Official Training Program Research Articles

Acceptability of the use of health related quality of life measurements for decision-making in healthcare science in Vietnam: a qualitative study

ObjectiveThis study was conducted with the objective of exploring the usage of health-related quality of life (HRQOL) outcomes and willingness of health technology assessment (HTA) and public health stakeholders to...

A Roadmap for Training in Urogynecology: IUGA International Initiative.

Training in urogynecology is an important mission of the International Urogynecological Association (IUGA). Promoting official training programs in countries around the world is an integral part of this mission. The IUGA established the Fellowship Development Committee to develop a roadmap to assist countries to develop a professional training program in urogynecology. Two focus groups were created: the curricula topics focus group and the survey focus group. The curricula topics focus group is aimed at developing a list of subjects that can be the basis for a training syllabus. The survey focus group is aimed at understanding the main steps and the difficulties in establishing an official training program by interviewing representatives from both accredited and non-accredited countries and developing a roadmap for an official training program recognized by the local authorities. The fellowship development committee included 13 members. The curricula topics focus group developed a format for the description of each included topic. Each topic had to include a description of the required related skills and procedures. Two curricula topics lists were created: one for basic training and a second for advanced training. The survey focus group conducted two table discussions with representatives from countries with accredited training programs and countries without accredited training programs. The comments of these meetings were summarized in documents submitted to the IUGA board of directors. The fellowship development committee studied the main hurdles to developing an official training program in urogynecology. The roadmap document should form the basis of the IUGA international initiative to assist countries around the world to develop an official training program in urogynecology recognized by the local authority.

Values Education, the Family, and Youth in Tajikistan: Building Docile Subjects

ABSTRACT This article examines the relationship between youth, the family, and the authoritarian state in Tajikistan. We argue that the state works through both young people and the family in its attempts to produce loyal citizens through values education that focuses on patriotism, national identity, and allegiance to the state. We examine how the government frames this relationship through discourse analysis of 13 speeches by President Emomali Rahmon, an analysis of the content of laws on education and youth, a close reading of the official training program of the course “Family Education,” and an ethnographic study of a “Girls’ Competition.”

Introduction of Hungarian Association of Psychiatric Trainees - EPA - Hungarian NPA Joint Symposium

IntroductionThe purpose of my presentation is to introduce the Hungarian Association of Psychiatric Trainees (HAPT), - our NAT - to you, which includes residents and young specialists within five years of training.ObjectivesCurrently we have 108 members, from 15 cities and villages throughout Hungary, and one person is working in Denmark. The vast majority (58 %) of the members are from Budapest, our capital city. There are 14 members, who are young specialists, the others are doing residency training. We have 21 members who are working in child and adolescent psychiatry.HAPT has been existed since 2013, so in the previous years, our founder members have reached the point when they no longer meet the criteria of being ‘psychiatric trainee’ or ‘young specialists’, however every year we encourage the new residents to join us.Methods-ResultsOUR DUTY: The main goals of HAPT are educating ourselves, forming a community and making connections with colleagues country-wide and last but not least, trying to stand up for our interests, when needed.Throughout the year we organize educative presentations about topics that are somehow left out of focus during the official training program. Every year our main event is a three-day long weekend, where we can go deeper into a couple of topics via presentations or workshops, and it is also a great opportunity to get to know each other better.We also organize case-discussion-groups according to the Balint method, considering the residents’ daily difficulties and trying to pay more attention to their mental well-being.Last year we tried some other ways to broaden our perspectives in the form of cultural events, when we watched a movie or a play and then discussed it together as a group, had been led by a psychotherapist.HAPT is part of the Hungarian Psychiatric Association and the relationship between the two Organizations has a constantly changing dynamics – in some ways we are trying to be more independent, however, there are common goals that are important for all of us, for example being present on at international events.ConclusionsFUTURE GOALS: One of our future plans include being more active in the European community, like getting to know the EFPT or the ECP better. This conference is a perfect opportunity for all of us to make new professional connections.Disclosure of InterestNone Declared

The Impact of Cultural Intelligence of Tourist Guides on Tourist Satisfaction: A Study of Local Tourist Guides in Petra City, Jordan

This paper focuses on investigating the influence of tourist guides' Cultural Intelligence (CI) on their perceived performance and to examine the relationship between this performance and tourists' satisfaction. The study adopted the deductive approach by carrying out a survey using self-administrated questionnaires that were distributed to 382 inbound tourists in Petra city-Jordan, who were selected conveniently. 290 questionnaires were collected with an achieved response rate of 76.1%. Collected data were analyzed using statistical techniques including standard multiple regression and Pearson correlation. Findings showed that CI has a positive effect on local tourist guides' performance, which in turn has a significant positive correlation with the level of tourist satisfaction. Based on these findings, official training programs that include CI courses was recommended for local tourist guides in Petra city.

