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World Neurosurg ; 140: e367-e372, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32474104


BACKGROUND: The coronavirus identified in 2019 (COVID-19) pandemic effectively ended all major spine educational conferences in the first half of 2020. In response, the authors formed a "virtual" case-based conference series directed at delivering spine education to health care providers around the world. We herein share the technical logistics, early participant feedback, and future direction of this initiative. METHODS: The Virtual Global Spine Conference (VGSC) was created in April 2020 by a multiinstitutional team of spinal neurosurgeons and a neuroradiologist. Biweekly virtual meetings were established wherein invited national and international spine care providers would deliver case-based presentations on spine and spine surgery-related conditions via teleconferencing. Promotion was coordinated through social media platforms such as Twitter. RESULTS: VGSC recruited more than 1000 surgeons, trainees, and other specialists, with 50-100 new registrants per week thereafter. An early survey to the participants, with 168 responders, indicated that 92% viewed the content as highly valuable to their practice and 94% would continue participating post COVID-19. Participants from the United States (29%), Middle East (16%), and Europe (12%) comprised the majority of the audience. Approximately 52% were neurosurgeons, 18% orthopedic surgeons, and 6% neuroradiologists. A majority of participants were physicians (55%) and residents/fellows (21%). CONCLUSIONS: The early success of the VGSC reflects a strong interest in spine education despite the COVID-19 pandemic and social distancing guidelines. There is widespread opinion, backed by our own survey results, that many clinicians and trainees want to see "virtual" education continue post COVID-19.

Betacoronavirus/patogenicidade , Infecções por Coronavirus , Cirurgiões Ortopédicos/estatística & dados numéricos , Pandemias , Pneumonia Viral , Coluna Vertebral/virologia , Europa (Continente) , Pessoal de Saúde/educação , Pessoal de Saúde/estatística & dados numéricos , Humanos , Coluna Vertebral/cirurgia , Inquéritos e Questionários , Telecomunicações , Apoio ao Desenvolvimento de Recursos Humanos/estatística & dados numéricos
PLoS One ; 15(4): e0232246, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32353030


INTRODUCTION: Observational gait analysis is a widely used skill in physical therapy. Meanwhile, the skill has not been investigated using objective assessments. The present study investigated the differences in eye movement between professionals and trainees, while observing gait analysis. METHODS: The participants included in this study were 26 professional physical therapists and 26 physical therapist trainees. The participants, wearing eye tracker systems, were asked to describe gait abnormalities of a patient as much as possible. The eye movement parameters of interest were fixation count, average fixation duration, and total fixation duration. RESULTS: The number of gait abnormalities described was significantly higher in professionals than in trainees, overall and in limbs of the patient. The fixation count was significantly higher in professionals when compared to trainees. Additionally, the average fixation duration and total fixation duration were significantly shorter in professionals. Conversely, in trunks, the number of gait abnormalities and eye movements showed no significant differences between groups. CONCLUSIONS: Professionals require shorter fixation durations on areas of interest than trainees, while describing a higher number of gait abnormalities.

Movimentos Oculares/fisiologia , Marcha/fisiologia , Feminino , Fixação Ocular/fisiologia , Análise da Marcha/métodos , Humanos , Masculino , Apoio ao Desenvolvimento de Recursos Humanos/métodos
Am J Public Health ; 110(7): 978-985, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32437275


As postsecondary tuition and debt levels continue to rise, the value proposition of higher education has been increasingly called into question by the popular media and the general public. Recent data from the National Center for Education Statistics now show early career earnings and debt, by program, for thousands of institutions across the United States. This comes at an inflection point for public health education-master's degrees have seen 20 years of growth, but forecasts now call for, at best, stagnation.Forces inside and outside the field of public health are shifting supply and demand for public health master's degrees. We discuss these forces and identify potential monetary and nonmonetary costs and benefits of these degrees.Overall, we found a net benefit in career outcomes associated with a public health master's degree, although it is clear that some other master's degrees likely offer greater lifetime earning potentials or lower lifetime debt associated with degree attainment. We outline the issues academic public health must engage in to successfully attract and train the next generation of public health graduates.

Educação de Pós-Graduação/economia , Saúde Pública/educação , Salários e Benefícios , Escolha da Profissão , Análise Custo-Benefício , Emprego , Humanos , Saúde Pública/economia , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos
Pesqui. prát. psicossociais ; 15(1): 1-13, jan.-abr. 2020.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1098426


Neste trabalho, buscamos refletir se em um Hospital de Custódia e Tratamento Psiquiátrico (HCTP), atualmente, existem ou não ações consoantes ao processo da Reforma Psiquiátrica brasileira. Para ilustrar essa questão, é apresentado um caso clínico sobre um paciente acompanhado durante estágio em um HCTP. Consideramos que os princípios e objetivos do movimento de Reforma Psiquiátrica, em geral, não são referências aos modelos de funcionamento dos HCTP, mas ressaltamos a existência de ações psicossociais sendo feitas nesse tipo de instituição.

In this work we seek to reflect on whether, in a Custody and Psychiatric Treatment Hospital (CPTH), there currently are actions in accordance with the process of Brazilian Psychiatric Reform or not. To illustrate this issue, a clinical case is presented about a patient accompanied during internship at this institution. We consider that the principles and objectives of the psychiatric reform movement, in general, are not references to the functioning models of the CPTH, but we emphasize the existence of psychosocial actions being practiced within this institution.

