OR: 9,36; P=.024), «they have a limited patient-physician relationship» (OR: 3,61; P=.009), «they have little time for family» (OR: 4,27; P=.036) and «they are exposed to infectious diseases» (OR: 5,90; P=.007). Women would be as interested as men in working as surgeons; a remarkable fact when considering that the surgical specialties have been predominantly filled by men. The fact that surgeons mostly coincide with the views of students means that role models should be reviewed to promote vocations. Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

  10. U.S. Dental Specialty Residents' Expectations and Anticipated Benefits of Academic Employment.

    Science.gov (United States)

    Nazarova, Elena; Martin-Peele, Melanie; Fifield, Judith

    2016-10-01

    The aims of this study were to assess features of an academic career that dental specialty residents, as a group and by gender, find most attractive and to identify what determines their expectations for responsibilities and professional growth in academic employment. In November 2013, an invitation to participate in the study along with a link to an online survey was sent to the 407 U.S. program directors of six of the dental specialties (endodontics, oral and maxillofacial surgery, pediatric dentistry, periodontics, prosthodontics, and orthodontics), asking them to forward the survey to their residents. A total of 287 residents responded (112 [41.3%] female and 159 [58.7%] male) out of 4,400 enrolled in these specialty training programs (6.5% response rate). The female respondents were significantly more interested in joining academia than were the male respondents (female 48%; male 31.5%; pcareer for the female respondents was the ability to have a good balance between career and personal life. While opportunity to conduct research was a positive feature for all residents interested in academia and both male and female respondents agreed strongly on the need for collaboration between faculty members for productive research, male respondents agreed significantly more than female respondents that faculty members should conduct independent research. Faculty members' feedback about academic employment were a significantly positive influence on those planning an academic career compared to those planning to enter private practice. This study found that the female and male residents differed in their expectations of responsibilities and professional growth in academic employment. These results may be useful for academic dental institutions and organizations when developing faculty recruitment and retention programs.

  11. Magnetic Processing – A Pervasive Energy Efficient Technology for Next Generation Materials for Aerospace and Specialty Steel Markets

    Energy Technology Data Exchange (ETDEWEB)

    Mackiewicz-Ludtka, G.; Ludtka, G.M.; Ray, P. (Carpenter Technologies, Inc.); Magee, J. (Carpenter Technologies, Inc.)

    2010-09-10

    Thermomagnetic Magnetic Processing is an exceptionally fertile, pervasive and cross-cutting technology that is just now being recognized by several major industry leaders for its significant potential to increase energy efficiency and materials performance for a myriad of energy intensive industries in a variety of areas and applications. ORNL has pioneered the use and development of large magnetic fields in thermomagnetically processing (T-MP) materials for altering materials phase equilibria and transformation kinetics. ORNL has discovered that using magnetic fields, we can produce unique materials responses. T-MP can produce unique phase stabilities & microstructures with improved materials performance for structural and functional applications not achieved with traditional processing techniques. These results suggest that there are unprecedented opportunities to produce significantly enhanced materials properties via atomistic level (nano-) microstructural control and manipulation. ORNL (in addition to others) have shown that grain boundary chemistry and precipitation kinetics are also affected by large magnetic fields. This CRADA has taken advantage of ORNL’s unique, custom-designed thermo-magnetic, 9 Tesla superconducting magnet facility that enables rapid heating and cooling of metallic components within the magnet bore; as well as ORNL’s expertise in high magnetic field (HMF) research. Carpenter Technologies, Corp., is a a US-based industrial company, that provides enhanced performance alloys for the Aerospace and Specialty Steel products. In this CRADA, Carpenter Technologies, Corp., is focusing on applying ORNL’s Thermomagnetic Magnetic Processing (TMP) technology to improve their current and future proprietary materials’ product performance and open up new markets for their Aerospace and Specialty Steel products. Unprecedented mechanical property performance improvements have been demonstrated for a high strength bainitic alloy industrial

  12. 市场营销专业项目化教学课程改革初探--以《广告理论与实务》课程为例%A Preliminary Study on Project-based Curriculum Teaching Reform of Marketing Specialty---Taking the Advertising Theory and Practice Course as an Example

    Institute of Scientific and Technical Information of China (English)

    陈容霞

    2016-01-01

    Based on Advertising Theory and Practice as an example, this paper expounds the specific practices of project-based curriculum teaching reform implemented by Marketing Profession of Xiangyang Vocational and Technical College and Metro Xiangyang Mall (hereinafter referred to as "Metro"): college and enterprise develop teaching programmes and select teaching content; college connects enterprise, combining theory and practice; college professional teachers and enterprise mentors guide students' practice, evaluate students' performance and construct cooperative education mechanism to improve students' comprehensive qualities and abilities.%以《广告理论与实务》为例阐述了襄阳职业技术学院市场营销专业与麦德龙有限公司襄阳商场(以下简称“麦德龙”)合作开展的项目化教学课程改革的具体做法,即校企共同制定教学方案,选定教学内容;学校与企业两个平台相对接,理论与实践有机结合;校内专业教师和企业导师共同指导学生企业实践,共同对学生进行考评,构建了校企融合、协同育人机制,提高了学生综合素质和能力。

  13. A Multicenter Study Investigating Empathy and Burnout Characteristics in Medical Residents with Various Specialties

    Science.gov (United States)

    2016-01-01

    We assessed empathy in medical residents, including factors modifying empathy and the relationship between empathy and burnout. Participants (n = 317 residents, response rate = 42%) from 4 university hospitals completed a socio-demographic questionnaire, the Jefferson Scale of Empathy (Health Professional version, Korean edition), and the Maslach Burnout Inventory (MBI). Participants were classified by medical specialty: “people-oriented specialty” (POS group) or “technology-oriented specialty” (TOS group), with more women in the POS than in the TOS group, χ2 = 14.12, P Burnout state may be related to decreasing empathy. PMID:27051244

  14. The impact of patients' chronic disease on family quality of life: an experience from 26 specialties

    Directory of Open Access Journals (Sweden)

    Golics CJ

    2013-09-01

    Full Text Available Catherine Jane Golics,1 Mohammad Khurshid Azam Basra,2 M Sam Salek,1 Andrew Yule Finlay2 1Centre for Socioeconomic Research, School of Pharmacy and Pharmaceutical Sciences, 2Department of Dermatology and Wound Healing, Cardiff University School of Medicine, Cardiff University, Cardiff, UK Background: Previous studies have assessed family quality of life in individual disease areas and specialties. The aim of this study was to investigate the impact of disease on family members of patients over a wide range of specialties and identify key impact areas. This information is essential in order to reveal the extent of this impact and to allow strategies to be developed to support the family members of patients with chronic disease. Methods: Semi-structured interviews were carried out with 133 family members of mostly chronically ill patients from 26 medical specialties. Family members were invited to discuss all areas of their lives that had been affected by having an unwell relative. Thematic analysis was carried out using NVivo9® software. Results: Most family members were female (61%, the partner or spouse of the patient (56%, or the parent (22%. Their mean age was 56.1 years (range: 21–85 years and the mean duration of the patient's disease was 8.9 years (range: 1 month to 60 years. Ten key themes of family quality of life were identified from interviews. The median number of themes reported by family members was six (range: 1–10. The key themes included: emotional impact (mentioned by 92% of subjects, daily activities (91%, family relationships (69%, sleep and health (67%, holidays (62%, involvement in medical care and support given to family members (61%, work and study (52%, financial impact (51%, social life (37%, and time planning (14%. Relationships between the themes were identified. Conclusion: This large scale multi-specialty study has demonstrated the significant, yet similar, impact that illness can have on the quality of life of

  15. Evaluation of HIV testing recommendations in specialty guidelines for the management of HIV indicator conditions

    DEFF Research Database (Denmark)

    Lord, E; Stockdale, A J; Malek, R

    2017-01-01

    OBJECTIVES: European guidelines recommend HIV testing for individuals presenting with indicator conditions (ICs) including AIDS-defining conditions (ADCs). The extent to which non-HIV specialty guidelines recommend HIV testing in ICs and ADCs is unknown. Our aim was to pilot a methodology in the UK......%). There was no association between recommendation to test and publication year (P = 0.62). CONCLUSIONS: The majority of guidelines for ICs do not recommend testing. Clinicians managing ICs may be unaware of recommendations produced by HIV societies or the prevalence of undiagnosed HIV infection among these patients. We...

