Opportunities For Advanced Training Research Articles

RELEVANCE OF COMPETENCE DEVELOPMENTAND ADVANCED TRAINING PROGRAMMES FOR PHYSICAL THERAPISTS WORKING IN PAEDIATRICS

Physical therapists in Ukraine complete six years of study (4 years of first (bachelor's) degree and 2 years of second (master's) degree) to obtain a speciality and diploma of physical therapist, which involves the acquisition of a number of professional competencies described in the relevant educational standards and curricula. These educational standards and the vast majority of educational programmes contain a minimum amount of paediatric physical therapy component. Therefore, additional training based on the competency-based approach in paediatrics is needed to enable physical therapists to provide effective, qualified services to children. The aim of the study is to substantiate the need to develop a list of competencies to improve the training of physical therapists in Ukraine who will specialise in paediatrics. Materials and methods. The study was conducted by questionnaire survey of physical therapists working in paediatrics from 1 to 14 September 2023. The questionnaire was developed to assess the need for advanced training programmes for physical therapists working in paediatrics, as well as to assess the areas of clinical activity and the level of competencies of specialists. Results. The survey involved 82 physical therapists working in paediatrics. Of the 82 physical therapists, 59 (71.9%) were representatives of public institutions, 13 - private, and 10 respondents did not indicate the type of institution. In 80.4% of physical therapists, the total length of service is equal to the length of service in paediatrics. Only 10.97% of the surveyed physical therapists agree with the statement that university education in Ukraine is sufficient to start an effective practice in paediatrics. 6.10% believe that there are sufficient opportunities for advanced training in paediatric physical therapy in Ukraine, while 21.95% disagree with this statement. The majority of respondents provide services on an outpatient basis, only 25.60% - in acute rehabilitation. Among the proposed areas of physical therapy in paediatrics, most physical therapists work with patients with musculoskeletal disorders (79.26%). The next area in terms of the number of physical therapists working in it is physical therapy in neurology (70.73%). Almost not covered areas in physical therapy for children were assistance in neonatal intensive care (only 8.53% of respondents work in this area) and assistance in intensive care units (only 12.19% gave an affirmative answer to the question about this area). Only 4.87% of respondents work with burns, 7.32% - with amputations, 24.4% - with cardiovascular and respiratory disorders. Few specialists are engaged in physical therapy for such complex conditions as Spina bifida (24.4%), spinal cord injury (21.95%) and traumatic brain injury (24.9%). In addition, 14.63% of the surveyed physical therapists indicated other areas of clinical activity. The total number of educational components in paediatric physical therapy is very low compared to the total number of all disciplines in educational and professional programmes. Conclusions. Practicing physical therapists believe that university education in Ukraine does not sufficiently develop professional competencies for work in paediatrics. It is advisable to form the competencies of a physical therapist in paediatrics, which would be the basis for improving university curricula, educational components and the development of postgraduate training programmes.

Influence of Teachers’ Professional Training and Development on Students’ Academic Performance in Public Secondary Schools in Ndhiwa Sub-County Homabay County, Kenya

Purpose: The persistent academic underperformance in public secondary schools in Kenyan rural areas has raised concerns among educators, policymakers, and local communities. The purpose of the study is to evaluate how teacher professional training and development influence academic performance. One of the key factors believed to have contributed to this challenge is the lack of sufficient and effective professional training and development programs for teachers. There is a growing need to examine how teachers' professional training and development influence students' academic outcomes. The problem this study seeks to address is the unclear and under-researched relationship between teachers' professional development and students' academic performance in Ndhiwa Sub-County. Methodology: The study used descriptive research design and 15 public secondary schools, 113 teachers and 522 students were involved in the study as study respondents. The study used document analysis and semi structured questionnaires to collect the quantitative data, which was analyzed through descriptive statistics (frequencies and percentages). Findings: The study reveals that teachers' professional training and development have a significant impact on students' academic performance in public secondary schools in Ndhiwa Sub-County. The findings also indicated that teachers who undergo continuous professional development are better equipped with modern teaching strategies, content knowledge, and student engagement techniques, which in turn positively influence students' academic outcomes. Teachers with higher levels of training and access to ongoing professional development demonstrate improved classroom management, increased use of learner-centered methodologies, and more effective assessment technique. Unique Contribution to Theory, Practice and Policy: From the study findings, the study recommends that schools and educational authorities should develop more structured and regular Continuous Professional Development (CPD) programs that focus on subject-specific training, pedagogical skills, and updated teaching methodologies. This is because the study findings likely indicate that teachers who engage in regular training and development show better performance in student outcomes. The education policy makers should come up with the programs that forge partnerships between secondary schools and local universities or teacher training colleges to provide advanced training opportunities and access to educational research.

