House Officers Research Articles

Comparison of Attempts Needed for Veterinary Students to Reach Proficiency in a Basic and Advanced Robotic Simulator Task.

Surgical training of students is one of the most difficult aspects of veterinary medical education. Competing interests of house officers, owner's wishes, and ethical concerns have led to increasing use of inanimate models for basic surgical skills training. Robotic simulators have benefits for psychomotor training but have not been previously investigated in veterinary medicine. Understanding the necessary practice time for new training devices is important when determining their potential value. The aim of this study was to compare the number of attempts needed for veterinary students to reach proficiency in both a basic and advanced robotic simulator task, and to assess the predictive nature of performance variables. Each student performed a basic and advanced tasks on the Mimic dV-Trainer™ until proficiency was reached. Students required a median of eight attempts (95% CI = 7-8, range: 6-11) to reach proficiency for the basic task versus 22 attempts (95% CI = 20-26, range: 11-62) for the advanced task. The median time required to complete training for the basic and advanced task was 13.5 minutes (range: 8-24 minutes) and 26.5 minutes (range: 11-82 minutes) respectively. The difference in task attempts supports the training protocol and confirms proficiency can be attained in a short period of time. The number of attempts to reach proficiency correlated with specific performance variables which can be used by educators to aid in training students on a robotic simulator. Continued investigations on robotic simulators should be performed to investigate their use in improving psychomotor skills in veterinary students.

Impact of budget participation and leadership style on managerial performance with organizational commitment as intervening variable

This study aims to scrutinize the impact of the independent variables, i.e., budget participation and leadership style, on managerial performance mediated by organizational commitment. For this reason, the quantitative research approach was utilized to examine the hypotheses, and such an approach is considered appropriate for this study. This study adopted to cover the field side by using the questionnaires; thus, the total population was 42 people with a saturated sample, which means that all population members were involved as research samples, and the analysis of the data employed statistical tests and the coefficient of determination and path analysis. In brief, the findings revealed that budget participation had a positive but not significant effect on managerial performance at the Public Works and Public Housing Office of Wonogiri Regency, and Tax Service Office, Wonogiri Regency, Indonesia. Thus, the variable of leadership style had a positive and significant effect on managerial performance. Besides, the organizational commitment had a positive but not significant effect on managerial performance. Furthermore, organizational commitment did not mediate the significance of the effect of budgetary participation and leadership style on managerial performance. In addition, leadership style is the dominant factor influencing managerial performance and is explained by budget participation and leadership style with intervening organizational commitment.

Juridical Review Regarding Transfer of The Right to Occupate Service House of Police

Nowadays, as time goes by the growing needs of houses is very important for a person. Owning a house is the most basic need and also a rights for everyone. In police sector,efforts to improve the professionalism of public service there are certainly several factors related to the fulfillment of the supported are fundamental rights (basic need) life members such as rights can inhabit/owning the house adequate either through the procurement service by service and home owneship in private. The home office itself has a meaning that is the home state-owned and or by the police and provided for the personnel of the national police. The placement of the house office’s own in national police (polri)sector have been provided for The Head of National police Decission N0.17/VIII/2001 concerning the implementation of the directive by the publishing house placement service of the SIP. The core of the provide of the provided home service itself is intended to exist national police (polri) personnel still active so that it cant be secured and can be better doing their job in terms of promptness and timely.but in fact, the occupant of the home office is national police personnel has been in active more than personnel still active with sip status expired or have not lived by weakness in the control of the designation of the residents of this service which became the forerunner of the move was the rights to occupy or better known by the name of “sale and purchase” or “key money” is certainly not known by the service. This condition doesn’t satisfy the main purpose of the procurement service itself in house Police Departement.