  16. An investigation of Consumer Specialty Store and Multi-Brand Store loyalty

    Directory of Open Access Journals (Sweden)

    Sarabjot Singh

    2013-10-01

    Full Text Available In the competitive era of retailing, retailers need to understand the importance of store format preferences. The study aimed to understand consumer store loyalty, in-depth interview is conducted to examine consumer store loyalty antecedents for two retail formats: specialty stores and multi brand stores. The study conceptualizes store loyalty factors like program loyalty, trust and brand commitment. Trust and brand commitment act as a mediating factors between storeimage and store loyalty formats, and also between brand image and store loyalty formats. The findings highlight how consumer store loyalty preference changes for these two formats.

  17. Occupational Survey Report. Volume III. Programming Specialty, AFS 511X1.

    Science.gov (United States)

    1980-05-01

    ROGRAMMING 1SPECIALTY _ ".T\\ I , , ~AFPT 90-511-413 q ’VOLUME III OF III ON -Y 1980’ ’ q -ppT edfor public releaw; is: OCCUPATIONAL ANALYSIS PROGRAM ,"’ USAF...i I..... i l HI I . .. I Ij. ASSISTANT PROGRAMMING NCOICs (GRP308) PERCENT MEMBERS RF,-.N i:\\I’IVF ’ASKS PERFORMING L BEl k k ,,it’FR PROGRkM.S 96...EAVE OR LIBERfY 79 SilON,,, K NCOM ING PERSONNEl. 79 ODIF + UPDATE FXISI’ING COMPUTER PROGRAMS 75 REVIEW ,RA. SPECIFICATIONS 75 PREPARE PFIAl IEi) FLOW

  18. Hiromeri: a specialty ham of Cyprus--historical evidence, culinary and cultural perspectives.

    Science.gov (United States)

    Patapiou, Nasa; Lazarou, Chrystalleni

    2013-01-01

    Hiromeri is a specialty ham of Cyprus, made of smoked pork leg that is matured in wine. Until now there has been no systematic effort to present historical evidence that will support the Cypriot authenticity of this product. In this article, the historical evidence from sixteenth to twentieth centuries, referring to the production and trade of hiromeri in Cyprus, is presented. The evidence is drawn from archival testimony, travelers' descriptions, old history books, and essays on agricultural production. Moreover, a description of the hiromeri production process as well as past and current culinary uses and customs associated with its production and consumption are presented.

  19. Geotechnologies for the Characterization of Specialty Coffee Environments of Mantiqueira de Minas in Brazil

    Science.gov (United States)

    Alves, H. M. R.; Vieira, T. G. C.; Volpato, M. M. L.; Lacerda, M. P. C.; Borém, F. M.

    2016-06-01

    Land-use/land-cover change (LUCC) is a major cause of environmental transformation. Distant drivers, often associated with emerging markets for specific products, are now being considered one of the main factors of LUCC and are gaining attention in land change science. Consumers show an increasing interest in local and quality food, certified for its origin and its environmental production standards. A kind of agricultural product certification, Geographic Indication, identifies a product as originating from a specific region where a given quality, reputation or characteristic is attributed to its geographical origin. Sustainable land use is potentially an indirect effect of Geographic Indication, as it requires better land management in order to preserve the natural resources associated with the unique characteristics of the certified product. Located in the southern region of the state of Minas Gerais in Brazil is the region of Mantiqueira de Minas, considered one of the most important regions for the production of specialty coffees in Brazil. In 2011, the region's tradition and reputation were recognized with a Geographic Indication, the second given for coffee regions in the country. To explore the full potential of this area for producing coffees with higher quality and meet the growing demand of this new international market, which aggregates value at specialty coffees, it became fundamental to understand the coffee environments of the region, the "terroirs" where these coffees are obtained. Geotechnology can give a significant contribution in filling this gap. This work is part of a research project that made a detailed characterization of the region's coffee agroecosystems. Geotechnologies were employed to map the areas occupied by coffee plantations by using RapidEye satellite images and SPRING and ArcGIS software. All the segments of the environment were characterized and mapped in detail and the relations with coffee quality were evaluated. The results

  20. Enhancing job analysis surveys in the medical specialties with CMS data.

    Science.gov (United States)

    Babcock, Ben; Yoes, Michael E

    2013-06-01

    Job analysis surveys are a key component in validating certification examinations in the medical specialties. Few organizations, however, confirm the survey data-gathering process using external data. This article demonstrates how an organization can use data from the Centers for Medicare & Medicaid Services (CMS) to supplement job analysis survey results using a real example from medical imaging. Organizations can also use CMS data longitudinally to predict which procedures are increasing and decreasing in frequency. This prediction can greatly assist with future comprehensive job analyses or smaller, more targeted updates between comprehensive job analyses.

  1. A Computer Simulation Modeling Approach to Estimating Utility in Several Air Force Specialties

    Science.gov (United States)

    1992-05-01

    AL-TR-1992-0006 AD-A252 322 /II" A COMPUTER SIMULATION MODELING A APPROACH TO ESTIMATING UTILITY IN R SEVERAL AIR FORCE SPECIALTIES M Brice M. Stone...I 2. REPORT DATE 3. REPORT TYPE AND DATES COVERED IU 1Q::l.n1 Umrjh 1100 4. TITLE AND SUBTITLE S. FUNDING NUMBERS A Computer Simulation Modeling Approach...I DTIC TAB 0 Unannounced 0 justificatlon- By Distribut On . Availability Codes Avai an /r Dist Special v A COMPUTER SIMULATION MODELING APPROACH TO

  2. 基于双创思维物流管理专业课程体系构建探究*--以广西科技师范学院为例%Research on the Construction of the Course System of Logistics Management Specialty Based on Innovation and Entrepreneurship

    Institute of Scientific and Technical Information of China (English)

    杨明宇

    2016-01-01

    Leading innovative entrepreneurship,promote entrepreneurship employment.Based on the professional curriculum system construction of logistics management as the basis,to promote the quality education as the theme,in order to improve the quality of personnel training as the core,to the cultivation of innovative talents as the key mechanism,the innovation and entrepreneurship education throughout the whole process of personnel training,permeate each link of teaching,actively improve the innovation entrepreneurship education curriculum system,so as to improve our students'innovative ability and the quality of personnel training.%创新引领创业、创业带动就业。文中以物流管理专业课程体系构建为根本,以推进素质教育为主题,以提高人才培养质量为核心,以创新人才培养机制为重点,把创新创业教育贯穿于人才培养的全过程、渗透到教育教学各环节,积极完善创新创业教育课程体系,从而全面提高学生创新创业能力和人才培养质量。

  3. On Teaching Reform for Course of Food Microbiological Experiment for Food Examination Specialty in a Vocational College Based on Requi rements of Food Industry%高职食品检验专业食品微生物学实验教学的改革研究

    Institute of Scientific and Technical Information of China (English)

