Sponsoring Institutions Research Articles

Preventing Today's GME Disasters: Lessons Learned From a Failed Contract Renewal.

Preventing Today's GME Disasters: Lessons Learned From a Failed Contract Renewal.

Institutional Sponsorship and Educational Stratification

Unter Einbezug der idealtypischen Unterscheidung zweier Arten von Aufstiegsmobilität durch Bildung, Wettbewerb und ‚gesponserte‘ Mobilität von Ralph Turner, erschließt Agnès van Zanten anhand Turners Konzepts des ‚institutionellen Sponsorings‘ den Zusammenhang der Mechanismen von Wettbewerb und Sponsoring in der Reproduktion von Bildungseliten. Studien zu Auswahl- und Segregationsprozessen akademischer Eliten im französischen Bildungssystem, die zwischen 2006 und 2013 durchgeführt wurden, wie auch ein laufendes Forschungsprojekt, welches den Übergang zur höheren Bildung untersucht, zeigen auf, dass die Bildungsverläufe zukünftiger Eliten in Frankreich durch eng miteinander verknüpfte Wettbewerbs- und Sponsoringlogiken gekennzeichnet sind.

Partial private sector oversight in China's A-share IPO market: An empirical study of the sponsorship system

The Chinese IPO market has introduced the private oversight of sponsors under tight government control. We examine the performance of IPOs that are managed under private sector oversight, known as the sponsorship system. Using buy-and-hold returns, operating performance measures, Fama-French five factor models, propensity score matching, and triple DiD (DDD), we find that long-term performance is better under the sponsorship system. Additionally, we find that IPOs with reputable sponsor institutions and reputable sponsor representatives perform better. Relatedly, the CSRC takes less time to review the admission documents prepared by reputable-sponsor institutions. Regulatory action taken by the CSRC is shown to be effective, as the number of IPO businesses declines for sanctioned sponsor institutions, and the IPOs managed by them perform better once they have received a penalty.

Factors affecting choice of sponsoring institution for residency among medical students in Singapore.

Postgraduate medical education in Singapore underwent a major transition recently, from a British-style system and accreditation to a competency-based residency programme modelled after the American system. We aimed to identify the relative importance of factors influencing the choice of sponsoring institution (SI) for residency among medical students during this transition period. A questionnaire-based cross-sectional study of Singapore undergraduate medical students across all years of study was performed in 2011. Participants rated the degree of importance of 45 factors (including research, academia and education, marketing, reputation of faculty, working conditions, posting experience and influence by peers/seniors) to their choice of SIs on a five-point Likert scale. Differences in gender and seniority were compared. 705 out of 1,274 students completed the survey (response rate 55.3%). The top five influencing factors were guidance by mentor (4.48 ± 0.74), reputation for good teaching (4.46 ± 0.76), personal overall experience in SI (4.41 ± 0.88), quality of mentorship and supervision (4.41 ± 0.75), and quality and quantity of teaching (4.37 ± 0.78). The five lowest-rated factors were social networking (2.91 ± 1.00), SI security (3.01 ± 1.07), open house impact (3.15 ± 0.96), advertising paraphernalia (3.17 ± 0.95) and research publications (3.21 ± 1.00). Female students attributed more importance to security and a positive working environment. Preclinical students rated research and marketing aspects more highly, while clinical students valued a positive working environment more. Quality of education, mentorship, experiences during clerkship and a positive working environment were the most important factors influencing the choice of SI.

The evaluation of the perceived value of festival experiences: the case ofSerralves em Festa!

PurposeSerralves em Festa!is a festival of contemporary artistic expression held annually in the city of Porto attracting a large number of national and international tourists. As there is no entrance fee, the purpose of this paper is to examine the effect of the perceived value through the attendee’s willingness to pay for the event. The authors also describe the respondents (the “cheap talkers”) who indicated that they are willing to pay for a festival but when compared to other groups their opinion is different.Design/methodology/approachConsidering the socio-economic and demographic characteristics of visitors, their segmentation and satisfaction level, a regression model was created, based on combination of a double hurdle approach with a contingent valuation (CV) analysis.FindingsThe results show that gender and age above 53 years old are more likely to decide to pay for the event, while place of residence, satisfaction, repeated visits and intention to revisit influence the amount of the event’s payment. The cheap talkers are the respondents residing in Portugal.Practical implicationsPossible options for the implementation of an entrance fee or a system of donations are discussed taking into consideration the segmentation of demand. The authors concluded that an organized system of donations, combined with institutional sponsors, limited advertising (also with negative impacts on the perceived authenticity) and merchandising related to the event could contribute for an increment of the revenues related to the festival. Other implications related to the cultural and economic impacts on the city are also addressed.Originality/valueIt was combined a double hurdle approach with a CV method based on a segmentation of the public, which influences the propensity to pay for the event. This paper makes a contribution to the literature by seeking to deal with the cheap talk problem in CV methods by observing the comparison of the amount of the event’s payment between groups.