Publish, Don’t Perish: Recommendations for Mitigating Impacts of the New Federal Open Access Policy

In August, the White House Office of Science and Technology Policy issued a new policy requiring that all federally funded scholarly research be accessible to the public immediately upon publication. While this open access policy will ultimately benefit society by increasing the availability of data and research outputs, it could place a heavy burden on researchers due to the relatively high cost of open access alongside an academic culture that tends to favor publishing in high impact subscription journals. We examine the complexities of the traditional publishing landscape and offer recommendations for agencies, universities, and publishers to mitigate the impacts on researchers. Specifically, we recommend a short-term increase in funding to cover higher publishing costs, but contributions from all stakeholders are needed to facilitate a long-term solution.

Exploring the views of Singapore junior doctors on medical curricula for the digital age: A case study.

This study aims to explore the perspectives of medical trainees on the impartation of digital competencies in Singapore's medical school curricula. It also considers how the medical school experience can be strengthened in order to bridge potential gaps in the integration of these competencies in the local curricula. Findings were drawn from individual interviews with 44 junior doctors from Singapore's public healthcare institutions including hospitals and national specialty centers. House officers and residents from different medical and surgical specialties were recruited using purposive sampling. Data was interpreted using qualitative thematic analysis. The doctors were in their first to tenth year of post-graduate training. Thirty of them graduated from the three local medical schools whereas 14 others were trained overseas. Overall, they felt insufficiently prepared to utilize digital technologies in view of their limited exposure to such technologies in medical school. Six key reasons were identified: lack of flexibility and dynamism within the curriculum, dated learning style, limited access to electronic health records, gradual uptake of digital technologies in the healthcare sector, lack of an ecosystem that promotes innovation, and lack of guidance from qualified and available mentors. Equipping medical students with skills relevant to the digital age would benefit from a concerted effort from multiple stakeholders: medical schools, medical educators and innovators, as well as the government. This study bears important implications for countries that seek to bridge the 'transformation gap' brought about by the digital age, which is defined as the sharp divergence between innovations that healthcare providers recognize as important but for which they feel insufficiently prepared.

Can veterinary medicine improve diversity in post-graduate training programs? Current state of academic veterinary medicine and recommendations on best practices.

The American Association of Veterinary Clinicians (AAVC) convened a Diversity, Equity, and Inclusivity working group in March 2021 to address the limited diversity (including but not limited to ethnic, racial, and cultural diversity) in clinical post-DVM graduate training programs and academic faculty. Concurrent with a working group formation, the AAVC developed a strategic plan. The central mission of the AAVC is to develop, support, and connect academic leaders to fuel the future of the veterinary medical profession. House officers and their training programs are central to all goals outlined in the strategic plan. Amongst other strategic goals, the working group identified best practices for intern and resident recruitment and selection. We report herein from the current health profession literature ways to identify and recruit talented, diverse candidates especially those with non-traditional (atypical) preparation and experience. We also provide recommendations on best practices for intern and resident selection. This document highlights holistic approaches, some of which are incrementally being incorporated into the Veterinary Intern Resident Matching Program application, that emphasize diversity as a selection criteria for intern and resident selection an important step towards building a more resilient and inclusive workforce. These include expanding candidate assessment beyond grades and class rank into a more standardized method for screening candidates that includes consideration of life experiences and talents outside of veterinary medicine.

Impact of the 2022 OSTP memo: A bibliometric analysis of US federally funded publications, 2017–2021

AbstractOn August 25, 2022, the White House Office of Science and Technology Policy (OSTP) released a memo regarding public access to scientific research. Signed by Director Alondra Nelson, this updated guidance eliminated the 12-month embargo period on publications arising from U.S. federal funding that had been allowed from a previous 2013 OSTP memo. Although reactions to this updated federal guidance have been plentiful, to date there has not been a detailed analysis of the publications that would fall under this new framework. The OSTP released a companion report along with the memo, but it only provided a broad estimate of total numbers affected per year. Therefore, this study seeks to more deeply investigate the characteristics of U.S. federally funded research over a 5-year period from 2017–2021 to better understand the updated guidance’s impact. It uses a manually created custom filter in the Dimensions database to return only publications that arise from U.S. federal funding. Results show that an average of 265,000 articles were published each year that acknowledge US federal funding agencies, and these research outputs are further examined by publisher, journal title, institutions, and Open Access status. Interactive versions of the graphs are available at https://ostp.lib.iastate.edu/.

