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1.
J Nurs Adm ; 50(11): 555-556, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33074954

RESUMO

The coronavirus disease (COVID-19) pandemic has been a source of disruption, unexpected illness, stress, and adversity for people, worldwide. As the reality of the COVID-19 pandemic unfolded in early 2020, many healthcare organizations found themselves in the midst of their Magnet appraisals-just short of the 3rd appraisal phase, the Site Visit Phase. In response, the Magnet Recognition Program devised strategies to maintain the integrity of the appraisal process, despite the turbulence associated with the unexpected changes that healthcare organizations were confronting while contending with the impact of COVID-19. In this month's Magnet Perspectives column, we explore how the virtual site visit has provided healthcare organizations with the opportunity to complete this phase of their appraisal process while addressing the safety and well-being of the organization's staff as well as that of the Magnet appraisers.


Assuntos
Acreditação/métodos , Infecções por Coronavirus/epidemiologia , Enfermagem/normas , Pandemias , Pneumonia Viral/epidemiologia , Realidade Virtual , Humanos , Estados Unidos/epidemiologia
2.
J Am Acad Orthop Surg ; 28(21): 865-873, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32925383

RESUMO

INTRODUCTION: The numeric score for the United States Medical Licensing Examination Step 1 is one of the only universal, objective, scaled criteria for comparing the many students who apply to orthopaedic surgery residency. However, on February 12, 2020, it was announced that Step 1 would be transitioning to pass/fail scoring. The purpose of this study was to (1) determine the most important factors used for interview and resident selection after this change and (2) to assess how these factors have changed compared with a previous report on resident selection. METHODS: A survey was distributed to the program directors (PDs) of all 179 orthopaedic surgery programs accredited by the Accreditation Council for Graduate Medical Education. Questions focused on current resident selection practices and the impact of the Step 1 score transition on expected future practices. RESULTS: A total of 78 PDs (44%) responded to the survey. Over half of PDs (59%) responded that United States Medical Licensing Examination Step 2 clinical knowledge (CK) score is the factor that will increase most in importance after Step 1 transitions to pass/fail, and 90% will encourage applicants to include their Step 2 CK score on their applications. The factors rated most important in resident selection from zero to 10 were subinternship performance (9.05), various aspects of interview performance (7.49 to 9.01), rank in medical school (7.95), letters of recommendation (7.90), and Step 2 CK score (7.27). Compared with a 2002 report, performance on manual skills testing, subinternship performance, published research, letters of recommendations, and telephone call on applicants' behalf showed notable increases in importance. DISCUSSION: As Step 2 CK is expected to become more important in the residency application process, current applicant stress on Step 1 scores may simply move to Step 2 CK scores. Performance on subinternships will remain a critical aspect of residency application, as it was viewed as the most important resident selection factor and has grown in importance compared with a previous report.


Assuntos
Acreditação/métodos , Testes de Aptidão/normas , Internato e Residência , Entrevistas como Assunto , Licenciamento em Medicina , Licenciamento/normas , Seleção de Pessoal/métodos , Projetos de Pesquisa , Feminino , Humanos , Masculino , Estados Unidos
3.
Rev. cuba. pediatr ; 92(1): e947, ene.-mar. 2020. tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1093743

