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1.
J Vet Med Educ ; 47(1): 39-43, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31951799

RESUMO

Mock board exams are common in residency programs across many disciplines. However, the value of mock board results in predicting success on the actual certifying examination is largely anecdotal and undocumented. The University of Tennessee anatomic pathology residency program has a long history of giving mock board exams twice a year during the course of the 3-year diagnostic training program. The mock exams give residents a sense of the types of questions that may appear on the actual certifying examination. The resulting scores serve to help identify improvement areas to focus additional study. In addition, by providing residents the mental and physical experiences designed to mimic the test day, we hope to better prepare these trainees for optimal performance on the certifying examination. This study correlated mock board results of 16 anatomic pathology residents, from July 2006 through January 2016, with their subsequent performance on the certifying exam. The results of these biannual exams were significantly correlated (p < .001) with results for the American College of Veterinary Pathologists Certifying Examination.


Assuntos
Certificação , Educação em Veterinária , Avaliação Educacional , Patologia , Animais , Certificação/estatística & dados numéricos , Educação em Veterinária/estatística & dados numéricos , Avaliação Educacional/estatística & dados numéricos , Internato e Residência , Patologia/educação , Estados Unidos
2.
Int J Radiat Oncol Biol Phys ; 106(1): 217, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31836082
3.
Nurs Educ Perspect ; 41(1): 4-9, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860477

RESUMO

AIM: As an initial approach to determining representation of the NLN Core Competencies for Nurse Educators in Master's of Science in Nursing Education and Post-Master's Certificate programs, the study identified the presence of the competencies in course descriptions. BACKGROUND: The competencies are the gold standard to ensure academic nurse educators have the knowledge and skill to teach, assist learners, develop curricula, and implement effective evaluation methods. METHOD: A descriptive design that applied web scraping techniques was used to collect data from school web pages, including course descriptions, credit hours, practica information, distance accessibility, and Certified Nurse Educator exam preparation. RESULTS: Four competencies were well represented (≥85 percent), and four competencies were poorly represented (<50 percent) in a sample of 529 schools. CONCLUSION: Programs should review courses and course descriptions for inclusion of all competency areas that prepare nurse educators and make revisions to address poorly represented competencies.


Assuntos
Educação em Enfermagem , Docentes de Enfermagem , Competência Profissional , Certificação , Currículo , Humanos
4.
Nurs Educ Perspect ; 41(1): 30-32, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860482

RESUMO

AIM: The aim of the study was to review education and role preparation in US direct-entry graduate nursing programs. BACKGROUND: In the last 15 years, there has been an increase in nursing programs targeting college graduates with nonnurse degrees. Educational pathways, role preparation, and doctoral study options vary. METHOD: A literature search was conducted. A secondary search of direct-entry graduate nursing programs was performed using electronic databases, including academic nursing sources and university websites. RESULTS: Forty-three journal articles were located. The secondary search identified 42 direct-entry graduate nursing programs. The majority of programs emphasize role preparation for clinical nurse leadership and advanced practice registered nursing (APRN) certification; 62 percent require doctoral preparation for entry to APRN practice. CONCLUSION: The growth of direct-entry graduate nursing programs will require educators to prepare and evaluate student outcomes to ensure competent entry to practice.


Assuntos
Educação de Pós-Graduação em Enfermagem , Liderança , Certificação , Humanos , Estados Unidos
5.
J Nurs Adm ; 50(1): 45-51, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31809456

RESUMO

OBJECTIVE: To examine if increasing the percentage of nurses with bachelor degrees (BSNs) and/or certified nurses leads to improved patient outcomes, specifically the number of reported falls. BACKGROUND: Research suggests a link between higher levels of education and expertise and positive patient outcomes, including falls. The Institute of Medicine recommends an increase in BSN nurses. METHODS: This was a retrospective cross-sectional cohort analysis using data from the National Database of Nursing Quality Indicators from 2010 to 2016 from multiple medical centers in Central and Southern Illinois. RESULTS: With every 1-unit increase in the percentage of BSN nurses or certified nurses, a reduction in total patient falls per 1000 patient-days can be expected in the amount of 0.02 to 0.04 and 0.01 to 0.03, respectively, all else held constant. CONCLUSIONS: Improvements to patient outcomes may be optimized with increased percentages of nurses with bachelor degrees and/or certifications.