Digital foundry production: modeling systems, personnel training, digitization stages.

The article describes modern digital solutions for production automation, simulation of production processes in order to optimize technology, eliminate defects, improve manufacturability of products, reduce production costs, as well as the company's services in the implementation of calculation projects and training, including reverse engineering of products, opportunities for advanced training. As an example of the implemented calculation is presented the work on optimization of the design of mold used for casting copper ingots in order to improve the durability of equipment; simulation of cyclic thermal heating of mold taking into account stress-strain state and fatigue criterion was performed in the software ProCAST. An example of automatic optimization of the design of feeding system for cast iron casting “pump body” using ProCAST and pSeven packages is also presented. The optimization package performed the rebuilding of 3D model in CAD-system with the change of height and diameter of feeder, calculated the case of filling the mold and solidification of the casting taking into account the changed geometry in the calculation CAE package and evaluated the obtained values of porosity in the casting and yield to find the optimal size of feeder

Pathway to cardiothoracic surgery: A primer for aspiring students

ObjectiveThe pathway to cardiothoracic surgery is often obscure for premedical students and aspiring applicants and requires navigating various known and unknown obstacles. Recognizing the challenges encountered on the path to a career in cardiothoracic surgery in the United States, we present this guide for students interested in the field to maximize success in their premedical, preclinical, and preresidency years. MethodsThis is a joint collaboration between the Thoracic Surgery Residents Association and the Thoracic Surgery Medical Student Association. Drawing from firsthand experiences and insights gathered from numerous student applicants and current surgical residents, a comprehensive guide was constructed for students from the point of undergraduate school to advanced training options, including super-fellowship training. ResultsSeveral intricacies to cardiothoracic surgery career planning were discussed, including differences between traditional and integrated/fast-track pathways, college and medical school selection, networking, performing during clinical rotations, extracurricular and research activities, building mentorship relationships, and pursuing alternate career and advanced training opportunities. ConclusionsFor premedical students and aspiring applicants, the road to cardiothoracic surgery requires meticulous planning, grit, and thoughtful dedication. This document consolidates firsthand insights and advice from numerous aspiring and matched applicants to serve as a comprehensive guide for students seeking a career in cardiovascular and thoracic surgery.

Constraints and Challenges in Implementing Text-Based Teaching in Particular Contexts

This research focuses on exploring the constraints and challenges faced by teachers and students when implementing text-based teaching in specific contexts. Text-based teaching has been proven to have a significant impact on the principles of English as a Foreign Language (EFL) teaching and learning, improving students' ability to understand the meaning and fostering communication competence in authentic environments. However, despite its benefits, various obstacles and challenges hinder the successful implementation of this approach. These constraints include a lack of vocabulary and grammar acquisition, inadequate English language skills in context, low motivation, limited learning autonomy, and lack of cooperation among students. In addition, teachers also face challenges such as selecting appropriate authentic texts, modifying and adapting them to meet instructional objectives, designing appropriate tasks, and overcoming potential student boredom with routine activities. To overcome these barriers, teachers need to engage in comprehensive professional development to acquire the knowledge and skills necessary for effective implementation of text-based teaching. In addition, policymakers are encouraged to provide advanced training opportunities in this area, allowing teachers to improve their teaching practices.