RESUMO

Introducción: No existen referentes en Cuba de estudios que aborden la producción científica de grupos de docentes-investigadores que imparten la pediatría como especialidad. Objetivo: Caracterizar la producción científica del claustro de profesores de la Especialidad de Pediatría de la Universidad de Ciencias Médicas de Matanzas durante el proceso de acreditación de esta especialidad. Métodos: Estudio transversal realizado con los profesores que constituyeron el claustro físico de esta especialidad en el quinquenio 2014-2018, en total 43. El campo de acción se situó en las publicaciones llevadas a cabo por dichos profesores en el período citado. Para ello se revisaron los mini-currículos de los profesores y se localizaron sus publicaciones vía internet. Las principales variables estudiadas fueron: especialidad, categoría y grado científico, categoría docente e investigativa, sexo, años de experiencia docente, publicaciones, razón publicación/profesor, fuente de la publicación, tipo de artículo, temática y país. En el análisis se emplearon indicadores de productividad científica, colaboración y circulación-dispersión. Resultados: El índice de publicaciones fue de 110 trabajos y la razón número de publicaciones/profesor fue 2,55. Las publicaciones se concentraron en 21 profesores, con tres grandes productores. El índice de coautoría fue 3,77 y el patrón de colaboración que predominó fue a nivel nacional. Predominaron los artículos originales (24,5 por ciento) y las publicaciones en revistas médicas multitemáticas (36 por ciento). Conclusiones: Las publicaciones del claustro de la Especialidad de Pediatría cumplen con los requisitos de calidad del Subsistema de Evaluación y Acreditación de Especialidad de Posgrado en Cuba para la obtención del nivel de Certificado(AU)


Introduction: There are no references in Cuba of studies that deal with the scientific production of groups of teachers-researchers who taught Pediatrics as a specialty. Objective: To characterize the scientific production of Pediatrics specialty´s professors staff at the Medical Sciences University of Matanzas during the accreditation process of this specialty. Methods: Cross-sectional study conducted to the 43 teachers who constituted the staff of this specialty in the five-year period from 2014 to 2018. The study was focused in the publications carried out by such professors in the above mentioned period. There were reviewed the mini-resumes of the teachers and their publications were located via internet. The main variables studied were: specialty, category and scientific degree, teaching and research category, sex, years of teaching experience, publications, ratio publication/teacher, source of the publication, type of article, thematic and country. The analysis used indicators of scientific productivity, collaboration, and movement-dispersion. Results: The index of publications was of 110 paper works and the ratio number of publications/teacher was 2.55. The publications focused on 21 teachers, with three large producers. The co-authorship index was 3.77 and the pattern of collaboration that prevailed was at the national level. Original articles (24.5 percent) and publications in multi-topic medical journals (36 percent) predominated. Conclusions: The publications of the Pediatrics specialty´s staff meet the quality requirements of the Subsystem for the Evaluation and Accreditation of Postgraduate specialties in Cuba for obtaining the certificate level(AU))


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Pediatria , Ensino/educação , Indicadores de Produção Científica , Acreditação/métodos , Estudos Transversais
4.
Int J Qual Health Care ; 32(Supplement_1): 89-98, 2020 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-32026934

RESUMO

OBJECTIVE: Healthcare accreditation surveyors are well positioned to gain access to hospitals and apply their existing data collection skills to research. Consequently, we contracted and trained a surveyor cohort to collect research data for the Deepening our Understanding of Quality in Australia (DUQuA) project. The aim of this study is to explore and compare surveyors' perceptions and experiences in collecting quality and safety data for accreditation and for health services research. DESIGN: A qualitative, comparative study. SETTING AND PARTICIPANTS: Ten surveyors participated in semi-structured interviews, which were audio recorded, transcribed and coded using Nvivo11. Interview transcripts of participants were analysed thematically and separately, providing an opportunity for comparison and for identifying common themes and subthemes. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Topics addressed data collection for healthcare accreditation and research, including preparation and training, structure, organization, attitudes and behaviours of staff and perceptions of their role. RESULTS: Five themes and ten subthemes emerged from the interviews: (1) overlapping facilitators for accreditation and research data collection, (2) accreditation-specific facilitators, (3) overlapping barriers for accreditation and research data collection, (4) research data collection-specific barriers and (5) needs and recommendations. Subthemes were (1.1) preparation and training availability, (1.2) prior knowledge and experiences; (2.1) ease of access, (2.2) high staff engagement, (3.1) time, (4.1) poor access and structure, (4.2) lack of staff engagement, (4.3) organizational changes; (5.1) short-notice accreditation and (5.2) preparation for future research. CONCLUSIONS: Although hospital accreditation and research activities require different approaches to data collection, we found that suitably trained accreditation surveyors were able to perform both activities effectively. The barriers surveyors encountered when collecting data for research provide insight into the challenges that may be faced when visiting hospitals for short-notice accreditation.