Improvement in Competency and Confidence Level of House Officers in ECG Interpretation after a Goal-Directed ECG Workshop

Objective: To determine if a goal-directed ECG workshop improves ECG interpretation competency and confidence among the house officers in PNS Shifa Hospital.
 Study Design: Prospective comparative study.
 Place and Duration of Study: Pakistan Naval Ship Shifa Hospital, Karachi Pakistan, from Jan to Dec 2021.
 Methodology: ECG workshops were conducted for House Officers in batches. The participants were asked to complete a questionnaire testing their ECG interpretation competency before and after the workshop and self-report their confidence level in ECG interpretation.
 Results: Sixty-eight house officers participated in the workshops and completed the test. There were 41(60.29%) female and 27(39.7%) male participants. The statistics showed significant improvement in ECG competency (p<0.001). In addition, the pre and post-workshop confidence levels also showed significant improvement (p<0.001).Conclusion: A goal-directed ECG workshop improves house officers’ competency and confidence in ECG interpretation.

A narrative review of the impact of work hours and insufficient rest on job performance.

This review discusses the scientific evidence regarding effects of insufficient rest on clinical performance and house officer training programs, the associations of clinical duty scheduling with insufficient rest, and the implications for risk management. Narrative review. Several literature searches using broad terms such as "sleep deprivation," "veterinary," "physician," and "surgeon" were performed using PubMed and Google scholar. Sleep deprivation and insufficient rest have clear and deleterious effects on job performance, which in healthcare occupations impacts patient safety and practice function. The unique requirements of a career in veterinary surgery, which may include on-call shifts and overnight work, can lead to distinct sleep challenges and chronic insufficient rest with resultant serious but often poorly recognized impacts. These effects negatively impact practices, teams, surgeons, and patients. The self-assessment of fatigue and performance effect is demonstrably untrustworthy, reinforcing the need for institution-level protections. While the issues are complex and there is no one-size-fits-all approach, duty hour or workload restrictions may be an important first step in addressing these issues within veterinary surgery, as it has been in human medicine. Systematic re-examination of cultural expectations and practice logistics are needed if improvement in working hours, clinician well-being, productivity, and patient safety are to occur. A more comprehensive understanding of the magnitude and consequence of sleep-related impairment better enables surgeons and hospital management to address systemic challenges in veterinary practice and training programs.

The influence of leadership style and work environment on the work motivation of employees in the public hosting service, settlement area, and land in Merauke Regency with work discipline as an intervening variable

This research was conducted to determine the effect of leadership style and work environment on the work motivation of public housing, residential area, and land affairs officials in Merauke district with work discipline as an intervening variable. The research approach used is quantitative, using the Smart PLS statistical tool. The population in this study were all 120 employees of the Public Housing, Settlement Area, and Land Office of Merauke Regency, but only 105 questionnaires could be analyzed further so that the sample in this study totaled 105 samples. The results of the study show that leadership has a negative and insignificant effect on motivation. Leadership has a negative and insignificant effect on work discipline. Discipline mediates positively and not significantly between leadership variables on work motivation. The work environment has a negative and significant effect on work motivation but a positive and significant effect on work discipline. Discipline mediates a negative and significant relationship between the work environment and significant to work motivation. Meanwhile, discipline has a negative and significant effect on the work motivation of employees of the Public Housing, Settlement Areas and Land Affairs Office of Merauke Regency.

