Resident Perceptions Research Articles

Evaluating the Value of Eye-Tracking Augmented Debriefing in Medical Simulation-A Pilot Randomized Controlled Trial.

Debriefing after simulation facilitates reflective thinking and learning. Eye-tracking augmented debriefing (ETAD) may provide advantages over traditional debriefing (TD) by leveraging video replay with first-person perspective. This multisite randomized controlled trial compared the impact of ETAD with TD (without eye-tracking and without video) after simulation on 4 outcomes: (1) resident metacognitive awareness (the primary outcome), (2) cognitive load (CL) of residents and debriefers, (3) alignment of resident self-assessment and debriefer assessment scores, and (4) resident and debriefer perceptions of the debriefing experience. Fifty-four emergency medicine residents from 2 institutions were randomized to the experimental (ETAD) or the control (TD) arm. Residents completed 2 simulation stations followed by debriefing. Before station 1 and after station 2, residents completed a Metacognition Awareness Inventory (MAI). After each station, debriefers and residents rated their CL and completed an assessment of performance. After the stations, residents were interviewed and debriefers participated in a focus group. There were no statistically significant differences in mean MAI change, resident CL, or assessment alignment between residents and debriefers. Debriefer CL was lower in the experimental arm. Interviews identified 4 themes: (1) reflections related to debriefing approach, (2) eye-tracking as a metacognitive sensitizer, (3) translation of metacognition to practice, and (4) ETAD as a strategy to manage CL. Residents reported that eye tracking improved the specificity of feedback. Debriefers relied less on notes, leveraged video timestamps, appreciated the structure of the eye-tracking video, and found the video useful when debriefing poor performers. There were no significant quantitative differences in MAI or resident CL scores; qualitative findings suggest that residents appreciated the benefits of the eye-tracking video review. Debriefers expended less CL and reported less perceived mental effort with the new technology. Future research should leverage longitudinal experimental designs to further understand the impact of eye-tracking facilitated debriefing.

The power of play: uncovering the hidden impact of sport events on communities

ABSTRACT Sport tourism, despite being recognized as an effective activity for facilitating recovery from the COVID-19 pandemic, primarily emphasizes benefits related to economic aspects based on current research findings. However, the impacts of sports events extend beyond financial benefits, to various community benefits such as building community cohesion, fostering civic pride, and promoting progressive values. The perceptions of residents within hosting communities also significantly impact the success of these events, yet there are limited empirical studies. To address this research gap, this study aims to investigate the socio-psychological impacts of sports event hosting to address this gap. By introducing a theoretical framework and validating it empirically using 589 responses from a survey conducted among residents in the City of London, Canada, this study sheds light on the indirect relationship between psychic income and quality of life through an SEM analysis. Additionally, psychic income was found to have a significant influence on active support, indicating that residents who possess a strong emotional connection to the sports event are more likely to offer robust support. Ultimately, this study supports managers in the sport-hosting communities to obtain better resources and provide empirical measurements for the social impacts of the sport hosting, guiding hosts to engage fully with their communities.

Perceptions of Dental Faculty and Postgraduate Residents towards Learning Professionalism through DOPS Assessments of Implants

ABSTRACT Objective: One of the essential characteristics that define a career is professionalism, which encompasses commitments, actions, standards, and objectives. Background: The study was aimed to assess the perception of dental faculty and residents towards DOPS as a method to assess professionalism and also the perception of participants towards inclusion of professionalism assessments in the dental curriculum. Method: This descriptive cross sectional study was conducted amongst forty three Prosthodontic postgraduate residents and twenty faculty members from ten different dental colleges in India in the year 2023.Views regarding professionalism were assessed using the Modified Australian Medical Council (AMC) DOPS assessment form. We measured Professionalism score from the DOPS assessments conducted six times within a year of the residents in different dental colleges of India. The resident was evaluated by two different faculty members in order to minimize subjective bias. The scores range from 1 to 5, with 1 representing the least amount of professionalism displayed and 5 representing the best. Data was analyzed using SPSS version 23. Descriptive statistics was done using mean score. Results: DOPS Assessment score of professionalism for Prosthodontic postgraduate residents and feedback from participants, post graduates and faculty at the end of last assessment was considered for conclusion. They showed increase in DOPS score and positive attitude towards dental professionalism. The participants believed that DOPS assessment is an effective way to improve professionalism. Conclusion: Academic dishonesty may continue with unethical behaviors in professional practice of a healthcare professional. Hence, it becomes vital to address academic dishonesty lapses among oral health sciences students to ensure the future safety of patients and improvement in patient care.

