Regional Training Programme Research Articles

Coaching inexperienced clinicians before a high stakes medical procedure: randomized clinical trial

ObjectiveTo assess whether training provided to an inexperienced clinician just before performing a high stakes procedure can improve procedural care quality, measuring the first attempt success rate of trainees performing...

A cross sectional study to assess the level of awareness of dental surgeons about national oral health program in a city of central India

: In 1999, the Ministry of Health Family Welfare, government of India, launched the first National Oral Health Care Programme on a pilot basis. This cross-sectional study was contemplated in Indore district to assess the awareness of dental surgeons regarding their awareness about the basic tenets of the National Oral Health program. Type of the Study- Cross sectional studyDuration of the Study- 6 months- January-June 2024Site of the Study- Indore districtSample Size- 100Sampling technique- Purposive SamplingStudy method- 1. First of all, the list of dental surgeons operating in Indore district was obtained.2. 100 dental surgeons were randomly identified from this list.3. Their written informed consent was obtained to be a part of the study.4. Pre-designed semi structured questionnaire was prepared and fed in google forms and shared with these identified dental surgeons5. Data collected was entered in MS excel/spreadsheets6. Data was analysed using appropriate statistical software. : 69% dental surgeons were aware of National Oral Health Programme of the Government of India. 47% dental surgeons were aware of National Oral Health Programme of the Government of India- Manpower support [Dentist, Dental Hygienist, Dental Assistant]. 41% dental surgeons were aware of National Oral Health Programme of the Government of India- Equipment including Dental Chair, X-ray units, autoclaves etc. 41% dental surgeons were aware of National Oral Health Programme of the Government of India- Consumables for dental procedures. 37% dental surgeons were aware of National Oral Health Programme of the Government of India- IEC/ BCC activities like Posters, TV, Radio Spots, Training Modules etc. 33% dental surgeons were aware of National Oral Health Programme of the Government of India- national and regional nodal officers training programs. 33% dental surgeons were aware of National Oral Health Programme of the Government of India- Preparing State/District level Trainers by conducting national and regional workshops: The present study clearly indicates that there is need to increase the awareness of National Oral Health Programme not only among dental surgeons but also common men. Government should take active interventions to increase the awareness of NOHP so that more and more people can utilize its facilities.

The burden of iatrogenic obstetric fistulas in Sub-Saharan Africa: Systematic review and meta-analysis protocol.

Obstetric fistulas are abnormal open connection(s) between the vagina and the urinary tract or the rectum resulting from tragic injuries sustained by mothers during childbirth that lead to urine and/or faecal incontinence. Due to the rapidly growing middle class in sub-Saharan Africa (SSA) and the corresponding quest for hospital delivery and caesarean section, surgery-related (iatrogenic) obstetric fistulas are on the rise. Worryingly, there is scanty data on surgery-related fistulas. This review aims to collate empirical evidence on the magnitude of iatrogenic obstetric fistulas in SSA, generate country-specific data and explore factors that influence obstetric surgery-related fistulas. All relevant databases, PubMed, LILACS, CINAHL, SCOPUS and Google Scholar will be searched from 1st January 2000 to 31st March 2024 using search terms developed from the major concepts in the title without restrictions by language. The Cochrane Library, African Journals Online, Data Base of African Thesis and Dissertations Including Research (DATAD-R D Space) and preprint repositories will also be searched. Reference lists of relevant studies will be searched and experts in the field will be contacted for additional (unpublished) studies. The search output will be exported to Endnote where duplicate studies will be removed. The deduplicated studies will be exported to Rayyan where study screening and selection will be conducted. At least two authors will independently select studies, extract data and assess quality in the included studies using pretested tools. Disagreements between reviewers will be resolved through discussion. Data analysis will be performed with RevMan 5.4. Comparative binary outcomes will be reported as odds ratio (OR) or risk ratio (RR) and for continuous outcomes, mean difference and standard deviations (SDs) will be used. Non-comparative studies will be analysed as weighted proportions. Heterogeneity between studies will be assessed graphically and statistically, and where a significant level is detected, the random-effects model meta-analysis will be performed. All estimates will be reported with their 95% confidence intervals (CIs). Where data permit, we will conduct subgroup and sensitivity analyses to test the robustness of the estimates on key quality domains. The overall quality of the evidence will be assessed using GRADE (Grading of Recommendations Assessment, Development and Evaluation). This systematic review and meta-analysis uses rigorous methods and best practices to attempt to collate all empirical evidence and estimate country-specific proportions of iatrogenic (surgery-related) fistulas among obstetric fistula patients across countries in SSA. This review will explore context-specific variables, provide insights into their impact and relate them to the type and experience of personnel performing the obstetric procedures that lead to obstetric fistulas. The findings of the full review are expected to inform the development of national and regional Training Programs for Medical Officers, support the development of a consensus "minimum acceptable standard of care" and inform quality assurance standards for clinicians involved in the provision of surgical obstetric care.