A 2023 Agenda for Substance Use Prevention and Treatment in the US

In this Viewpoint, officials from the White House Office of National Drug Control Policy describe 3 actions that health care personnel can take to expand prevention and treatment of substance misuse and overdose.

Comparison of Methods of Assessment and Results of Traditional Osce with Electronic-Osce

Introduction: The onset and rise of COVID-19 and its sudden progression to a worldwide pandemic lead medical and dental institutes to change their way of teaching and conducting assessments to distance learning as compared to the previously applied conventional approaches. Teaching and assessment during this era have changed vastly, earlier it was solely traditional/live Objective Structured Clinical Examination (OSCE) but due to the current circumstances electronic/online OSCE (E-OSCE) method was introduced. In Pakistan also, Pakistan Medical Council (PMC) and the College of Physicians and Surgeons of Pakistan (CPSP) conducted online exams so that the scheduled exams do not get delayed. Aim: The main objective of this paper is to measure the reliability of an E-OSCE and to compare it with the traditional OSCE. Methodology: This was a cross-sectional study which got conducted at the Rawal Institute of Health Sciences, Islamabad. Traditional OSCEs and E-OSCEs were conducted with 71 participants including final year students and house officers. Each OSCEs had 10 stations, including one interactive station in traditional OSCE. Students’ scores in both the OSCEs were collected and paired t-test was used to compare the mean scores at p<0.05. Results: Total number of house officers were 27 and final year students were 44. The scores of 71 participants were collected. The difference between mean scores of house officers’ traditional OSCE and E-OSCE was statistically significant (p=0.000). The difference between final year students traditional OSCE and E-OSCE was also statistically significant (p=0.020). Finally, the overall difference between traditional OSCE and E-OSCE was also statistically significant (p=0.000) Practical implication: The main objective of this study was to assess the reliability of an E-OSCE and to compare whether the electronic method of conducting OSCE is more reliable than the traditional method of conducting OSCE. Conclusion: Despite limitations and the biases, the results of E-OSCE proved to be better than traditional OSCE. Further research needs to be conducted on E-OSCE to control the factors causing biases and limitations. Keywords: Traditional OSCE, E-OSCE, COVID-19, methods of assessment, medical education, dental education, distance learning.

COVID-19 Public Health Emergency to End in May

COVID-19 Public Health Emergency to End in May

Assessment of Preparedness of Dental Graduates and Postgraduates in the Management of Medical Emergencies

Objective: This study aimed to assess the type of training concerning the management of medical emergencies, received by house officers and postgraduate trainees in different dental teaching institutes of Rawalpindi and Islamabad, Pakistan. Materials and Methods: A questionnaire was distributed in different dental teaching hospitals in Rawalpindi and Islamabad. It contained questions regarding what type of training they received, and whether they perceived that the training was sufficient when it was needed during a medical emergency. Data was analyzed by SPSS and frequencies were recorded. Results: All participants had received either theoretical or practical training. Less than 20% of house officers and postgraduate trainees perceived that they have handled a medical emergency ‘well’. Conclusion: This shows that our current curriculum is focused on the ‘theory’ and lacks practical training which leads to underprepared practitioners. To improve their skills, students should undergo drills and artificial and simulation-based training. Keywords: Medical emergency, CPR, BLS, dental practice

Awareness of Physical Therapy among Different Medical Professionals

Aim: To put efforts into promoting awareness about physical therapy in the specified population. Study design: It was an observational study. Place and duration: The duration of study was 6 months and was carried out at Farooq Clinic Khushab. Methodology: An observational study was conducted among medical professionals and was based on a cross-sectional study that was carried out with the help of self-structured questionnaire. Results: 63% of the house officers are well-aware of physical therapy and have sufficient knowledge about it. Some medical professionals including cardiologists and orthopedic surgeons said that physical therapy has now become a very important part of the quality health and well-being of patients. Conclusion: Physical therapy plays a very essential role in enhancing and improving the standards of health. All medical professionals of different fields should have knowledge and awareness about physical therapy for helping people to manage and improve their problems with the help of different therapies. Keywords: Physical Therapy, Medical Officers, Awareness, Knowledge

Pengaruh Pemberian Trichoderma sp. Dan Plant Growth Promoting Rhizobacteria (PGPR) Terhadap Pertumbuhan Akar Stek Pucuk Tanaman Krisan (Chrysanthemum morifolium R.)