Resident performance and program perception following merger of surgical residencies

PurposeThe primary objective of this study was to gauge resident and faculty sentiments surrounding a general surgery program merger between two programs, and to assess the effect on workplace morale and productivity. Secondarily, the authors sought to objectively examine the impact program expansion had on in-service training exam results and operative volumes.MethodsThis was a single-center, prospective, observational study that evaluated surgical resident and faculty feedback pertaining to the merger of two regional general surgery residency programs. The survey utilized the Likert scale at merger onset and post-merger to gather responses from residents and faculty from July 2020 to August 2021. Secondary outcomes evaluated case volume and ABSITE performance pre- and post-merger.ResultsA total of 27 residents and 31 faculty participated in the initial survey. The merger onset and post survey investigation found that there was increased workplace efficiency (78% onset, 96% post; p = 0.004), and increased comfort with effectively triaging patients (41% onset, 83% post; p = 0.001). Satisfaction levels regarding research infrastructure and mentorship also increased significantly (63% onset, 83% post; p = 0.03). ABSITE performance and operative volumes were not significantly changed post-merger.ConclusionThe merging of two academic programs led to feelings of increased mentorship, operative competency, and workplace efficiency among the residents. This was achieved without significant detriment to resident case volume or ABSITE performance. Our investigation also identified legitimate challenges that speak to the need for fluidity in a residency program and the constant need for continued growth and development.

Qualitative exploration of determinants of active mobility and social participation in Urban neighborhoods: individual perceptions over objective factors?

BackgroundUrban neighborhood environments play an important role in facilitating or hindering residents to engage in active mobility and social participation. However, while there is much quantitative research, in-depth knowledge that contextualizes residents’ subjective perceptions of barriers and facilitators of active mobility and social participation is still insufficient. Therefore, a qualitative approach was used to collect subjectively perceived barriers and facilitators of active mobility and social participation of residents from different neighborhoods with objectively determined high vs. low walkability. Furthermore, to better understand (non) concordance of objective environmental characterizations and actual levels of behavior, low and high walkability neighborhood-specific barriers, proposed improvements, and particularities that determine (non) engagement in active mobility and social participation were explored.MethodsThree focus groups (N = 6, N = 6, and N = 5) with 17 participants (7 women, 10 men) aged 21–64 (mean age 43.4 ± 14,6 years) were conducted utilizing a pre-structured interview guideline. Participants lived in 11 different neighborhoods with either high or low objectively determined walkability. The focus groups were transcribed verbatim, followed by a thematic analysis of the content with deductive and inductive code categories, utilizing the MAXQDA software.ResultsNotable was the consensus of many perceived barriers and facilitators of active mobility and social participation along with their assignability to the same context (points-of-interest, infrastructure; safety, communication, community; topography, physical compositions, weather, aesthetics; personal / individual attitudes, influences, evaluations). Another main finding was that high and low walkability neighborhood-specific particularities were revealed that are in contrast to some objective characterizations of walkability: For example, too high density can inhibit active mobility, and too many options can inhibit social participation.ConclusionsThe consensus of many barriers and facilitators of active mobility and social participation suggests that valuable synergies could be created by coordinating interventions aiming to promote both active mobility and social participation in urban neighborhoods. Also, considering subjective perceptions of residents helps to identify neighborhood-specific factors that determine (non) engagement in active mobility and social participation. The findings can help city planners and public health officials improve the promotion of active mobility and social participation in the creation of health-enhancing urban neighborhoods.

