Challenges and Lessons from Conducting a Community-Engaged Evaluation of a Community Advisory Board-A Case Study from Flint.

Community-engaged research often poses challenges due to exactly those qualities that make it desirable: it provides a new model of research that differs in many ways from top-down, university-led, prospectively designed approaches. While many have discussed the challenges to conducting community-engaged research, few have provided precise and generalizable lessons for how to surmount these challenges. Here we discuss the challenges experienced in a project that was community-engaged at three levels: 1) a research team consisting of an academic and a community partner as well as a community and academic research assistant, 2) the research team engaged with a Community Advisory Board called the CBOP-CERB (Community Based Organization Partners-Community Ethics Research Board) throughout the project, and 3) the research involved recruiting community participants from an area with a historical distrust of researchers and research: Flint Michigan. We also discuss administrative challenges that this multilevel community-engagement posed. Most important, we provide practical lessons in order for future community-engaged research to avoid or mitigate many of these challenges.

Evaluating the Impact and Effectiveness of Flint's Community Ethics Review Board (CBOP-CERB): A Pilot Study.

In recognition of the importance of evaluation for funding, research, and quality improvement, a longstanding Community Advisory Board in Flint Michigan embarked on a process to evaluate their impact. The Community-Based Organization Partners (CBOP)-Community Ethics Review Board (CERB) engaged a research team composed of an academic researcher (Solomon Cargill) and a community partner (Spencer) to obtain funding, design and implement an evaluation of the CBOP-CERB. This evaluation study yielded two evaluations of the CBOP-CERB, one with researchers who had engaged with the CBOP-CERB and the other with Flint area community residents. The results of these two evaluations can serve to show other Community Advisory Boards how to establish and expand their impact, establish their worth for future funding, and how to articulate, evaluate, and achieve their goals.

The new Italian National Immunization Technical Advisory Group (NITAG) and its commitment to endorse a new efficient National Immunization Plan in COVID-19 times.

Among the objectives of the WHO Global Vaccination Action Plan 2020-2025, there is the establishment, in all countries, of a National Immunization Technical Advisory Group (NITAG), an independent body with the aim of supporting and harmonising vaccination policies. Italy firstly established a NITAG in 2017; it contributed to the nation's immunization policies but fell short of its goal of becoming a true reference group. The newly appointed NITAG, made up of 28 independent experts, has the ambitious goal to promote the new National Immunization Prevention Plan (PNPV), to harmonise the current vaccination schedule with the anti-COVID-19 campaign, and to recover the vaccination coverage decline that occurred during the pandemic. The contact with the ECDC EU/EEA, the WHO Global NITAG networks, and all the national stakeholders needs to be reinforced in order to accomplish these aims. This paper describes the structure, organisation, and strategy of the new Italian NITAG.

Female participation in the editorial committees of medical journals in Latin America / Participación femenina en los comités editoriales de revistas médicas en Latinoamérica

Introduction: Female participation in the field of medicine and research has increased in recent years; however, there are still inequities in the proportion of men and women in medical leadership, especially in management positions and editorial committees of scientific journals. Objective: To identify female participation in the editorial committees of medical journals in Latin America and explore the association with editorial positions and impact indicators. Materials and methods: We conducted a descriptive bibliometric study to determine female participation in the editorial committees of medical & journals in Latin America. We included 113 medical journals published in Latin America and indexed in Scopus, updated and current in 2020, selected from the Scimago Journal Country Rank portal. The gender of editorial committee members was identified on the web pages of each magazine. Results: Regarding editorial leadership in the 113 journals included, women represented 12.9% of 264 members; as for the functions within the editorial committee, of 1,449 members, 28.9% were women while in advisory committees, of 4,575 members 19.0% were women. The presence of women in editorial committees was higher in journals from Chile, Brazil, and Venezuela in specialties such as public health, pediatrics, and anesthesiology. Conclusions: Female participation in the editorial committees of medical journals in Latin America is low.

Introducción. La participación femenina en el campo de la medicina y la investigación se ha incrementado en los últimos años; sin embargo, aún existen inequidades en la proporción de hombres y mujeres, especialmente en los cargos directivos y la participación en los comités editoriales de revistas científicas. Objetivo. Establecer la participación femenina en los comités editoriales de revistas médicas en Latinoamérica, y explorar su asociación con los cargos editoriales y los indicadores de impacto. Materiales y métodos. Se hizo un estudio descriptivo de tipo bibliométrico de revistas médicas de Latinoamérica indizadas en Scopus, actualizadas y vigentes en el 2020, las cuales se seleccionaron del portal de Scimago & Journal Country Rank. Los equipos editoriales se categorizaron en tres grupos según sus funciones y, posteriormente, se registró el sexo de sus miembros a partir de sus nombres. Resultados. Se incluyeron 113 revistas. En cuanto al liderazgo editorial, entre los 264 directores de comités editoriales, las mujeres representaban el 12,9 %. En lo concerniente a las diferentes funciones, de 1.449 miembros, las mujeres eran el 28,9 %, en tanto que, de los 4.575 miembros de comités consultivos, el 19,0 % correspondía a mujeres. Se observó una mayor presencia de mujeres en los comités editoriales de revistas de Chile, Brasil y Venezuela, y en las especialidades de salud pública, pediatría y anestesiología. Conclusiones. La participación femenina en los comités editoriales de revistas médicas de Latinoamérica es escasa.

Radiation therapy: Regulatory framework and constraints.

The purpose of this article is to describe the regulatory framework of the radiotherapy practice in France.