Evaluation of the Implementation of the Pre-PON 2024 Regional Training Center Program for West Nusa Tenggara Province

This research aims to evaluate the implementation of the Regional Training program for NTB Province for PON 2024. The type of research used is descriptive with a qualitative approach. Data sources are obtained from primary data and secondary data. The data collection techniques used were observation, interviews and documentation. The evaluation model used in this research is the CIPP model (context, input, process, product). The research results show that the context aspect, namely in the form of policies and objectives, has been well defined by KONI NTB. In the input, process and product aspects, there are significant obstacles. Where the availability of facilities and infrastructure is still lacking, budget support is still inadequate. In terms of success in qualifying athletes, there has actually been an increase, with more than 254 athletes qualifying to take part in the upcoming PON 2024. However, this achievement is the result of the involvement of elements outside KONI NTB, namely Sports Management, as well as athletes and coaches who are active independently. KONI should have taken a key role, but in reality it was replaced by other parties who actually have roles and responsibilities that are no greater than KONI.

Neurosurgery trainee well-being in a pediatric neurosurgery hospital: baseline data to motivate toward implementing change.

The aim of this study was to obtain aggregated baseline pediatric neurosurgery well-being data at a tertiary care institution. An institutional grant funded the completion of the Maslach Burnout Inventory (MBI) by 100% (n = 13) of the trainees during a 1-year period, including 1 pediatric neurosurgery fellow and 12 residents from 4 regional neurosurgery training programs. Aggregated and anonymized group results included frequency scores ranging from 0 (never) to 6 (every day). The mean ± SD group scores were compared to the general population of > 11,000 people in the human services professions. Burnout profiles were calculated on the basis of MBI scale scores by using established comparisons to standardized normal values. Burnout profile types include engaged, ineffective, overextended, disengaged, and burnout. The mean ± SD score for emotional exhaustion was 2.6 ± 1.1 for trainees compared with 2.3 ± 1.2 in the comparison population. The mean ± SD score for depersonalization was 1.6 ± 1 compared with 1.7 ± 1.2 in the comparison population. The mean ± SD score for personal accomplishment was 4.9 ± 0.7 compared with 4.3 ± 0.9 in the comparison population. Profiles were classified as engaged (n = 6), ineffective (n = 3), overextended (n = 3), and burnout (n = 1). Problematic profiles were present for more than half (7 [53.8%]) of pediatric neurosurgery trainees who cited higher emotional exhaustion than the general population of healthcare providers. Trainees scored lower in depersonalization and higher in personal accomplishment compared with the general population, which are both protective against burnout. Targeting factors that contribute to emotional exhaustion may have an impact on improving the overall well-being of pediatric neurosurgery trainees.