Endoscopist Characteristics and Polyp Detection in Colonoscopy: Cross-Sectional Analyses of Screening of Swedish Colons

Endoscopist Characteristics and Polyp Detection in Colonoscopy: Cross-Sectional Analyses of Screening of Swedish Colons

Information scarcity among otolaryngology applicants: A review of the largest database of programs.

ObjectiveOtolaryngology residency applicants face challenges finding accurate information about training programs. Social media platforms are not verified, and official training program websites are not standardized. Currently, the American Medical Association's Fellowship and Residency Electronic Interactive Database (FREIDA) is the most comprehensive sanctioned and verified otolaryngology residency program database. However, the exact amount of information shared by individual programs included is not presently known.MethodsHerein, we analyzed the available data on all 124 otolaryngology residency programs in FREIDA to assess the completeness of the database.ResultsWhile every program listed an address, contact email, and the name of the program director, more than half of programs (n = 65, 52.4%) did not provide additional information. Most programs (70.2%) did not include a one‐paragraph program description.ConclusionOur findings suggest that while FREIDA is the only sanctioned online database for residency programs, it is inadequately populated with detailed program information.Level of EvidenceN/A

Profile of grassroots football coaches of Spanish professional clubs

The aim of the study was to identify the profile and education of grassroots football coaches (working with 8-12-year olds) of Spanish professional clubs (first and second male division, and first female division), as well as the qualities and characteristics they should have. For this purpose, an ad hoc questionnaire of 57 questions was used, grouped into seven dimensions, and administered to 153 coaches. This research focuses on the socio-demographic variables as well as on dimensions of the coach’s qualities and coach’s education. The results showed that the profile of the coach corresponded to the following: male between 20 and 30 years of age, with experience in football initiation of 4-7 years, but with a 2-year experience in coaching boys and girls aged8-12 years, with the specific football qualification level II or Union of European Football Associations A. The coaches considered it very important to have pedagogical skills and to use coaching methods which focus on learning rather than on results in order to be a coach in these age categories. Moreover, the participants considered that the training received in the official coaching courses did not adequately qualify them to carry out the sporting and human education of boys and girls in the benjamin (under 10) and alevin (under 12) age categories. The coaches also felt that the contents of the coaching course should be adjusted to the requirements of these age groups. These considerations can help sports federations and training centres to establish strategies to improve the official training programmes for football coaches.

A Cross-sectional Study on Adherence to Personal Protective Equipment among Healthcare Workers during COVID-19 Pandemic in a Tertiary Care Centre, Tamil Nadu, India

Introduction: Personal Protective Equipment (PPE) provides physical barrier against hazardous injury or infectious agents. With the outbreak of COVID-19 pandemic, PPE plays a vital role with face mask and gloves are being most essential. The frontline Healthcare Workers (HCW) utilizes them to minimize the risk of contaminated contact or infected droplet exposure. Aim: To evaluate the appropriate use of personal protective equipment among healthcare workers in tertiary care hospital. Materials and Methods: This cross-sectional study was conducted in SRM Medical College Hospital and Research Centre, Potheri, Chengalpet district, Chennai, Tamil Nadu, India, from February 2021 to May 2021, on utility of PPE among the healthcare workers. There were a total of 273 participants including doctors, residents (postgraduate)/interns, nurses and laboratory technicians. A predesigned questionnaire was utilized to collect information, apart from observation of their PPE practice and 360 degree observation from peers were also used to evaluate. Statistical analysis was done using Chi-square test, Fisher’s-exact test and logistic regression model. Results: Among 273 HCWs, there were 58 (21.24%) doctors, 163 (59.71%) residents and interns, 19 (6.96%) nurses and 33 (12.09)% technicians. There was no association in the frequency of mask with the type of HCW (p-value=0.217). However, the usage frequency of gloves (p-value=0.003), face shield/goggles (p-value=0.004), disposable gown (p-value=0.001) and doffing according to protocol (p-value=0.001) showed statistically significant difference between the category of HCWs. Conclusion: In this study, PPE adherence was high among HCW; however, there was a subtle difference in compliance across the varied groups of healthcare professional and type of PPE used. The PPE compliance among HCW cannot be assumed to be good blindly; frequent official training programs, availability of PPE logistics along with scrutinization regarding its appropriate usage and discarding at regular intervals minimizes the non compliance and also helps in curtaining the COVID-19 transmission.