This study aims to determine whether there is an interaction and influence of concentration from the administration of Trichoderma sp. and Plant Growth Promoting Rhizobacteria (PGPR) on the root growth of chrysanthemum plants. This research was carried out at the Center for Protection and Quality Testing of Horticultural Food Crops and the Screen House Office of the Center for Seeds, Agricultural Nurseries and Agrotourism Show Window, Tomohon City. This research was conducted from June to August 2022. Primary data was obtained from the results of the study including the variables root length, root weight, and percentage of living cuttings while secondary data was obtained through books obtained from local bookstores and the internet via Google Scholar in the form of books, articles journals and theses related to research topics. The results showed that the longest plant roots were produced at the concentration level of Trichoderma sp. solubility of 107 and PGPR 15ml/l (T1P3) with an average of 11.6 cm and the heaviest roots were produced at the concentration level of Trichoderma sp. solubility 109 and PGPR 10ml/l (T3P2) with an average of 0.49 gram.

Creating opportunities to engage with prospective historically marginalized trainees with clinical simulation

BackgroundRecruiting a diverse group of medical students, house officers, and faculty in medicine is challenging—particularly for predominantly white, midwest institutions that may not be racially or ethnically diverse. PurposeTo evaluate a novel clinical simulation program, SiMfest, for recruiting house officers from historically marginalized populations to our institution to demonstrate our leadership's commitment to high-quality education and recruitment of these students to enhance diversity in academic medicine. MethodsThe Office for Health Equity and Inclusion, institutional leadership, and clinical department chairs developed a novel and engaging series of clinical simulations, SiMfest, to engage the pipeline of historically marginalized trainees and demonstrate our leadership's commitment to high-quality education. SiMfest is a two-hour simulation session presented annually (2017–2019) by our institution at the Student National Medical Association Annual Medical Education Conference. ResultsOver 800 students participated in SiMfest sessions over three years. Of the 461 participants who completed a survey after participation, 301 identified as female, and 382 indicated a racial category considered as historically marginalized in medicine—91% of whom identified as African American or Black. Thirty percent (n = 125) of respondents identified as pre-medical (e.g., undergraduate, post-baccalaureate) students and 69% (n = 289) identified as current medical students. Over 80% of students would recommend SiMfest to others. Additionally, 73% (n = 87) of pre-medical and 54% (n = 143) of medical students reported exposure to a previously unknown specialty. Thirty-three department representatives reported their SiMfest experience revealed new information about historically marginalized applicants that they may not have engaged with through the traditional application process but would be more likely to engage with in future diversity, equity, and inclusion initiatives. ConclusionSiMfest harnessed our institution's high-quality training, personnel resources, and diversity, equity, and inclusion values to bring historically marginalized students in medicine and department leadership together to learn about one another and offer experiential learning. SiMfest may serve as a model for other institutions to draw on their strengths to develop innovative recruitment programs that promote the education and engagement of undergraduate and medical students from historically marginalized populations while simultaneously promoting diversity, equity, and inclusion culture change.