Establishment and implementation of a regional mucosal training program to facilitate multi-center collaboration in basic and clinical research in Eastern Africa

Background: The recent outbreaks of novel endemic and pandemic diseases have highlighted the importance of collaborative networks in rapid response to emerging pathogens. Over the last two decades International AIDS Vaccine Initiative (IAVI), with the support of United States Agency for International Development (USAID) and other international donors, has invested in research capacity and infrastructure in Africa. A significant portion of this support has facilitated establishing regional centers of excellence for African scientists to develop and lead a collaborative research agenda, implemented within the IAVI-led Accelerate the Development of Vaccines and New Technologies to Combat the AIDS Epidemic (ADVANCE) program. One such regional center is the University of Nairobi’s Kenya AIDS Vaccine Initiative-Institute of Clinical Research (KAVI-ICR). Objective: We designed and implemented a development program to foster inter-institutional South-South technology transfer within Africa, and address a capacity gap in mucosal research. Methods: KAVI-ICR and IAVI developed standardized mucosal sample collection, processing and technical assay methods; these were subsequently applied into several observational studies, and Phase I HIV vaccines, Varicella zoster virus vaccine, and broadly neutralizing antibodies clinical trials at KAVI-ICR. Thereafter, KAVI-ICR facilitated the technology transfer of the methods, by training staff at regional establishments in Africa. Results: Twelve standardized methodologies were developed for the collection, processing and storage of 10 mucosal sample types. Subsequently, eight regional research centers received training for a variety of clinical and laboratory methodologies; the centers later applied the techniques in follow-up collaborative research. Additionally, the training fostered collaboration while allowing the development of local networks of research groups. Conclusion: By such South-South initiatives, supported by international donors, the development of regional capacity and expertise is realizable. The established expertise can be leveraged when needed, and builds the capability for African scientists to engage at an international level, actively participating in driving internationally relevant research.

Developing the Royal College of Emergency Medicine's advanced clinical practitioners in the Wessex region: design, implementation and review of a regional training programme

Background: Since 2015, the Royal College of Emergency Medicine (RCEM) has championed an advanced clinical practitioner (ACP) credentialling process for clinicians working in advanced practice roles in the emergency department. While this process ensures a standard of advanced practice that is both governable and robust, it requires structure and support to complete successfully. This article reports the design and implementation of a regional programme aimed at supporting trainees through the RCEM ACP training process to the point of credentialling. Methods: A regional training programme was implemented and a mixed-methods approach (that included a quantitative analysis of training programme completion rates and a qualitative review of trainee feedback) was used to analyse the outcomes. The programme incorporated a structured educational programme, educational supervision and annual review, alongside integration into the deanery school board and facilitation of training time. Results: Between 2016 and 2022, a total of 46 trainee RCEM ACPs were recruited to the programme. Of these, 19 had credentialled by spring 2022 and 20 were in ongoing training, aiming for credentialling. During this time, these participants accounted for 19% of the nationally credentialled ACP workforce (19 of 99). Since 2020, the first pass rate for programme trainees has been 71%, compared to the national average of 38%. Credentialled ACPs, when asked how well the programme prepared them to credential with the RCEM, responded positively, with most scoring the programme between 4 and 5, with 5 being marked as ‘excellent’. Free text comments in feedback on the programme were collated and reviewed for common themes resulting in key themes of ‘supportive’, ‘excellence’ and ‘adequate preparation for credentialling’. Conclusion: Meeting the criteria for RCEM credentialling as an ACP is a demanding process that requires support and structure. The development and implementation of a regional training programme not only meets these requirements but yields higher credentialling success rates and creates trainee satisfaction in the process.

A Qualitative Study Among Healthcare Providers on Risks Associated With the Use of Supportive Care for Cancer Treatment-Related Symptoms in Children and Adolescents.

