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1.
Curationis ; 42(1): e1-e8, 2019 Feb 25.
Artículo en Inglés | MEDLINE | ID: mdl-30843403

RESUMEN

BACKGROUND:  Implementation of the Integrated School Health Policy (ISHP) requires strong intersectoral collaboration on the part of key role players such as the Department of Health, Department of Basic Education and Department of Social Development. These departments and educational structures such as school governing bodies, teacher unions and learner organisations, academic institutions, civil society and development partner organisations are also expected to contribute to the development of sustainable and comprehensive school health programmes. OBJECTIVES:  The objective of this study was to describe the compliance of the schools in the City of Tshwane to the ISHP in 2015. METHOD:  A quantitative, explorative and descriptive study was conducted in the City of Tshwane using a questionnaire to determine the extent of compliance to the application of the ISHP in selected schools. RESULTS:  The results indicated a widespread non-compliance to ISHP programmes. There was insufficient stakeholder integration in the school health programmes at schools in the City of Tshwane. CONCLUSION:  The lack of collaboration with relevant stakeholders in school health service delivery will lead to a fragmented, uncoordinated and unsustainable approach to the execution of ISHP programmes. This might result in delayed or no detection and intervention in cases of, among others, mental, psychosocial and health challenges to learning, as well as development of nutrition-related conditions.


Asunto(s)
Acreditación/métodos , Política de Salud/legislación & jurisprudencia , Servicios de Salud Escolar/legislación & jurisprudencia , Acreditación/tendencias , Estudios Transversales , Promoción de la Salud/métodos , Humanos , Evaluación de Programas y Proyectos de Salud/métodos , Servicios de Salud Escolar/tendencias , Sudáfrica , Encuestas y Cuestionarios
2.
Dig Dis Sci ; 64(5): 1074-1078, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30863954

RESUMEN

GOAL: To assess publicly available content derived from official websites of accredited gastroenterology fellowship programs, specifically evaluating data pertinent to prospective applicants. BACKGROUND: The Internet provides access to key information for applicants applying to gastroenterology fellowship, particularly as competition drives applicants to apply to a large number of programs. Thus, it is important for fellowship program websites to be up to date and contain accurate and pertinent information. METHODS: Twenty-nine variables, determined as important website content on the basis of prior published website analyses and from surveys of preferences, were extracted from the relevant websites of all accredited gastroenterology fellowships in the USA. Results were binary-i.e., a website either contained or did not contain each item. RESULTS: A total of 178 websites were evaluated. The mean number of online content items was 14.1(± 3.2 SD) out of a possible 29 (47.1%). Program coordinator contact information, application information, and the number of current fellows were accessible on > 80% of websites. In contrast, the typical number and types of procedures performed by fellows and number of hospitals covered by fellows on call were found on < 10% of websites. Analysis revealed that 23.2% of lifestyle, 48.3% of training, and 59.6% of program variables were met. CONCLUSIONS: Gastroenterology fellowship websites lacked important content. Websites had a lower mean percentage of lifestyle content compared to training and program-related items. An organized website containing relevant information may not only attract qualified applicants but also avert unnecessary email inquiries and inappropriate applications. This study may provide guidance to gastroenterology fellowship programs seeking to improve their websites for applicants.


Asunto(s)
Becas/normas , Gastroenterología/educación , Gastroenterología/normas , Internet/normas , Internado y Residencia/normas , Acreditación/tendencias , Becas/tendencias , Gastroenterología/tendencias , Humanos , Internet/tendencias , Internado y Residencia/tendencias
4.
J Cardiothorac Vasc Anesth ; 33(3): 604-620, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30503334

RESUMEN

Despite women accounting for nearly half of all U.S. medical school graduates, this balanced representation is lacking in the cardiovascular specialties. To explore this question further, gender-based trends in the selection of cardiovascular subspecialty fellowship training were investigated among three core specialties: anesthesiology, medicine, and surgery. Using enrollment and workforce data from the Accreditation Council for Graduate Medical Education (ACGME), the Association of American Medical Colleges (AAMC), and the Journal of the American Medical Association Annual Report on Graduate Medical Education, trends in cardiovascular fellowship selection among women were examined over a 10-year period (2007-2017). An attempt was also made to better understand barriers that might contribute to any discrepancies, as well as factors that might influence women's choices of cardiovascular specialties over other fields.