    李宏

    2015-01-01

    It is expounded in this paper that experimental content has been redesigned for the course of food microbiological experiment for a vocational college in order to satisfy the requirements of microbiological examination in food industry .T he practice is that related standards for microbiological examination in food industry have been introduced into the teaching of this course .It is summarized in this paper that the effec‐tive methods for attaining the teaching purpose were properly designing experiments ,strengthening the su‐pervision over students'learning process ,providing timely guidance for students'practice in food industry , not implementing the course based on traditional course schedule and encouraging students to make greater efforts in study through appropriate examinations .%为满足行业要求重构高职食品检验专业食品微生物学实验课程内容,将相关标准纳入实验教学。为达到教学目标,采用了合理设计实验、加强对学生学习过程的管理和指导、加强对学生顶岗实习的指导、打破传统行课方式、以考促学等方法。

  4. “Five Steps Stereotyped” Teaching Model Based on Work-Study Combination of Vocational Medicine Specialty%高职制药类专业“五步模式化”工学结合教学模式的探索

    Institute of Scientific and Technical Information of China (English)

    刘玉凤; 胡普辉; 张中社; 胡莉娟

    2012-01-01

    工学结合教学模式的建立是高职教育教学改革的核心,在高职示范院校建设的实践中,我们总结出“五步模式化”工学结合的教学模式,并在教学过程中做到“四结合”,经过实践,取得了较好的效果,以期指导高职教育实行规范化的教学,提高人才培养的质量.%The establishment of work-integrated learning teaching mode is the core of teaching reform in higher vocational education. We have summarized "five-step stereotyped" teaching mode based on work-integrated learning. And we have done the "four combination" in the process of teaching. After practicing, we have obtained a better effect. We advocate it to guide the teaching of higher vocational education and implement standardization teaching and improve the quality of personnel training.

  5. 渝东南农村经济社会发展的调查与思考——以彭水县新田乡石龙村、团结村为例%Bilingual teaching model based on the working project in the international trade specialty

    Institute of Scientific and Technical Information of China (English)

    侯晋雄

    2012-01-01

    The bilingual teaching model based on the working project can help students learn basic professional knowledge ef-fectively in two languages and lay a solid bilingual foundation which will help students fit in with their bilingual work very fast after graduation.%彭水县农村经济社会发展面临的困难和问题有:农村经济社会整体发展水平依然较低;基础设施建设相对滞后,交通条件亟待改善;信息闭塞,农民文化素质低;经济发展不平衡,贫富差距较大等。应对之策:加强基础设施建设,为渝东南农村发展创造基础条件;加强农村教育培训,提高渝东南村民致富能力;集中力量培育优势产业和特色产业;切实贯彻社会保障和扶贫开发政策,让村民共享发展成果。

  6. Assessment of personality type and medical specialty choice among medical students from Karachi; using Myers-Briggs Type Indicator (MBTI) tool.

    Science.gov (United States)

    Jafrani, Sana; Zehra, Nosheen; Zehra, Muneeza; Abuzar Ali, Syed Muhmmad; Abubakar Mohsin, Saiyed Abdullah; Azhar, Rasheed

    2017-04-01

    To assess personality type of medical students and associate it with their choice of medical specialty. This cross-sectional study was conducted in February 2014 at one public and one private medical university of Karachi, and comprised medical students. A self- administered questionnaire based on Myers-Briggs type indicator was used to collect data which was analysed using SPSS 20. Of the 400 participants, there were 200(50%) each from public and private universities. Of all, 201(50.3%) students were found to be extroverted and 199(49.8%) were introverted personality types. Clinical fields were the main preference of students after their medical degree as selected by 317(79.2%) students; of the, Extroverted-Sensing-Feeling-Perceptive was the most common type identified in39(7.2%) students. Extroverted-Sensing-Feeling-Perceptive 11(2.8%), Extroverted-Sensing-Thinking-Judging 12(3%), Extroverted-Sensing-Feeling-Judging 5(1.3%), Introverted-Sensing-Feeling-Judging 6(1.5%), Introverted-Sensing-Thinking-Perceptive 7(1.8%) had preference for surgery, medicine, gynaecology, paediatrics and cardiology, respectively. Personality had significant impact on specialty and career choice.

  7. Construction of practical teaching system with a full range in mechanical engineering specialty based on collaborative innovation%基于协同创新的机械类专业全方位实践教学体系建设

    Institute of Scientific and Technical Information of China (English)

    米洁; 黄民; 高宏

    2015-01-01

    After years of exploration and practice ,the practical teaching system with a full range is constructed based on collaborative innovation .The mechanical engineering practical teaching center develops resources of inside and outside school ,and makes full use of curricular and extracurricular time to a student’s knowledge of engineering practice throughout the learning process .It also extends the practical teaching connotation .This article researches on the practical teaching platform ,contents ,practical teaching connotation and reform and other aspects to construct an intensive and efficient teaching and learning environment ,and also emphasizes the collaborative innovation of platform construction ,practical contents and teaching methods to gradually upgrade the innovative and practical ability of students .%经过多年的探索和实践,机械工程实验教学中心开发利用校内外各种实践教学资源,将工程实践贯穿于学生的知识学习、扩展实践教学内涵、构建功能集成的全方位实践教学体系。在实践教学的平台构成、实践教学内容、实践教学的内涵建设和方法改革等方面进行探索和实践,形成集约化高效教学环境。强调平台建设、实践内容、教学方法协同创新,逐步提升学生的创新实践能力。

  8. EHR systems in the Spanish Public Health National System: the lack of interoperability between primary and specialty care.

    Science.gov (United States)

    de la Torre-Díez, Isabel; González, Sandra; López-Coronado, Miguel

    2013-02-01

    One of the problems of the Spanish Public Health National System is the lack of interoperability in the implemented Electronic Health Records (EHRs) systems in primary and specialty care. There is a deficiency in the electronic health systems that store the data of primary care patients, so one of the basic problems that prevent that every hospital and health center working on the same method is that deficiency. In this paper we research on this problem and to give expression to a series of solutions to it. Bibliographic material in this work has been obtained mainly from MEDLINE source. Additionally, due to the lack of information and privacy about the different EHRs systems, we have resorted to making direct contact with the organizations that have implemented those systems and technological providers. Two solutions have been propounded given several aspects for a feasibility study. The first solution is based upon in the execution of backups in different EHRs databases, which implies a huge economical and infrastructure development. The second of these solutions so that due to the creation of protocols by means of Cloud Computing Technologies. It is crucial the need to reach a homogeneity concerning to the storage of patients clinical data. On the results achieved we can emphasize that maybe the main problems are not the economical handicaps or the large technological development needed, but, as for Health each Region manages its own competences, each one governs with independent policies and decisions.

  9. Awareness of Teaching for Introductory Chemistry Specialty English%化学专业英语教学感悟

    Institute of Scientific and Technical Information of China (English)

    吴燕妮

    2012-01-01

    为了有效提高化学专业英语教学质量,将多年从事该课程的教学经验进行思考和改革,获得一些有益的新体会。从教学内容安排、教学过程、教学方法等方面对教学进行调整,提出了模块教学和分组讨论等新的教学思路和对策,获得了满意的教学效果。%To improve chemistry students chemistry specialty English teaching effect, some benefic awareness were derived from several years teaching thinking and reform. The new teaching model of module teaching and grouping discussion teaching methods were put forward based on teaching material arrangement, teaching process, teaching method and sensibility teaching. And a satisfactory teaching effect was obtained.

  10. Skills acquired in research and public health in the specialty of family and community nursing in the Valencian Community.