Although more than 300 000 children and adolescents worldwide are diagnosed with cancer yearly, little research has been conducted investigating how healthcare providers consider risk and patient safety connected with supportive care (including complementary and alternative medicine [CAM]) in this age group. This study aimed to explore how different healthcare providers perceive and evaluate risk when patients combine supportive care and conventional medicine in clinical practice and how they communicate and inform parents about the use of these modalities. In-depth semi-structured interviews were conducted with 22 healthcare providers with expertise in treating pediatric oncology patients from 5 countries. Systematic content analysis was conducted using Nvivo 1.61. The analysis resulted in 3 themes and 8 subthemes. Generally, participants were cautious about implementing unproven new modalities or therapies when recommending supporting care modalities to parents of children and adolescents with cancer. The most important criterion when recommending a modality was evidence for safety based on a risk/benefit evaluation. Negative interactions with conventional medicine were avoided by using the half-life of a drug approach (the time it takes for the amount of a drug's active substance in the body to reduce by half). For patients with severe symptoms, less invasive modalities were used (ear seeds instead of ear needling). To enhance safety, participants practiced open and egalitarian communication with parents. Healthcare providers reported using a variety of approaches to achieve a safe practice when parents wanted to combine supportive care and conventional cancer treatment. They emphasized that these modalities should be foremost safe and not become an extra burden for the patients. Providers highlighted patient-centered care to meet the individual's specific health needs and desired health outcomes. A lack of national and regional standardized training programs for supportive care in pediatric oncology was considered a hazard to patient safety.

The value of extended short-term medical training placements in smaller rural and remote locations on future work location: a cohort study

ObjectivesTo investigate the effects of extended short-term medical training placements in small rural and remote communities on postgraduate work location.Design and settingCohort study of medical graduates of The University of...

Editors' Notes on Themed Issue on Civil Society Education: East Asia

This is the fourth themed issue in the Journal of Nonprofit Education and Leadership (JNEL) in which researchers around the world examine regional and national training and education programs for individuals with civil society leadership roles. The issue has its origin in a post-conference airport meeting a few years ago between one of the editors of this series of themed issues and a set of prominent scholars from East Asia. As most researchers would confirm, the value of a research conference is seldom found in the various seminars or panels, but rather in the unplanned encounters that take place at breakfast, over a coffee, or—in this case—at the airport. The mere airport happenstance turned out to be the beginning of several valuable research initiatives. Since then, among other things, the authors and the editors have met and organized public disseminations, including the Nonprofit Higher Education Research Summit at he ISTR International Conference in 2021. The overall result is not only a significant contribution to the series of themed issues, but also, and more importantly, the first mapping of programs in nonprofit and nongovernmental management education in East Asia.

Barriers Affecting the Effectiveness of Digital Literacy Training Programs (DLTPs) for Marginalised Populations: A Systematic Literature Review

The governments and private sectors have taken several national or regional digital literacy training programs (DLTPs) to mitigate digital inequalities. However, there are noticeable differences in impact and outcomes produced by programs. Since digital literacy is essential for any technical vocational education and training (TVET), this study explores possible barriers influencing the effectiveness of DLTPs at different level levels. Relevant publications were synthesized and coded using a systematic literature review to link main research findings with specific barrier categories. It was found that at the administrative level, policy planning and administrative designing, whereas at the training level, infrastructure followed by training and pedagogy emerged as the most critical determinants for the effectiveness of DLTPs. At an individual level, lack of family support significantly affect learning behaviour. A strategic model for the effective implementation of DLTPs is provided. This study constitutes an essential input for research on the digital literacy training literature providing educators and program stakeholders with a reinforced understanding of various ways to manage DLTPs at different levels. Consequently, it closes some identified knowledge gaps and offers additional insights to improve the DLTPs performance at the community level.

Freestyle Deliberate Practice Cadaveric Hand Surgery Simulation Training for Orthopedic Residents: Cohort Study.

