Current State Of Training Research Articles

Advances in Psychiatry Training and Faculty Development in India.

This review examines the historical developments, current state of training, existing challenges, and opportunities for undergraduate, postgraduate, and super specialty psychiatry education in India. For this narrative review, we examined information from the published literature, along with key documents from the Indian Psychiatric Society, the National Medical Commission, and other relevant sources. In India, psychiatry training has seen significant advancements since independence, particularly in the past decade, driven by the recommendations of the Indian Psychiatric Society and the introduction of competency-based medical education by the National Medical Commission. This transformation has redefined undergraduate and postgraduate training across all medical disciplines, including psychiatry. The shift has moved away from traditional, time-bound frameworks toward a focus on acquiring specific competencies essential for effective clinical practice. This approach ensures that trainees gain theoretical knowledge and develop practical skills and professional attitudes crucial for patient care. However, a major challenge highlighted in this review is the transition of senior residents to faculty roles without adequate training in teaching, research, academia, and leadership. Despite this, they are expected to excel in these areas upon assuming faculty positions. To address this gap, we emphasize the urgent need for a comprehensive faculty development program for early career faculty. Our proposed initiative aims to bridge these gaps and support the development of future leaders and educators in psychiatry. The recommendations outlined in this review seek to create a robust educational environment that will cultivate the next generation of psychiatrists in India.

The current state of training in pain medicine fellowships: An Association of Pain Program Directors (APPD) survey of program directors.

The Accreditation Council for Graduate Medical Education (ACGME) approved the first pain medicine fellowship programs over three decades ago, designed around a pharmacological philosophy. Following that, there has been a rise in the transition of pain medicine education toward a multidisciplinary interventional model based on a tremendous surge of contemporaneous literature in these areas. This trend has created variability in clinical experience and education amongst accredited pain medicine programs with minimal literature evaluating the differences and commonalities in education and experience of different pain medicine fellowships through Program Director (PD) experiences. This study aims to gather insight from pain medicine fellowship program directors across the country to assess clinical and interventional training, providing valuable perspectives on the future of pain medicine education. This study involved 56 PDs of ACGME-accredited pain fellowship programs in the United States. The recruitment process included three phases: advanced notification, invitation, and follow-up to maximize response rate. Participants completed a standard online questionnaire, covering various topics such as subcategory fields, online platforms for supplemental education, clinical experience, postgraduate practice success, and training adequacy. Surveys were completed by 39/56 (69%) standing members of the Association of Pain Program Directors (APPD). All PDs allowed fellows to participate in industry-related and professional society-related procedural workshops, with 59% encouraging these workshops. PDs emphasized the importance of integrity, professionalism, and diligence for long-term success. Fifty-four percent of PDs expressed the need for extension of fellowship training to avoid supplemental education by industry or pain/spine societies. This study highlights the challenge of providing adequate training in all Pain Medicine subtopics within a 12-month pain medicine fellowship. PDs suggest the need for additional training for fellows and discuss the importance of curriculum standardization.

Internal Medicine Resident Addiction Training at the Veteran's Health Administration: A Qualitative Evaluation of Site Directors' Response to the 2022 ACGME Requirements.

Substance use disorders (SUDs) are prevalent in the USA yet remain dramatically undertreated. To address this care gap, the Accreditation Council for Graduate Medical Education (ACGME) approved revisions to the Program Requirements for Graduate Medical Education (GME) in Internal Medicine, effective July 1, 2022, requiring addiction medicine training for all internal medicine (IM) residents. The Veterans Health Administration (VHA) is a clinical training site for many academic institutions that sponsor IM residencies. This focus group project evaluated VHA IM residency site directors' perspectives about providing addiction medical education within VHA IM training sites. To better understand the current state, barriers to, and facilitators of IM resident addiction medicine training at VHA sites. This was a qualitative evaluation based on semi-structured video-based focus groups. Participants were VHA IM site directors based at a VHA hospital or clinic throughout the USA. Focus groups were conducted using a semi-structured group interview guide. Two investigators coded each focus group independently, then met to create a final adjudicated coding scheme. Thematic analysis was used to identify key themes. Forty-three participants from 38 VHA sites participated in four focus groups (average size: 11 participants). Six themes were identified within four pre-defined categories. Current state of training: most VHA sites offered no formal training in addiction medicine for IM residents. Barriers: addiction experts are often located outside of IM settings, and ACGME requirements were non-specific. Facilitators: clinical champions help support addiction training. Desired next steps: participants desired incentives to train or hire local champions and a pre-packaged didactic curriculum. Developing competent clinical champions and leveraging VHA addiction specialists from non-IM settings would create more addiction training opportunities for IM trainees at VHA sites. These insights can likely be applied to IM training at non-VHA sites.