Assuntos
Acreditação/métodos , Pesquisa sobre Serviços de Saúde/métodos , Hospitais Públicos/normas , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Adulto , Idoso , Austrália , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Segurança do Paciente , Pesquisa Qualitativa , Garantia da Qualidade dos Cuidados de Saúde/métodos
5.
J Am Acad Orthop Surg ; 28(7): 263-267, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-31990714

RESUMO

In 2020, the Accreditation Council for Graduate Medical Education and the American Osteopathic Association will merge creating a single accreditation system for graduate medical education in the United States under the National Residency Match Program. The goal of this merger is to ensure nationwide consistency in purpose and practice of medical care in the United States, specifically in the context of residency education and training for the next generation of physicians. The proposed impact is still speculative since we do not know what lasting effects, if any, this merger will have on subspecialties such as orthopaedic surgery. There are many considerations that medical school advisors need to take into account when guiding their students applying to residency after the match merge. The newly unified accreditation system will pose additional competition, considering that there will be more applicants than spots available in competitive specialties, including orthopaedic surgery. These are important caveats to keep in mind as the residency application process is evolving actively. It is the authors' hope that concepts discussed in this article stimulate further discussion, catalyze research, and optimize the ability for students to succeed in the match process.


Assuntos
Acreditação/métodos , Educação de Pós-Graduação em Medicina/normas , Internato e Residência , Ortopedia/educação , Seleção de Pessoal/métodos , Humanos , Estados Unidos
7.
Ann Biol Clin (Paris) ; 77(6): 681-684, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31859645

RESUMO

In 2020, accreditation of molecular tests according to ISO 15189 is a requirement for all French medical laboratories. For many years, the GBMHM group (French Group of Molecular Biologists in Hematology) supports this approach through organization of external quality evaluation campaigns, and by publishing recommendations that have allowed the accreditation of the most frequent molecular tests for most laboratories. However, some molecular abnormalities concerns very few patients (and sometimes a single patient), and therefore cannot be evaluated in the same way, because of the lack of external quality controls or inter-laboratory comparisons. In order to allow the accreditation of these rare analyzes, the GBMHM proposes recommendations, based on the fact that analyzes using the same methodology than those already accredited by an extensive validation process, may be accredited without the need for full analytical validation. In particular, assays based on quantitative PCR or endpoint PCR may be accredited after verification of primer specificity, repeatability and/or reproducibility, and the determination of detection or linearity limits. These recommendations, by defining the validation approach for rare molecular abnormalities, make it possible to extend the requirement of accreditation for rare tests, to provide the best patient care.


Assuntos
Acreditação/métodos , Análise Mutacional de DNA , Neoplasias Hematológicas/diagnóstico , Neoplasias Hematológicas/genética , Reação em Cadeia da Polimerase em Tempo Real , Análise Mutacional de DNA/métodos , Análise Mutacional de DNA/normas , França , Frequência do Gene , Neoplasias Hematológicas/sangue , Humanos , Laboratórios/organização & administração , Laboratórios/normas , Oncologia/organização & administração , Oncologia/normas , Técnicas de Diagnóstico Molecular/métodos , Técnicas de Diagnóstico Molecular/normas , Guias de Prática Clínica como Assunto , Controle de Qualidade , Reação em Cadeia da Polimerase em Tempo Real/métodos , Reação em Cadeia da Polimerase em Tempo Real/normas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Sociedades Científicas/organização & administração , Sociedades Científicas/normas
9.
Syst Rev ; 8(1): 292, 2019 11 28.
Artigo em Inglês | MEDLINE | ID: mdl-31775895