    Science.gov (United States)

    García-Martínez, Pedro; Lozano-Vidal, Ruth; Herraiz-Ortiz, María Del Carmen; Collado-Boira, Eladio

    To evaluate the acquisition of skills in research and public health specialists in family and community nursing. Descriptive and analytical study on a population of specialist nurse members of with the Valencian Primary Nurse Society. Measured with anonymous self-administered questionnaire on activities implemented and turnaround time in the training period. The questionnaire was conducted and reviewed based on the training programme of the specialty. Sixteen of the 41 specialists responded. The four year groups of nurses who had finished their training were represented as well as seven national teaching units. The results show high heterogeneity in the activities developed in the training. The average rotation in public health is 7.07 weeks, with range of 0 to 16 weeks. The mean number of educational sessions is 2.69 in the two years. The average number of research projects is 1.19. The result shows a specialisation process with training gaps in the skills of research and public health that could be remedied. Some practitioners claim that they finish their specialisation without undertaking research activities or completing the minimum proposed shifts. There is no process of improvement in the four year groups studied. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  11. 材料类专业中数理方法课程的改革与实践%Innovation and Practice of Methods of Mathematical Physics in Material Specialty

    Institute of Scientific and Technical Information of China (English)

    程南璞

    2011-01-01

    This paper analyzes the shortages and problems in the current teaching of Methods of Mathematical Physics in material specialty.Based on the characteristics of material specialty, the contents of the course are set and reforms of the teaching method and assessment are introduced.The teaching practice approves the innovations help to improve the comprehensive abilities of students.%分析了目前材料类本科专业中数理方法课程存在的不足,提出了该课程基于专业特点的内容设置和相应的教学方法及考核体系改革,相应的教学实践表明,此改革有利于提高学生的综合能力.

  12. Reflections on the Computer Specialty and Its Curriculum Setting in Secondary Vocational Schools%中等职业学校计算机专业和课程设置的思考

    Institute of Scientific and Technical Information of China (English)

    普靖

    2014-01-01

    Through a detailed investigation and data analysis on the computer specialty and its curriculum setting in Tianshui A-gricultural School, based on the feedbacks from all sides,the writer proposed some personal views on the computer specialty and its curriculum setting in secondary vocational schools.%通过对天水农业学校计算机专业和课程设置进行详细的调查,作了数据分析,并且统计了各方面的反馈意见后提出了自己对中等职业学校计算机专业和课程设置的意见。

  13. Construction of Teaching Skill Evaluation System for Physics Specialty Normal Major Students%物理师范生教学技能综合评价体系的构建

    Institute of Scientific and Technical Information of China (English)

    王春晓; 吴长海

    2015-01-01

    Teachers ’ professionalization requires normal major student must grasp practiced teaching skill . Based on the requirements of teaching skill of the physics major students , this paper constructs a teaching skill e-valuation system for the physics specialty normal major student , using analytic hierarchy process method .It pro-vides the basis for the quantitative evaluation of the teaching skill of the physics specialty normal student .%教师专业化要求师范生必须掌握娴熟的教学技能。以物理学专业对教师教学技能的要求为基础,利用层次分析法构建了物理师范生教学技能综合评价体系,为定量评价师范生教学技能提供依据。

  14. A review of Delphi surveys conducted to establish research priorities by specialty nursing organizations from 1985 to 1995.

    Science.gov (United States)

    Rudy, S F

    1996-01-01

    Many nursing specialty organizations have completed Delphi surveys to establish their research priorities. The Society of Otorhinolaryngology-Head and Neck Nurses (SOHN) is currently conducting its own Delphi survey to the same end. This paper reviews the various Delphi methods employed by specialty nursing organizations on their members between 1985 and 1995. The studies reviewed are carefully limited to those commissioned by specialty nursing organizations and exclusive of those conducted by independent researchers who may have utilized specialty organization members. It presents an introduction to and definition of the Delphi methodology, as well as delving into methodologic and practical aspects of implementing a Delphi survey. It adds to the literature some information previously lacking on cost and time lines for studies, and will serve as a useful guide for future specialty nursing organizations who undertake a Delphi study as a novice effort. It intentionally does not recount the research priorities identified because it does not want to influence, in any way, responses of SOHN members involved in the ongoing Round I Delphi.

  15. The Models for the Development of Specialty Agriculture in the Hilly Areas of Southern Ningxia: Are They Truly Effective?

    Institute of Scientific and Technical Information of China (English)

    Xiaoyi; SUN; Qing; TANG; Yong; XU; Lijuan; DANG

    2013-01-01

    The development of specialty agriculture is of great significance to western China’s agricultural structure adjustment,and it’s an essential way for the construction of ecological agriculture in Southern Ningxia mountainous area.This paper makes a summary about the development status of specialty agriculture in Southern Ningxia Mountainous Area and put forward the basic benefit goal and problems needing attention.On this basis,the paper studies the development pattern of specialty agriculture in Southern Ningxia Mountainous Area from the aspects of production factors and industry.This paper suggests that the development pattern of specialty agriculture in Southern Ningxia Mountainous Area should combine the regional agricultural pattern and innovative organization structure pattern,demonstration agriculture and market-directing pattern,engineering agricultural pattern and enterprise-driven pattern.The development of specialty agriculture in Southern Ningxia Mountainous Area should promote the three patterns,in order to achieve the construction of ecological agriculture and agricultural structure adjustment.

  16. Methods used by accredited dental specialty programs to advertise faculty positions: results of a national survey.

    Science.gov (United States)

    Ballard, Richard W; Hagan, Joseph L; Armbruster, Paul C; Gallo, John R

    2011-01-01

    The various reasons for the current and projected shortages of dental faculty members in the United States have received much attention. Dental school deans have reported that the top three factors impacting their ability to fill faculty positions are meeting the requirements of the position, lack of response to position announcement, and salary/budget limitations. An electronic survey sent to program directors of specialty programs at all accredited U.S. dental schools inquired about the number of vacant positions, advertised vacant positions, reasons for not advertising, selection of advertising medium, results of advertising, and assistance from professional dental organizations. A total of seventy-three permanently funded full-time faculty positions were reported vacant, with 89.0 percent of these positions having been advertised in nationally recognized professional journals and newsletters. Networking or word-of-mouth was reported as the most successful method for advertising. The majority of those responding reported that professional dental organizations did not help with filling vacant faculty positions, but that they would utilize the American Dental Association's website or their specialty organization's website to post faculty positions if they were easy to use and update.

  17. THE APPLICATION OF THE SPECIALTY PRINCIPLE, CONCERNING THE SPECIAL SEIZURE IN ROMANIAN CRIMINAL LAW

    Directory of Open Access Journals (Sweden)

    MONICA POCORA

    2011-04-01

    Full Text Available This paper aims to be a comparative analysis of the special seizure as a safety measure, as it is regulated in Romanian special criminal legislation, and also a way to highlight certain discrepancies between the general and special criminal legislation. Special seizure, as a safety measure, may be disposed under Criminal Code regulations, as a general norm, but also under some stipulations included in special Criminal laws. Moreover, when there are such special stipulations, they have under the rules of specialty principle, priority in implementing to the general norm. In our opinion, in these cases, special seizure is also disposed under the Criminal Code provisions, as general norm, because the general terms nondescript by others field of incidence, are the ones who set by the Criminal law. In fact, in such cases, the special seizure is ordered under both Criminal provisions. In analysis of the paper, is made reference to the applicability of special seizure measure inmatter of corruption offences, in customs, money laundering, illicit trafficking of drugs and fisheries and fish farming, and as a result of their presentation, we concluded that although is in question the specialty principle, mainly would find application the general norm in comparison with special norm. Moreover, corroborating the actually general norm with the provisions of the New Criminal Code, we believe the special seizure, should operate exclusively under the general law, or the provisions of the special norm, should be modified.