Satisfaction of surgeons with the current state of training in minimally invasive surgery: a survey among German surgeons

BackgroundMinimally invasive surgery (MIS) requires intense education and training with structured supervision and feedback. However, a standardized training structure is lacking in Germany. This nationwide survey aimed to assess the current state of minimally invasive surgery (MIS) training and factors impacting surgeons' satisfaction.MethodsBetween July and October 2021, an online survey was conducted among general, abdominal, and thoracic surgeons in Germany. The survey collected data on department size, individual operative experience, availability of MIS training equipment and curricula, and individual satisfaction with training. A linear regression analysis was conducted to investigate factors influencing the surgeons’ satisfaction with the MIS training.ResultsA total of 1008 surgeons participated in the survey, including residents (26.1%), fellows (14.6%), attendings (43.8%), and heads of departments (15.2%). Of the respondents, 57.4% reported having access to MIS training equipment, 29.8% and 26% had a curriculum for skills lab MIS training and intraoperative MIS training, respectively. In multivariate linear regression analysis, strongest predictors for surgeons’ satisfaction with skills lab MIS training and intraoperative training were the availability of respective training curricula (skills lab: β 12.572; p < 0.001 & intraoperative: β 16.541; p < 0.001), and equipment (β 5.246; p = 0.012 & β 4.295; p = 0.037), and experience as a first surgeon in laparoscopy (β 12.572; p < 0.001 & β 3.748; p = 0.007). Additionally, trainees and teachers differed in their satisfaction factors.ConclusionGermany lacks standardized training curricula and sufficient access to MIS training equipment. Trainees and teachers have distinct factors influencing their satisfaction with MIS training. Standardized curricula, equipment accessibility, and surgical experience are crucial for improving surgeons’ satisfaction with training.

Endourological panorama and current state of training in endourology among European teaching hospitals.

Endourological panorama and current state of training in endourology among European teaching hospitals.

What’s New in Hip Replacement

What’s New in Hip Replacement

Influence of Programmed Exercise on Body Composition Indicators of Recreational Exercisers

This research was conducted in order to determine whether and what to extent the three-month fitness program affect changjes in body composition on a sample of 42 exercisers, recreational athletes, ages between 21 and 35. The measurement was performed using a Tanita scale, model BC-543, and the following variables were applied: body weight, muscle mass and percentage of fat. After the initial measurement, a three-month fitness exercise program was applied, and then the final measurement in order to determine the achieved effects of training. Trainings were performed three times a week and were adjusted to each recreational athlete in proportion to the age and current state of training. In the process of statistical data processing, descriptive and comparative statistics procedures were used. The basic statistical parameters for each subject were calculated individually and it was determined that there are statistically significant differences between the initial and final measurements.