The Methodology for the CLER National Report of Findings 2018.

The Methodology for the CLER National Report of Findings 2018.

Detailed Findings From the CLER National Report of Findings 2018.

Detailed Findings From the CLER National Report of Findings 2018.

Lessons Learned and Future Directions: CLER National Report of Findings 2018.

Lessons Learned and Future Directions: CLER National Report of Findings 2018.

The Overview of the CLER Program: CLER National Report of Findings 2018.

Since its inception in 2012, the Clinical Learning Environment Review (CLER) Program has had at its core a commitment to formative assessment and feedback regarding graduate medical education (GME) engagement in 6 important, cross-cutting areas of focus—patient safety; health care quality; care transitions; supervision; fatigue management, mitigation, and duty hours; and professionalism. CLER's formative approach recognizes that, although there are shared elements, each hospital, medical center, and ambulatory care site that serves as a clinical learning environment (CLE) for resident and fellow physicians has a unique set of internal and external factors that influence the development and implementation of that CLE's strategic goals aimed at improving patient care.As in the CLER National Report of Findings 2016, the CLER Program continues to refer to CLEs as living and breathing entities—the embodiment of all of the individuals within these settings that influence and imprint upon these early learners. The CLER Program relies on the power of the information it provides to stimulate conversations and motivate CLEs to build upon their strengths and internally address opportunities for improvement.The CLER Program's primary link to accreditation is that every Sponsoring Institution (SI) must periodically complete a site visit. The 2016 National Report provided information on the CLER Program's background and structure.1In the second set of visits to SIs with 3 or more core residency programs, the structure of the site visit remained essentially unchanged. The site visitors met with GME and executive leadership and the CLE's leaders in patient safety and health care quality; held group interview sessions with residents and fellows, faculty physicians, and program directors; and had numerous conversations with various members of the clinical care team while on walking rounds within the CLE.For the second set of visits, the CLER Site Visitors used Protocol 2.0, which was similar but not identical to the version used in the first set of visits (ie, Protocol 1.0). Whereas the majority of the questions remained constant, Protocol 2.0 included new questions to explore important topics in greater depth. In addition, it included several other changes to enhance the quality of the information gathered as part of the CLER Program's commitment to a model of continual improvement:In Protocol 2.0, the CLER Evaluation Committee continued to provide oversight of and guidance for all aspects of program development. The committee is composed of members with expertise in patient safety and health care quality improvement, as well as GME and executive leadership of hospitals and medical centers (eg, chief medical officer, chief nursing officer). The committee also includes postgraduate physician representation and public members.For Protocol 2.0, the committee reviewed and provided guidance on the changes described in the previous section. They also reviewed the data resulting from the site visits and brought an external voice in response to the findings—presented here as overarching themes and challenges and opportunities. Their views and commentary on the significance of the overarching themes and the challenges and opportunities are reflected in the discussion sections of this report.This report includes data from the second set of visits to 287 participating sites of SIs accredited by the Accreditation Council for Graduate Medical Education with 3 or more core residency programs. Similar to the first report of findings, this report presents several different perspectives, including overarching themes, highlights of the challenges and opportunities in each of the 6 CLER Focus Areas, and detailed findings, as well as a new section that examines changes since the last set of CLER visits. The CLER Program will present the findings from the initial visits to SIs with 2 or fewer core residency programs in a separate report scheduled for release in 2019.

