National Accreditation Body Research Articles

Trends in Case Volume Reported by Musculoskeletal Oncology Fellows in Accreditation Council for Graduate Medical Education-Accredited Training Programs: 2017 to 2022.

Increasingly, national accrediting bodies and professional societies for musculoskeletal oncology recognize the need for more standardized training. This study elucidates recent trends in reported case volume during Accreditation Council for Graduate Medical Education (ACGME)-accredited musculoskeletal oncology fellowship training relative to case minimum requirements. We conducted a retrospective cross-sectional analysis of fellows at ACGME-accredited musculoskeletal oncology fellowships (2017 to 2022). Percentiles in reported case volumes were calculated across ACGME-defined case categories and temporal changes assessed by linear regression. Variability between the highest (90th percentile) and lowest (10th percentile) deciles was calculated as fold differences. Sensitivity analyses were conducted to estimate the number of fellows not meeting ACGME-defined case minimum requirements. Case logs from 95 musculoskeletal oncology fellows were analyzed. From 2017 to 2022, total relevant oncology procedures increased from 191 ± 49 to 228 ± 73 (P = 0.066). Pediatric oncology accounted for a minority of cases (range, 6 to 8%). A mean of 222 total relevant oncology procedures were reported. Most were in management of metastatic disease (21%), soft-tissue resection/reconstruction (20%), and limb salvage (13%). Variability in total relevant oncology procedures was 2.6 and greatest in spine/pelvis (4.6), pediatric oncologic cases (4.4), and surgical management of complications (4.4). No clear trends were observed in case volume variability over the study period (P > 0.05). Analysis of case volume percentiles identified at least 30% of musculoskeletal oncology fellows not achieving minimum requirements for pediatric oncologic cases (n = 29 fellows) and 10% of fellows not achieving minimum requirements for total relevant oncology procedures (n = 10 fellows). Results from this study may help future musculoskeletal oncology fellows and faculty identify potential areas to increase case exposure and reduce variability during fellowship training. More investigation is needed to determine evidence-based case minimum requirements including surgical learning curves and other competency-based assessment tools in musculoskeletal oncology.

Determination of nitrofuran metabolites and nifurpirinol in animal tissues and eggs by ultra-high performance liquid chromatography-tandem mass spectrometry validated according to Regulation (EU) 2021/808

In this work, an analytical method for the determination of eight non-allowed nitrofurans, including nifurpirinol and the metabolites of furazolidone, furaltadone, nitrofurantoin, nitrofurazone, nifursol, nitrovin, and nifuroxazide in animal tissues, including muscle (poultry, bovine, ovine, porcine, rabbit, and fish), kidney (bovine, ovine, porcine), and eggs, has been developed and validated according to Regulation (EU) 2021/808. The method was based on derivatization with 2-nitrobenzaldehyde in acid medium, followed by vortex-assisted liquid-liquid extraction and solid phase extraction for sample purification prior to ultra-high performance liquid chromatography-tandem mass spectrometry. Under selected conditions, the method was validated showing satisfactory relative matrix effects (CV ≤ 20 %), linearity (R2 ≥ 0.98), trueness (≤20 %, expressed as bias), accuracy (83–120 %), repeatability (1.7–19.9 %), reproducibility (1.9–25.7 %), specificity (blank signal ≤30 % at the LCL), and ruggedness. The decision limit for confirmation (CCα) for the target analytes ranged from 0.27 to 0.35 μg kg−1, all below the current reference point for action (RPA) of 0.5 μg kg−1 for the studied compounds. This validated method is currently accredited according to UNE-EN ISO/IEC 17025 by the Spanish National Accreditation Body (ENAC) to be implemented for official control analyses in the Public Health Laboratory of Valencia (Spain).

Building Climate Change into Medical Education: A Society of General Internal Medicine Position Statement.