RESUMO

BACKGROUND: The implementation of trauma systems in many high-income countries over the last 50 years has led to important reductions in injury mortality and disability in many healthcare jurisdictions. Injury organizations including the American College of Surgeons and the Trauma Association of Canada as well as the World Health Organization provide consensus-based recommendations on resources and processes for optimal injury care. Many hospitals treating trauma patients seek verification to demonstrate that they meet these recommendations. This process may be labeled differently across jurisdictions. In Canada for example, it is called accreditation, but it has the same objective and very similar modalities. The objective of the study described in this protocol is to systematically review evidence on the effectiveness of trauma center verification for improving clinical processes and patient outcomes in injury care. METHODS: We will perform a systematic review of studies evaluating the association between trauma center verification and hospital mortality (primary outcome), as well as morbidity, resource utilization, and processes of care (secondary outcomes). We will search CINAHL, EMBASE, HealthStar, MEDLINE, and ProQuest databases, as well as key injury organization websites for gray literature. We will assess the methodological quality of studies using the Risk Of Bias In Non-randomized Studies - of Interventions (ROBINS-I) assessment tool. We are planning to conduct a meta-analysis if feasible based on the number of included studies and their heterogeneity. We will evaluate the quality of cumulative evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group methodology. DISCUSSION: This review will provide a synthesis of the body of evidence on trauma center verification effectiveness. Results could reinforce current verification modalities and may suggest ways to optimize them. Results will be published in a peer-reviewed journal and presented at an international clinical conference. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018107083.


Assuntos
Acreditação , Hospitais/normas , Centros de Traumatologia/normas , Acreditação/métodos , Recursos em Saúde/estatística & dados numéricos , Mortalidade Hospitalar , Humanos , Avaliação de Processos em Cuidados de Saúde , Projetos de Pesquisa , Revisões Sistemáticas como Assunto
10.
J Med Ethics ; 45(12): 839-842, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31604831

RESUMO

INTRODUCTION: Rheumatologists are the primary healthcare professionals responsible for patients with rheumatic diseases and should acquire medical ethical competencies, such as the informed consent process (ICP). The objective clinical structured examination is a valuable tool for assessing clinical competencies. We report the performance of 90 rheumatologist trainees participating in a station designed to evaluate the ICP during the 2018 and 2019 national accreditations. METHODS: The station was validated and represented a medical encounter in which the rheumatologist informed a patient with systemic lupus erythematosus with clinically active nephritis about renal biopsy. A trained patient-actor and an evaluator were instructed to assess ICP skills (with a focus on kidney biopsy benefits, how the biopsy is done and potential complications) in obtaining formal informed consent, delivering bad news and overall communication with patients. The evaluator used a tailored checklist and form. RESULTS: Candidate performance varied with ICP content and was superior for potential benefit information (achieved by 98.9% of the candidates) but significantly reduced for potential complications (37.8%) and biopsy description (42.2%). Only 17.8% of the candidates mentioned the legal perspective of ICP. Death (as a potential complication) was omitted by the majority of the candidates (93.3%); after the patient-actor challenged candidates, only 57.1% of them gave a clear and positive answer. Evaluators frequently rated candidate communications skills as superior (≥80%), but ≥1 negative aspect was identified in 69% of the candidates. CONCLUSIONS: Ethical competencies are mandatory for professional rheumatologists. It seems necessary to include an ethics competency framework in the curriculum throughout the rheumatology residency.


Assuntos
Acreditação , Competência Clínica , Ética Médica , Reumatologia/ética , Acreditação/métodos , Acreditação/normas , Biópsia/ética , Competência Clínica/normas , Humanos , Consentimento Livre e Esclarecido/ética , Consentimento Livre e Esclarecido/normas , Rim/patologia , Lúpus Eritematoso Sistêmico/diagnóstico , Lúpus Eritematoso Sistêmico/patologia , México , Relações Médico-Paciente/ética , Reumatologia/normas
11.
Artigo em Inglês | MEDLINE | ID: mdl-31614405