Abstract A44: University of Guam/University of Hawaii Cancer Center Partnership: Fourteen years of progress in addressing cancer health disparities in Pacific Islanders

Abstract The University of Guam (UOG)/University of Hawaii Cancer Center (UHCC) Partnership aims to grow cancer research capacity at UOG; develop cancer health disparities research at UHCC focusing on Pacific Islanders (PI); raise awareness of cancer and cancer prevention in Guam (GU), Hawaii (HI), and the U.S. Associated Pacific Islands (USAPI); and increase the number of cancer and biomedical science researchers of PI ancestry in the United States. An infrastructure comprising 6 principal investigators, over 30 participating faculty, administrative staff, and external and internal reviewers, backed by institutional support and NCI sponsorship, has supported 14 years of research, training, and outreach designed to reduce cancer health disparities and advance health equity among PI in GU, HI, and the USAPI. Since 2009, the Partnership has funded 17 cancer research projects addressing cancer research priorities of global and regional relevance, including cervical cancer and betel nut chewing--a traditional practice associated with oral pre/carcinoma, affecting 600 million users worldwide. Approximately 75 manuscripts have been published, approximately 100 abstracts presented, and 13 grants secured. To address the under-representation of PI in biomedical sciences, the Partnership has supported 30 graduate fellows, including 76 doctoral students at UH. Two PhD graduates are now faculty members at UOG and engaged in cancer health disparities research. UOG's Micronesian Studies Program now offers a cancer health disparities track, developed by the Partnership and tailored for the Pacific region. In addition, UOG/UHCC faculty, junior investigators, and pre/postdocs receive mentorship, career development, and summer research fellowships; to date, six UOG faculty have participated in the summer fellowship program at UHCC and two have subsequently secured pilot funding. Outreach projects have explored community-based participatory approaches to youth tobacco-use prevention and cessation in Guam, and the use of social networking to reduce tobacco-related cancer risk. Community-based participatory research has also led to landmark tobacco-control legislation in Guam, resulting in decreased tobacco use and increased tobacco taxes, a percentage of which supports cancer programs and patient services in Guam including the Guam Cancer Registry. Current outreach efforts aim to increase cervical cancer screening among Micronesian migrants and build cancer prevention knowledge and awareness among physicians who serve them in Guam and Hawaii. In conclusion, the Partnership has significantly increased research capacity at UOG and cultivated interest in cancer research among under-represented minority students at the partnering institutions. Supported by NCI grants U54CA143727 and U54CA143728. Citation Format: Carl-Wilhelm Vogel, David C. Ward, Neal A. Palafox, Hali R. Robinett, Rachael T. Leon Guerrero, Robert A. Underwood, John A. Peterson. University of Guam/University of Hawaii Cancer Center Partnership: Fourteen years of progress in addressing cancer health disparities in Pacific Islanders [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr A44.

A Research on the Role of Municipalities in Tourism Development of Rural Areas: The Case of Turkey

The local community in the process of association sees the municipalities as leader, strategist, mentor, coordinator, sponsor, and the closest stakeholder institutions to themselves. However, municipalities do not engage enough in organizations that have tourism purposes. Hence, the main purpose of the research is to determine the main reasons for the lack of municipalities’ interest in tourism. To that end, the interview method was used in the collection of data in this research as a qualitative study. Between the regions that are in priority for tourism development, research sample has formed by 11 county municipalities in the province of Tokat, Turkey. Research findings are limited to the opinions of mayors. The results have shown that the studies of rural county authorities towards the development of tourism are formed due to the individual, short-term, and quick income expectations as well as political concerns for the future. Municipalities want tourism development just for their own areas and stay away from cooperation and partnerships for the creation of a regional tourism destination. Local community stakeholders are slightly included in tourism activities. Inadequacies of financial resources have been shown as a main obstructive reason in participation in tourism activities

Juan Monserrat Vergés: masonería y arquitectura en Granada. El ejemplo del Buen Suceso

El s. XIX en Granada fue propicio para la consolidación del carácter filantrópico de la masonería. Numerosas logias se crearon en la provincia, cifrándose en 475 sus miembros en la ciudad. Este artículo pretende ser una aproximación a uno de los arquitectos masones más relevantes de este período, Juan Monserrat. El Arzobispado, la Universidad y el Ayuntamiento de Granada, fueron algunos de sus comitentes institucionales. También realizaría obras para la burguesía granadina como los Rodríguez-Acosta. El ejemplo presentado es el de una casa de estética masónica, obra paradigmática que repercutirá en la construcción de la Gran Vía de Colón.

Improving Resident Use of Mental Health Resources: It's Time for an Opt-Out Strategy to Address Physician Burnout and Depression (Commentary).

Improving Resident Use of Mental Health Resources: It's Time for an Opt-Out Strategy to Address Physician Burnout and Depression (Commentary).