Point-of-Care Ultrasound Training Programs Across Italian Pediatric Residency Schools: A National Survey.

The role of point-of-care ultrasound (POCUS) in routine clinical practice is rapidly growing, whereas adult specialties have already included training programs regarding this topic; pediatric residency schools are still late on this topic, particularly in Italy. We performed an online anonymous survey to Italian residents. The online survey has been submitted to the resident representatives of each pediatric residency school in Italy by the Italian Observatory of Pediatric Residents; each representative in turn distributed it to the pediatric residents of his own school. Three sixty-one residents responded to the survey. Only 7.8% of residents declared that in their residency school, an official training program on POCUS exists, although more than 95% of respondents declared that such a training would be of primary importance for their future practice. Most residents do not know how to use an ultrasound machine nor the differences between different probes. Our results demonstrate that POCUS training is still missing in Italy. Given the growing number of evidences of the benefits from including POCUS in clinical practice and patient evaluation, efforts are needed to fill this gap, in Italy and, probably, in most European countries. Such a training will definitely help the new generation of pediatricians improve their curriculum and, therefore, child health.

How Do Hepatologists Gain Access to Liver Transplant Units?

Liver transplantation has evolved from an experimental treatment to be considered as the most effective therapy for end-stage liver disease and selected cases of hepatocellular carcinoma. Transplant hepatologists must have specific knowledge and abilities to treat those patients who receive a liver transplant. In Spain, approximately 1100 liver transplants are performed each year, and most centers assume both postoperative care and long-term follow-up, which has led to a significant work load in liver transplant units. Despite previous attempts to establish an official training program in hepatology, the Spanish health system does not presently have a specific liver transplant training program to guarantee that future needs of physicians are covered. Collaboration between health authorities and scientific societies is required to guarantee adequate assistance to liver transplant recipients in the future.

Common Training Practices and Preferred Personality Traits of Intramural Sports Officials

This research study examined campus recreation intramural training techniques used to prepare sports officials. The top 10 techniques reported by the sample (n = 52) are presented. Use of National Intramural-Recreational Sports Association (NIRSA) training materials was found to have a significant positive relationship with overall official training program satisfaction. Intramural coordinators who self-rated as unsatisfied with training program also rated their program significantly less effective when compared to intramural coordinators who indicated satisfaction with their training program. Further inquiry determined that the responding professionals ranked officials' traits and abilities similar in importance, with confidence, knowledge, and decision making as most important. There were no differences in the preferred officials' trait ratings when compared to overall program satisfaction.

Investigación formativa: Una aproximación praxilógica desde las escuelas de formación de oficiales de las Fuerzas Militares de Colombia

This paper offers academic community the relevant results given by a research project –DIS 968– conducted by MEMPED research group at FAEDIS –Facultad de Estudios a Distancia– in “Nueva Granada” Military University, whose goal was to identify and typify a formative research of official training programs in Military Science, Aeronautics Administration, Naval Administration, and Police Administration involved in Colombian Army and Police. In this regard, methodology used by the research group started from two approaches, i.e. documentary and ethnographic techniques linked to a structural triangulation from a descriptive-documentary approach and interviews to supplement specificities and particularities of programs analysed. Findings offer basically a functional description of officers’ “training and research” structure, the teaching tools to improve formative research, and finally the constituents to identify the research culture of each school. Finally, theoretical, teaching and didactical instruments are dynamically described to characterize the formative research from each school and a proposal to build a second stage, which outlines a knowledge management model, bringing together a brain capital, a relational capital and a knowledge capital, typical of officers’ training programs of Colombian Army and Police.

Differences and similarities in rheumatology specialty training programmes across European countries

ObjectivesTo analyse the similarities and discrepancies between the official rheumatology specialty training programmes across Europe.MethodsA steering committee defined the main aspects of training to be assessed. In 2013, the rheumatology...