Building expertise in climate and planetary health among healthcare professionals cannot come with greater urgency as the threats from climate change become increasingly apparent. Current and future healthcare professionals-particularly internists-will increasingly need to understand the interconnectedness of natural systems and human health to better serve their patients longitudinally. Despite this, few national medical societies and accreditation bodies espouse frameworks for climate change and planetary health-related education at the undergraduate (UME), graduate (GME), and continuing (CME) medical education level. As a community of medical educators with an enduring interest in climate change and planetary health, the Society of General Internal Medicine (SGIM) recognizes the need to explicitly define structured educational opportunities and core competencies in both UME and GME as well as pathways for faculty development. In this position statement, we build from the related SGIM Climate and Health position statement, and review and synthesize existing position statements made by US-based medical societies and accreditation bodies that focus on climate change and planetary health-related medical education, identify gaps using Bloom's Hierarchy, and provide recommendations on behalf of SGIM regarding the development of climate and planetary health curricula development. Identified gaps include (1) limited systematic approach to climate and planetary health medical education at all levels; (2) minimal emphasis on learner-driven approaches; (3) limited focus on physician and learner well-being; and (4) limited role for health equity and climate justice. Recommendations include a call to relevant accreditation bodies to explicitly include climate change and planetary health as a competency, extend the structural competency framework to climate change and planetary health to build climate justice, proactively include learners in curricular development and teaching, and ensure resources and support to design and implement climate and planetary health-focused education that includes well-being and resiliency.

Traceable frequency measurements with counters

Received signals from Global Navigation Satellite Systems (GNSS) are nowadays widely used by industry laboratories for ensuring metrological traceability for their respective range of calibration services in the field of time and frequency. Usually, a local frequency standard is steered by continuous GNSS signal reception providing at its output stable and accurate reference signals for the laboratory measurement equipment, in general for synthesizers and counters. Reception of GNSS signals is surely an adequate and practical tool for the purpose, however further steps are needed to establish traceability in a strict metrological sense. Based on already available guidelines and publications, this paper is a contribution to the discussion how metrological traceability to internationally accepted standards can be established in a calibration laboratory. We restrict the discussion to equipment in common use which may not necessarily be of the highest sophistication. In this spirit, we develop a detailed scheme for an uncertainty budget comprising all links of the traceability chain from the device under test to the SI second, the scale-unit of Coordinated Universal Time. Then we go through and apply this scheme step by step to a demonstration setup for frequency measurements with a counter with varying operational parameters. In this framework, a novel approach to distinguish between components of statistical measurement uncertainty is introduced. Furthermore, the limiting uncertainty contributions are discussed and based on a suitable set of parameters an expression for the best measurement capability is given. With this scheme at hand a user may develop an uncertainty budget adapted to his own setup, especially if acceptance from a national accreditation body is sought.

A Systematic Framework for Designing and Implementing Outcome-Based Curriculum in Engineering Education: A Comprehensive Approach

Abstract— Higher educational institutions and Universities are facing challenges to produce skilled graduates capable of addressing anticipated industry needs. This is due to implementation of traditional curricula and adoption of teacher centric approach. Eventually, traditional curriculum creates a significant gap between the skills acquired by students through education and the skills needed at the workplace. To bridge the gap, national and international accreditation bodies are enforcing educational institutions to implement Outcome Based Education (OBE) in their educational processes. The OBE is a student-centric teaching and learning approach that focuses on skills anticipated by the industries. The implementation OBE in engineering education is driven by design and implementation OBE curriculum. In this context, the current article presents a systematic framework for designing, developing, and implementing outcome-based curriculum for engineering education. The framework comprises of six phases including identification of a new program, formulation of mission, vision, and educational objectives for the identified program, curriculum development, the procedure to outline course syllabus, and finally, implementation of developed curriculum. industry needs at the time of their graduation. Thus, the proposed framework aids institutions in designing, developing, and implementing OBE curriculum, leading to cater industry needs. Keywords— Curriculum design; Engineering education; Industry needs; Skilled graduates; Outcome Based Education

Aspects Regarding the Certification of Electrical Equipment Used in Potentially Explosive Environments in Accordance with EU Directive 2014/34