MANAGEMENT POLICY IMPLEMENTATION WASTE AT CIMENTENG TPA SUKABUMI DISTRICT

This research is entitled "Implementation of Waste Management Policy at TPA Cimenteng, Sukabumi Regency". The purpose of this study is to find out what the implementation of waste management policies is like at the Cimenteng TPA, Sukabumi Regency and the inhibiting factors in its implementation. This study uses a qualitative method with a phenomenological approach. The informants in this study were the Sukabumi Regency Housing and Settlement Office, the Head of TPA Cimenteng, and the community in the TPA Cimenteng environment. The validity of the data in this study used source triangulation, technical triangulation, and member checking methods. The results of this study indicate that waste management at Cimenteng TPA has been running but has not fully run optimally, this is shown by mountains of garbage that are not managed properly, tools that are often damaged, this clearly disrupts activities at Cimenteng TPA, for the inhibiting factor is . The lack of budget for Cimenteng TPA so as to repair or rejuvenate existing equipment at Cimenteng TPA has caused waste management at Cimenteng TPA to not run optimally. In addition, in 2019 Indonesia was hit by the Covid outbreak, the government finally cut the budget for handling Covid. The lack of budget for Cimenteng TPA so as to repair or rejuvenate existing equipment at Cimenteng TPA has caused waste management at Cimenteng TPA to not run optimally. In addition, in 2019 Indonesia was hit by the Covid outbreak, the government finally cut the budget for handling Covid. The lack of budget for Cimenteng TPA so as to repair or rejuvenate existing equipment at Cimenteng TPA has caused waste management at Cimenteng TPA to not run optimally. In addition, in 2019 Indonesia was hit by the Covid outbreak, the government finally cut the budget for handling Covid.

White House releases new scientific integrity guidelines

Every US funding agency will be required to designate a scientific integrity official, and agencies that fund, conduct, or oversee research will have to establish the position of chief science officer under new guidelines released Jan. 12 by the White House Office of Science and Technology Policy (OSTP). The guidelines create a single definition of scientific integrity and provide a model policy to help agencies as they update and revise their existing integrity plans. OSTP also is creating a subcommittee on scientific integrity in the National Science and Technology Council, a group that discusses and coordinates policy across federal research agencies. “Every agency now has a responsibility to make sure its expert staff know their rights, and that political appointees know that these rules will be taken seriously and they will be held accountable if they break them,” Jacob Carter, research director for the Center for Science and Democracy at

Most Daunting Aspect of Being a House Officer: A Survey Among Medical Graduates in a Malaysian Public University

Objectives: Medical graduates often express their unreadiness to work due to several factors. It is important for medical educators to take steps toward assisting house officers (HO) to become work ready. This study assessed the most daunting aspects of being a HO as perceived by medical graduates in a public Malaysian university. Methods: This was part of a larger study entitled “Development of an Online Module for Medical Graduates’ Readiness to Work”. The first part of this study involves an online survey on medical graduates from Universiti Putra Malaysia (UPM) from November 2020 to January 2022. The survey used was the “Confidence and Readiness to Work as a House Officer Questionnaire” that consists of 75 questions altogether. Two of the questions were on readiness to work, of which one asked “In my opinion, the most daunting aspect of being a HO is?” There were 8 choices: (i) Physical demand: difficulty in maintaining patience; (ii) Physical demand: difficulty in maintaining clinical judgement; (iii) Confronting the seniors; (iv) Handling patients with responsibilities (including communication) (v) Competence required in knowledge and judgement; (vi) Competence required in practical skills; (vii) Time management; (viii) Having to adjust to different routines in work and life. Ethics was granted from the Ethics Committee for Research Involving Human Subjects UPM (JKEUPM-2020-341). Results: One hundred and fifty-nine medical graduates completed the questionnaire. They were mostly female (69.2%), single (99.4%), Muslim (56.6%) and Malay (54.7%). The most daunting aspects were “Competence required in knowledge and judgement” (36.5%), followed by “Handling patients with responsibilities (including communication) (17.6%) and “Physical demand: difficulty in maintaining clinical judgement” (15.7%). Conclusion: More than one third of the respondents selected “competence in knowledge and judgement” as the most daunting aspect of becoming HO. Future research should further investigate these factors.International Journal of Human and Health Sciences Supplementary Issue: 2023 Page: S27