Labor market in agriculture: regional features of functioning

The goal is to study the mechanism of functioning of the labor market in rural areas. Methods – abstract-logical, systemic, comparative, statistical analysis, observation. Results - internal and external factors influencing the formation and development of rural labor market in the Pavlodar region were analyzed, and measures were proposed to reduce tension in the agricultural labor market. The employment market in the villages of this region and its importance for agriculture and rural areas are considered. Based on statistical data from 2014-2022. The main indicators of the labor market at the district level are presented. The structure of the population employed in production of goods and services is shown, which makes it possible to identify economically underdeveloped settlements. A reduction in the number of able-bodied citizens in rural settlements has been revealed as a consequence of the migration movement of able-bodied people, the aging of rural residents, and unemployment problems: dispersal of the labor force, low degree of territorial accessibility, limited non-agricultural types of employment. The directions for improving the social infrastructure of rural areas, increasing awareness of the support measures taken, popularizing entrepreneurship, cooperation, including private farming, commercial private plots are substantiated. Conclusions - one of the reasons for the imbalance in agricultural labor market is the low quality of jobs in rural territorial units, due to unsatisfactory conditions of professional activity, lack of opportunities for advanced training and career growth. Large-scale diversification of the rural economy, support for farmers and alternative forms of employment and self-employment make it possible to smooth out negative trends and generate additional income. Measures have been proposed to stabilize this market segment.

A QUANTITATIVE STUDY ON THE CHALLENGES EXPERIENCED BY COMMUNITY HEALTH NURSES: BASIS FOR ENHANCED PANDEMIC RESPONSE

The main problem of the study is to explore the challenges experienced by Community Health Nurses (CHN) during the pandemic and how these challenges bring about an enhanced pandemic response. Specifically, the study dealt with the experience met by the CHNs in physical, psychological, social challenges, and challenges in work resource. A quantitative research design was utilized in the study. The statistical treatment of data of frequency and percentage distribution, weighted mean, and ANOVA were calculated. The respondents of the study were 41 Community Health Nurses from selected cities and municipalities in the Province of Batangas. In general, the study found that Community Health Nurses generally had good physical and emotional health, but occasionally experienced fatigue and emotional demands related to their work. They faced some limitations in financial and supply resources, as well as advanced training opportunities. However, despite the challenges, the nurses had mostly positive experiences in their work. The results showed that there were no significant differences in the extent to which challenges were met when respondents were grouped according to age, sex, highest educational attainment, and work resources challenges. However, there were significant differences in the extent to which challenges were met when respondents were grouped according to civil status and social challenges, as well as the length of work experience and social challenges. An enhancement program for pandemic response is recommended to support the emotional demands and occasional fatigue experienced by nurses, as well as improve access to advanced training opportunities.

An internet survey of the perceived prevalence of zoological companion animal (ZCA) species being evaluated by ACVECC diplomates and emergency and critical care residents and to gauge potential interest in advanced training opportunities in the emergency treatment of these patients.

To describe the perceived prevalence of zoological companion animal (ZCA) species being evaluated and treated by American College of Veterinary Emergency and Critical Care (ACVECC) diplomates and Emergency and Critical Care (ECC) residents in an emergency room (ER) setting and to assess potential interest in further training for the ACVECC community in the emergency treatment and stabilization of these species. Internet-based survey. One hundred and thirty-nine ACVECC diplomates and ECC residents. An online survey was designed and administered to assess the perceived prevalence of ZCA species that were evaluated and treated in the veterinary ER and to gauge potential interest in advanced training opportunities in the emergency treatment of these patients. One hundred and fifteen (83%) respondents reported that their hospital offered veterinary services to ZCA species during business hours and 120 (86%) reported that they offered veterinary services to ZCA species during off-hours. Ninety-one (65%) respondents reported that ZCA patients were evaluated and treated through their ER with small mammals (n=60/91 [66%]) and small birds (n=48/91 [53%]) being the most common species presented. In hospitals with an available ZCA specialist (80/139 [56%]), primary case responsibility was maintained by the ZCA specialist 24-7 in 11 of 91 (14%) hospitals. Seventy-three (53%) ACVECC diplomate and ECC resident survey respondents reported clinical training specific to ZCA species during veterinary school. A total of 84 of 139 (60%) survey respondents expressed interest in further training regarding ZCA species, with 73 of 84 (87%) those individuals specifying interest or potential interest in a formal ACVECC certificate or other type of advanced training.