Universities of culture: current state, goals and objectives of development

The article presents the author's opinion on the current state of training in the universities of culture with the new social conditions and requirements stated in the documents of the modernization of education, as well as strategic goals and objectives for the development of culture in Russia. The relevance of the chosen topic is determined by the need to address the issues of training highly qualified personnel for the sphere of culture and arts, taking into account modern requirements for specialists, as well as the provisions of the "Fundamentals of cultural policy of the Russian Federation". There is a problem associated with determining ways to resolve the identified shortcomings in the process of cultural development in the country, which affects the preservation of cultural values in society and disrupts the process of transferring cultural heritage to the next generations. In this regard, it is possible to formulate the purpose of the article, which is to theoretically substantiate the current state of cultural universities that train specialists for the socio-cultural sphere and present a practical solution to the problems that have arisen. For research on the chosen topic, a set of research methods was used: theoretical analysis, synthesis, structural-functional, logical. Special attention is paid to the analysis of official documents on the development of culture in the Russian Federation, as well as to the review of the activities of universities of culture in Russia and creative foreign universities. As a result of the conducted research, the shortcomings that hinder the development of culture in the Russian Federation and regions, as well as possible ways to resolve existing problems, are identified. In addition, the practical experience of solving the goals and objectives outlined in the strategy for the development of culture is presented. Conclusions, generalizations are made and recommendations are given for solving the identified problems in the development of culture.

Formation and development of the scientific school on the problems of breeding and technological support and development of agrarian science

The concept of the scientific school is considered in the article, its composition as an integral subject of the research activity of the school founder, his followers in time is characterized. The scientific potential of a specific scientific school is evaluated, and the directions of scientific research, actual scientific problems and ways of their solution, current state of training of highly skilled personnel, achievements are characterized.

О подготовке кадров для ядерной медицины

Purpose: Due to the necessity of improving the education of medical workers it is vital to conduct a review of the current state of training for work associated with the use of high-tech equipment and the use of radiopharmaceuticals for nuclear medicine.&#x0D; Results: To ensure the availability of modern, high-quality medical care, oriented to world standards, it should be considered that the necessary conditions are based not only on the development of medical science and technology, material and technical equipment, but also on the provision of highly qualified personnel with a certain set of competencies.&#x0D; Currently, the training and professional development of personnel for this area is carried out at all levels of vocational education: secondary and higher in accordance with the Lists of specialties and areas of vocational education. At the same time, the issues of developing and approving relevant professional standards and Federal state educational standards (FSES) for the needs of nuclear medicine remain unsolved, which in turn is one of the factors that reduce the demand for specialists in this field in the labor market.&#x0D; At the same time, the issues of developing and approving relevant professional standards and FSES for the needs of nuclear medicine remain unsolved, which in turn is one of the factors that reduce the demand for specialists in this field on the labor market.&#x0D; The personnel crisis is overcome due to the implementation of additional professional programs and practical training at the bases of leading scientific, clinical and educational institutions that are leaders in the field of nuclear medicine and radiopharmaceuticals.&#x0D; Conclusion: In order to address the shortage of personnel for such a booming industry, a clear coordinated plan is needed, which would include systematic measures to train personnel both at the undergraduate level and to improve already prepared specialists. In addition, it is necessary to prepare a pool of highly qualified faculty for training specialists of a new formation. It is necessary to create federal educational standards taking into account that the current state of medical science and on the basis of professional standards. Work in this direction can be successful only if all stakeholders are actively involved: educational organizations, the professional community and government structures.&#x0D; At the same time, it is an obvious fact that, before the adoption of professional standards and the FSES, the available experience of leading scientific and educational organizations in the training of specialists should be adopted and they should receive support and development.

Training of High Qualifications in the Accounting, Statistics Direction in Accordance with Professional Standards

[full article and abstract in English]&#x0D; The human potential of science is the basis for the formation of the scientific elite, which has declined significantly in recent decades in Russia. The process of forming the human resources potential of a higher school science must begin with the qualitative organization of research activities of students. Then it is necessary to conduct training of scientific personnel in postgraduate study. At the final stage after graduation from the graduate school, it is necessary to carry out measures to secure the trained scientific personnel in higher education with the replacement of a certain post.&#x0D; The human resources potential of science should be considered as an integral characteristic of the available capabilities of each employee. It is important not only to properly assess this potential, but be able to form it. The training of highly qualified personnel is an important strategic stage in the formation of the human potential of science and increasing the competitiveness of the university, taking into account the presence of such negative factors as the aging of scientific personnel, the transfer of scientific and teaching staff to other spheres of the economy, etc. The competitiveness of a higher educational institution largely depends on postgraduate education, which significantly affects the rating indicators of the university.&#x0D; Objective of this research is carrying out a complex author’s research of the current state of training of the top skills in the Accounting, Statistics direction taking into account application of professional standards and also definition of positive and negative sides in the course of their interface. The research is conducted by means of the system analysis. The retrospective analysis of development of system of the higher education in Russia is also applied. The drawn conclusions confirm need of improvement of the existing system of the higher education in a number of the directions. It is necessary to understand that the personnel potential of science is the multidimensional category more difficult according to the contents, than the personnel capacity of the organization.