RESUMO

PURPOSE: Since 2004, the Korea Institute of Medical Education and Evaluation has been responsible for the evaluation and accreditation of medical schools in Korea. The 2nd cycle of evaluations was conducted from 2007 to 2011. The present study aimed at testing the goodness of fit of the items used in the 2nd cycle of evaluation and accreditation based on the Rasch model. METHODS: Dichotomous data on 40 medical schools were analyzed using Winsteps, a tool based on the Rasch model that includes goodness-of-fit testing. RESULTS: Two of the 109 items had an outfit mean square exceeding 2.0. The other 107 items showed a goodness of fit in the acceptable range for the outfit mean square. All items were in the acceptable range in terms of the infit mean square. Furthermore, 1 school had an outfit mean square exceeding 2.0, while all schools were in the acceptable range for the infit mean square. An outfit mean square value over 2.0 means that an item is a outlier. Therefore, 2 items showed an extreme response relative to the overall response. Meanwhile, the finding of an outfit mean square over 2.0 for 1 school means that it showed extraordinary responses to specific items, despite its excellent overall competency. CONCLUSION: The goodness of fit of the items used for evaluation and accreditation by the Korea Institute of Medical Education and Evaluation should be checked so that they can be revised appropriately. Furthermore, the outlier school should be investigated to determine why it showed such an inappropriate goodness of fit.


Assuntos
Academias e Institutos/normas , Acreditação/métodos , Educação Médica/métodos , Faculdades de Medicina/legislação & jurisprudência , Educação Baseada em Competências/métodos , Educação Médica/normas , Humanos , Modelos Estatísticos , Psicometria , República da Coreia/epidemiologia
12.
Eval Program Plann ; 77: 101713, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31521009

RESUMO

This paper aims to evaluate the role and effects of national accreditation practices in the improvement and development of the Omani private higher educational institutions in term of Governance and Management. A documental collection, revision and analysis was performed in order to enhance our understandings of the impact of quality audit in terms of Governance and Management. The study focused on analysing the quality audit reports of 25 assessed Omani HEIs. It covered published reports of all private institutions who already completed the first stage of national accreditation process. From one side, the data analysis showed us that the majority of the Omani private higher education institutions operate their activities without having a clear strategic direction. Also, they don't have performant governance and management systems. From another side, a progress was observed in terms of institutional Affiliations for Programs and Quality Assurance, Student's grievance processes and Health and Safety management. Among other things, the findings revealed that the Omani HEIs perceive quality assessment programs as strategical imposed tool made under the constraint of accountability, rather than an effective mechanism of development.


Assuntos
Universidades/organização & administração , Acreditação/métodos , Acreditação/normas , Avaliação Educacional , Humanos , Omã , Universidades/normas
13.
AMA J Ethics ; 21(9): E766-771, 2019 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-31550224

RESUMO

Almost all allopathic medical schools in the United States allow students to participate in global health immersion experiences. The Liaison Committee on Medical Education accreditation requirements specify that students' home institutions are responsible for overseeing learning experiences, assessing and mitigating risk, ensuring appropriate supervision, and offering instruction about what to expect, ethically and culturally, in a learning setting. Students should also have opportunities to debrief about their experiences.


Assuntos
Acreditação/normas , Saúde Global/educação , Segurança do Paciente/normas , Qualidade da Assistência à Saúde/normas , Estudantes de Medicina , Acreditação/métodos , Currículo/normas , Saúde Global/normas , Humanos , Estados Unidos
14.
Am J Clin Pathol ; 152(6): 808-817, 2019 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-31415083

RESUMO

OBJECTIVES: Early diagnosis of tuberculosis (TB) and multidrug-resistant TB (MDR-TB) is a priority for Viet Nam's National TB Control Programme. In many laboratories, quality systems are weak; few have attained accreditation. We implemented a structured training and mentoring program for TB laboratories and measured impact on quality. METHODS: Six TB culture laboratories implemented the Strengthening TB Laboratory Management Towards Accreditation (TB SLMTA) program, consisting of three training workshops and on-site mentoring between workshops to support improvement projects. Periodic audits, using standardized checklists, monitored laboratories' progress toward accreditation readiness. RESULTS: At baseline, all six laboratories achieved a zero-star level. At exit, five laboratories attained three stars and another one star. Overall checklist scores increased by 44.2% on average, from 29.8% to 74.0%; improvements occurred across all quality system essentials. CONCLUSIONS: The program led to improved quality systems. Sites should be monitored to ensure sustainability of improvements and country capacity expanded for national scaleup.