Asunto(s)
Anestesiología/tendencias , Cardiología/tendencias , Procedimientos Quirúrgicos Cardiovasculares/tendencias , Internado y Residencia/tendencias , Factores Sexuales , Acreditación/tendencias , Anestesiología/educación , Cardiología/educación , Procedimientos Quirúrgicos Cardiovasculares/educación , Femenino , Humanos , Masculino
6.
Curr Pharm Teach Learn ; 10(9): 1160-1164, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-30497616

RESUMEN

INTRODUCTION: The Accreditation Council for Pharmacy Education (ACPE) Accreditation Standards suggest integration and inclusion of interprofessional education in doctor of pharmacy programs. Although not directly mentioned by these Standards, intraprofessional education between student pharmacists and student pharmacy technicians may provide valuable preparation for comradery in practice. COMMENTARY: Given the prevalence of collaboration between pharmacists and pharmacy technicians in pharmacy practice, lack of intraprofessional education could be a vital gap in current programs. There have been previous calls within academic pharmacy and from key stakeholder groups for greater involvement of the profession in the training and education of pharmacy technicians, yet literature is sparse on successful models. This commentary includes a discussion of why intraprofessional training is vital, a brief commentary on example intraprofessional activities, as well as strategies for collaboration. IMPLICATIONS: A series of questions with the intention of evoking further conversations and awareness within academic pharmacy completes the commentary.


Asunto(s)
Educación en Farmacia/normas , Técnicos de Farmacia/educación , Estudiantes de Farmacia , Acreditación/métodos , Acreditación/tendencias , Humanos , Relaciones Interprofesionales
9.
Rev. Rol enferm ; 41(10): 648-656, oct. 2018. ilus
Artículo en Español | IBECS | ID: ibc-179756

RESUMEN

La prescripción enfermera es un tema que ha generado controversia en los últimos años. Desde hace tiempo, se viene reclamando un apoyo legal para esta tarea que las enfermeras asumen de manera habitual en su práctica clínica. Las enfermeras realizan tareas asistenciales relacionadas con pacientes crónicos, cuidados paliativos, de atención domiciliaria o de otros procesos y, en muchas ocasiones, deben tomar decisiones sin ningún respaldo legal. La primera regulación en España que hace referencia a la capacidad de las enfermeras para indicar, usar y dispensar determinados medicamentos y productos sanitarios de forma autónoma aparece en la Ley 28/2009, que modificaba la ley de garantías y uso racional de los medicamentos. En ella, también se hacía referencia a que el gobierno regularía esta competencia. El desarrollo de esta normativa no se produjo hasta el año 2015 con el Real Decreto 954/2015, que niega la posibilidad de la prescripción enfermera autónoma y genera de nuevo controversia. En los últimos meses se ha llegado a un acuerdo para modificar este real decreto, de manera que, una vez que se publique en el BOE, las enfermeras podrán prescribir en el ámbito de sus competencias, lo que supondrá el reconocimiento de sus competencias en la práctica profesional y un beneficio tanto para los pacientes como para el sistema sanitario


The nursing prescription is a subject that has generated controversy in recent years. For some time now, legal support has been demanded for this task which nurses usually assume in their clinical practice. The nurses perform care tasks related to chronic patients, palliative care, home care or other processes, and in many cases, they must make decisions without any legal backing. The first regulation in Spain that refers to the ability of nurses to indicate, use and dispense certain medicines and health products autonomously appears in Law 28/2009, which modified the law on guarantees and rational use of medicines. In it, reference was also made to the fact that the government would regulate this competence. The development of this regulation does not occur until 2015 with Royal Decree 954/2015, which denies the possibility of autonomous nurse prescription and generates new controversy. In recent months, an agreement has been reached to modify this royal decree so that, once it is published in the BOE, nurses may prescribe within the scope of their competences, which will mean the recognition of their skills in professional practice and a benefit for both patients and the health system