Using the Environmental Health Disparities Framework to understand Black and Latino perspectives of a local fertilizer plant fire

In February 2022, a fertilizer plant fire burned for four days and displaced thousands of residents, who were mainly low-income and Black or Latino, from their homes in Winston Salem, NC. In partnership with Black and Latino residents and nonprofit organizations, we sought to understand Black and Latino resident perceptions of the chronic and acute health risks, as well as the emotional and financial effects that resulted from the fire, which included the release of nitrous dioxide. We used the Environmental Health Disparities Framework to guide this community-engaged research study, capturing through semi-structured interviews: 1) how residents perceived their community before and after the fire, 2) how the fire impacted physical and mental health, and 3) how individuals coped with stress. We used thematic analysis to analyze the data and identified seven major themes. Participants: 1) perceived their neighborhood positively, 2) were unaware of the potential dangers of the fertilizer plant before the fire, 3) experienced adverse health and financial effects from the fire, 4) took action to protect themselves from the impacts of the fire, 5) raised concerns about the environmental impacts of the fire, 6) raised concerns about the city's response to the fire, and 7) provided recommendations for future city response.

A Preliminary Study of Context Integration as A Determinant in The Effectiveness of Digital Mathematics Games

Contexts in the digital learning environment are one of the crucial components regarding students’ motivation and positive attitude development toward content. Although there is not enough guiding information in the literature about how contexts should be, previous research has shown that even digital game contexts are effective in developing students’ environmental awareness. To reveal the impact of contexts in the digital learning environment, it is necessary to consider the variables regarding the socio-economic and cultural status of the students. Therefore, it can be envisaged that the effect of digital game contexts may differ depending on students’ experiences and social environments. For this purpose, digital games were designed in two different contexts in this research. In these digital games, two opposite contexts were selected. The first context was focused on saving nature and green energy. This context includes different levels of digital games on topics such as solar energy, reforestation, and clean water sources. The second context was focused on unregulated industrial development that negatively affects nature by ignoring it. This context includes different levels of digital games such as building thermal power plants, building chemical factories, and turning forests into fields. Apart from the contexts, the other variables in both games (i.e., gameplay, artistic structure, levels of problem parameters) are the same. At each game level, students were asked to solve mathematical problems regarding ratio-proportion. In this study, the preliminary findings, which were derived from a large experimental study, were presented. The participants of this study were 15 gifted eighth-grade students from Turkey. Among the participants, eight students played the digital game regarding the context of green energy, and the remaining seven students played the digital game regarding the context of unregulated industrial development. Preliminary findings showed that students were more interested in the digital game regarding the context of unregulated industrial development as it included interesting and beneficial topics such as energy generation and economic development. The resident perception of the citizens regarding the acute need for energy generation and economic development rather than saving nature and green energy since Turkey represents a developing country may explain this finding.

Governing aging people in a rural commune during the Covid-19 pandemic: A case study

Based on the case study of a rural commune, this article analyzes how the challenges of ensuring the inclusion, participation and protection of older residents were addressed by local political actors and partly redefined following the outbreak of the Covid-19 pandemic. It appears that the mutual knowledge between the inhabitants, the proximity of public and private players and the relational and organizational capital of the people in charge are the main levers that can be used to govern older inhabitants. The research shed light on the gap between local actors’ perceptions of older residents, of their expectations and needs and the way older inhabitants themselves define their own place within the town.

Residents' perceptions of what makes feedback valuable in workplace-based learning: A discrete choice experiment.

Research on feedback has shifted emphasis away from its 'delivery' to consideration of the interaction between individual learners and their 'feedback provider'. The complexity inherent in determining whether feedback is perceived as valuable by learners, however, can quickly overwhelm educators if every interaction must be considered completely idiosyncratic. We, therefore, require a better understanding of variability in the ways in which feedback is perceived. To that end, we ran a discrete choice experiment aimed at determining residents' preferences and whether discernible patterns exist across learners regarding factors that influence perceptions of feedback's learning value. We performed a discrete choice experiment in which respondents were asked to read a clinical case and select repetitively between two feedback scenarios that differed according to six attributes identified from the literature as influencing feedback credibility: Dialogue, Focus, Relationship, Situation, Source and Valence. By systematically varying the levels of each attribute contained in the scenarios and asking residents to choose which from each pair they deemed more valuable for learning, a mixed logit model and latent class analysis could be applied to determine learners' feedback preferences and whether clusters of preference exist. Ninety-five elderly care medicine residents in the Netherlands completed the questionnaire. Their responses indicated that Valence, Dialogue, Relationship and Focus each accounted for about 20% of their preferences regarding the type of feedback perceived to offer the most learning value. Source and Situation were less influential, each accounting for 11% of the choices made. A latent class model with three clusters of respondents best accounted for the heterogeneity in feedback preferences. A total of 62% of respondents could be assigned to one of the three profiles with at least 80% probability. None of the respondents' characteristics (seniority, residency programme nor sex) were related to the feedback preference profile. Our findings suggest that 'how' feedback is provided has a greater influence on perceived learning value than who provides it. That said, variability exists in resident perceptions with no evidence (as yet) of factors that predict individual preferences. As such, tailoring to the needs and reactions of individual learners is likely to require open and ongoing conversations, and we recommend using the learner profiles generated through this study as a starting point because they provide classifications that could facilitate effective connections for the majority of residents.