5.33 Current State of Training in Autism Spectrum Disorder and Developmental Disabilities Across New York State Psychiatry Training Programs

5.33 Current State of Training in Autism Spectrum Disorder and Developmental Disabilities Across New York State Psychiatry Training Programs

АНАЛІЗ СТАНУ ПІДГОТОВКИ МАЙБУТНІХ МЕДИЧНИХ СЕСТЕР ЗАСОБАМИ КОМП’ЮТЕРНИХ ТЕХНОЛОГІЙ

У статті описано розвиток системи охорони здоров’я на сучасному етапі, пов’язаний із використанням комп’ютерних технологій у профілактиці, діагностиці та лікуванні захворювань; проведено аналіз сучасного стану підготовки майбутніх медичних сестер засобами комп’ютерних технологій; розглянуто особливості викладання дисципліни “Основи медичної інформатики” у студентів спеціальності “Сестринська справа”; внесено пропозиції щодо посилення методичної складової процесу підготовки майбутніх медичних сестер до використання комп’ютерних технологій у професійній діяльності.

Current State of Training and Evaluation of Laparoscopic Surgical Skills

__Objective:__ The aim of this study is to understand the current state of training practices and evaluation in laparoscopic surgery in a global context. __Design:__ An open-ended three part questionnaire was designed to gather the opinions about the current state of, adequacy of, and the need for a standard in laparoscopic surgical training. __Participants:__ Members of the European Association for Endoscopic Surgery (EAES), Endoscopic and Laparoscopic Surgeons of Asia (ELSA) and Association of Surgeons of India (ASI) were asked to participate in the survey. __Results:__ Of the 663 responses received, 83.6% were surgeons (64.6% in a teaching position) and 12.6% were surgical residents in training. Most respondents (75.4%) had performed over 200 laparoscopic procedures. Most (72.1%) training programs were approved/endorsed by local surgical associations or government health authorities and of the courses taught by surgical associations the majority had certified trainers (71.1%). In lower Human Development Index (HDI) countries significantly less courses are taught by certified trainers (68.2% versus 54.6%, p<0.001). Only 26.8% stated that their respective government health authorities participated in the certification of laparoscopic surgery; certification was considered important by 63.6%. However, only 17.8% of government health authorities contributed to ensure the quality of laparoscopic training, mostly in very high HDI. Only 3.3% of respondents considered the laparoscopic training and education in their country to be optimal and 51.9% rated it insufficient. Most respondents (86.3%) stated that there is a need for the standardization of laparoscopic training and 88.3% stated that standardization of laparoscopic training is important. __Conclusion:__ Regardless of demographic and experience factors, there was a general consensus that that there is a need for standardisation in mandatory training of laparoscopic surgical skills, although currently not obligatory in most countries.

Ultrasound in HBB surgery – the current state of training in hpb fellowship programs

Ultrasound in HBB surgery – the current state of training in hpb fellowship programs

Consensus Conference on North American Training in Hepatopancreaticobiliary Surgery: A Review of the Conference and Presentation of Consensus Statements.