Asunto(s)
Humanos , Prescripciones de Medicamentos/enfermería , Toma de Decisiones Clínicas/ética , Atención de Enfermería/tendencias , Legislación de Medicamentos/tendencias , Proceso de Enfermería/legislación & jurisprudencia , Acreditación/tendencias
10.
Clin Oral Implants Res ; 29(6): 568-575, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30240052

RESUMEN

BACKGROUND: During the third Summer Camp of European Association of Osseointegration (EAO), 40 junior representatives from various European societies and associations were brought together to discuss and explore the following topics in Implant Dentistry in the next 10 years: (I) certification, (II) societies and associations, (III) continuing education, and (IV) innovations. AIMS: The aims of all working groups were to identify and outline the present situation in the area of the selected topic and to propose improvements and innovations to be implemented in the following 10 years. MATERIALS AND METHODS: Four different groups were assigned randomly to one of the four working units. The method to discuss the selected topics was World Cafè. The summaries of four topics were then given to all participants for peer review. RESULTS AND CONCLUSIONS: All four groups presented the conclusions and guidelines accordingly: (I) The recognition for Implant Dentistry and accreditation of training programs would lead to an improvement of the quality of care to the benefit of the patients; (II) Dental associations and societies have to continuously improve communication to meet needs of dental students, professionals, and patients (III) European Dental Board should be installed and become responsible for continue dental education; (IV) dental engineering, peri-implant diseases, and digital workflow in dentistry currently have limited tools that do not guarantee predictable results.


Asunto(s)
Acreditación/tendencias , Certificación/tendencias , Implantación Dental Endoósea/tendencias , Educación en Odontología/tendencias , Sociedades Odontológicas/tendencias , Terapias en Investigación/tendencias , Acreditación/normas , Implantación Dental Endoósea/métodos , Implantación Dental Endoósea/normas , Implantes Dentales/tendencias , Educación en Odontología/normas , Guías como Asunto/normas , Humanos , Sociedades Odontológicas/organización & administración , Terapias en Investigación/métodos
12.
Curr Pharm Teach Learn ; 10(5): 543-545, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29986811

RESUMEN

INTRODUCTION: Literature supports pharmacist integration within transitions of care. A total of eight health-system pharmacies and colleges of pharmacy developed focused post-graduate year two (PGY2) training in this specialty. However, in fall 2016, ongoing accreditation of these PGY2 transitions of care programs was discontinued by the American Society of Health-System Pharmacists Commission on Credentialing. PERSPECTIVE: Healthcare relies on interprofessional collaborations and corresponding programs in order to improve patient care. Pharmacists who have completed specialized training in transitions of care are not only leaders in this realm but also ambassadors for interprofessional medicine. IMPLICATIONS: Rebranding transitions of care PGY2 programs fails to capture all the opportunities available to train and mentor new transitions of care pharmacists. Lack of consensual accreditation introduces variability within training. There may be opportunities to revisit transitions of care PGY2 accreditation in the future.


Asunto(s)
Acreditación/normas , Educación de Postgrado en Farmacia/métodos , Residencias en Farmacia/tendencias , Acreditación/métodos , Acreditación/tendencias , Educación de Postgrado en Farmacia/normas , Educación de Postgrado en Farmacia/tendencias , Humanos , Transferencia de Pacientes/métodos , Transferencia de Pacientes/normas , Residencias en Farmacia/métodos , Residencias en Farmacia/normas , Estados Unidos
13.
Curr Pharm Teach Learn ; 10(5): 627-636, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29986823