Medical physics training for radiation oncology residents in Greece

s / Physica Medica 30 (2014) e45ee74 e49 Results: Although all of the 120 sunglasses tested in this study were effective in reducing the intensity of visible light, nearly none of the sunglasses could offer efficient protection against UV radiation. The UVA and UVB transmittance of the sunglasses were in the range of 0.31% (price category of more than 150$) and 72.2% (price category of 30-90$). Conclusion: The majority of sunglasses tested in this study strongly decreased the visible light intensity but couldn’t block all UV radiation. According to the ANSI Z80.3-2001 (U.S. standard) the lens should have a UVB (280 to 315 nm) transmittance of no more than 1%. These findings lead us to this conclusion that these sunglasses can endanger the vision due to dilation of the pupil and overexposure of the lens to UV radiation. MEDICAL PHYSICS TRAINING FOR RADIATION ONCOLOGY RESIDENTS IN GREECE G. Pissakas , S. Nikoletopoulos , P. Georgolopoulou , D. Kardamakis . Hellenic Society of Radiation Oncology, Greece; Hellenic Association of Medical Physicists, Greece; Medical Physics Department, G.Anticancer Athens Hospital “Saint Savvas”, Greece Purpose: Medical physics is an essential part of recommended curricula for residents in radiation oncology (RO). With no official training programs in place, medical physics training is often incidental and incomplete for RO residents in Greece. The aim of this work is to measure the effectiveness of an educational session on medical physics offered to RO trainees of the country. Method: The Hellenic Society of Radiation Oncology (EEAO) hosts quarterly educational meetings for RO residents of all levels. On April 2013 a physics-dedicated meeting was planned for a body of 52 residents. Topics ranged from basic radiation physics, physics of radiotherapy, brachytherapy, 3DCRT, IMRT to physics of specialized treatment modalities. Attendance compared favourably to 30 previous EEAO meetings focusing on clinical issues. Assimilation of material was measured by completion of a test at the end of the meeting focused on main Learning Objectives (LO). Results: Test questions covered all sessions of the meeting with equal weights. Main Bloom’s taxonomy categories were represented. Top 3% of grades achieved corresponded to residents whose home institutes put a substantial effort in training. Students responded better to sessions of an interactive naturewith higher grades on respective LO’s but indicated their enthusiasm over sessions on cutting edge technology. Given the lack of adequately equipped training institutes in the country, this suggests the need for rotation of residents, as recommended by international guidelines on RO training programs (IAEA, ESTRO, ASTRO). Conclusions: Educational meetings for RO residents focused in medical physics are quite effective in bringing together the physics background needed in their clinical practice. The need remains for implementing official training programs throughout the country and for rotation of residents in different institutes during their training. PORTUGUESE PATHWAY TO THE IMPLEMENTATION OF THE NEW EUROPEAN GUIDELINES ON MEDICAL PHYSICS EXPERT Ana Rita Figueira , Esmeralda Poli , Jorge Isidoro , Maria do Carmo Lopes . a Professional Matters and Education and Training Technical Commissions of the Medical Physics Division of the Portuguese Physics Society (DFM-SPF); Centro Hospitalar S~ ao Jo~ ao, EPE e Porto Portugal; Centro Hospitalar Lisboa Norte, EPE e Lisboa Portugal; Centro Hospitalar Universit ario de Coimbra, EPE e Coimbra e Portugal; e Instituto Portugues de Oncologia de Coimbra de Francisco Gentil, EPE e Coimbra e

La formation en médecine interne vue par les jeunes internistes

In France, internal medicine is a speciality obtained after 5 years of theoretical and practical training, often completed by additional years. The last version of the official training program was released in 2004 and was characterised by its polyvalence. After the reform of medical studies was announced, the French young internists group decided to carry out a survey in order to know the vision of the young internist about their initial theoretical and practical training. This survey was done online using a questionnaire from February 10th to April 8th, 2010. One hundred and twenty-three young internists under training completed the questionnaire. The results showed that a high number of trainees chose a subspeciality and took a complementary training afterwards. About 63% of them would rather have more theoretical training through lectures (72%) and oral presentations (58%). Eighty-eight per cent of young internists would rather have a national frame of reference with a common training program. According to 73% of the young internists who completed the survey, the practical training is adapted but 95% of them would like to be given the opportunity to have some consultation during their initial training. Seventy-nine per cent of the young internists seem to be interested in the clinical research but most of them (89%) think to be not well trained enough to do it.