Comparing ICT-related future development trends in shrinking cities: resident and decision-maker perceptions

ABSTRACT Digitalization and the widespread adoption of novel Information and Communication Technologies (ICT) has transformed almost all aspects of society. Remote working, e-commerce and remote services have had a major impact on the lives of individuals, and they increasingly enable individuals to choose their place of residence regardless of geographical constraints. These trends also have a considerable impact on urban spatial structure and regional development. This study examines and compares the probability and desirability of how residents and decision-makers perceive the development trends influenced by ICT and digitalization in shrinking cities and regions. Based on the results the perceptions of residents and decision-makers regarding the desirability of analysed future scenarios are quite well in line, but there exists significant differences regarding the probability of these trends. The results and methodology provide valuable insights for policymakers and other decision-makers to make informed and more participatory decisions regarding future regional development.

Postgraduate’s Dermatology E-logbook – Perceptions of Faculty and Residents: A Survey

Background: Medical postgraduation is a learning/training period during which residents will be assessed based on their academic performances. Various tools are available to assess postgraduate’s academic work, one important tool being a logbook. Dermatology is a visual specialty, and there are advances in information technology and teledermatology. E-logbook assumes its significance in dermatology. Recently, E-logbook is used in various specialties in other countries. E-logbook has not been used in India in dermatology or other specialties. In India, E-logbook has remained only as a concept in medical education. Aims: A survey was performed to obtain the views/perceptions/suggestions of students and faculty for E-logbook in dermatology. Methods: We used a questionnaire for students and faculty of the dermatology department at a tertiary care hospital. The questionnaire which is based on the fundamentals that form the triad of E-logbook includes (a) principles, (b) benefits for students, and (c) faculty. The survey had 26 questions to be answered by faculty and the first 17 to be answered by students. Both students and faculty were asked to provide their reasons with respect to their views. Statistical analysis was performed. Results: Majority of the respondents agreed with P (0.001) for principles, benefits for students, and faculty. Limitations: The study was confined to students and faculty of a single dermatology department. Conclusions: Faculty and students favor E-dermatology logbook. Interesting cases and dermatosurgery/esthetic procedures can be stored, and faculty can assess and monitor the skills of postgraduates. We strongly recommend E-dermatology logbook app.

Erbil Citadel as a Brand for the City, the Role of Residents Awareness and Perceptions

The branding of cities through their historical and cultural assets has become a pivotal strategy in urban development and tourism. This study focuses on Erbil Citadel, a UNESCO World Heritage Site, and its potential as a brand for Erbil, a city with a rich historical backdrop and flourishing urban landscape. The study aimed to explore the perceptions of Erbil’s residents regarding the cultural significance of the Citadel and its potential as a city brand. A mixed-method survey questionnaire was conducted, collecting data from around 440 residents through both manual distribution around the Citadel and an online platform. The findings were analyzed using SPSS 23 to provide both descriptive and inferential statistical insights. The findings show that locals are well aware of the Citadel’s significance as a significant historical and cultural symbol of the city. The vast majority of participants acknowledged its unique visual attributes and their representation of the city’s cultural and historical identity. Additionally, the results showed that citizens’ perceptions of the Citadel as a good component of city branding were positively correlated with their level of cultural awareness. This study contributes to the growing body of literature on city branding and heritage sites by providing empirical evidence on the impact of residents’ cultural awareness on their perceptions of heritage sites as city brands. The results highlight how crucial cultural education and community involvement are to maximizing the branding potential of historic locations. Policymakers and urban planners may find the findings of the study useful in utilizing Erbil Citadel’s historical relevance to strengthen Erbil’s brand identity internationally.