EU Directive 2014/34 establishes the standards for the certification of electrical equipment used in potentially explosive atmosphere. The EU has established standards for the certification of electrical equipment used in potentially explosive atmosphere. EU Directive 2014/34 sets out the requirements for certification and compliance. The directive applies to all electrical equipment to be used in potentially explosive atmosphere. The directive applies to manufacturers of electrical equipment and their authorized representatives. The directive sets out the safety requirements that electrical equipment must meet before it can be certified for use in potentially explosive atmosphere. The directive classifies potentially explosive atmosphere into three categories: Zone 0, Zone 1 and Zone 2. The directive also sets out requirements for marking electrical equipment that has been certified for use in potentially explosive atmosphere. Certification of electrical equipment involves testing the equipment to ensure that it meets safety requirements. Testing is performed by certified testing laboratories. Testing laboratories are accredited by the relevant national accreditation bodies. The testing laboratories follow the procedures laid down in the directive for testing electrical equipment. Testing includes testing the equipment for electrical safety, mechanical safety and thermal safety. The testing also includes testing the equipment for its ability to prevent ignition of potentially explosive atmospheres.

A survey of total IgE reference intervals reported by Scandinavian and British medical laboratories – a need for harmonisation

Objectives There appears to be marked discrepancies between total IgE reference intervals (RIs) in use by many laboratories and those recommended by published studies. The aim of this study was therefore to review total IgE RIs currently reported by Scandinavian and British laboratories and to compare these to published RIs identified by a literature review. Methods Relevant laboratories were identified by test directories provided by the national accreditation bodies in Norway, Sweden, Denmark and the UK. Total IgE RIs and their sources were acquired by accessing laboratory user handbooks or by an electronic survey. In addition a literature review of published total IgE RI studies was performed. Results From 172 accredited laboratories providing total IgE analysis, data was acquired from 122 laboratories. An adult upper reference limit between 81 to 150 kU/L was reported by 89% of these. Denmark and Sweden reported the most harmonised RIs whilst Norway and the UK exhibited the least degree of harmonisation. Published adult (n = 6) and paediatric (n = 6) RI studies reported markedly higher upper limits than those currently in use by the laboratories included in this study. There were also large variations in the number of age strata in use for paediatric RIs. Conclusion This study demonstrates large variations in currently utilised IgE RIs by Scandinavian and British accredited laboratories and most report markedly lower RIs than those recommended by recent RI publications. Many laboratories likely utilise outdated RIs and should consider critically reviewing and updating their RIs.

B-032 Total lab Automation Validation/Verification Protocol: First Step of Process Excellence Journey in Smart Core Lab in Kokilaben Dhirubhai Ambani Hospital & Medical Research Institute, Mumbai, India

Abstract Background The total laboratory automation (TLA) involves the integration, automation, consolidation and digitalization of pre-examination, examination, and post-examination processes. It is far simpler to introduce TLA in a lean, highly standardized smart core lab setting than it is to replicate complex procedures based on manual workflows, therefore harmonization/standardization is a requirement. In this era of modern clinical laboratory, a very important step with respect to the quality of the entire process is method validation/ verification. Hence, it is fundamental to verify/validate TLA process flow, new techniques, new methods and new test parameters.During laboratory accreditation process, the most frequently cited deficiency involves inappropriate PQ (Performance Qualification) and verification protocol. The main principles to the PQ laboratory test validation or verification protocol are Accuracy, Precision, Reference Interval, Detection Limit (LOD), Analytical Measurement Range (AMR) and Clinically Reportable Range (CRR), etc. Hence a clinically appropriate turnaround time is guaranteed via validation, which also provides accurate and precise readings. Methods Around 250 parameters, of biochemical and immunoassay for samples like serum/plasma/cerebrospinal fluid/urine have been validated/verified on this automated system. Clinical Laboratory Standards Institute (CLSI) and best practise checklist as per international and national accreditation bodies served as the foundation for verification. Following are the steps for verification. Analytical Accuracy: Run samples by both methods to evaluate bias. Verify Precision: Run 5 replicates per run for 5 days, at all levels of control sera. Check Reference Intervals: Representative 20 healthy individuals are selected. Verify LOB and LOD Values: Run 20 blank (zero calibrator) or low patient samples. Pneumatic System Verification Protocol: 20 samples carried manually by health care assistants and 20 samples transported via the pneumatic system. We have done sigma metrics of 250 parameters in the lab. Results With particular reference to Thyroid Stimulating Hormone (TSH), we have obtained the following results: For the Reference interval study, out of 353 volunteers recruited, 8 volunteer data were excluded (7 outliers, 1 abnormal TPO values). We obtained the reference interval of 0.53–4.489 μIU/mL, which is within the range specified by the manufacturer's reference range. A good level of analytical accuracy is demonstrated between the two instruments with r2 = 0.9938 having a coefficient of variation of 4.32%. The coefficient of variation values of precision for inter laboratory method comparison for lower and high-level values is 1.39% and 1.76% respectively, which is comparable with the manufacturers claims values. The coefficient of repeatability is 1.3442 is higher than 0.7 and hence considered as the two instruments having a good retest reliability. We observed more than six sigma performance of TSH. Based on Operational Specification (OPSpecs) Chart and Method Decision Chart sigma values of all the parameters are evaluated and quality control strategies have been defined. Conclusion Thus, validation of all biochemistry & immunoassay parameters in TLA set up of the smart core laboratory promotes an environment, emphasizing patient safety and quality patient care.