Clinical placement challenges associated with radiography education in a low-resource setting: A qualitative exploration of the Ethiopian landscape

IntroductionClinical placements (CP) are of paramount importance in the learning and the acquisition of key competencies in terms of knowledge, skill and professional attributes required for clinical radiography practice. This study explored the challenges faced by radiography students and educators in relation to clinical placement and training in Ethiopia. MethodsA qualitative approach using focus group discussion and interviews were used to explore the experiences of students and educators, respectively, pertaining to challenges encountered in relation to the clinical placement of students across four university affiliated hospitals. Data obtained was analysed using a structured three step framework and the coding approach employed in a thematic analysis. ResultsParticipants comprise of third- and fourth-year undergraduate radiography students (n = 14) and educators [academic faculty (n = 7) and clinical practice educators (n = 8)]. Four main themes were identified, which relate to deficiencies of an existing training curriculum and its implementation strategies, inadequate resource and infrastructure within the CP environments and absence of advanced training opportunities. ConclusionThis research showed that there are many and varied challenges encountered by both students and educators in relation to CP and training of radiography students in Ethiopia. These challenges could potentially affect the future performance of students/practitioners and/or the appropriate application of the core clinical radiography skills and competencies in the world of work. Implications for practiceClinical radiography training in resource-limited settings will require urgent attention and support with modern infrastructure including simulation to augment their clinical development to acceptable standards.

ЦИФРОВИЗАЦИЯ, РЫНОК ТРУДА И ЭКОНОМИЧЕСКОЕ РАЗВИТИЕ

Digital technologies and digital competencies of employees have widened the gap both between those employed in different industries and between specialists within the same company, as well as in the level of development between individual countries. While creating social elevators, opportunities for advanced training, remote work, regardless of geographic and gender-and-age characteristics, they have called into question the possibility of “stable work”, dictating the need for constant retraining and acquiring new skills related to the use of digital technologies. This paper’s authors examine the impact of digitalization and automation on the labor market and economic development, systematize the trends in changing of the employment structure and the share of labor in value added, consider the problems of labor force release and ways to solve them, and the changing of the decent work concept in the digital economy.

17.3 DISSEMINATING MENTORSHIP AND ADVANCED TRAINING OPPORTUNITIES TO EARLY CAREER CHILD AND ADOLESCENT PSYCHIATRISTS

Although autism spectrum disorder (ASD) and intellectual disability (ID) are common, few child and adolescent psychiatrists specialize in working with patients who have these diagnoses. A recent initiative from AACAP's Autism and Intellectual Disability Committee has been to foster awareness of, and interest in, advanced training opportunities to work with this unique population among trainees and those early in their careers. This session will describe how this initiative developed and some of the lessons we learned about when and where opportunities exist to develop interest in advanced ASD and ID training. The presentation will discuss several approaches taken by the Early Career Working Group of AACAP’s Autism and Intellectual Disability Committee to disseminate mentorship and advanced training opportunities to trainees and early career child and adolescent psychiatrists. Our working group identified 8 programs across the country that provide advanced training to child and adolescent psychiatrists interested in working with the ASD and ID population. We distributed a flyer advertising these programs to child and adolescent psychiatry fellows at AACAP’s 66th Annual Meeting in 2019 but had limited engagement. However, we unexpectedly found that medical students and general psychiatry residents were interested in learning more about these programs. In light of this, at AACAP's 67th Annual Meeting in 2020 (virtual meeting), we prioritized ensuring that AACAP’s Autism and Intellectual Disability Committee would have a presence at medical student and trainee mentorship events. In 2021, we aim to maintain that presence, as well as to take advantage of the new ubiquity of videoconferencing to offer face-to-face mentorship opportunities beyond the annual AACAP meeting. By the time they are child and adolescent psychiatry fellows, many trainees may already have career plans. Engaging with and mentoring people earlier may be more effective in encouraging an interest in ASD and ID among trainees.