BackgroundCadaveric simulation training may be part of the solution to reduced quantity and quality of operative surgical training in the modern climate. Cadaveric simulation allows the early part of the surgical learning curve to be moved away from patients into the laboratory, and there is a growing body of evidence that it may be an effective adjunct to traditional methods for training surgical residents. It is typically resource constrained as cadaveric material and facilities are expensive. Therefore, there is a need to be sure that any given cadaveric training intervention is maximally impactful. Deliberate practice (DP) theory as applied to cadaveric simulation training might enhance the educational impact.ObjectiveThe objectives of this study were (1) to assess the impact of a freestyle DP cadaveric hand surgery simulation training intervention on self-reported operative confidence for 3 different procedures and (2) to assess the subjective transfer validity, perceived educational value, and simulation fidelity of the training.MethodsThis study used validated questionnaires to assess the training impact on a cohort of orthopedic residents. The freestyle course structure allowed the residents to prospectively define personalized learning objectives, which were then addressed through DP. The study was conducted at Keele Anatomy and Surgical Training Centre, a medical school with an integrated cadaveric training laboratory in England, United Kingdom. A total of 22 orthopedic surgery residents of postgraduate year (PGY) 5-10 from 3 regional surgical training programs participated in this study.ResultsThe most junior (PGY 5-6) residents had the greatest self-reported confidence gains after training for the 3 procedures (distal radius open reduction internal fixation, flexor tendon repair, ulnar shortening osteotomy), and these gains diminished with resident seniority. The confidence gains were proportional to the perceived procedural complexity, with the most complex procedure having the lowest pretraining confidence score across all experience levels, and the greatest confidence increase in posttraining. Midstage (PGY 7-8) residents reported receiving the highest level of educational benefit from the training but perceived the simulation to be less realistic, compared to either the junior or senior residents. The most senior residents (PGY 9-10) reported the greatest satisfaction with the self-directed, freestyle nature of the training. All groups reported that they were extremely likely to transfer their technical skill gains to their workplace, that they would change their current practice based on these skills, and that their patients would benefit as a result of their having undertaken the training.ConclusionsFreestyle, resident-directed cadaveric simulation provides optimum DP conditions whereby residents can target their individualized learning needs. By receiving intensive, directed feedback from faculty, they can make rapid skill gains in a short amount of time. Subjective transfer validity potential from the training was very high, and objective, quantitative evidence of this is required from future work.

Redeveloping Leadership Training for Higher Trainees in the West Midlands

AimsMany of the competencies that trainees in psychiatry are required to achieve can be linked to leadership in the broadest sense, yet specific training is not often systematically provided. The West Midlands Psychiatry Leadership Development Programme aims to support the acquisition of important leadership skills already set out in the curriculum through provision of high-quality specialist leadership content within the existing programme. Here we present the findings of a scoping exercise exploring the views and attitudes towards leadership training held by higher trainees in psychiatry within the West Midlands.MethodsAll psychiatry higher trainees within West Midlands Deanery were invited to complete an anonymous online survey using Survey Monkey in November 2021. This survey incorporated questions about their preferred learning styles, confidence in their leadership skills and barriers to accessing leadership opportunities, generating both quantitative and qualitative data.ResultsKey results included: •37 responses were received. All subspeciality training programmes were represented. Almost half of respondents (46%) were ST6 or above and most were in training full time (84%).•Trainees expressed a preference for experiential learning about leadership (87%) as well as small group teaching (62%) and interactive workshop style content (62%).•Awareness of leadership opportunities was typically via their peer group (81%) or clinical supervisor (60%). Only 52% of trainees were aware of leadership opportunities within the Deanery.•Only 54% felt that existing leadership training met their curriculum requirements. Less than half of trainees (46%) felt confident to evidence their leadership experience within their training portfolio.•One-fifth of trainees (21%) reported experiencing barriers to leadership development. These included: inadequate awareness of opportunities, lack of senior support, time constraints and difficulty matching interests with available opportunities.ConclusionTrainees expressed interest in the redevelopment of a regional leadership training programme which would support them to achieve their curriculum competencies and prepare them for life as a consultant psychiatrist. The new multi-faceted regional leadership programme will offer resources in a variety of formats including webinars, podcasts, optional interactive workshops and action learning sets. It is hoped that this flexible programme, linked to the Medical Leadership Competency Framework, will better meet the needs of higher trainees as they pursue their own personal leadership journeys.