“Speaking to the Soviets”: Podcasting, Public Diplomacy and the Blinken Open Society Archives’ Radio Liberty Audio Collection

This article introduces and evaluates the experience of producing the Speaking to the Soviets podcast, a six-part audio documentary series which explores the history of transnational broadcasting during the Cold War through a close analysis of the Blinken Open Society Archives’ Radio Liberty Russian Broadcast Collection. I present some preliminary notions on the value of podcasting as a general medium for the presentation and conduct of historical research on radio broadcasting. Next, I discuss the reasons why the OSA’s Radio Liberty Russian Broadcast collection represents a rich and rewarding collection for historians of the Cold War which is particularly suited to being explored and evaluated via podcasting. I describe the conceptual and methodological choices made during the process of the project as a whole, before concluding with an attempt at evaluating the contemporary significance and potential future impact and implications of the project. This question is approached from the point of view of both the sponsoring institutions (Central European University and the Blinken OSA) and the practitioner (myself).

Able Flight at Purdue University: Case Studies of Flight Training Strategies to Accommodate Student Pilots with Disabilities

This paper documents flight training strategies used to accommodate student pilots with disabilities in the Able Flight at Purdue program; this program benefits participants as well as the institutional sponsor and the aviation industry. All training aircraft, procedures, and operations are compliant with Federal Aviation Administration (FAA) regulations, however, the program utilizes a tailored approach within the regulatory standards to meet the unique needs of each individual. The SHELL model (Software, Hardware, Environment and Liveware) is used as a theoretical framework to illustrate how flight training is adapted for individuals with limited dexterity or limited hearing. The Able Flight at Purdue program is explained, including the preparation before the students arrive on campus and the accelerated flight training program. Two case studies using the SHELL model illustrate training modifications for a pilot who uses a manual wheelchair and a Deaf pilot; both of these students successfully completed the program and earned an FAA Sport Pilot certificate. This Peer Review Practice paper also discusses the benefits of the program. There are direct benefits to the individual participants, both to the student pilots as well as to the certified flight instructors (CFIs), based on qualitative survey responses. The broader impacts of the program include support for diversity and inclusion realized by the institution, the aviation sector, and the community.

Institutional Matchmakers, Sponsors, and Strategists: Roles of Academic STEM Executives in Developing the Next Generation of Leaders

Current literature shows a growing consensus about the importance of talent development of diverse leaders; however, less information is available about how this is accomplished within higher education and how these goals might be advanced or hindered by current practices. Interviews with 32 STEM (science, technology, engineering, and math) academic leaders, most from engineering and computing sciences, provided information about how these leaders identify, select, develop, and support emerging leaders in their organizations. Interviews were coded specifically for mentoring and sponsorship practices. Coding of individual de-identified transcripts described general themes; poetic transcriptions created collective narratives to elaborate perspectives and practices across the themes. The leaders described three interdependent roles: 1) Matchmakers who watch for talent to “bubble up” and aim to determine “fit” of new positions to individual talents and optimal career timing; 2) Mentors and Sponsors who counsel and advocate to advance the careers of others; and 3) Institutional Strategists whose support of new leaders aims to minimize risk and achieve organizational goals. The practices described have both a future orientation and a potential for inhibiting diverse leadership development as a result of implicit bias in supporting academic status quo. Knowledge of these approaches is useful to aspiring and newly appointed leaders. Also, organizational leaders can use this information for more comprehensive talent development that creates a deeper talent pool for leaders across higher education.

Pembrolizumab as Neoadjuvant Therapy Preceding Radical Cystectomy in Patients with Muscle-Invasive Urothelial Bladder Carcinoma (PURE-01): An Open-Label, Single-Group, Phase 2 Study