Working as a musculoskeletal radiologist in India and in the UK: Similarities and differences in daily professional engagements

A UK-trained musculoskeletal (MSK) radiologist relocating back to India may face numerous challenges while setting up subspecialty MSK radiology services. The National Health Service (NHS) and the Indian healthcare system are inherently different from each other in finance, governance, administration, and clinical services provision. The NHS can offer numerous opportunities to an MSK radiologist, including a diverse case mixture, protected work time divided between direct clinical care and supporting professional – academic, management, leadership, and continuous professional development – activities, flexible work hours, five days a week work pattern, continuous reflective learning from missed findings, and opportunities for advanced training in MSK tumour work and complex interventions. Indian MSK radiology services, compared to the NHS, are relatively curtailed and limited to metro cities with very few centres offering dedicated MSK imaging services and image-guided interventions. From an economic perspective, MSK radiologists in both countries earn more or less similar, given high taxation rates in the UK. Although Indian radiologists may face pressures to provide rapid radiology reports from the management, patients, and relatives, one can enjoy better image quality, liberty to customize scans, ease to start new intervention services, necessary breaks during work hours, and extended family support. A re-relocated MSK radiologist can survive and thrive in Indian healthcare, primarily corporate medical institutions, if one can strike a balance between professional and personal life.

Development of a community-academic collaborative pharmacy residency program.

To describe the development of a collaborative community-academic postgraduate year 1 pharmacy residency program in San Diego that provides a hybrid experience of opportunities in community practice, ambulatory care, and teaching. Residency training programs are being developed to better match the evolving role of the community pharmacist. In 2016, the University of California San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences partnered with Ralphs Pharmacy, a division of the Kroger Co., to launch a 1-year community residency to develop community-based pharmacists with diverse patient care, leadership, and education skills. Learning experiences include pharmacy operations, clinical services focusing on chronic disease management and education, teaching, and practice-based research. Training settings include community pharmacy, corporate pharmacy, ambulatory care, and academia. Graduates are prepared to work in these settings as well as capitalize on advanced training opportunities, including postgraduate year 2 residencies and professional certifications. The program has been successfully accredited, and graduates have completed the program: one completed a postgraduate year 2 residency, and both have obtained a management or clinical pharmacist position. An innovative community-academic residency program preparing postgraduate year 1 learners for careers in community-based pharmacy, corporate, ambulatory care, and academic settings was developed, with positive preliminary outcomes.

How to Effectively Use High-Resolution Esophageal Manometry

How to Effectively Use High-Resolution Esophageal Manometry

Evaluating the Georgia Master Naturalist Program

We evaluated the Georgia Master Naturalist Program using an online survey. Survey participation was voluntary, and the survey addressed areas such as satisfaction, volunteerism, and future training. The program received high scores from survey respondents. They appreciated training on native plants, environmental awareness, and ecological principles but were less interested in training on agriculture, recycling, and butterfly gardens. Most respondents (68%) did not volunteer relative to involvement in the program, and 32% did not want a volunteer requirement as part of the program. Obstacles to volunteering included lack of time and lack of nearby opportunities. A majority of respondents (54.9%) supported the idea of future advanced training opportunities.

Development and implementation of a multitiered health informatics curriculum in a college of pharmacy.

Standards requiring education in informatics in pharmacy curricula were introduced in the last 10 years by the Accreditation Council for Pharmacy Education. Mirroring difficulties faced by other health professions educators, implementation of these requirements remains fragmented and somewhat limited across colleges of pharmacy in the US. Clinical practice and workforce metrics underline a pronounced need for clinicians with varying competencies in health informatics. In response to these challenges, a multitiered health informatics curriculum was developed and implemented at a college of pharmacy in the Southeast. The multitiered approach is structured to ensure that graduating pharmacists possess core competencies in health informatics, while providing specialized and advanced training opportunities for pharmacy students, health professions students, and working professionals interested in a career path in informatics. The approach described herein offers institutions, administrators, faculty, residents, and students an adaptable model for selected or comprehensive adoption and integration of a multitiered health informatics curriculum.