RESUMEN

PURPOSE: To describe the development of a Pediatric Degree Option program and its impact on pediatric-focused advanced pharmacy practice experiences (APPEs) and faculty scholarly productivity. EDUCATIONAL ACTIVITY: The Pediatric Degree Option program was established in 2011 and requires 16 h of didactic coursework and APPEs. The number of pediatric-focused APPEs and mean number of APPEs per pediatric faculty per year was compared pre- (2005-2010) and post-implementation (2011-2016). In addition, the median number of scholarship activities per student pre- and post-implementation was compared. The initial position obtained by graduates completing the degree option was collected. FINDINGS: Thirty students have completed the program. There were 146 pediatric-focused APPEs for the pre-implementation period and 259 post-implementation. However, there was an increase in pediatric faculty during the post-implementation, so there was no difference in the mean number of pediatric-focused APPEs per pediatric faculty in the pre- versus post-implementation period, 8.4 + 2.7 versus 6.9 +1.0, p = .224. A significant increase in the median number of pediatric-focused scholarly activities per student was observed pre-versus post-implementation, 3 (2-5) versus 5 (3-7), p = .005. Twenty-six (86.7%) students in the post-implementation period participated as a research assistant or coauthor in an original research or manuscript writing project. Students accepted a variety of positions after graduation including twelve (40%) accepting a PGY1 residency and eight (36.7%) as community pharmacists. SUMMARY: Although the number of pediatric-focused APPEs increased in the post-implementation, this did not result in an increase in the mean number of mean pediatric-focused APPEs per pediatric faculty member. However, it did allow a unique opportunity for 30 students with interest in pediatrics and allowed for content and skill development. The Pediatric Degree Option program allowed students to gain experience with pediatric-focused scholarly activities that also enhanced faculty productivity in scholarship and research.


Asunto(s)
Curriculum/tendencias , Educación en Farmacia/métodos , Pediatría/educación , Acreditación/métodos , Acreditación/tendencias , Educación en Farmacia/tendencias , Humanos , Oklahoma , Pediatría/métodos , Pediatría/tendencias , Desarrollo de Programa/métodos , Comunicación Académica/tendencias
15.
Soc Sci Med ; 211: 224-233, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29966817

RESUMEN

Motivation crowding studies have demonstrated that external interventions can harm effort and performance through crowding out of intrinsic motivation, when interventions are perceived as lack of trust. However, motivation crowding theory also presents a much less investigated crowding in effect, which occurs when external interventions increase intrinsic motivation. This study empirically tests the motivational effect of a specific external intervention and its associations with the perception of the intervention. We draw on a cluster randomised stepwise introduction of a mandatory accreditation system in general practice in Denmark combined with baseline and follow-up questionnaires of 1146 GPs. Based on a series of mixed effects multilevel models, we find no evidence of motivation crowding out among surveyed GPs, although most GPs perceived accreditation as a tool for external control prior to its implementation. Rather, our results indicate that being accredited crowds in intrinsic motivation. This is especially the case when GPs perceive accreditation as an instrument for quality improvement. External interventions can therefore, at least in some cases, foster intrinsic motivation of health care professionals.


Asunto(s)
Acreditación/tendencias , Medicina General/métodos , Programas Obligatorios , Motivación , Acreditación/métodos , Análisis por Conglomerados , Dinamarca , Medicina General/normas , Medicina General/estadística & datos numéricos , Humanos , Control de Calidad , Mejoramiento de la Calidad , Encuestas y Cuestionarios
16.
Mil Med ; 183(11-12): e671-e675, 2018 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-29746651

