End Of Training Week Research Articles

Expanding Access to Medications for Opioid Use Disorder Treatment Through Incentivized Continuing Education.

Introduction:Buprenorphine treatment for opioid use disorder (OUD) has positive outcomes including reducing opioid-related morbidity and mortality. In March 2018, 58 of 102 counties in Illinois lacked access to medication for OUD.Methods:Rush University created a fellowship training program with financial incentives to help expand buprenorphine treatment in Illinois. Fellows first completed an online waiver course, then attended an in-person intensive training weekend, and finally participated in a 9-month webinar series. Demographic and prescribing data were collected from fellows, as well as a comparison group of providers outside the fellowship who only completed a waiver training.Results:At the fellowship's end, 31 of 37 fellows (84%) reported they were actively prescribing buprenorphine. Of the 23 fellows who were not prescribing at the fellowship's beginning, 17 (74%) initiated prescribing by the end. Among the 16 nonfellowship subjects who only completed a waiver training, just two (13%) reported they were prescribing buprenorphine at the study period's end.Discussion:Our study indicates that providers need more training beyond the waiver to initiate buprenorphine prescribing. When resources are available to address a health crisis such as OUD, this model offers an innovative mechanism for delivering continuing medical education that produces outcomes quickly.

When encounter becomes electric: an online group experience

ABSTRACTIn February 2019 we hosted our first online Diploma training weekend. None of the participants were physically present to each other as they were in their own homes and connecting through an online meeting environment. Our training program is well known for the intensity that is created in an unstructured space where we are all physically present with each other. Therefore, the inclusion of an online weekend in the training program felt like risking our reputation, challenging our educational philosophy and potentially interrupting the developmental experience of our students. Thus, we embarked on our 16 hours behind a screen feeling a mix of excitement, resistance, and hope. In this article, we will describe the purpose and the environment of the online encounter group and our discoveries as a facilitation team, also exploring the implications for future facilitators working in this medium. We will discuss some of the learning from this experience including the possibility to facilitate multiple individual and group processes simultaneously, anti-oppressive facilitation, being hidden or hunted and finally the disinhibition effect on the group in this online environment. We also connect Rogers theory of actualization with John Suler’s writings about online benign disinhibition and the actualization of the self.

Leadership in training: a Q&A with Ian Corrie

As well as the use of practical clinical scenarios, the training weekend was also used to provide leadership and development training for senior members of the regiment. In this special Question and Answer feature, the man in charge, Ian Corrie, provides a more in-depth insight into what the training involved

Linking civilian and military care in a training exercise

In a collaborative exercise, the University of Cumbria's paramedic training team held a multidisciplinary training weekend at its Ambleside campus on 8–9 December 2018. In this feature comment, we hear from some of the key players involved in the training, which importantly linked civilian and military emergency care

A Challenge-Based Approach to Body Weight-Supported Treadmill Training Poststroke: Protocol for a Randomized Controlled Trial.

BackgroundBody weight support treadmill training protocols in conjunction with other modalities are commonly used to improve poststroke balance and walking function. However, typical body weight support paradigms tend to use consistently stable balance conditions, often with handrail support and or manual assistance.ObjectiveIn this paper, we describe our study protocol, which involved 2 unique body weight support treadmill training paradigms of similar training intensity that integrated dynamic balance challenges to help improve ambulatory function post stroke. The first paradigm emphasized walking without any handrails or manual assistance, that is, hands-free walking, and served as the control group, whereas the second paradigm incorporated practicing 9 essential challenging mobility skills, akin to environmental barriers encountered during community ambulation along with hands-free walking (ie hands-free + challenge walking).MethodsWe recruited individuals with chronic poststroke hemiparesis and randomized them to either group. Participants trained for 6 weeks on a self-driven, robotic treadmill interface that provided body weight support and a safe gait-training environment. We assessed participants at pre-, mid- and post 6 weeks of intervention-training, with a 6-month follow-up. We hypothesized greater walking improvements in the hands-free + challenge walking group following training because of increased practice opportunity of essential mobility skills along with hands-free walking.ResultsWe assessed 77 individuals with chronic hemiparesis, and enrolled and randomized 30 individuals poststroke for our study (hands-free group=19 and hands-free + challenge walking group=20) from June 2012 to January 2015. Data collection along with 6-month follow-up continued until January 2016. Our primary outcome measure is change in comfortable walking speed from pre to post intervention for each group. We will also assess feasibility, adherence, postintervention efficacy, and changes in various exploratory secondary outcome measures. Additionally, we will also assess participant responses to a study survey, conducted at the end of training week, to gauge each group's training experiences.ConclusionsOur treadmill training paradigms, and study protocol represent advances in standardized approaches to selecting body weight support levels without the necessity for using handrails or manual assistance, while progressively providing dynamic challenges for improving poststroke ambulatory function during rehabilitation.Trial RegistrationClinicalTrials.gov NCT02787759; https://clinicaltrials.gov/ct2/show/NCT02787759 (Archived by Webcite at http://www.webcitation.org/6yJZCrIea)