Barriers to research productivity amongst postgraduate trainees: results from a survey of 333 medical and surgical residents.

We aimed to determine the perceptions of, barriers to, and predictors of research engagement amongst residents at a national level in Pakistan. This cross-sectional study used REDCap for online survey dissemination to residents from 12 institutes accredited by the national accreditation body (College of Physicians and Surgeons Pakistan) for core medical and surgical specialties. Logistic regression was used to estimate associations between likelihood of publications and participant characteristics. The response rate was 79% (333/423), with 171 (51%) medical and 162 (49%) surgical residents. The mean ± standard deviation age was 28.8 ± 2.7 years; 137 (41%) were males and 195 (59%) females. More than half the residents, 202 (61%), had received research training, but 189 (57%) scored <33% on basic research knowledge. While most residents agreed on the positive impact of research on their careers (P = .012) and realized that they should be involved in it (P = .33), they also strongly believed that it was difficult to engage in research during training (P < .01). Only 60 (18%) trainees had published a paper in local and 37 (11%) in international journals, respectively. The most significant barriers to conducting research included time limitation due to clinical work, lack of financial support, and unavailability of data (P < .01). Residents have a positive attitude towards research. However, research engagement among residents is low. Improving research mentorship and creating systems that enable protected time and institutional access to data are needed to increase research output of postgraduate trainees. Key messages What is already known on this topic Postgraduate trainees benefit academically from research conducted during residency training. However, in low- and middle-income countries like Pakistan, research output among residents has remained low over the years. The nation has consistently produced very little research. What this study adds The current study helped shed light on the reasons for low research productivity amongst medical and surgical residents in Pakistan. How this study might affect research, practice, or policy The potential predictors for low research involvement highlighted in this study necessitate modification of the existing national residency curriculum to increase research engagement and productivity among residents. Not only can the potential factors be improved, but the study also helps in bringing stakeholders' attention to increasing research opportunities in Pakistan.

ANALYSIS OF REGULATORY AND METHODOLOGICAL DOCUMENTATION IN THE MANDATORY CERTIFICATION OF INDIVIDUAL FALL PROTECTION

Personal protective equipment (PPE) is used at many industrial sites where work takes place at height with the use of safety and restraint systems. In Russia, means of individual fall protection are regulated by the Customs Union, TR TS 019/2011 “On the safety of personal protective equipment”, and are subject to mandatory compliance assessment. The manufacturer of personal fall protection equipment must comply with safety requirements TR TS 019/2011 and to mark the products sold on the market (EAC). To apply and fulfill the requirements of TR CU 019/2011, there is a list of standards and documents containing the rules and methods of research. The analysis of safety requirements of TR TS 019/2011 related to PPE against falls has helped to determine regulatory documents. Further analysis of these documents in terms of determining the requirements for PPE against falls requires a significant amount of work for the manufacturer and appropriate staff qualification. PPE against falls has a complex design, so their compliance is confirmed within the compulsory certification. To undergo the mandatory certification, the manufacturer must choose a certification body from the register of the federal executive body that performs the functions of the national accreditation body of the Russian Federation. In accordance with TR TS 019/2011 for PPE against falls, a certification plan is established (1c, 3c, 4c, 5c, 6c), approved by the Commission of the Customs Union. The mandatory certification includes several steps, depending on the certification plan. When a certification plan 3c (certification of a product batch) and 4c (single products (samples)) are used, the applicant must specify the identifying characteristics of the product batch. There is no inspection for plans 3c and 4c. Using the certification scheme 6c, the application must contain information about the manufacturer's compliance certificate of the management system. The paper establishes the algorithm of the compulsory certification of PPE against falls depending on the plan. Each step of the algorithm is described by a regulatory document, which will allow the manufacturer not to waste time looking for it and reviewing it. The conducted review of regulations describing the rules and test methods allows the manufacturer to meet the safety requirements of TR TS 019/2011 related to PPE against falls.