MP30-01 IMPACT AT 20 YEARS: IVUMED BY THE NUMBERS

You have accessJournal of UrologyCME1 May 2022MP30-01 IMPACT AT 20 YEARS: IVUMED BY THE NUMBERS Jacob Knorr, Danielle Sweeney, Christina Ching, Ashley Westrum, Frank Burks, Heidi Stephany, Eric Richter, Joseph Costa, Scott Eggener, Maahum Haider, Benjamin Davies, Joseph Smith, Kurt McCammon, Francis Schneck, and Ian Metzler Jacob KnorrJacob Knorr More articles by this author , Danielle SweeneyDanielle Sweeney More articles by this author , Christina ChingChristina Ching More articles by this author , Ashley WestrumAshley Westrum More articles by this author , Frank BurksFrank Burks More articles by this author , Heidi StephanyHeidi Stephany More articles by this author , Eric RichterEric Richter More articles by this author , Joseph CostaJoseph Costa More articles by this author , Scott EggenerScott Eggener More articles by this author , Maahum HaiderMaahum Haider More articles by this author , Benjamin DaviesBenjamin Davies More articles by this author , Joseph SmithJoseph Smith More articles by this author , Kurt McCammonKurt McCammon More articles by this author , Francis SchneckFrancis Schneck More articles by this author , and Ian MetzlerIan Metzler More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002573.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: For the last 20 years, IVUmed has worked in low-resource areas with the mission to make quality urological care accessible worldwide. Through onsite surgical workshops centered on a teach-the-teacher approach, the work of IVUmed has transitioned from refining how to deliver surgical education in low-resource settings to supporting the establishment of regional training programs that are sustainable and meet the needs of local medical providers and patients. With an initial focus on pediatric urologic care, the services of IVUmed have gradually adapted to meet several site-specific needs across multiple urologic subspecialties. Our objective was to characterize the volume and scope of IVUmed work over the course of this organization’s history. METHODS: Retrospective review of an administrative database was conducted for records from 2000 to 2020. Data included site information, clinic and surgical volume, training focus, personnel involvement, and volunteer hours. JMP SAS was used for statistical analysis and figure generation. RESULTS: Since 2000, IVUmed has led 292 workshops in 39 countries across four continents. A total of 104,805 hours were collectively volunteered by 3024 doctors, 1068 nurses, 104 residents, and 559 other volunteers towards the service of 11,297 patients and the completion of 7,540 surgeries. 211 unique individuals have served as team leaders, with 45 individuals serving this role more than once. From 2000-2005 to 2015-2020, the volume in number of surgeries has grown by almost a factor of four. The workshop focus has diversified over this time, from being majority pediatrics to now 30% pediatrics, 29% reconstruction, 12% oncology, 8% female and including specific workshops in endourology and laparoscopy. CONCLUSIONS: The volume and scope of services provided by IVUmed has significantly expanded over the last two decades. Future studies will center on the evaluation of surgeries performed, long-term outcomes, and sustained effect at partner sites to better define strategies for continued access to urologic care world-wide. Source of Funding: NA © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e478 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jacob Knorr More articles by this author Danielle Sweeney More articles by this author Christina Ching More articles by this author Ashley Westrum More articles by this author Frank Burks More articles by this author Heidi Stephany More articles by this author Eric Richter More articles by this author Joseph Costa More articles by this author Scott Eggener More articles by this author Maahum Haider More articles by this author Benjamin Davies More articles by this author Joseph Smith More articles by this author Kurt McCammon More articles by this author Francis Schneck More articles by this author Ian Metzler More articles by this author Expand All Advertisement PDF DownloadLoading ...

Provision of other medical work by Australian early-career general practitioners: a cross-sectional study.