Background: Cisplatin-based neoadjuvant chemotherapy prior to radical cystectomy (RC) is the standard of care for muscle-invasive bladder carcinoma (MIBC), but it is administered in few patients. Methods:In the PURE-01 study, pembrolizumab was administered prior to RC. The patients had a predominant urothelial carcinoma histology and clinical (c)T≤3bN0 stage. They received 3 cycles of 200 mg pembrolizumab every 3 weeks prior to RC. Pathologic complete response (pT0) in intention-to-treat population was the primary endpoint. The biomarker analyses included PD-L1 expression using the combined positive score (CPS) (Dako 22C3), genomic sequencing (FoundationOne assay) and an immune gene expression assay. Findings: From 02/17 to 03/18, 50 patients were enrolled. Twenty-seven (54%) had cT3, 21 (42%) had cT2, and 2 (4%) had cT2-3N1. One patient (2%) had a grade 3 transaminase increase and discontinued pembrolizumab. All patients underwent RC: there were 21 pT0 (42%, 95% CI: 29*4-55*8%). As a secondary endpoint, the downstaging to pT<2 was obtained in 27 patients (54%, 95% CI: 40*4-67%). In 54.3% of the patients with PD-L1 CPS≥10% (n=35), RC indicated pT0, whereas RC indicated pT0 in only 13*3% of those with a CPS<10% (n=15). All 5 patients with a tumor mutation burden (TMB) in the 90th percentile achieved pT0. The expression of several genes in pre-therapy lesions was significantly different between pT0 and non-pT0 cohorts. Significant post-therapy changes in the TMB and evidence of adaptive mechanisms of immune-resistance were observed in residual tumors. Interpretation: Neoadjuvant pembrolizumab resulted in 42% pT0 and was safely administered in MIBC patients. This study supports that pembrolizumab could be a worthwhile neoadjuvant therapy for MIBC when limited to patients with PD-L1-positive or high-TMB tumors. Clinical Trial Number: ClinicalTrials.gov, number NCT02736266 Funding Statement: Merck & Co., Inc., Kenilworth, NJ, USA; Associazione Italiana per la Ricerca sul Cancro (AIRC). Declaration of Interests: Necchi A: consultant for Merck, Astra Zeneca, Janssen, Incyte, Roche, BioclinTherapeutics, Clovis Oncology, Bayer, and Astellas/Seattle Genetics. Grant/Research support from: Merck and Astra Zeneca. Travel expenses/Honoraria from: Roche, Merck, Astra Zeneca, and Janssen. Ali SM, Madison R, Ross JS, and Chung JH: employees of Foundation Medicine Inc. Raggi D, Anichini A, Giannatempo P, Briganti A, Massa S, Luciano R, Colecchia M, Mortarini R, Bianchi M, Colombo R, Gallina A, Salonia A, Messina A, Salvioni R, and Montorsi F: no disclosures. Ethics Approval Statement: The study protocol and all amendments were approved by the ethics committee of the sponsor institution. The study was conducted in accordance with the protocol and its amendments, the Good Clinical Practice guidelines, and the provisions of the Declaration of Helsinki. All patients provided written informed consent before enrollment.

The History of Sponsoring Institutions, 1982-2017.

The History of Sponsoring Institutions, 1982-2017.

Low-Volatility Assets for Retirement Investing in an Uncertain Future

Smart beta has been an important investment phenomenon in the past several years. However, some researchers have reservations about the future prospects of smart beta strategies and their application in retirement investing. This article argues that one smart beta factor, the low-volatility premium, may be uniquely suitable for retirement investing because retirement investors’ main concern is the certainty of investment outcomes. This article compares simple portfolios that use both regular equities and low-volatility assets via scenario analysis and Monte Carlo simulations. The study shows that low-volatility assets may indeed deliver better outcomes in both the accumulation and distribution stages of a retirement investor’s life cycle. Investors need to understand the return assumptions of various assets and make investment choices that are consistent with their views. The study also suggests that investors in the distribution stage may benefit significantly from fixed-income annuities. The article concludes by suggesting that both institutional sponsors of defined contribution plans and individual investors consider low-volatility assets as key components of their retirement plans. <b>TOPICS:</b>Analysis of individual factors/risk premia, simulations, retirement, volatility measures

La financiación de la industria alimentaria y la investigación epidemiológica sobre nutrición y salud

The interests of the food industry to fund nutrition and health research are not limited to promoting scientific advances. Recently, several systematic reviews conducted about the effect of sugar-sweetened beverages and health outcomes have shown some biased conclusions in studies that acknowledge industry sponsorship. In this context, the Nutrition Working Group of the Spanish Epidemiology Society presented a scientific session entitled Food industry and epidemiologic research at its annual meeting. In a round table, four experts in nutrition research presented their points of view about whether the food industry should fund nutrition-related research and the related potential conflicts of interest of the food industry. All the experts agreed not only on defending independence in nutritional epidemiology regarding the design, interpretation and conclusion of their studies but also on the crucial need for guaranteed scientific rigor, scientific quality of the results and measures to protect studies against potential biases related to the conflicts of interest of funding by the food industry. Drs Pérez-Farinós and Romaguera believe that the most effective way to prevent conflicts of interest would be not to allow the food industry to fund nutrition research; Drs Marcos and Martínez-González suggested the need to establish mechanisms and strategies to prevent the potential influences of the food industry in selecting researchers or institutional sponsorship and in the analysis and results of the studies, to ensure maximum independence for researchers, as well as their professional ethics.