Assuntos
Acreditação , Laboratórios/normas , Melhoria de Qualidade , Tuberculose/diagnóstico , Acreditação/métodos , Acreditação/normas , Humanos , Controle de Qualidade , Melhoria de Qualidade/normas , Vietnã
19.
J Public Health Manag Pract ; 25(5): 431-439, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31348157

RESUMO

INTRODUCTION: Balancing competing imperatives of conserving scarce resources while improving organizational performance and community health, many local health departments (LHDs) have decided to pursue national, voluntary public health accreditation as a guide to improvement, but how to do so in the most efficient way possible remains a question for many. METHODS: This study employed a participatory action research approach in which LHD directors and accreditation coordinators from 7 accredited and 3 late-stage accreditation ready Kentucky LHD jurisdictions participated. Participants organized a set of accreditation deliverables into a chronological sequencing of each site's accreditation readiness process, which was then coded by researchers to identify similarities and differences. RESULTS: All participating jurisdictions had all-hazards emergency operations plans and public health emergency operations plans while none had workforce development plans, quality improvement plans, or performance management plans before launching accreditation readiness activities. Also identified were the number of accreditation deliverables attempted, simultaneously, by each site and the importance of specific deliverables having a singular focus. Sequences of work on specific deliverables by the majority of participants included completing work on the quality improvement plan immediately, followed by the performance management plan, the Community Health Assessment before the Community Health Improvement Plan, and a strategic plan, followed by a workforce development plan. Factors influencing accreditation readiness processes, elements for sustaining processes, and lessons learned throughout the pursuit of accreditation were also provided by participants. CONCLUSIONS: Recognizing the impact of staff availability, staff skill sets, training, and available financial resources on the pursuit of accreditation, participants determined that aggregating lessons learned into a flowchart highlighting the interconnectedness of accreditation deliverables could produce a road map for LHDs. Accreditation deliverables could be attempted in a logical, efficient order particularly valuable to small LHDs with limited resources and yet adaptable for those jurisdictions able to devote more resources to the process.


Assuntos
Acreditação/métodos , Saúde Pública/métodos , Acreditação/tendências , Humanos , Kentucky , Saúde Pública/instrumentação , Saúde Pública/tendências , Administração em Saúde Pública/normas , Melhoria de Qualidade , Desenvolvimento de Pessoal/métodos , Inquéritos e Questionários
20.
Radiography (Lond) ; 25(3): 207-213, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31301777

RESUMO

INTRODUCTION: A voluntary accreditation scheme has been introduced, requiring advanced (AdP) and consultant practitioners (CP) to submit several pieces of work to the College of Radiographers (CoR). However, few individuals have opted to become voluntary accredited. This study investigated the reasons behind becoming voluntary accredited, the value that was gained and why there appears to be a lack of support for the scheme. METHODS: An online electronic survey was conducted using a mixed methods approach. Open questions enabled individual opinions and thoughts to be expressed, Likert scale style questions allowed further understanding of the level of agreement and closed questions identified the support for and against the scheme. RESULTS: A total of 55 respondents participated, including 18 AdPs, 25 CPs, 1 consultant trainee practitioner, 5 practitioners and 6 listed as 'other'. Forty-four participants were non-accredited, citing too much clinical work; no recognition from employers and too much effort for little reward. Motivations for joining the scheme were to improve the profession; help create a new consultant post and protect the non-clinical element of the consultant role. CONCLUSION: The CoR voluntary accreditation scheme has a small perceived value but overall, the majority of respondents believed the scheme did not warrant the work needed to apply. Concern was raised about the risk of creating a two-tier profession by the scheme's instigation. The results of this study suggest that the CoR's voluntary accreditation scheme would need to address these barriers before more practitioners would apply.


Assuntos
Acreditação/métodos , Mama/diagnóstico por imagem , Radiologistas/normas , Atitude do Pessoal de Saúde , Consultores , Inglaterra , Feminino , Humanos , Percepção , Prática Profissional/normas , Inquéritos e Questionários , Programas Voluntários
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