Introduction There is a trend towards GPs diversifying their role by working in health areas beyond general practice. However, little is known about whether this trend is apparent among early-career GPs once they make the transition from training to independent practice. Aim To describe the prevalence of and characteristics associated with early-career GPs providing other medical work. Methods A cross-sectional questionnaire-based study of GPs ('alumni') who had fellowed within the past 2 years from three of Australia's nine regional training programs. The outcome factor was provision of medical work in addition to clinical general practice. Associations of independent variables (encompassing alumni demographics, current practice characteristics and vocational training experience) with the outcome were estimated using univariate and multivariable logistic regression. Results Of 339 responding alumni, 111 (33%) undertook other regular medical work. Sixty-five (59%) of these were in medical education. In multivariable analysis, factors associated with providing other medical work were having a spouse/partner not in the workforce (odds ratio (OR) 5.13), having done any training part-time (OR 2.67), providing two or more of home visits, nursing home visits and after-hours care (OR 2.20), working fewer sessions per week (OR 0.74), and currently working in an area of lower socio-economic status (OR 0.84). Having dependent children (OR 0.27), and being female (OR 0.43) were associated with not providing other medical work. Discussion In this study, many early-career GPs are providing other medical work, particularly medical education. Acknowledging this is important to general practice workforce planning and education policy.

USING DIGCOMPEDU TO CHART CHANGES IN TEACHER ONLINE ASSESSMENT DIGITAL PRACTICES AND COMPETENCIES AFTER THE PANDEMIC PERIOD

The European Framework for the Digital Competence of Educators (DigCompEdu) is a robust, evidence-based framework that can be used both as a policy guide and an implementation aid for regional and national tools and training programs. It provides a general frame of reference to support the development and enhancement of educator-specific digital competencies. This article explores the use of the DigCompEdu framework in Ireland, looking at its deployment as a tool for analysis in one regional Irish university. We explore the use of the DigCompEdu framework as a mechanism to identify changes in pedagogic practice and competencies around online assessment practice as a consequence of teacher experiences of remote teaching, learning, and assessment during the COVID-19 global pandemic. Our survey questionnaire, which was administered to the teaching staff in an Irish university, categorized respondents according to their alignment with the Area 4 Assessment DigCompEdu proficiency statements. Additionally, a series of open-ended questions enabled respondents to give further details on their online experiences. These were interrogated using thematic analysis, which revealed a consensus on the advantages and disadvantages of the move to online space. However, most significantly, our analysis points not only to shifting digital competencies but also to shifting teacher roles. Remote teaching in the online format required changes to assessment and engendered a shift in the role of the teacher from a more traditional didactic model to one based on moderation and facilitation.

Civil Society Education: Western Perspectives

This is the third themed issue in the Journal of Nonprofit Education and Leadership (JNEL) in which researchers around the world examine regional and national training and education programs for individuals with civil society leadership roles. When we as editors set our sails in the early years of the last decade, the third issue was always our planned destination. However, as with most voyages, things do not always go according to plan. As we now proudly present the third issue, we are already hard at work with two more themed issues—one with a focus on a set of countries in Southeast Asia and another with a focus on regional mappings and studies. Over time have we come to realize that this voyage has no one harbor, to arrive at once and for all, and that the true delight is the cruise itself.

Theoretical foundations of the regional training program "Education in conflict" for teachers' professional development

The article is focused on the problem of helping instructors improve their professional abilities when dealing with conflict. The research's objectives are to support the theoretical underpinnings of the course and to create the content of a new training program for the professional advancement of Ukrainian teachers. The content of the professional development training program for teachers is based on a variety of scientific methods at many levels, including philosophic, general scientific, specifically scientific, and pedagogical approaches. This is where the scientific novelty of the research lies. We pay particular attention to the need of guaranteeing children's safety and their access to an education in times of war. The following modules make up the program's content: "Children's problems caused by armed conflict"; "Education in conflict: the essence, standards (on the information from UNISEF and UNESCO)"; and "Ways of implementation education in war in Ukraine." The study's recommendations for teaching strategies and the multidisciplinary nature of the regional training program "Education in Conflict" are what give it its practical value.