Marshes to mangroves: Residential surveys reveal perceived wetland trade-offs for ecosystem services

Coastal landscapes are rapidly changing due to both climate change and the decisions of waterfront landowners. For instance, the climate-driven encroachment of woody mangrove species into grassy marshland areas is predicted to impact coastal ecosystems, with consequences for the ecosystem services these landscapes provide to people. However, there is a dearth of knowledge concerning coastal resident perceptions of the effects of mangrove expansion on wetlands and their ecosystem services, which may impact residents’ behavior around shorelines and landscape-level patterns. We surveyed waterfront residents in the northern Gulf of Mexico (USA) to understand perceptions of the relative performance of marshes and mangroves to deliver fisheries ecosystem services. Residential-scale shoreline condition and preference, recreational fishing activity, geography, and demographics were evaluated as potential predictors of resident perceptions through non-parametric comparisons across groups and ordered logit modeling. Significant predictors included area of residence, marsh shoreline condition, marsh shoreline preference, fishing frequency, and household income. Florida residents (where mangroves are most prevalent) and frequent recreational fishing participants exhibited stronger preference for mangroves. Unexpectedly, residents with marsh currently present on their shoreline also perceived that mangroves were better at delivering fisheries ecosystem services than marshes. Considering the important role that coastal residents play in shoreline management decisions, these results demonstrate how coastal resident attitudes may drive or mediate climate-driven processes in ways that are not evident by examining environmental conditions alone. Understanding social-ecological shifts due to climate change will be important to inform effective landscape management that promotes resilience in coastal ecosystems and societies.

Residents’ Perceptions of Urban Greenspace in a Shrinking City: Ecosystem Services and Environmental Justice

Although urban greenspace enhances ecological functioning and human well-being through ecosystem services (ES), it is oftentimes inequitably distributed. Environmental justice (EJ) encompasses aspects of distributive, procedural, and interactive justice related to accessibility and allocation of environmental benefits. Vacant land in shrinking cities has the potential to address greenspace inequalities and provide ES. This study investigated the perceptions of residents regarding urban ES and EJ in their communities in St. Louis (MO, USA)—a shrinking city that was undergoing green development, through semi-structured interviews. Altogether, 27 residents were selected from socio-economically disadvantaged neighborhoods characterized by high levels of vacancy due to legacies of redlining and systemic racism. Interview analysis revealed four themes: green benefits (including recreation opportunities), green costs (e.g., concerns for increased crime and nuisance animals), injustice issues (e.g., access to community greenspaces), and changes in the community (e.g., higher property taxes). Results revealed that residents perceived ES as closely connected with EJ when it comes to urban greening projects in their city. This study helps inform the process of urban greening projects, particularly in shrinking cities at risk of inequities.

Residents' Perception of Physical Planning Regulations in Three Secondary Cities in Nigeria (A Study of Osogbo, Ile-Ife, and Iwo)

This paper assessed residents' perception of physical planning regulations with a focus on three major cities (Osogbo, Ile-Ife, and Iwo) in Osun State. Resident's perception was determined by level of awareness of physical planning regulations and experience with administrative practices in the enforcement of physical planning regulations in the study area. For data collection, each of the cities was stratified into three developmental zones, with satellite imageries of built-up areas in each city being subjected to Fishnet analysis in a GIS environment. An average of one house was randomly selected from 2 an area of 0.6 km . Thus, 108, 62 and 56 houses were selected in Osogbo, Ife and Iwo respectively and one resident was sampled in each of the selected houses to arrive at the sample size of 226 residents, to whom copies of the questionnaire were administered. Findings revealed that residents were not quite aware of physical planning regulations in each study area and that those with some knowledge of such regulations acquired it in the course of interacting with planning agencies. It was also found that administrative practices on the enforcement of physical planning regulations were not quite effective. Therefore, it is recommended that physical planning agencies should aim for more effectiveness in raising public awareness on physical planning regulations while improving their own administrative practices.

A National Survey of Obstetrics and Gynecology Resident Perspectives on Their Preparedness to Provide Care for Underserved Patients with Gynecologic Malignancies.