RESUMEN

Introduction: The field of otolaryngology has become the leading specialty in the management of head and neck pathology and trauma. Graduate medical education programs tasked to train military head and neck surgeons within the Department of Defense (DoD) maintain certification by ensuring adequate surgical case volume and training. In recent years, surgical case numbers have declined due to an overall healthy active duty patient population and deployments of residency faculty. As such, a novel initiative between the San Antonio Military Medical Center and the South Texas Veteran's Healthcare system was developed to provide seamless care among active duty service members, dependents, retirees, and veterans. The goal of this study is to review the impact on Otolaryngology Key Indicator Procedures (KIP), as defined by the Accreditation Council for Graduate Medical Education (ACGME), following integration of a Veterans Affairs health care population into a military otolaryngology residency program. Further, we aim to assess the potential secondary benefits of an integrated health care initiative between the DoD and the Veteran's Affairs (VA) systems. Materials and Methods: Otolaryngology key indicator procedures, as defined by the ACGME, were reviewed at an academic military medical center before and after implementation of an ENT Federal Healthcare Consortium integrating care of VA patients at a military hospital. The surgical scheduling system at our institution was queried for cases within the KIP categories of "Head & Neck" and "Otology" from 2011 to 2015. Results: Case data was reviewed from the San Antonio Military Medical Center before (2011-2012) and following integration of VA patient care (2013-2015). A total of 520 "Head & Neck" and 532 "Otology" KIP were performed following development of an ENT Federal Consortium. One hundred and sixty-five KIPs were performed on patients referred from the VA. The range of VA-generated cases contributing to total KIPs for "Head & Neck" and "Otology" ranged from 6.8% to 59.5% and 0% to 18.9% per year. Conclusions: The establishment of a Federal Healthcare Consortium and integration of VA patient population provided a tangible and quantifiable increase in otolaryngology KIPs. Development of a training relationship with VA patients is beneficial in reaching outcome-oriented goals for otolaryngology residents.


Asunto(s)
Prestación de Atención de Salud/métodos , Internado y Residencia/normas , Otolaringología/educación , Acreditación/métodos , Acreditación/tendencias , Educación de Postgrado en Medicina/organización & administración , Humanos , Internado y Residencia/métodos , Otolaringología/métodos , Admisión y Programación de Personal/normas , Admisión y Programación de Personal/estadística & datos numéricos , Encuestas y Cuestionarios , Texas , Estados Unidos , United States Department of Veterans Affairs/organización & administración
17.
Plast Reconstr Surg ; 141(5): 768e-774e, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29697635

RESUMEN

BACKGROUND: The purposes of this study were to (1) determine the proportion of plastic surgery residents pursuing subspecialty training relative to other surgical specialties, and (2) analyze trends in Accreditation Council for Graduate Medical Education accreditation of plastic surgery subspecialty fellowship programs. METHODS: The American Medical Association provided data on career intentions of surgical chief residents graduating from 2014 to 2016. The percentage of residents pursuing fellowship training was compared by specialty. Trends in the proportion of accredited fellowship programs in craniofacial surgery, hand surgery, and microsurgery were analyzed. The percentage of accredited programs was compared between subspecialties with added-certification options (hand surgery) and subspecialties without added-certification options (craniofacial surgery and microsurgery). RESULTS: Most integrated and independent plastic surgery residents pursued fellowship training (61.8 percent versus 49.6 percent; p = 0.014). Differences existed by specialty from a high in orthopedic surgery (90.8 percent) to a low in colon and rectal surgery (3.2 percent). From 2005 to 2015, the percentage of accredited craniofacial fellowship programs increased, but was not significant (from 27.8 percent to 33.3 percent; p = 0.386). For hand surgery, the proportion of accredited programs that were plastic surgery (p = 0.755) and orthopedic surgery (p = 0.253) was stable, whereas general surgery decreased (p = 0.010). Subspecialty areas with added-certification options had more accredited fellowships than those without (100 percent versus 19.2 percent; p < 0.001). CONCLUSION: There has been slow adoption of accreditation among plastic surgery subspecialty fellowships, but added-certification options appear to be highly correlated.


Asunto(s)
Acreditación/tendencias , Certificación/tendencias , Becas/legislación & jurisprudencia , Internado y Residencia/legislación & jurisprudencia , Cirugía Plástica/educación , Acreditación/estadística & datos numéricos , Certificación/estadística & datos numéricos , Becas/estadística & datos numéricos , Internado y Residencia/estadística & datos numéricos , Estados Unidos
18.
J Public Health Manag Pract ; 24 Suppl 3: S3-S9, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29595591