Experience in Implementing ISO 15189:2012 Accreditation at Chimera Transplant Research Foundation: A Molecular Testing Laboratory

ISO15189:2012 is a formal recognition by an authorized national accreditation body that a testing laboratory is competent to carry out specific tasks according to the standard. This article aims to share the experience of reaching ISO 15189:2012 accreditation at Chimera labs. A gap analysis was performed, followed by the preparation and implementation of policies and procedures for the effective implementation of QMS. After six months of intensive work, including mentoring activities, the laboratory was ISO 15189 accredited in the field of medical genetics and related HLA and immunogenetics by the National Accreditation Board for Testing and Calibration Laboratories, India. Our experience suggests that the implementation of a quality management system is possible even in small-sized laboratories with the help of skilled manpower and supportive management.

Immunization requirements in medical school accreditation standards

Healthcare workers (HCW) are at risk of contracting vaccine-preventable diseases and spreading these infections to their patients. Vaccination against preventable diseases prior to clinical training can mitigate this risk. Accreditation guidance can be used as an opportunity to enforce desirable norms and standards. Standards from 144 national accreditation organizations spanning 123 member states listed in the Directory of Organizations that Recognize/Accredit Medical Schools by the Foundation for Advancement of International Medical Education and Research were reviewed and summarized. Findings were further stratified by World Bank income group and WHO region. While higher-income countries were more likely to have accreditation guidelines available than lower- or middle-income countries, few national medical school accreditation bodies specifically request immunization status of trainees as a standard. Further, almost none mention specific antigens for which immunity should be assessed. These findings should be used by medical school and other health professional training accreditation bodies to inform future policy direction to protect trainees as future HCW.

Commercial molecular assays: pros and cons

The past two decades have witnessed a proliferation of commercially available molecular assays for commonly-encountered human parasites.1,2 Some assays are authorized for in vitro diagnostic use by national accrediting bodies, whereas many more are available as non-authorized kits that must be thoroughly evaluated by the clinical laboratory prior to clinical use. Likewise, some assays are available in convenient, easy-to-use, cartridge based formats, while others are available as individual reagents that must be assembled for use in the laboratory.

ATRIBUTOS DE LA CALIDAD DE LA ENSEÑANZA DESDE LA PERSPECTIVA DE ESTUDIANTES DE PREGRADO EN CONTABILIDAD EN ARABIA SAUDITA: UNA ENCUESTA

This study aims to explore the attributes of teaching quality from the perspective of undergraduate accounting students in Saudi Arabia. A questionnaire survey was used to obtain views of undergraduate accounting students on the attributes of teaching quality. 28 attributes of teaching quality were included in the questionnaire. The findings of the study showed the importance of 27 of the 28 attributes of teaching quality included in the questionnaire from the accounting students' perspective. These attributes include attributes related to the class preparation and design, the class delivery, and the instructor's traits and personal characteristics. The findings of the study can help accounting faculties to evaluate their teaching strategies and create a development plan that is aligned with students’ expectations to enhance teaching quality, improve classroom effectiveness, and ultimately deliver students who are better prepared for the accounting profession. The findings of the study may also be of interest to academic managers, such as deans and heads of departments/schools, in designing staff development programs to improve teaching and student satisfaction. This study is timely because most of the undergraduate accounting programs in Saudi universities have recently applied for accreditation either from national or international accreditation bodies. As teaching quality is one of the important factors in obtaining academic accreditation, this study may have important implications in the field of higher education in Saudi Arabia.