A pre-hospital search and rescue training exercise for students

In June 2013, Warwick Wilderness Medicine society (WWM) at the University of Warwick, UK, ran a pre-hospital care training weekend culminating in an ambitious search and rescue (SAR) training exercise in the Lake District, England. Seventeen participants were provided with refresher training in wilderness medicine. They were then directed to undertake an area search and subsequent pre-hospital management of three simulated patients. The training was run by WWM without outside involvement. Details of the training day are discussed along with the feedback received from participants and the faculty. Areas for improvement are summarised for the benefit of other organisations planning similar activities.

Nutrition education and leadership for improved clinical outcomes: training and supporting junior doctors to run 'Nutrition Awareness Weeks' in three NHS hospitals across England.

BackgroundOne in four adults are estimated to be at medium to high risk of malnutrition when screened using the ‘Malnutrition Universal Screening Tool’ upon admission to hospital in the United Kingdom. The Need for Nutrition Education/Education Programme (NNEdPro) Group was developed to address this issue and the Nutrition Education and Leadership for Improved Clinical Outcomes (NELICO) is a project within this group.The objective of NELICO was to assess whether an intensive training intervention combining clinical and public health nutrition, organisational management and leadership strategies, could equip junior doctors to contribute to improvement in nutrition awareness among healthcare professionals in the National Health Service in England.MethodsThree junior doctors were self-selected from the NNEdPro Group original training. Each junior doctor recruited three additional team members to attend an intensive training weekend incorporating nutrition, change management and leadership. This equipped them to run nutrition awareness weeks in their respective hospitals. Knowledge, attitudes and practices were evaluated at baseline as well as one and four months post-training as a quality assurance measure. The number and type of educational events held, pre-awareness week Online Hospital Survey results, attendance and qualitative feedback from training sessions, effectiveness of dissemination methods such as awareness stalls, Hospital Nutrition Attitude Survey results and overall feedback were also used to determine impact.ResultsWhen the weighted average score for knowledge, attitudes and practices at baseline was compared with four months post-intervention scores, there was a significant increase in the overall score (p = 0.03). All three hospital teams conducted an effective nutrition awareness week, as determined by qualitative data collected from interviews and feedback from educational sessions.ConclusionThe NELICO project and its resulting nutrition awareness weeks were considered innovative in terms of concept and content. It was considered useful, both for the junior doctors who showed improvement in their nutrition knowledge and reported enthusiasm and for the hospital setting, increasing awareness of clinical and public health nutrition among healthcare professionals. The NELICO project is one innovative method to promote nutrition awareness in tomorrow’s doctors and shows they have the enthusiasm and drive to be nutrition champions.

Teacher Training weekend for E.G.B. teachers (Heinemman-A.P.A.C.)

Els dies 8 i 9 del proppassat mes de maig es va realitzar per segon any consecutiu una trobada de cap de setmana per a mestres d'anglès d'Educació Primària a l'Escola de Mestres de Tarragona, organitzada per l'editorial Heinemann, amb la col·laboració de l'APAC (Associació de Professors d'Anglès a Catalunya) i la directora del Departament de Llengües de la Universitat Rovira i Virgili, Dra. Fernanda Rodríguez. Les sessions de treball van tractar temes relacionats amb la Reforma i l'ensenyament de l'anglès com a llengua precoç. Pepita Subirà ens va presentar un «tercer nivell de concreció» per a una unitat didàctica, i la forma de portar-la a la pràctica.

Teacher Training weekend for EGB teachers (Heinemman-APAC)

Els dies 8 i 9 del proppassat mes de març es va realitzar a l'Escola de Mestres de Tarragona una trobada de cap de setmana per a professors d'anglès, organitzada per l'editorial Heinemann, amb la col·laboració de l'APAC (Associació de Professors d'Anglès a Catalunya). Les sessions de treball van estar presentades per Maria Toth i Núria Vidal, dues professores d'anglès amb molta experiència i capdavanteres en la didàctica d'aquesta llengua.

