Dangers in the garden Patten, Simon M, Dr; Sur, Emma, MBChB; Sundaram, Radha, FRCA ...
The Lancet (British edition),
09/2010, Letnik:
376, Številka:
9743
Journal Article
Recenzirano
In the UK, nine cases have been reported since 1984;2 in the USA the majority of cases reported to the Centers for Disease Control and Prevention between 1990 and 1999 were in immunocompromised ...patients.3 L longbeachae has a much higher incidence in Australia, New Zealand, and Japan, where it accounts for about 30% of all cases of Legionnaires' disease.4 The clinical presentation and prognosis of disease caused by these Legionella species are similar;3 however, L longbeachae cannot be detected by urinary antigen testing (which is sensitive only for serogroup 1 species), and disease caused by this organism generally has to be diagnosed by culture of a bronchoalveolar lavage sample.5 Previous case studies have shown compost to be a source of the infection.2,3 The antibiotic choice in the management of Legionnaires' disease is the same whatever the causative organism.
There is limited research on the use of objective structured clinical examinations (OSCEs) in psychology despite their extensive use in medicine. This pilot study extended the evidence base by ...assessing the impact on student learning of OSCEs focused on motivational interviewing. A mixed-methods approach was used with quantitative and qualitative data analysed. Data were collated from all 14 professional psychology students enrolled in a health psychology course. Findings suggest that OSCEs are a feasible, reliable and valid method for professional psychology trainees to demonstrate competencies in complex, interventional skills. Implications for incorporating OSCEs into professional psychology training are described. Future work addressing issues including optimal approaches to provision of feedback for learning is needed. Author abstract, ed
Purpose:
There is an increasing demand for quality palliative care teaching within undergraduate medical education. Studies suggest that many junior doctors feel underprepared to perform end-of-life ...care. Previous systematic reviews on palliative care teaching within medical schools have identified significant variability and lack of consistency in teaching. This review aims to update the literature on the current status of palliative care teaching to undergraduates within medical schools.
Method:
A systematic review was undertaken on articles published from December 2001 to November 2015 on palliative care teaching for undergraduate medical students. In all, 650 abstract citations were obtained, of which 126 were relevant to the research questions. Thematic analysis was performed on remaining articles according to whether they discussed content and/or methodology of palliative care education, and data collated.
Results:
There is greater consistency in the content being delivered as part of end-of-life care education within medical schools. The most frequently taught topics include attitudes to death and dying, communication skills, and pain management. Pediatric care and religious/cultural issues are less frequently addressed. Teaching institutions are also utilising a broader range of teaching modalities.
Conclusion:
There is significant progress in palliative care education within medical schools. Ongoing challenges relate to correlating our current practice in medical education to professional recommendations and the expressed needs of junior doctors to practice competent end-of-life care.
The IMT ‘Away Day’ 2023 Maddox, Nicola; Jones, Lindsay; Dyer, Ben ...
Future healthcare journal,
April 2024, 2024-04-00, Letnik:
11
Journal Article
Recenzirano
Odprti dostop
The NHS is facing unprecedented pressures around demand and capacity. Core to this is the NHS workforce which is experiencing unparalleled recruitment and retention problems. There is a plethora of ...reasons underlying this unrest, but chief amongst them are wellbeing and morale which are key areas on which to concentrate development1. UK junior doctors experience high levels of work stress which is leading to burnout and a workforce retention crisis. Whilst a certain level of stress is largely unavoidable given the nature of the job, a supportive environment can be provided to manage these stressors and allow mutual support2.
The Associate College Tutor (ACT) and College Tutor (CT) team at the Royal Devon University Healthcare NHS Foundation Trust (RDUH) conceived the concept and designed an ‘Away Day’ for their Internal Medical Trainees (IMTs) to address this, allowing dedicated offsite time for coming together the creation of lasting work relationships, trust and flattened hierarchy. This allowed open conversations and shared experiences to aid better collegiate understanding and working.
This was a whole day event which occurred off the hospital site 19 July 2023. IMTs and speakers had been given advance warning of the date to allow study leave to be booked. This event was fully supported by the RDUH Postgraduate Medical Education Department.
Sessions focused on wellbeing, sleep, diet, mental health, quality improvement and professional learning. Each IMT year group had a focused feedback meeting with their College Tutor.
20 RDUH IMTs attended (this was a mixture of IMT1s, IMT2s and IMT3s). A post-event survey (n=15) revealed 86% had their wellbeing needs met, 86% reported improved morale and 100% had the opportunity to receive CT support. Trainees rated the day as 4.5/5 (1= poor, 5= excellent). 100% requested an IMT ‘Away Day’ 2024.
Qualitative analysis identified positive themes such as ‘value’ and ‘morale’ as well as ‘job satisfaction’. Comments included ‘this is so important to morale, mental health and satisfaction at work’, ‘makes us feel valued as IMTs’, ‘so valuable to our training and our sense of worth’, ‘felt listened to during feedback sessions, safe and open space’ and ‘it builds relationships within the IMT group which will be helpful for work’.
Overall, the feedback received was very positive and demonstrated that this ‘Away Day’ was helpful for the morale and wellbeing for the vast majority of IMTs that attended.
IMT can be challenging and stressful. This successful and popular ‘Away Day’ had a valuable impact upon IMTs and enabled them to have a safe space in which to voice concerns and receive support without the impact of clinical pressures whilst learning. Given the current difficult and turbulent NHS climate, it is imperative that we provide our trainees with supported environments for their wellbeing and morale. Following the positive feedback received, the RDUH is now organising an ‘Away Day’ for IMTs July 2024; this is planned to be an annual event.
Making National Debts National Blessings Patten, Simon N.
The Annals of the American Academy of Political and Social Science,
03/1919, Letnik:
82, Številka:
1
Journal Article
The Fallacy of Price Bidding Patten, Simon N.
The Annals of the American Academy of Political and Social Science,
07/1918, Letnik:
78, Številka:
1
Journal Article
The Evolution of a New Woman Patten, Simon N.
The Annals of the American Academy of Political and Social Science,
11/1914, Letnik:
56, Številka:
1
Journal Article
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