Accreditation of a molecular HIV diagnostic laboratory following the Strengthening Laboratory Management Towards Accreditation (SLMTA)-Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) approach in Kenya: an implementation science study.

accreditation is the most effective approach to ensure the quality of services. Laboratory performance can be evaluated using the World Health Organization (WHO)-SLIPTA checklist, which checks a laboratory´s compliance with ISO 15189 on a five-star score scale and improved using the SLMTA approach. Compliance is assessed by an external body and can result in accreditation. In this paper, we describe the steps taken by the Kenya Medical Research Institute (KEMRI) HIV Laboratory, Alupe, a resource-limited public entity, towards accreditation, and discuss the lessons learned. the laboratory adopted a SLMTA-SLIPTA approach that included targeted mentorship, on-site workshops, and training. Mentorship-based interventions were used to establish a robust quality management system. Targeted mentorship, on-site workshops, and training were conducted between September 2015 and July 2016. Audits used the SLIPTA checklist to detect gaps in 12 quality system essentials. Performance indicators including turnaround time, external quality assurance, sample rejection rates, and corrective actions were tracked. An external assessment by the national accreditation body was conducted between September 2016 and November 2016. training and mentorship-based interventions were successfully conducted. Quality management systems aligned with ISO 15189 were established. Baseline, midterm, and exit audits yielded scores of 47%, 75%, and 94% respectively. Early infant diagnosis external quality assurance scores were 100% in 2014-2016, while average viral load scores were at 60%, 70% and 90% during the same period. Turnaround time from September 2015 surpassed the 80% target. Accreditation was awarded in March 2017. the SLMTA-SLIPTA approach is suitable for quality improvement in resource-limited laboratories.

Assessing the Presence of the Joint Commission International Accreditation Requirements in Western Saudi Arabia Hospital Pharmacies: A Cross-sectional Study.

The Central Board of Accreditation for Healthcare Institutions (CBAHI) the national Saudi accreditation body accredited most hospitals in Saudi Arabia whereas, the Joint Commission International (JCI) a well-known international accreditation body accredited some hospitals. We assessed Western Saudi Arabia hospital pharmacists' knowledge, opinions, and observations about pharmacy-related JCI accreditation criteria needed for hospitals. This was a cross-sectional survey-based study conducted among pharmacy personnel working in the Ministry of Health (MOH), Military, and private hospitals in the Makkah region in western Saudi Arabia. The present report represents the findings of descriptive and comparative analyses. Comparative analyses were tested by Student's t-test, analysis of variance, and Chi-square when applicable and a P ≤ 0.05 was considered statistically significant. One hundred and one pharmacists completed the survey; most of them were from Taif (53.5%) and Jeddah (37.6%) and fewer from Makkah (8.9%). The highest proportions were from MOH (55.4%), private (29.7%), and some from military (14.9%) hospitals. They worked mostly in hospitals accredited with CBAHI (93.1%) than JCI (58.4%) and only (41.6%) worked with quality units. Correct answers on knowledge items ranged from 14.9% to 65.3%. On five-point Likert Scale, they showed supportive ratings on how they perceived the importance of JCI statement provided (overall average score: 3.78) and on how statement criteria are implemented in their hospitals (overall average score: 3.76). Higher proportions of those working in quality units compared to their counterparts were aware that accreditation cycles for JCI and CBAHI are identical (66.7% vs. 55.9%, P = 0.009) and that JCI criteria are more concise than CBAHI (59.5% vs. 52.5%, P = 0.007). Higher proportions of those working in JCI-accredited hospitals compared to their counterparts were aware that JCI criteria are clearer than CBAHI (55.9% vs. 33.3%, P = 0.021) and that JCI criteria are more concise than CBAHI (61% vs. 47.6%, P = 0.012). To a high extent, pharmacists were supportive of JCI criteria and considered the criteria to be implemented in their hospitals. There is a room for improvement to enhance awareness and support of JCI quality criteria among pharmacists.

ORGANIZATION OF TESTING OF MEDICAL DEVICES FOR THE PURPOSES OF THEIR REGISTRATION FOR FUTURE APPLICATION ON THE TERRITORY OF THE RUSSIAN FEDERATION

The history of the creation of a testing laboratory, the assessment by the national accreditation body of its compliance with the accreditation criteria are described, the launch of the process of development and production of test benches is described, the importance of the scope of laboratory accreditation and the procedure for its formation are considered, the possibility of suspending accreditation is noted, the services provided and planned projects are indicated, and statistics on registered medical devices, information on conducting webinars is provided.