RadioTransNet: Preclinical research network coordinated at the SFRO and SFPM.

The RadioTransNet programme launched under the auspices of French societies for radiation oncology (SFRO) and medical physics (SFPM) was approved by the French national cancer institute (INCa) in December 2018 and is dedicated to proposing a relevant national and transversal structure for preclinical research including translational research in radiation oncology with well-defined priority areas of research. Its activities, coordinated by a scientific committee that includes radiation oncologists, medical physicists, academic biologists, are structured around several main areas, i.e.: target volume definition, interaction of radiation with normal tissues, combined treatments and modern dose calculation approaches. Four work packages have been created in these areas and are associated with other objectives pertaining to fundamental radiobiology, early implementation of new drugs in a preclinical setting, contribution of imaging in this task, research in medical physics including transversal components such as medical oncology, radiology, nuclear medicine and also cost/efficiency evaluation. All these tasks will be included in a national network that uses the complementary expertise provided by partners involved in the scheme. Calls for proposals will be selected by the scientific council to be submitted to INCa and the various academic associations to obtain funding for the human and technical resources required to conduct under optimal conditions projects in preclinical and translational research in radiation-oncology.

How to get new guidelines in United European Gastroenterology: Follow the gold!

Development of new high-quality guidelines is necessary to improve patients' care and reduce diseases burden. United European Gastroenterology (UEG) quality of care taskforce in collaboration with specialist member societies promote and guide guidelines developers through an activity grant scheme that fund new guidelines in gap areas of GI diseases with high-quality methodology and multidisciplinary collaborative project teams. UEG quality of care taskforce helps dissemination and implementation of guidelines published in UEG journal through different initiatives including a free of charge GI guidelines app. The guidelines included are user friendly, interactive and patient oriented.

Perinatal Mental Health Task Force: Integrating Care Across a Pediatric Hospital Setting.

Perinatal mood and anxiety disorders (PMADs) are the most common complication of childbirth, with suicide a leading cause of postpartum deaths. PMADs are associated with poor maternal, infant, and family outcomes. Identification and early intervention are imperative for successful treatment. This case study describes the implementation and outcomes of a multidisciplinary Perinatal Mental Health Task Force ("Task Force") at one urban academic children's hospital that was created to promote systems change and health care policy solutions for improved identification and treatment of PMADs. Using the social ecological model as a framework, the Task Force addressed care at the individual, interpersonal, organizational, community, and policy levels. The Task Force applied lessons learned from division-specific screening initiatives to create best practices and make hospital-wide recommendations. This foundational work enabled us to build community bridges and break down internal barriers to shift our pediatric hospital toward prioritizing perinatal mental health. As a result, screening expanded to multiple hospital locations and became a hospital corporate goal, the Perinatal Mental Health Screening Tool Kit was created and disseminated within the community, Task Force members testified in governmental hearings and joined national organizations to inform policy, and Task Force and community collaborations resulted in significant grant funding. Lessons learned have been disseminated nationally. Moving forward, we aim to expand our program and partnerships to ensure that caregivers of infants receive appropriate mental health support to strengthen family well-being. The Task Force can serve as a model for advocates looking to expand and integrate PMAD care.

Create a COVID-19 commission.

We need a definitive public reference for the history of events.

[National certification for gynecological cancer surgery]. / Certification nationale pour la chirurgie des cancers gynécologiques.

OBJECTIVE: In France, we are lacking an identified pathway for training in gynaecological cancer surgery. The four competent French learned societies: the SFOG, the CNGOF, the SFCO and the SCGP supported by the CNU of Obstetrics & Gynaecology, and UNICANCER agreed to materialize this course and attest it by a certification awarded by a national jury. MATERIAL AND METHODS: The national committee of certification in gynaecological oncology made up of ten members, representing the 6 concerned organizations, set itself five objectives: the definition of the eligibility criteria for training centres; the determination of a check-list to be filled by the candidate; the determination of a targeted curriculum for the training in gynecological oncological surgery; the determination of the assets necessary for the certification of a candidate already in practice; and the practical organization of the certification. RESULTS: Criteria for approval of centres for training included 150 gynaecological cancer cases per year, among which 100 excisional surgeries, including twenty advanced-stage ovarian cancers. For certification of candidate who followed the curriculum established by the committee or by validation of prior experience for an actual practitioner, a candidate must validate a logbook and fill out a checklist including four parts: theoretical and practical training; research and publications; teaching and subscription to a continuing education program. The accomplished elements of the logbook and the checklist will be evaluated by a score. The first certification session is planned for the end of 2021.

Spanish and Portuguese Societies of Internal Medicine consensus guideline about best practice in end-of-life care.

AIM: To develop consensus recommendations about good clinical practice rules for caring end-of-life patients. METHODS: A steering committee of 12 Spanish and Portuguese experts proposed 37 recommendations. A two rounds Delphi method was performed, with participation of 105 panelists including internists, other clinicians, nurses, patients, lawyers, bioethicians, health managers, politicians and journalists. We sent a questionnaire with 5 Likert-type answers for each recommendation. Strong consensus was defined when >95% answers were completely agree or >90% were agree or completely agree; and weak consensus when >90% answers were completely agree or >80% were agree or completely agree. RESULTS: The panel addressed 7 specific areas for 37 recommendations spanning: identification of patients; knowledge of the disease, values and preferences of the patient; information; patient's needs; support and care; palliative sedation, and after death care. CONCLUSIONS: The panel formulated and provided the rationale for recommendations on good clinical practice rules for caring end-of-life patients.