  18. Human factors in general practice - early thoughts on the educational focus for specialty training and beyond.

    Science.gov (United States)

    McKay, John; Pickup, Laura; Atkinson, Sarah; McNab, Duncan; Bowie, Paul

    2016-05-01

    In the third article in the series, we describe the outputs from a series of roundtable discussions by Human Factors experts and General Practice (GP) Educational Supervisors tasked with examining the GP (family medicine) training and work environments through the lens of the systems and designed-centred discipline of Human Factors and Ergonomics (HFE). A prominent issue agreed upon proposes that the GP setting should be viewed as a complex sociotechnical system from a care service and specialty training perspective. Additionally, while the existing GP specialty training curriculum in the United Kingdom (UK) touches on some important HFE concepts, we argue that there are also significant educational gaps that could be addressed (e.g. physical workplace design, work organisation, the design of procedures, decision-making and human reliability) to increase knowledge and skills that are key to understanding workplace complexity and interactions, and supporting everyday efforts to improve the performance and wellbeing of people and organisations. Altogether we propose and illustrate how future HFE content could be enhanced, contexualised and integrated within existing training arrangements, which also serves as a tentative guide in this area for continuing professional development for the wider GP and primary care teams.

  19. Reporting completeness of abstracts of systematic reviews published in leading dental specialty journals.

    Science.gov (United States)

    Seehra, Jadbinder; Fleming, Padhraig S; Polychronopoulou, Argy; Pandis, Nikolaos

    2013-04-01

    The aim of this study was to investigate the reporting completeness of systematic review (SR) abstracts in leading dental specialty journals. Electronic and supplementary hand searching were undertaken to identify SRs published in seven dental specialty journals and in the Cochrane Database of Systematic Reviews. Abstract reporting completeness was evaluated using a checklist derived from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (prisma) guidelines. Descriptive statistics followed by univariate and multivariate analyses were conducted. Two-hundred and eighteen SR abstracts were identified. Reporting of interventions (94%), objectives (96%), data sources (81%), eligibility criteria (77%), and conclusions (97%) was adequate in the majority of reviews. However, inadequate reporting of participants (18%), results (42%), effect size (14%), level of significance (60%), and trial registration (100%) was commonplace. The mean overall reporting score was 79.1% (95% CI, 77.6-80.6). Only journal of publication was a significant predictor of overall reporting, with inferior results for all journals relative to Cochrane reviews, with scores ranging from -4.3% (95% CI, -8.74 to 0.08) to -35.6% (95% CI, -42.0 to -24.3) for the International Journal of Prosthodontics and the British Journal of Oral and Maxillofacial Surgery, respectively. Improved reporting of dental SR abstracts is needed and should be encouraged, as these abstracts may underpin influential clinical decisions.

  20. Are VHA administrative location codes valid indicators of specialty substance use disorder treatment?

    Science.gov (United States)

    Harris, Alex H S; Reeder, Rachelle N; Ellerbe, Laura; Bowe, Thomas

    2010-01-01

    Healthcare quality managers and researchers often need to identify specific healthcare events from administrative data. In this study, we examined whether Veterans Health Administration (VHA) clinic stop and bed section codes are reliable indicators of substance use disorder (SUD) treatment as documented in clinical progress notes. For outpatient records with a progress note, SUD clinic stop code, SUD diagnosis code, and mental health procedure code, we found chart documentation of SUD care in 92.0% of 601 records: 82.5% of 372 records with a SUD clinic stop code and SUD diagnosis code but no mental health procedure code, 21.9% of 379 records with a SUD clinic stop code and mental health procedure code but no SUD diagnosis code, and 55.3% of 318 records with a SUD clinic stop code but no SUD diagnosis or mental health procedure code. For inpatient stays with a SUD bed section code and a progress note, we found chart documentation of SUD care in 99.0% of 699 records accompanied by a SUD diagnosis but 0% of 39 records without a SUD diagnosis. These results provide validity evidence and caveats to researchers and VHA quality managers who might use SUD specialty location codes as indicators of SUD specialty care.

  1. Factors affecting consumers' preferences for and purchasing decisions regarding pasteurized and raw milk specialty cheeses.

    Science.gov (United States)

    Colonna, A; Durham, C; Meunier-Goddik, L

    2011-10-01

    Eight hundred ninety consumers at a local food festival were surveyed about their specialty cheese purchasing behavior and asked to taste and rate, through nonforced choice preference, 1 of 4 cheese pairs (Cheddar and Gouda) made from pasteurized and raw milks. The purpose of the survey was to examine consumers' responses to information on the safety of raw milk cheeses. The associated consumer test provided information about specialty cheese consumers' preferences and purchasing behavior. Half of the consumers tested were provided with cheese pairs that were identified as being made from unpasteurized and pasteurized milk. The other half evaluated samples that were identified only with random 3-digit codes. Overall, more consumers preferred the raw milk cheeses than the pasteurized milk cheeses. A larger portion of consumers indicated preferences for the raw milk cheese when the cheeses were labeled and thus they knew which samples were made from raw milk. Most of the consumers tested considered the raw milk cheeses to be less safe or did not know if raw milk cheeses were less safe. After being informed that the raw milk cheeses were produced by a process approved by the FDA (i.e., 60-d ripening), most consumers with concerns stated that they believed raw milk cheeses to be safe. When marketing cheese made from raw milk, producers should inform consumers that raw milk cheese is produced by an FDA-approved process. Copyright © 2011 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  2. Physician empathy: definition, components, measurement, and relationship to gender and specialty.

    Science.gov (United States)

    Hojat, Mohammadreza; Gonnella, Joseph S; Nasca, Thomas J; Mangione, Salvatore; Vergare, Michael; Magee, Michael

    2002-09-01

    There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores. A revised version of the Jefferson Scale of Physician Empathy (with 20 Likert-type items) was mailed to 1,007 physicians affiliated with the Jefferson Health System in the greater Philadelphia region; 704 (70%) responded. Construct validity, reliability of the empathy scale, and the differences on mean empathy scores by physicians' gender and specialty were examined. Three meaningful factors emerged (perspective taking, compassionate care, and standing in the patient's shoes) to provide support for the construct validity of the empathy scale that was also found to be internally consistent with relatively stable scores over time. Women scored higher than men to a degree that was nearly significant. With control for gender, psychiatrists scored a mean empathy rating that was significantly higher than that of physicians specializing in anesthesiology, orthopedic surgery, neurosurgery, radiology, cardiovascular surgery, obstetrics and gynecology, and general surgery. No significant difference was observed on empathy scores among physicians specializing in psychiatry, internal medicine, pediatrics, emergency medicine, and family medicine. Empathy is a multidimensional concept that varies among physicians and can be measured with a psychometrically sound tool. Implications for specialty selection and career counseling are discussed.

  3. Urgent care medicine and the role of the APP within this specialty.

    Science.gov (United States)

    Memmel, Jessica; Spalsbury, Marcy

    2017-05-01

    The field of urgent care medicine offers an additional medical pathway for patients who have immediate, but non-life-threatening, medical concerns. Urgent care medicine offers a more varied set of resources and services than a physician office setting, with more flexible hours. This gives patients an opportunity to not have to go to the emergency department for non-emergent care. As a newer specialty within the medical field, certain roles of healthcare providers other than physicians are becoming established, including the advanced practice provider (APP). An APP is a nurse practitioner or a physician assistant, who is licensed to treat under the supervision of a physician. Nurse practitioners' (NP) and physician assistants' (PA) role in urgent care is often seen as an effective, lower cost option to manage common acute minor illnesses seen in the community. Benefits to utilizing APPs in urgent care include decreasing costs to both the patient and health system, enhancing the physician's ability to see more patients, and decreasing wait times, all while continuing to maintain high standards of care. The goal of the authors within this publication is to discuss urgent care as a specialty and further explore the role of advanced practice providers within this setting. Copyright © 2017 Elsevier GmbH. All rights reserved.