The role of collaboration and mentorship in the publication of surgical resident research.

Research is an integral part of surgical training and a mandated competency by national accreditation bodies. Most residents engage in research, but the conversion of this research into peer-reviewed publications is unknown. The objectives of this study were to assess the conversion rate of resident research into published manuscripts and determine what variables predict publication. Through a retrospective design, 99 resident research abstracts were identified from the Surgery Research Day at the University of Saskatchewan 2008-2018. Publication status was verified using Google Scholar and PubMed. Variables associated with resident-specific, mentor-specific, and project-specific variables were assessed for their role in predicting publication. Fifty-two (53%) of the 99 abstracts were published in a peer-reviewed journal, and 43 (43%) were presented at a national conference. Logistic regression analysis revealed multidisciplinary research (OR 4.46, CI 1.8-11.4, p = 0.002), projects involving multiple resident researchers (OR 2.56, CI 1.02-6.43, p = 0.045), and faculty supervisor having > 25 publications (OR 2.46, CI 1.03-5.88, p = 0.042) as significant predictors of publication. Our study identifies three variables related to collaboration and mentorship that can serve as potential starting points to increase research productivity amongst medical trainees.

Disciplinary Faculty Information Literacy Teaching Practices at a Large Public University

Information literacy (IL) is generally accepted as an important learning competency in undergraduate education and is directly and indirectly mentioned in many national accrediting bodies’ standards. While information literacy has been seen as the sole domain of librarians, research shows that disciplinary faculty believe it is important and teach it in their classes. This study reports the findings from a survey conducted at California State University, Los Angeles on faculty’s information literacy teaching practices. The results show that faculty take responsibility for teaching all areas of information literacy and do so in a variety of ways.

Examining 7 years of implementing quality management systems in medical laboratories in sub-Saharan Africa.

Achievement of ISO15189 accreditation demonstrates competency of a laboratory to conduct testing. Three programmes were developed to facilitate achievement of accreditation in low- and middle-income countries: Strengthening Laboratory Management Towards Accreditation (SLMTA), Stepwise Laboratory Improvement Process Towards Accreditation (SLIPTA) and Laboratory Quality Stepwise Implementation (LQSI). To determine the level of accreditation and associated barriers and facilitators among medical laboratories in the WHO-AFRO region by 2020. A desk review of SLIPTA and SLMTA databases was conducted to identify ISO15189-accredited medical laboratories between January 2013 and December 2020. Data on access to the LQSI tool were extracted from the WHO database. Facility and country characteristics were collected for analysis as possible enablers of accreditation. The chi-square test was used to analyse differences with level of significance set at <0.05. A total of 668 laboratories achieved accreditation by 2020 representing a 75% increase from the number in 2013. Accredited laboratories were mainly in South Africa (n=396; 55%) and Kenya (n=106; 16%), two countries with national accreditation bodies. About 16.9% (n=113) of the accredited laboratories were registered for the SLIPTA programme and 26.6% (n=178) for SLMTA. Approximately 58,217 LQSI users were registered by December 2020. Countries with a higher UHC index for access to HIV care and treatment, higher WHO JEE scores for laboratory networks, a larger number of registered LQSI users, with national laboratory policy/strategic plans and PEPFAR-priority countries were more likely to have an accredited laboratory. Of the 475 laboratories engaged in the SLIPTA programme, 154 attained ≥4 SLIPTA stars (ready to apply for accreditation) and 113 achieved ISO 15189 accreditation, with 96 enrolled into the SLMTA programme. Lower-tier laboratories were less likely to achieve accreditation than higher-tier laboratories (7.7% vs. 30%) (p < 0.001). The probability of achieving ISO 15189 accreditation (19%) was highest during the first 24 months after enrolment into the SLIPTA programme. To sustainably anchor quality improvement initiatives at facility level, national approaches including access to a national accreditation authority, adoption of national quality standards and regulatory frameworks are required.