The findings and recommendations of the North American consensus conference on training in hepatopancreaticobiliary (HPB) surgery held in October 2014 are presented. The conference was hosted by the Society for Surgical Oncology (SSO), the Americas Hepato-Pancreatico-Biliary Association (AHPBA), and the American Society of Transplant Surgeons (ASTS). The current state of training in HPB surgery in North America was defined through three pathways-HPB, surgical oncology, and solid organ transplant fellowships. Consensus regarding programmatic requirements included establishment of minimum case volumes and inclusion of quality metrics. Formative assessment, using milestones as a framework and inclusive of both operative and nonoperative skills, must be present. Specific core HPB cases should be defined and used for evaluation of operative skills. The conference concluded with a focus on the optimal means to perform summative assessment to evaluate the individual fellow completing a fellowship in HPB surgery. Presentations from the hospital perspective and the American Board of Surgery led to consensus that summative assessment was desired by the public and the hospital systems and should occur in a uniform but possibly modular manner for all HPB fellowship pathways. A task force composed of representatives of the SSO, AHPBA, and ASTS are charged with implementation of the consensus statements emanating from this consensus conference.

Consensus Conference on North American Training in Hepatopancreaticobiliary Surgery: A Review of the Conference and Presentation of Consensus Statements.

The findings and recommendations of the North American Consensus Conference on Training in HPB Surgery held October 2014 are presented. The conference was hosted by the Society for Surgical Oncology (SSO), Americas Hepatopancreaticobiliary Association (AHPBA), and the American Society of Transplant Surgeons (ASTS). The current state of training in HPB surgery in North America was defined through three pathways-HPB, Surgical Oncology, and Solid Organ Transplant fellowships. Consensus regarding programmatic requirements included establishment of minimum case volumes and inclusion of quality metrics. Formative assessment, using milestones as a framework and inclusive of both operative and non-operative skills, must be present. Specific core HPB cases should be defined and used for evaluation of operative skills. The conference concluded with a focus on the optimal means to perform summative assessment to evaluate the individual fellow completing a fellowship in HPB surgery. Presentations from the hospital perspective and the American Board of Surgery led to consensus that summative assessment was desired by the public and the hospital systems, and should occur in a uniform but possibly modular manner for all HPB fellowship pathways. A task force comprised of representatives of the SSO, AHPBA, and ASTS are charged with implementation of the consensus statements emanating from this consensus conference.Copyright © 2016 The American Society of Transplantation, the American Society of Transplant Surgeons, and the Society of Surgical Oncology. All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without written permission by The American Society of Transplantation, the American Society of Transplant Surgeons, or the Society of Surgical Oncology.

Ultrasound is revolutionising emergency medicine, but is UK training up to speed?

James Russell considers the current state of training in the use of ultrasonography in emergency medicine

General Practice in the United Kingdom – A training evolution

This article will outline the current state of training for UK General Practice, specifying some of the steps that must be taken in order to qualify, the challenges that trainees often face, and the career opportunities that may await them once completed. A historical perspective will be used to demonstrate the extent to which General Practice has evolved during the last sixty years. A few of the examples and explanations used in this article are by necessity simplistic, designed to highlight key areas of UK general practice in a bid to encourage readers to explore further if they wish to do so.

Effects of Poor Training and Development on the Work Performance of the Fast Food Employees in Cape Town

This research was conducted to establish whether the fast food employees within the Cape Town metropolis were being trained, and if not, what can be the possible reason for the lack of training. Fast food employers depend on their workers’ skills, knowledge and abilities for effective customer services, which make it necessary for workers to be trained and developed to achieve a better work performance. The objective of this study is to evaluate the state of training and development within the fast food outlets, in order to establish the impact of the current state of training and development on employees’ work performance. The purpose is to suggest ways of improving employee job performances through training and development at fast food outlets in Cape Town. Furthermore, to encourage the management of fast food outlets in Cape Town, in order to implement training and development of workers in their workplaces as this will improve the work performance of their employees. The sample consisted of 200 employees from different fast food outlets, out of which 123 responded. A triangulation method was utilized to find information from the different units within the fast food outlets. The the managers, cashiers, production units and others form part of the sample. A closed-ended questionnaire was used. The results obtained proved that a majority of fast food employees in Cape Town do not receive enough training compared to what they should. However, some ex-staff members suggested that there is a need for employee training and development at fast food outlets to improve their job performances. DOI: 10.5901/mjss.2013.v4n14p571