Obstetrics and Gynecology (Ob/Gyn) residents will encounter, screen for, and diagnose gynecologic malignancies. This survey assessed residents' confidence in providing NCCN Guidelines-based care to Gynecologic Oncology patients of differing racial/ethnic backgrounds and insurance statuses while accounting for residents' backgrounds. An anonymous, novel Qualtrics survey was disseminated to current US Ob/Gyn residents, with multiple-choice questions about subject demographics and Likert scale questions about their readiness to care for diverse patients. Differences in responses between racial groups were analyzed using the Kruskal-Wallis Rank Sum test. Differences in responses between ethnic groups were evaluated using the Wilcoxon Rank Sum test. Regardless of their backgrounds, residents feel "somewhat prepared" to care for diverse patients. There was no statistical between ethnic groups regarding confidence in caring for racial minorities or insurance types. Similarly, there was no statistical difference between racial groups regarding caring for racial minorities, but a difference did exist for insurance types (p = 0.027). No significant racial/ethnic differences were found in opinions on trial enrollment or chemotherapy delays, though most residents agreed that racial/ethnic minorities face delays in chemotherapy. Finally, resident ethnicity and race both impacted resident perceptions of difficulties for Medicaid and minority patients in obtaining non-operative gynecologic care (p = 0.044; p = 0.017) and scheduling outpatient appointments (p = 0.016; p = 0.032). Ob/Gyn residents feel prepared to provide NCCN Guidelines-based care to socioeconomically diverse patients with gynecologic malignancies, though differences exist when accounting for residents' racial/ethnic backgrounds. These results reflect the importance of emphasizing on culturally competent care in residency, particularly for patients with cancer.

Segregation by Payer in Obstetrics and Gynecology Residency Ambulatory Care Sites.

Many teaching hospitals in the US segregate patients by insurance status, with resident clinics primarily composed of publicly insured or uninsured patients and faculty practices seeing privately insured patients. The prevalence of this model in obstetrics and gynecology residencies is unknown. To examine the prevalence of payer-based segregation in obstetrics and gynecology residency ambulatory care sites nationally and to compare residents' and program directors' perceptions of differences in quality of care between payer-segregated and integrated sites. This national survey study included all 6060 obstetrics and gynecology residents and 293 obstetrics and gynecology residency program directors in the US as of January 2023. The proportion of program directors reporting payer segregation was calculated to characterize the national prevalence of this model in obstetrics and gynecology. Perceived differences in care quality were compared between residents and program directors at payer-segregated sites. The primary measure was prevalence of payer-based segregation in obstetrics and gynecology residency programs in the US as reported by residency program directors. The secondary measure was resident and program director perceptions of care quality in these ambulatory care settings. Before study initiation, the study hypothesis was that residents and program directors at ambulatory sites with payer-based segregation would report more disparity in perceived health care quality between resident and faculty practices compared with those from integrated sites. A total of 251 residency program directors (response rate, 85.7%) and 3471 residents (response rate, 57.3%) were included in the study. Resident respondent demographics reflected demographics of obstetrics and gynecology residents nationally in terms of racial and ethnic distribution (6 [0.2%] American Indian or Alaska Native; 425 [13.0%] Asian; 239 [7.3%] Black or African American; 290 [8.9%] Hispanic, Latinx, or Spanish; 7 [0.2%] Native Hawaiian or Other Pacific Islander; 2052 [62.7%] non-Hispanic White; 49 [1.5%] multiracial; 56 [1.7%] other [any race not listed]; and 137 [4.2%] preferred not to say) and geographic distribution (regional prevalence of payer-based segregation: 36 of 53 [67.9%] in the Northeast, 35 of 44 [79.5%] in the Midwest, 43 of 67 [64.2%] in the South, and 13 of 22 [59.1%] in the West), with 2837 respondents (86.9%) identifying as female. Among program directors, 127 (68.3%) reported payer-based segregation in ambulatory care. University programs were more likely to report payer-based segregation compared with community, hybrid, and military programs (63 of 85 [74.1%] vs 31 of 46 [67.4%], 32 of 51 [62.7%], and 0, respectively; P = .04). Residents at payer-segregated programs were less likely than their counterparts at integrated programs to report equal or higher care quality from residents compared with faculty (1662 [68.7%] vs 692 [81.6%] at segregated and integrated programs, respectively; P < .001). In this survey study of residents and residency program directors, payer-based segregation was prevalent in obstetrics and gynecology residency programs, particularly at university programs. These findings reveal an opportunity for structural reform to promote more equitable care in residency training programs.