  4. Differential impact of a crew resource management program according to professional specialty.

    Science.gov (United States)

    Suva, Domizio; Haller, Guy; Lübbeke, Anne; Hoffmeyer, Pierre

    2012-01-01

    Adverse events occur in 3% to 16% of hospital patients, half of these during surgery and related to human error. The authors' objective was to determine the impact of a crew resource management program in collaboration with Swiss International Airlines. Participants included operating room personnel: surgeons, anesthesiologists, nurses, and technicians. Outcome measures were a 10-item questionnaire evaluating participants' satisfaction and a 32-item survey to analyze participants' learning. Nine seminars included 99 participants: 22% surgeons, 19% anesthesiologists, 29% nurses, and 30% nurse's aides/technicians. Satisfaction was very high for course organization (91%), group dynamics (74%), and teaching methods (68%). Significant improvements in learning were observed after the course in 17 out of 32 questions. Surgeons demonstrated the greatest improvement in knowledge (P = .018), specifically teamwork and safety-related issues. Less improvement was seen for all specialties in stress recognition areas. Crew resource management is valuable in improving operating room staff knowledge regarding teamwork, safety climate, and stress recognition. However, program impact varies with participant specialty.

  5. Furniture Design Course Reform of Environmental Art Design Specialty%环境艺术设计专业家具设计课程改革

    Institute of Scientific and Technical Information of China (English)

    张晓凡

    2012-01-01

    Based on analyzing the present situation of furniture course of environmental art design specialty, the paper puts forward the measures on reforming furniture design course, points out that the school should closely contact with industry, strengthen the cooperation with enterprise, establish practice base and enhance faculty construction in system, and gives the specific reform measures in the teaching content and teaching method.%通过对环境艺术设计专业家具课程现状的分析,提出家具设计课程改革的措施.从体制上指出学校应该与行业进行密切的联系,加强和企业的合作,建立实习基地和加强师资建设;从教学内容与教学方法上也给出了具体改革的措施.

  6. Nurse specialty subcultures and patient outcomes in acute care hospitals: A multiple-group structural equation modeling.

    Science.gov (United States)

    Mallidou, Anastasia A; Cummings, Greta G; Estabrooks, Carole A; Giovannetti, Phyllis B

    2011-01-01

    Hospital organizational culture is widely held to matter to the delivery of services, their effectiveness, and system performance in general. However, little empirical evidence exists to support that culture affects provider and patient outcomes; even less evidence exists to support how this occurs. To explore causal relationships and mechanisms between nursing specialty subcultures and selected patient outcomes (i.e., quality of care, adverse patient events). Martin's differentiation perspective of culture (nested subcultures within organizations) was used as a theoretical framework to develop and test a model. Hospital nurse subcultures were identified as being reflected in formal practices (i.e., satisfactory salary, continuing education, quality assurance program, preceptorship), informal practices (i.e., autonomy, control over practice, nurse-physician relationships), and content themes (i.e., emotional exhaustion). A series of structural equation models were assessed using LISREL on a large nurse survey database representing four specialties (i.e., medical, surgical, intensive care, emergency) in acute care hospitals in Alberta, Canada. Nursing specialty subcultures differentially influenced patient outcomes. Specifically, quality of care (a) was affected by nurses' control over practice, (b) was better in intensive care than in medical specialty, and (c) was related to lower adverse patient events; nurses in intensive care and emergency specialties reported fewer adverse events than did their counterparts in medical specialties. Understanding the meaning of subcultures in clinical settings would influence nurses and administrators efforts to implement clinical change and affect outcomes. More research is needed on nested subcultures within healthcare organizations for better understanding differentiated subspecialty effects on complexity of care and outcomes in hospitals. Copyright © 2010 Elsevier Ltd. All rights reserved.

  7. Impact of personality temperaments and characters on academic performance and specialty selection among a group of Egyptian medical graduates.

    Science.gov (United States)

    El Sheikh, Mona M; Shaker, Nermin M; Hussein, Hanan; Ramy, Hisham A

    2014-08-01

    The relationship between personality temperaments, academic achievement and specialty interest is important because of its implications in career counseling. To assess the effect of personality on academic performance and career selection and to study the impact of some sociodemographic factors on academic achievement and career choice of medical graduates. A total of 436 medical graduates of Ain Shams medical school were approached, out of which 331 participated. They were given a sociodemographic questionnaire, and the Temperament and Character Inventory-Revised (TCI-R; 240) for personality construct; they had to answer questions about academic achievement, ranking, scores and choice of medical specialty. Novelty seeking (NS1, NS2 and NS3) and self-transcendence (ST1 and ST2) were correlated with graduation ranking, (r = .2, p = .00; r = .15, p = .009; r = .16, p = .005; r = .12, p = .003; r = .14, p = .02; r = .17, p = .004; r = .13, p = .03, respectively), that is, lower NS and ST had better academic outcome. Only high school score was associated with better achievement (p = .00). In specialty selection, females were significantly overrepresented in pediatrics and clinical pathology, whereas males were significantly predominating surgical specialties except for obstetrics and gynecology (p = .00). Students choosing patient-centered specialties had higher reward dependence (RD), persistence (PS) and cooperativeness (C); those choosing clinical pathology had highest harm avoidance (HA), whereas those choosing radiology had lowest HA and those choosing surgery had significantly higher self-directedness (SD3). Personality impacts academic achievement and specialty choice with other factors as gender and previous scholastic performance. © The Author(s) 2013.

  8. Gender awareness among physicians--the effect of specialty and gender. A study of teachers at a Swedish medical school.

    Science.gov (United States)

    Risberg, Gunilla; Hamberg, Katarina; Johansson, Eva E

    2003-10-27

    An important goal for medical education today is professional development including gender equality and awareness of gender issues. Are medical teachers prepared for this task? We investigated gender awareness among physician teachers, expressed as their attitudes towards the role of gender in professional relationships, and how it varied with physician gender and specialty. We discuss how this might be related to the gender climate and sex segregation in different specialties. Questionnaires were sent to all 468 specialists in the clinical departments and in family medicine, who were engaged in educating medical students at a Swedish university. They were asked to rate, on visual analogue scales, the importance of physician and patient gender in consultation, of preceptor and student gender in clinical tutoring and of physician gender in other professional encounters. Differences between family physicians, surgical, and non-surgical hospital doctors, and between women and men were estimated by chi-2 tests and multivariate logistic regression analyses. The response rate was 65 %. There were differences between specialty groups in all investigated areas mainly due to disparities among men. The odds for a male family physician to assess gender important were three times higher, and for a male non-surgical doctor two times higher when compared to a male surgical doctor. Female teachers assessed gender important to a higher degree than men. Among women there were no significant differences between specialty groups. There was an interaction between physician teachers' gender and specialty as to whether they identified gender as important in professional relationships. Male physicians, especially from the surgical group, assessed gender important to a significantly lower degree than female physicians. Physicians' degree of gender awareness may, as one of many factors, affect working climate and the distribution of women and men in different specialties. Therefore, to

  9. Gender awareness among physicians – the effect of specialty and gender. A study of teachers at a Swedish medical school

    Directory of Open Access Journals (Sweden)