El programa de la especialidad como herramienta de formación. Plan individual de formación de cada residente

The official training program for the specialty “Diagnostic Imaging” establishes minimum learning objectives that must be fulfilled. Each accredited teaching unit is responsible for designing and carrying out a curriculum to ensure that these objectives are met, and this approach permits a degree of flexibility. Various aspects must be considered in the individual training plans for each resident: the rotation scheme according to the way the department is organized, plans for recovering missed material or reinforcing weak points, optional rotations, increasing degrees of responsibility as skills are acquired during training, and accommodating special needs of handicapped persons. Nevertheless, the individual plan must be fitted to the established curriculum and guarantee that the content of the official program is covered and that the objectives stipulated therein are met. Furthermore, the methods of teaching must be adapted to the individual characteristics of the residents, and this is the most important aspect of the individualization of training. To this end, it is fundamental for residents to take on an active role in their training, guided by their tutor and with the participation of all the radiologists in the department including the other residents, all of whom should act as teachers.

Acquisition of Competence in Colonoscopy: The Learning Curve of Trainees

Most official training programs in colonoscopy recommend that trainees should carry out a minimum of 100 procedures, but limited data exist on the technical progress of trainees. The aim of our study was to estimate the number of supervised procedures required for obtaining competence in colonoscopy. Between 1990 and 1997 we have prospectively evaluated the performance of eight consecutive trainees in colonoscopy. The extent of intubated colon was recorded after each endoscopic procedure. Regression analysis was used to study the effect on the trainees' success rates on the number of colonoscopies which they had done. Out of 2,255 colonoscopies carried out over an 8-year period 1,408 were suitable for evaluation, fulfilling the training criteria for diagnostic colonoscopy. Senior staff (n=2) did 430 colonoscopies with a success rate of 91%, which was significantly reduced to 79% (344/434 colonoscopies; X2=20.67, df=l, P<0.001), when taking over colonoscopies which trainees had failed to complete. Regression analysis of trainees' data (y=88.97-(2185/x), r=0.74, F1,21=23.43, P<0.001) showed success rates of 67 % (95 % CI, 59 to 75 %) and 77 % (95 % CI, 66 to 88 %), when 100 and 180 procedures, respectively, had been done. These figures had been attained by the end of the second and third year of training in colonoscopy. Our regression analysis model shows the technical progress of trainees over a 3-year period as they learned how to carry out colonoscopy. Depending on individual skill, between 100-180 procedures, done over a 2-3-year period, are required before trainees can be considered competent in colonoscopy.

Enhanced Nutrition Education For Paraprofessional WIC Staff

A local health department employs paraprofessionals to perform certifications and provide basic nutrition education for the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Seventy-two percent of these paraprofessionals reported no formal nutrition education prior to hire. A nutrition knowledge pretest/post test confirmed that new hires, with an average score of 44%, had not established the knowledge base of experienced paraprofessionals who scored an average of 89%. Although the state WIC office provides training through a series of self study modules, a focus group of WIC paraprofessionals indicated that a simple nutrition guide would be useful for new hires and that monthly nutrition education sessions would lead to enhanced counseling skills for both new and experienced WIC staff. The agency developed a pocket-size, spiral-bound nutrition reference guide to augment the official training program and to ensure quality of client care through consistency of counseling. A survey showed that 78% of the WIC paraprofessionals regularly used the reference guide during counseling. To augment the guide, quarterly nutrition education sessions on a variety of topics have been provided to WIC staff by registered dietitians.

Knowledge of community health volunteers regarding treatment of acute diarrhoea in children.

In recent years a single formulation of oral rehydration salt solution (ORS) has been shown to be effective in the treatment of diarrhea irrespective of the age of the patient and the etiology of diarrhea. In 1977 the government of India launched the community health volunteers (CHV) scheme to increase the reaches of the health care delivery system. Various aspects of management of diarrhea have been taught to CHVs in selected community development blocks in Haryana State India since 1977. The knowledge and attitude of community health volunteers who were trained in the management of acute diarrhea were assessed by a pretested interview schedule. The knowledge of CHVs trained repeatedly was better than those who were not trained at all or those taught according to official training programs. In spite of repeated training they could not enumerate signs of severe dehydration and malnutrition. 47% of CHVs continued to restrict food intake during diarrhea and 29% believed in restricting breastfeeds even after 1 year of training. The study stresses the need for repeated training of health workers and a greater emphasis on practical training in various skills needed for better implementation of programs for the control of diarrheal disease.