Need for Nutrition Education Programme: Laying the foundations of nutrition knowledge relevant to clinical and public health practice

The Need for Nutrition Education Programme is an independent educational innovation and evaluation programme with 2 phases. The objective of Phase 1 was to measure the effectiveness of a nutrition education intervention for medical students undertaking clinical training. The objective of Phase 2, Nutrition Education and Leadership for Improved Clinical Outcomes, was to assess if a training intervention incorporating clinical/public health nutrition and change management/leadership strategies, could equip junior doctors to improve nutrition awareness in UK hospitals. Phase 1 involved training weekends on clinical nutrition for 4th year medical students. Two and a half years later, 3 participants from these cohorts joined NELICO and recruited up to 3 additional junior doctors from their hospitals. The 3 teams attended a training weekend based on the objectives, equipping them to run a hospital Nutrition Awareness Week. Knowledge, attitudes and practices evaluated at baseline and post training improved significantly from baseline to 4 months for Phase 1 (p≤0.0001) and Phase 2 (p=0.03). Qualitative feedback was collected in both phases. Junior doctor led training sessions during the weeks were found to be particularly effective when combined with input from the hospital dietetics team. The weeks were considered useful by those involved and led to a wealth of lessons learned on how to improve hospital nutrition.

Convergys managers build platform for success

PurposeThe purpose of this paper is to describe how 19 managers from the European and Middle Eastern divisions of multinational business consultancy Convergys built a badger‐watching platform during a training weekend, to assess and improve skills in leadership, motivation and performance management.Design/methodology/approachDetails how the training was commissioned and delivered, and the benefits it brought.FindingsExplains that the managers were split into four teams, responsible for catering, public relations, resourcing and entertainment. Each team had a functional responsibility, but the group as a whole was in charge of planning, designing and building the badger‐watching platform within 24 hours.Practical implicationsClaims that, overall, the managers were helped to see the company's key business objectives more clearly, and how their individual performance relates to these objectives.Originality/valueReveals that asking team members as a group to plot the way forward and set some rules for themselves was an effective way of fostering a common understanding and shared goals.

Counsellor training: An evaluation of the effectiveness of a residential outdoor pursuits activity weeked on the personal development of trainee counsellors

Trainee counsellors were taken on an outdoor development weekend training course, organised as a component of a two year part-time professional counsellor training course. The weekend was held during the final term of the second year of the course at an outdoor pursuits centre in the Lake District. The weekend's activities included canoeing, abseiling, onenteering, hill walking, rope work and climbing as well as other adventure exercises. Attendance at the weekend was compulsoy for all the 17 students on the course. This training weekend was an innovation in counsellor training and therefore a pilot study was designed to evaluate its effectiveness in making a contribution to the overall development of the trainees as counsellors. The study used a same subject experimental design and data was collected pre and post the weekend. The assessment procedure adopted for the purpose of this research included the use of repertoy grids and a series of questions with analogue scales for responses. There was some evidence to suggest that as a result of the weekend the participants experienced an increase in their self esteem, changes in their level of self confidence, felt more co-operative towards their fellow students, felt more helped by and helpful towards others and had an increased awareness of their competitiveness and stamina. It was concluded that the weekend made some contribution to the personal development of counsellors in training, particularly with regard to team building, co-operation and group cohesion.

Alerts

The Librarian's Christian Fellowship has taken the opportunity offered by the Library Association's “Under One Umbrella” training weekend to arrange a service of Thanksgiving and Rededication in St Georges's Church, Great George Street, Leeds, beginning at 5.50pm on Saturday 6 July 1991 to give delegates a chance for a brief period of worship and reflection during a busy conference programme. The speaker will be Canon David Hawkins of St George's Church, and Tom Featherstone, President of the Library Association, will participate in the service.

Sensitivity training and self-actualization.

50 T-group volunteers who experienced a 24-hr. sensitivity training weekend were compared with a group of 55 student volunteers who had no training. Both groups responded to the Personal Orientation Inventory, a measure of self-actualization, in a pre-post, 6-wk., follow-up design. The T-groups were led by 10 paraprofessionals. Volunteers were found after training to be guided more by their own internal values, feelings and goals, and less controlled by external influences than were nonparticipants. This level of inner directedness or self-actualization was still significantly higher 6 wk. after the training weekend.