    Hamberg Katarina

    2003-10-01

    Full Text Available Abstract Background An important goal for medical education today is professional development including gender equality and awareness of gender issues. Are medical teachers prepared for this task? We investigated gender awareness among physician teachers, expressed as their attitudes towards the role of gender in professional relationships, and how it varied with physician gender and specialty. We discuss how this might be related to the gender climate and sex segregation in different specialties. Method Questionnaires were sent to all 468 specialists in the clinical departments and in family medicine, who were engaged in educating medical students at a Swedish university. They were asked to rate, on visual analogue scales, the importance of physician and patient gender in consultation, of preceptor and student gender in clinical tutoring and of physician gender in other professional encounters. Differences between family physicians, surgical, and non-surgical hospital doctors, and between women and men were estimated by chi-2 tests and multivariate logistic regression analyses. Results The response rate was 65 %. There were differences between specialty groups in all investigated areas mainly due to disparities among men. The odds for a male family physician to assess gender important were three times higher, and for a male non-surgical doctor two times higher when compared to a male surgical doctor. Female teachers assessed gender important to a higher degree than men. Among women there were no significant differences between specialty groups. Conclusions There was an interaction between physician teachers' gender and specialty as to whether they identified gender as important in professional relationships. Male physicians, especially from the surgical group, assessed gender important to a significantly lower degree than female physicians. Physicians' degree of gender awareness may, as one of many factors, affect working climate and the

  10. The Effect of Medical Student Volunteering in a Student-Run Clinic on Specialty Choice for Residency

    Science.gov (United States)

    Ismail, Rahim; Gookin, Glenn; Hernandez, Caridad; Logan, Grace; Pasarica, Magdalena

    2017-01-01

    Introduction: Student-run free clinics (SRFCs) are a recent popular addition to medical school education, and a subset of studies has looked at the influence of SRFC volunteering on the medical student’s career development. The majority of the research done in this area has focused on understanding if these SRFCs produce physicians who are more likely to practice medicine in underserved communities, caring for the uninsured. The remainder of the research has investigated if volunteering in an SRFC influences the specialty choice of medical school students. The results of these specialty choice studies give no definitive answer as to whether medical students chose primary or specialty care residencies as a result of their SRFC experience. Keeping Neighbors in Good Health through Service (KNIGHTS) is the SRFC of the University of Central Florida College of Medicine (UCF COM). Both primary and specialty care is offered at the clinic. It is the goal of this study to determine if volunteering in the KNIGHTS SRFC influences UCF COM medical students to choose primary care, thereby helping to meet the rising need for primary care physicians in the United States. Methods: A survey was distributed to first, second, and third-year medical students at the UCF COM to collect data on demographics, prior volunteering experience, and specialty choice for residency. Responses were then combined with records of volunteer hours from the KNIGHTS Clinic and analyzed for correlations. We analyzed the frequency and Pearson’s chi-squared values. A p value of less than 0.05 was considered statistically significant. Results: Our survey had a total response rate of 39.8%. We found that neither the act of becoming a KNIGHTS Clinic volunteer nor the hours volunteered at the KNIGHTS Clinic influenced the UCF COM student’s choice to enter a primary care specialty (p = NS). Additionally, prior volunteering/clinical experience or the gender of the medical school student did not influence

  11. 移动环境下专业实习学习共同体数据平台的构建设想%Design of the Learning Community in Specialty Practice in Mobile Environment

    Institute of Scientific and Technical Information of China (English)

    邓小霞; 谢一民

    2014-01-01

    专业实习是学生进行技能锻炼和提升的主要途径,也是教学计划任务中必不可少的环节。移动技术支持下的实习共同体的建立,便于促进实习生之间的交流、强化实习生对自身知识的反思、助学者角色可以给实习生提供相应的帮助。本文在移动学习和学习共同体涵义的基础上构建了专业实习学习共同体模式,指出了当前专业实习的现状,分析了专业实习学习共同体的组成要素,论述了此学习共同体对实习的有力支持。%Specialty practice aims to improve students’teaching skills, which is an indispensable part of teaching tasks. Support-ed by mobile technology, the learning community will contribute to the communications among the interns, and will intensify the in-terns’introspection on their own knowledge. The facilitators will provide the interns with the advisable help. Based on the defini-tions of mobile learning and learning community, this paper explores the construction of the learning community in specialty prac-tice. It points out the present situation of the specialty practice, analyzes the components of the learning community in specialty prac-tice, and illustrates its effective support for teaching practice.

  12. Maximising harm reduction in early specialty training for general practice: validation of a safety checklist

    Directory of Open Access Journals (Sweden)

    Bowie Paul

    2012-06-01

    Full Text Available Abstract Background Making health care safer is a key policy priority worldwide. In specialty training, medical educators may unintentionally impact on patient safety e.g. through failures of supervision; providing limited feedback on performance; and letting poorly developed behaviours continue unchecked. Doctors-in-training are also known to be susceptible to medical error. Ensuring that all essential educational issues are addressed during training is problematic given the scale of the tasks to be undertaken. Human error and the reliability of local systems may increase the risk of safety-critical topics being inadequately covered. However adherence to a checklist reminder may improve the reliability of task delivery and maximise harm reduction. We aimed to prioritise the most safety-critical issues to be addressed in the first 12-weeks of specialty training in the general practice environment and validate a related checklist reminder. Methods We used mixed methods with different groups of GP educators (n = 127 and specialty trainees (n = 9 in two Scottish regions to prioritise, develop and validate checklist content. Generation and refinement of checklist themes and items were undertaken on an iterative basis using a range of methods including small group work in dedicated workshops; a modified-Delphi process; and telephone interviews. The relevance of potential checklist items was rated using a 4-point scale content validity index to inform final inclusion. Results 14 themes (e.g. prescribing safely; dealing with medical emergency; implications of poor record keeping; and effective & safe communication and 47 related items (e.g. how to safety-net face-to-face or over the telephone; knowledge of practice systems for results handling; recognition of harm in children were judged to be essential safety-critical educational issues to be covered. The mean content validity index ratio was 0.98. Conclusion A checklist was developed and

  13. From Porter to Bourdieu: The Evolving Specialty Structure of English Canadian Sociology, 1966 to 2014.

    Science.gov (United States)

    Stokes, Allyson; McLevey, John

    2016-05-01

    How has English Canadian sociology changed from 1966 to 2014? Has it become more intellectually fragmented or cohesive over time? We answer these questions by analyzing cocitation networks extracted from 7,141 sociology articles published in 169 journals. We show how the most central early specialties developed largely in response to John Porter's The Vertical Mosaic. In later decades, the discipline diversified, fragmented, and then reorganized around a new set of specialties knit together by the work of Pierre Bourdieu. The discipline was most intellectually fragmented in periods where multiple specialties were emerging or declining concurrently (i.e., 1975 to 1984 and 1995 to 2004), and was more structurally cohesive from 2005 to 2014 than in any previous period. Comment est-ce que la sociologie canadienne-anglaise a-t-elle changé entre 1966 et 2014? Est-elle devenue plus intellectuellement fragmentée ou cohérente avec le temps? Nous répondons à ces questions en analysant des réseaux de co-citation qui ont été déduits de 7,141 articles publiés par 169 journaux. Nous démontrons les spécialités primordiales se sont développées en réponse de The Vertical Mosaic de John Porter. Durant les décennies suivantes, la discipline s'est diversifiée, fragmentée et puis s'est réorganisée autour d'une nouvelle série de spécialités liées ensemble par le travail de Pierre Bourdieu. La discipline était la plus intellectuellement fragmentée durant les périodes où plusieurs spécialités émergeaient ou déclinaient concurremment (par exemple de 1975 à 1985 et de 1995 à 2004). Par contre, elle était plus cohérente que tous les autres périodes entre 2005 et 2014.