Why Strive after Clinical Social Medicine? From Epidemiological Association to Personalized Social Medicine: a Case of Breast Cancer Care

Advances in biomedicine, especially molecular biology and genetics, gave rise to the concept of personalized medicine targeting the patient's individual characteristics and needs to ensure the best possible therapy and healthcare. This concept, however, can be successfully implemented only if due consideration is given to (psycho-)social factors, as is shown for instance by considerably reduced post-therapy survival rates among cancer patients in regions with lower socioeconomic status, How breast cancer patients, for instance, find their way back to daily life and work after initial treatment at a breast center is substantially determined by multiple factors going beyond pure medical care. These factors critically affect health status and therapy outcomes, but are missing in current research agenda. A profound expertise in social medicine is required to respond in ways tailored to the individual's healthcare needs that go beyond just medical therapy. This expertise comprises, in particular, knowledge of inequality of access to healthcare due to varying health competence that in turn, results in inequality of health outcome and care. Competence in social medicine both in the clinic and outpatient care can help to individually target negative factors that originate from the social environment as well as from deficits in communication and coordination in the healthcare system and have an effect on the health status of patients..This, however, requires institutionalization of (clinical) social medicine and in particular, better opportunities for advanced training in social medicine in clinical departments and outpatient units.

Integrated Care - ED Alternatives for the Ageing Population

Illawarra Shoalhaven Local Health District is a regional and rural area health service. The Department of Aged Care has serviced a population of 368,822. The Illawarra Shoalhaven has a higher proportion of residents aged 75 years and older (8.5%) when compared to the NSW average (6.9%). Between 2011 and 2021 the population aged 75 years and older is expected to grow by 32%. Since 2004, the Department of Aged Care has grown from having no formal geriatric medicine services to having acute and sub acute services on nine hospital sites covering 200 kilometres of coastline. Having established the acute inpatients services, we have in the last three years developed integrated care services in order to promote continuity of care and prevent avoidable hospital admissions. To achieve this we have used a variety of funding initiatives to achieve e-health infrastructure and technology, training opportunities to develop e-health advanced training opportunities in both regional and rural areas. We will present the overall acute and integrated practice showing a number of ED admission avoidance schemes including a – Residential Aged Care Clinical Advice Line (RACCAL) which then provides the following admission alternatives; Rapid Access outpatient clinic appointments, which are available on two sites throughout the region the next day, where you will be seen by a Specialist Geriatrician plus CNC in Aged Care and an Advanced Trainee. Our treatment plan will be communicated to their GP. An Outreach service within 48 hours with a CNC in Aged Care and an Advanced Trainee who go out to a residential aged care facility within the region. E-health consultation within 48 hours where a CNC in Aged Care and an Advanced Trainee in Aged Care will communicate via e-health with the Geriatrician at one of the specialist sites and provide a treatment plan to the GP and to the facility within 48 hours or a direct admission to one of our sites bypassing the Emergency Department.

Integral Medicine: Treating the Whole—Patient, Provider, Healthcare System

Purpose: Integral Medicine is an approach to health, disease and healing that invites multiple perspectives and modes of inquiry to synergistically support healing for patients, providers and health care systems.Approach: Integral Theory is a framework for organizing information that considers four perspectives essential to view the whole patient simultaneously – any or all of which may illuminate health or illness in a patient, population or system: “Interior-Individual” (mind, psycho-spiritual development, etc.), “Exterior-Individual” (molecules, cells, organs, bodies, etc.), “Interior-Collective” (cultural, ethical practices or norms, etc.), and “Exterior-Collective” (socioeconomic, environmental system, etc.).Major Points: In practice, the application of Integral Theory to patient care can lead to four quadrant diagnosis and therapy for everything from status asthmaticus to chronic fatigue syndrome. When applied to the personal and professional development of providers an Integral Theory framework may improve critical thinking, ethical reasoning, mindfulness and empathy. At the healthcare system design level, patients have better outcomes when cared for by organizations ranked as having better work environments (where nurses report low rates of burnout, adequate time with patients, good relationships with colleagues, and opportunities for advanced training and continuing education).Conclusions: Treating the whole person becomes more than simply including body, mind and spirit. The whole person includes multiple epistemological ways of knowing. Building on Integrative, Alternative, Complementary, Evidence-based Medicine, and Values-based care, Integral Medicine offers a methodology for integrating the “best” of each of these medical methodologies. Integral Theory, in this respect, can act as a meta-theory weaving together many of the converging concepts emerging in the service of whole patient care. Integral methodology also provides a common map/language for knowledge integration/translation and a shared inter-professional approach to whole patient care at the patient, population and health system levels.

Opportunities for advanced training

Opportunities for advanced training