Green spaces in Ghana’s built environment: Analyzing perceptions and urban planning perspectives through the lens of the New Environmental Paradigm

In the busy world of city growth, urban green spaces in Ghana are befallen with destruction due to urbanization. Using a cross-sectional design and case-studying Damongo and Kintampo, this study assessed the perceptions of urban residents and urban planning perspectives about green spaces in enhancing the environmental condition of fast-growing urban areas, and proposed guidelines for the managing green spaces within Ghana’s built environment. The results revealed that underutilization and insufficient funding for greenspace management increase vulnerability to urban encroachment, especially during inward city growth. Again, the exhaustion of the limited resources of the earth could have repercussions for the population of the earth; however, the need for such resources and the level of poverty influences poor environmental decisions. Further, the results showed that planning for urban green and open space ought to be decided at the local level. The study, therefore, recommends a collaborative approach involving city authorities, private sectors, and the public for effective green space management, emphasizing inclusive decision-making and active preservation, and the development of local standards within a national framework, guided by an urban green spaces protection scheme.

Assessing emergency room leadership of ObGyn residents in a public university teaching hospital of Sindh, Pakistan: a cross-sectional survey

BackgroundLeadership is a critical competency for medical professionals, yet it is often neglected in medical training. For ObGyn residents, leadership training is particularly crucial as it significantly impacts both maternal and newborn outcomes, as well as the operational efficiency of healthcare teams. The main objective of this study was to assess the perceptions of obstetrics and gynecology residents who served as group leaders in the emergency team at the Department of Gynecology, Ward 3, Dr. Ruth K.M. Pfau Civil Hospital Karachi.MethodsA Cross-sectional survey was conducted with purposively sampled 28 year-4 residents who worked as group leaders during last 3 years (from 2018 to 2020) of their residency program at the emergency team in the department of Gynecology Ward 3 Dr Ruth KM Pfau Civil Hospital Karachi. The perceptions on leadership were assessed on 25 items scale sent through a questionnaire on email. Grading of responses was done using a 4-point ordinal scale where 1 meant little importance and 4 was regarded as having great importance. Data was summarized with relevant descriptive statistics and was analyzed on SPSS version 22.ResultsThe mean age of residents was 30.36. The mean leadership scores of the group of residents were calculated to be 77.50 (SD ± 9.57) while 14(50%) residents showed good and 14 (50%) showed excellent leadership skills based on cumulative scores. Of the 25 traits examined in this study, the highest reported trait was humility 3.82 (± 0.39) followed by empowerment 3.68 (± 0.77) and effective communication 3.68 (± 0.77). While responding about learning experiences, 89.3% of participants felt that the experience enhanced their decision-making skills and boosted their confidence in dealing with emergencies.ConclusionOur study highlights the critical importance of leadership development in the training of ObGyn residents, particularly in high-pressure emergency settings. The findings reveal that residents value leadership traits such as humility, empowerment, and effective communication, which are essential for building teamwork and ensuring optimal patient outcomes and patient satisfaction.

Resident well-being and perceptions of World Heritage Site management: divide between urban and rural WHSs

ABSTRACT This comparative case study focuses on residents’ subjective well-being (SWB) and their perceptions of conservation and tourism in two prominent World Heritage Sites (WHSs) in Turkey, i.e. (rural) Cappadocia and (urban) Istanbul’s Historical Peninsula, to evaluate them in tandem with their governance frameworks. A modified SWB survey instrument is administered to residents in both WHSs. The most notable differences in SWB surface in community, environment, and standard of living domains favouring Cappadocia – underlining tourism’s varied influence on SWB domains in rural and urban settings. While the perceived association between conservation and tourism is stronger in Cappadocia, Istanbul’s residents view conservation more positively. These differences point towards conservation’s perceived instrumental role in facilitating tourism development in rural WHSs and the disconnection of urban WHS residents from conservation efforts and tourism management. Our findings suggest SWB may complement tourism impact analysis and build a bridge between residents, policymakers, and administrators. Addressing the disconnection between residents and tourism and conservation-related frameworks and initiatives to increase resident awareness of heritage value are suggested as potential contributors to the long-term viability of WHSs as heritage tourism destinations.