RESUMEN

OBJECTIVE: To identify the quality improvement (QI) and performance management benefits reported by public health departments as a result of participating in the national, voluntary program for public health accreditation implemented by the Public Health Accreditation Board (PHAB). DESIGN: We gathered quantitative data via Web-based surveys of all applicant and accredited public health departments when they completed 3 different milestones in the PHAB accreditation process. PARTICIPANTS: Leadership from 324 unique state, local, and tribal public health departments in the United States. RESULTS: Public health departments that have achieved PHAB accreditation reported the following QI and performance management benefits: improved awareness and focus on QI efforts; increased QI training among staff; perceived increases in QI knowledge among staff; implemented new QI strategies; implemented strategies to evaluate effectiveness and quality; used information from QI processes to inform decision making; and perceived achievement of a QI culture. The reported implementation of QI strategies and use of information from QI processes to inform decision making was greater among recently accredited health departments than among health departments that had registered their intent to apply but not yet undergone the PHAB accreditation process. Respondents from health departments that had been accredited for 1 year reported higher levels of staff QI training and perceived increases in QI knowledge than those that were recently accredited. CONCLUSIONS: PHAB accreditation has stimulated QI and performance management activities within public health departments. Health departments that pursue PHAB accreditation are likely to report immediate increases in QI and performance management activities as a result of undergoing the PHAB accreditation process, and these benefits are likely to be reported at a higher level, even 1 year after the accreditation decision.


Asunto(s)
Acreditación/normas , Salud Pública/normas , Mejoramiento de la Calidad , Acreditación/tendencias , Humanos , Evaluación de Programas y Proyectos de Salud/métodos , Salud Pública/métodos , Encuestas y Cuestionarios
19.
J Public Health Manag Pract ; 24 Suppl 3: S10-S18, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29595592

RESUMEN

CONTEXT: The Public Health Accreditation Board (PHAB) is now in its 10th year, making it an ideal time to study the impact of PHAB accreditation on local health departments (LHDs). OBJECTIVE: To examine whether applying for PHAB accreditation affects perceptions and activities regarding quality improvement (QI) and performance management (PM) within LHDs. DESIGN: Data from the National Association of County & City Health Officials' 2010, 2013, and 2016 National Profile of Local Health Departments and associated QI modules were linked to PHAB-applicant data collected in e-PHAB in a cross-sectional and longitudinal approach examining self-reported QI/PM activities. PARTICIPANTS: Local health departments responding to National Association of County & City Health Officials Profile questionnaires and QI modules in 2010, 2013, and 2016. MAIN OUTCOME MEASURES: Implementation of formal QI program within agency, numbers of formal QI projects in the past year, presence of elements indicating formal QI program implementation, and changes over time by accreditation status as of June 2017. RESULTS: Accredited and in-process LHDs showed greater gains over time in all of the outcome measures than LHDs not registered in e-PHAB. Results of logistic regression controlling for population served and governance type found accredited LHDs more likely to report formal QI programs agency-wide (odds ratio: [OR] = 27.0; P < .001) and have implemented 6 to 8 elements of formal QI (OR = 27.0; P < .001) in 2016, compared with nonaccreditation-seeking LHDs. Between 2013 and 2016, LHDs that responded to both survey waves that were registered in e-PHAB or accredited were significantly more likely than nonaccreditation-seeking LHDs to report any increase in overall level of QI implementation (OR = 4.89; P = .006) and increase in number of elements of formal QI (OR = 16.1; P < .001). CONCLUSIONS: Local health departments accredited by June 2017 and those in process reported more formal QI activities and showed greater improvements with QI/PM implementation over time than LHDs not undertaking accreditation. Public Health Accreditation Board accreditation appears to influence QI/PM uptake. As health departments are contemplating whether to apply for accreditation, the potential for developing a more robust QI/PM system should be taken into account.


Asunto(s)
Acreditación/métodos , Percepción , Salud Pública/normas , Mejoramiento de la Calidad/normas , Acreditación/normas , Acreditación/tendencias , Humanos , Gobierno Local , Estudios Longitudinales , Salud Pública/instrumentación , Mejoramiento de la Calidad/tendencias , Encuestas y Cuestionarios
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