En este artículo buscamos indentificar la existencia o no de acciones basadas en la reforma psiquiátrica brasileña en un Hospital de Custodia y Tratamiento Psiquiátrico (HCTP). Para ilustrar esa cuestión, se presenta un caso clínico sobre un paciente acompañado durante las prácticas en un HCTP. Consideramos que los principios y objetivos del movimiento de Reforma Psiquiátrica, en general, no actúan como referencia a los modelos de funcionamiento de los HCTP. Sin embargo, resaltamos La existencia de acciones psicosociales realizadas dentro de esa institución.

Saúde Mental , Hospitais Psiquiátricos , Apoio ao Desenvolvimento de Recursos Humanos , Psiquiatria Legal , Sistemas de Apoio Psicossocial , Psicologia Forense , Hospitais Especializados , Internato e Residência
Nurs Outlook ; 68(3): 365-370, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32115224


BACKGROUND: The Jonas Scholars Program of Jonas Nursing & Veterans Healthcare aims to advance the pipeline of doctoral-prepared, research-focused, and practice-focused faculty via student financial support and leadership training. PURPOSE: Program evaluation of the Jonas Scholars Program. We describe the reach of the program over time, scholar characteristics, and report on graduated scholars that are currently employed in faculty and clinical positions. METHOD: Retrospective analysis of administrative records from the Jonas Scholars Program spanning 2008 to 2016. FINDINGS: The Jonas Scholars Program has grown substantially since its inception. From 2008 to 2016, a total of 1,032 doctoral students at 174 universities across the United States have received financial support through the program. Scholars have a mean age of 38 and nearly two-thirds are enrolled in a research-focused PhD program. Most graduated scholars for which data are available are primarily faculty in nursing schools 185 (30.7%), providing direct patient care 171 (28.4%), or conducting research 118 (19.8%). DISCUSSION: The Jonas Scholars Program supports the pipeline of a younger generation of doctoral-prepared nurses that are faculty in schools of nursing, providing direct patient care and conducting research.

Educação de Pós-Graduação em Enfermagem/economia , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Liderança , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estudos Retrospectivos , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos
Br J Nurs ; 29(3): 172-173, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32053434


Emeritus Professor Alan Glasper, from the University of Southampton, discusses a government initiative to increase the number of nurses in the NHS through the reintroduction of student funding.

Educação em Enfermagem/economia , Financiamento Governamental , Enfermeiras e Enfermeiros/provisão & distribução , Estudantes de Enfermagem , Apoio ao Desenvolvimento de Recursos Humanos/economia , Humanos , Medicina Estatal , Reino Unido
Neurology ; 94(11): 495-500, 2020 03 17.
Artigo em Inglês | MEDLINE | ID: mdl-32107321


OBJECTIVE: To investigate the current status of postgraduate training in neuroimmunology and multiple sclerosis (NI/MS) in the United States. METHODS: We developed a questionnaire to collect information on fellowship training focus, duration of training, number of fellows, funding application process, rotations, visa sponsorship, and an open-ended question about challenges facing training in NI/MS. We identified target programs and sent the questionnaires electronically to fellowship program directors. RESULTS: We identified and sent the questionnaire to 69 NI/MS fellowship programs. We successfully obtained data from 64 programs. Most programs were small, matriculating 1-2 fellows per year, and incorporated both NI and MS training into the curriculum. Most programs were flexible in their duration, typically lasting 1-2 years, and offered opportunities for research during training. Only 56% reported the ability to sponsor nonimmigrant visas. Most institutions reported having some internal funding, although the availability of these funds varied from year to year. Several program directors identified funding availability and the current absence of national subspecialty certification as major challenges facing NI/MS training. CONCLUSION: Our study is the first to describe the current status of NI/MS training in the United States. We found many similarities across programs. We anticipate that these data will serve as a first step towards developing a standard NI/MS curriculum and help identify areas where shared resources could enhance trainee education despite differences in training environments. We identified funding availability, certification status, and nonimmigrant visa sponsorship as potential barriers to future growth in the field.

Alergia e Imunologia/educação , Educação de Pós-Graduação em Medicina , Bolsas de Estudo , Esclerose Múltipla , Neurologia/educação , Currículo , Humanos , Inquéritos e Questionários , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos
Acad Med ; 95(4): 499-502, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31972677


In June 2019, Hahnemann University Hospital (HUH) in Philadelphia became the largest U.S. teaching hospital to announce its closure and the closure of all of its graduate medical education (GME) programs, which displaced more than 550 residents, fellows, and other trainees. In addition to the displaced trainees, the HUH closure involved many stakeholders at both the closing hospital and hospitals willing to accept transferred residents and fellows-program directors and coordinators, designated institutional officials (DIOs), and hospital executives-as well as the Accreditation Council for Graduate Medical Education, the Centers for Medicare and Medicaid Services, the National Resident Matching Program, and other organizations. Given the rarity of such events, those involved had little experience or expertise in dealing with the closure of so many GME programs at one time. In this Invited Commentary, the DIOs of HUH and 4 other area teaching hospitals detail their experiences working to find new training opportunities for the displaced residents and fellows, discussing lessons learned and providing recommendations to prepare for any future teaching hospital closures. Stakeholder organizations should work together to develop a "playbook" for use during future closures so that the chaos that occurred this time can be avoided.

Educação de Pós-Graduação em Medicina , Fechamento de Instituições de Saúde , Hospitais Universitários , Acreditação , Falência , Centers for Medicare and Medicaid Services, U.S. , Humanos , Propriedade , Philadelphia , Política Pública , Faculdades de Medicina , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos , Universidades