Survive and thrive wellbeing programme: an innovative experiential wellbeing programme for trainees in Health Education England- Thames Valley (HEE-TV)

AimsThe aim of this project was to develop an experiential programme which encouraged trainees to develop their own processes for mental resilience acting to mitigate difficult work and life environments.BackgroundDoctors are at considerable risk of work-related stress, burnout and mental health problems, particularly trainees, many of whom are experiencing symptoms earlier in their career. The Thriving at Work Review, the British Medical Association and HEE all call for cultural and organizational change that works to prioritise, promote and enhance wellbeing by providing good working conditions and an atmosphere that encourages open discussion about mental health with access to appropriate support that destigmatises mental health.MethodAcross HEE-TV we identified that there were no regular wellbeing initiatives for trainees, and specifically no psychologist-facilitated Cognitive Behavioural Therapy-style sessions to enhance resilience. Six schools identified a specific need for HETV-targeted resources focused on enhancing trainee mental wellbeing.The current course has morning sessions that cover self-awareness, and afternoons are psychologist-facilitated sessions. The initial pilot was run for the School of Anaesthetics, and later offered to specialties with a General Medical Council-survey identified need. Multiple improved iterations of the course have been driven by detailed trainee feedback, including adding the psychology sessions to give trainees tools for self-help.ResultWe triangulated feedback from attendees at the sessions, nominated trainee representatives from all specialties across Thames Valley via the Trainee Advisory Committee (TAC), and HEE-TV quality assessors. Feedback from trainees who attended was almost universally positive. The Quality Committee noted improvement of trainee morale in Anaesthetics and direct improvement in aspects of the learner environment that would not have happened without this intervention. The TAC endorsed this as one of the measures to support trainees in difficult learner environments. They also recommended it be rolled out for all as a preventative measure as there can be a time lag before items appear on the Risk Registers and are officially recognized as requiring support. The biggest measure of success is that HEE-TV have agreed to fund these sessions ongoing.ConclusionWe learned that an iterative response to trainee feedback and careful co-ordination is key to successful engagement via the training programme directors who arrange regional training programmes. This, and making the SAT course free at the point of use, makes it easier for trainees to access this programme. In addition we will be including the trainee voice is shaping bespoke aspects of the day for each specialty.

The impact of a regional training program on peripartum depression in territorial psychiatric services

IntroductionThe Unit of Clinical Psychiatry of the University Hospital “Ospedali Riuniti – Ancona”, in collaboration with the Marche Region Health System, is conducting a national observational project entitled “Measures related to the prevention, diagnosis, treatment and assistance of postpartum depressive syndrome”, aiming at promoting women’s Mental Health, particularly in pregnancy and peripartum period.ObjectivesThe primary objective is implementing all measures/interventions needed to promptly screening, early diagnosising, and supporting/caring women with mental health disease during pregnancy and peripartum period. A dedicated training program was performed by our clinical team belonging to the Peripartum Psychiatry Outpatient Service of the Unit of Clinical Psychiatry, at the University Hospital “Ospedali Riuniti”, Ancona, Italy, to a selected audience of Gynecologists/Obstetricians/Nurses/Psychologists/Psychiatrists/GPs and Pediatricians.MethodsThe training program is a 2-days residential course, held on 21-22th September, 2020. After the training program, all participants (n= 70) were asked to provide an informed consent and complete an online questionnaire to evaluate knowledge/opinions/experiences and clinical practices in the field of depression in pregnancy and postpartum.ResultsA 40-items questionnaire investigated: a) general attitude in performing screening of depression/anxiety during pregnancy; b) overall knowledge about peripartum depression; c) overall knowledge about management/treatment; d) how physicians manage patients with peripartum depression/anxiety (i.e., how they perform screening/diagnosis/treatment during pregnancy, their levels of knowledge/confidence about psychopharmacology in pregnancy).ConclusionsThe findings of the residential course may allow clinicians to adequately inform and help in drafting a preventive, screening and management program able to assist regional stakeholders in the prevention, diagnosis, treatment and assistance of perinatal depression.DisclosureNo significant relationships.