  14. 石油特色专业学生职业生涯规划影响因素探析%Research on the Effect Factors of Career Planning for the students of oil Characteristic Specialty

    Institute of Scientific and Technical Information of China (English)

    曾艳琳

    2012-01-01

    Based on the literature research,interviews and sample surveys,the effect factors of career planning for the students of oil characteristic specialty are analyzed respectively from internal factors and external factors.On this basis,the effect factors system of career planning for the students of oil characteristic specialty is established.Then,the coping strategy of career planning for the students of oil characteristic specialty is discussed in the paper.%文章通过文献研究、访谈和抽样调查等研究方式,分别从内部和外部剖析了石油特色专业学生职业生涯规划的影响因素,建立了石油特色专业学生职业生涯规划影响因素体系,并对石油特色专业学生职业规划的应对策略进行了探讨。

  15. Study on the relationship between work engagement and specialty identity of medical students%医学生学习投入与专业认同关系的研究

    Institute of Scientific and Technical Information of China (English)

    刘玉梅; 薛勤; 姜珍珍; 邹扬; 汪年松

    2014-01-01

    Objective To know the status of work engagement and specialty identity of medical students. Methods Based on Utrecht work engagement scale (UWES) and vocational identity scale, 195 medical students and 99 non-medical students from Shanghai Jiao Tong University were investigated. Results Scores of work engagement and specialty identity of students from clinical medicine and stomatology were higher than that of students from preventive and laboratory medicine and nursing, with statistical significance. Students from clinical medicine had the highest score of specialty identity, while students from preventive and medicine had the lowest. Undergraduate students from clinical medicine had higher scores of work engagement and specialty identity than graduate students. There was a positive correlation between work engagement and specialty identity. There was no statistical significance in work engagement and specialty identity between medical and non-medical students. But medical students had higher sense of dedication, certainty, significance, self-efficacy and self-decision, with statistical significance. Conclusions The more specialty identity, the more work engagement. Work engagement and specialty identity of students in our study is not very much, but medical students had higher sense than non-medical students.%目的:了解医学生的学习投入与专业认同的情况。方法采用乌得勒支学习投入量表和职业认同量表,对上海交通大学医学院195名医学生进行调查,同时选取该校99名非医学生作为对照。结果临床医学、口腔医学专业学生专业课程与非专业课程学习投入较预防医学与医学检验、护理学专业学生高,专业认同强,差异有统计学意义。临床医学专业学生的专业认同最强,预防医学与医学检验专业学生的专业认同最弱。临床医学专业本科生较研究生专业课程学习投入多,专业认同强。医学不同专业、不同学历

  16. Engineering the biological conversion of methanol to specialty chemicals in Escherichia coli.

    Science.gov (United States)

    Whitaker, W Brian; Jones, J Andrew; Bennett, R Kyle; Gonzalez, Jacqueline E; Vernacchio, Victoria R; Collins, Shannon M; Palmer, Michael A; Schmidt, Samuel; Antoniewicz, Maciek R; Koffas, Mattheos A; Papoutsakis, Eleftherios T

    2017-01-01

    Methanol is an attractive substrate for biological production of chemicals and fuels. Engineering methylotrophic Escherichia coli as a platform organism for converting methanol to metabolites is desirable. Prior efforts to engineer methylotrophic E. coli were limited by methanol dehydrogenases (Mdhs) with unfavorable enzyme kinetics. We engineered E. coli to utilize methanol using a superior NAD-dependent Mdh from Bacillus stearothermophilus and ribulose monophosphate (RuMP) pathway enzymes from B. methanolicus. Using (13)C-labeling, we demonstrate this E. coli strain converts methanol into biomass components. For example, the key TCA cycle intermediates, succinate and malate, exhibit labeling up to 39%, while the lower glycolytic intermediate, 3-phosphoglycerate, up to 53%. Multiple carbons are labeled for each compound, demonstrating a cycling RuMP pathway for methanol assimilation to support growth. By incorporating the pathway to synthesize the flavanone naringenin, we demonstrate the first example of in vivo conversion of methanol into a specialty chemical in E. coli.

  17. Continuing education needs of pediatricians across diverse specialties caring for children with medical complexity.

    Science.gov (United States)

    Bogetz, Jori F; Bogetz, Alyssa L; Gabhart, Julia M; Bergman, David A; Blankenburg, Rebecca L; Rassbach, Caroline E

    2015-03-01

    Care for children with medical complexity (CMC) relies on pediatricians who often are ill equipped, but striving to provide high quality care. We performed a needs assessment of pediatricians across diverse subspecialties at a tertiary academic US children's hospital about their continuing education needs regarding the care of CMC. Eighteen pediatricians from diverse subspecialties were asked to complete an online anonymous open-ended survey. Data were analyzed using modified grounded theory. The response rate was 89% (n = 16). Of participants, 31.2% (n = 5) were general pediatricians, 18.7% (n = 3) were hospitalists, and 50% (n = 8) were pediatric subspecialists. Pediatricians recognized the need for skills in care coordination, giving bad news, working in interprofessional teams, and setting goals of care with patients. Practicing pediatricians need skills to improve care for CMC. Strategically incorporating basic palliative care education may fill an important training need across diverse pediatric specialties. © The Author(s) 2015.

  18. [Hospital and organizational dynamics of the National Institutes of Health. Relationship with high-specialty hospitals].

    Science.gov (United States)

    Gabilondo Navarro, Fernando

    2011-01-01

    In order to primarily encourage medical care, teaching and research activities in high specialty regional hospitals (HSRH), a number of strategies are explored to increase the number of patients cared for, improve the quality and timeliness of care and successfully integrate the function of these hospitals within the care and patient flow model expected by the Federal Government. These strategies include the use of information technology systems as platforms for telemedicine, including tele-imaging, tele-education and telepathology, thus fostering the quality and timeliness of medical care and narrow the relationship between these HSRH with the National Health Institutes. Other strategies such as extra-mural surgery, specific theme workshops, resident rotations, the use of simulators and "Science Weeks" are also explored so as to promote teaching and research. Finally, the reference and counter-reference system and the introduction of pension programs are evaluated as possible strategies supporting resource management.

  19. Gluconic acid from biomass fast pyrolysis oils: specialty chemicals from the thermochemical conversion of biomass.

    Science.gov (United States)

    Santhanaraj, Daniel; Rover, Marjorie R; Resasco, Daniel E; Brown, Robert C; Crossley, Steven

    2014-11-01

    Fast pyrolysis of biomass to produce a bio-oil followed by catalytic upgrading is a widely studied approach for the potential production of fuels from biomass. Because of the complexity of the bio-oil, most upgrading strategies focus on removing oxygen from the entire mixture to produce fuels. Here we report a novel method for the production of the specialty chemical, gluconic acid, from the pyrolysis of biomass. Through a combination of sequential condensation of pyrolysis vapors and water extraction, a solution rich in levoglucosan is obtained that accounts for over 30% of the carbon in the bio-oil produced from red oak. A simple filtration step yields a stream of high-purity levoglucosan. This stream of levoglucosan is then hydrolyzed and partially oxidized to yield gluconic acid with high purity and selectivity. This combination of cost-effective pyrolysis coupled with simple separation and upgrading could enable a variety of new product markets for chemicals from biomass.

  20. Factors Affecting the Choice of Psychiatry as a Specialty and Satisfaction among Turkish Psychiatry Residents.

    Science.gov (United States)

    Ozer, Urun; Ceri, Veysi; Carpar, Elif; Sancak, Baris; Yildirim, Fatma

    2016-04-01

    This study aimed to investigate the factors affecting the choice of psychiatry among psychiatry residents, identify the fulfillment of expectations, and assess their satisfaction level. Anonymous questionnaires were administered to 98 psychiatry residents, and sociodemographic and professional data were collected. Among the reasons for choosing psychiatry, the opportunity to cultivate interest in humanities, importance of social and relational issues, and intellectual challenge were most frequently selected. The opportunity for complete use of medical training, salary, and opportunity to practice psychotherapy were the expectations least met. The largest group of participants was satisfied to have chosen psychiatry (41.5%), decided on psychiatry training after medical school (35.4%), and attached importance to becoming a clinician (70.7%). Although the satisfaction level was high in this study, addressing the areas in which expectations were not met may increase the satisfaction of psychiatry residents and the selection of psychiatry as a specialty.