Assuntos
Acidentes por Quedas , Certificação , Competência Clínica , Recursos Humanos de Enfermagem no Hospital , Estudos de Coortes , Estudos Transversais , Escolaridade , Humanos , Estudos Retrospectivos , Gestão da Segurança
7.
Gan To Kagaku Ryoho ; 46(12): 1867-1871, 2019 Dec.
Artigo em Japonês | MEDLINE | ID: mdl-31879405

RESUMO

As part ofthe medical system in Japan, one ofthe initial steps in palliative care involves cancer patient guidance management feeⅠ(counselingⅠ)by a nurse. However, due to poor cooperation between doctors and nurses, the rate ofcounseling Ⅰ is currently low. Therefore, at our hospital, we collaborated with clinical laboratory technicians to inform, at the same time, both the certified nurse and doctor of the patient's diagnostic test results regarding any malignant findings in the pathological tissue examination. Then, we initiated efforts to inform the doctor about the implementation of counselingⅠ positively by certified nurses. As a result, it was possible to set a reliable list oftarget patients, and the number ofcounseling Ⅰ sessions increased by 1.5 times. In addition, these findings suggest the possibility ofreducing the burden ofdoctors by counselingⅠ.


Assuntos
Pessoal de Laboratório Médico , Cuidados Paliativos , Certificação , Testes Diagnósticos de Rotina , Humanos , Japão
9.
Zhongguo Yi Liao Qi Xie Za Zhi ; 43(6): 442-446, 2019 Nov 30.
Artigo em Chinês | MEDLINE | ID: mdl-31854533

RESUMO

After years of international regulatory practice, the third party certification bodies have become an important social force in the field of medical devices supervision. It is broadly discussed how to introduce social resources to play an active role in the supervision of medical devices under the regulatory system of medical devices in China. Shanghai Medical Products Administration has carried out research and preliminary practice on the participation of third-party institutions in post-marketing supervision of medical devices. The article mainly focuses on purpose, entry point, inspection criteria and result disposal of introducing the participation of third-party institutions in the post-marketing supervision, meanwhile, discusses the next work direction at the same time.


Assuntos
Certificação , Marketing , China
10.
Environ Sci Pollut Res Int ; 26(34): 35163-35182, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31680201

RESUMO

Vehicle emission certification is evaluated under laboratorial conditions, where vehicles perform a standard driving cycle in controlled conditions leading to several critics, which have resulted in the implementation of the Worldwide harmonized Light Vehicle Test Procedure (WLTP) and the Real Driving Emissions (RDE) testing procedure, as a complementary certification procedure. RDE is still under debate since boundary conditions; evaluation and trip selection methods are still being studied to allow test reproducibility. Currently, the official data analysis method uses the moving average window (MAW_EC), based on the WLTP CO2 emissions for trip validity evaluation (RDE package 4) and emissions (RDE package 3). However, this does not consider the impact of vehicle dynamics. Consequently, this work focuses on developing a novel method to relate certification driving cycle dynamics and on-road test vehicle dynamics, to evaluate RDE tests fuel use and exhaust emissions in a comparable way to certification driving cycles, indicating how close, or far, real-world driving is from the laboratorial certification test. For this, a new method was developed called road vehicle evaluation method (ROVET), which relies on the cycle vehicle dynamic and on-road trip dynamics for assessing if both tests are comparable. Results from 5 measured vehicles with a portable emissions measurement system (PEMS) through reproducibility tests and 2 case studies, show that the ROVET provides results closer to the certification calculated reference than the most commonly used method in Europe (1% avg. difference for ROVET while 8% avg. difference for MAW_EC, regarding CO2 emission, for example). The use of vehicle dynamics on construction and references of a method could be used to incentivize the regulators to review the references used by the current used methods, which suffers several criticisms since their release. As the regulated methods are in constant update, this study could be useful for helping to improve or to be used as additional method for future vehicle certification procedures. Graphical abstract.


Assuntos
Poluentes Atmosféricos/análise , Condução de Veículo/estatística & dados numéricos , Emissões de Veículos/análise , Certificação , Europa (Continente) , Veículos Automotores , Reprodutibilidade dos Testes
11.
Z Evid Fortbild Qual Gesundhwes ; 147-148: 67-72, 2019 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-31727537

RESUMO

BACKGROUND: The aim of this study was to elucidate whether measures of quality management and digitization have the potential to reduce treatment risks in patients of a surgical clinic. METHODS: All health professional involved in the treatment of patients were asked to participate in a systematic, process-orientated and anonymous survey to assess the probability of occurrence of 69 treatment risks in stationary patients. The surveys were conducted in 2006 before establishing quality management (QM) and digitization, and recently after various certification activities have been performed and the digitization has been completed. RESULTS: According to the survey respondents, QM measures and digitization have led to a significant reduction of the probability of occurrence of 20 treatment risks, although the number of surgeries performed rose 1.8-fold while the number of employees increased by just 1.2-fold to 1.4-fold. The risk reduction was most pronounced regarding mistaken patient identity errors, while complex process risks like insufficient postoperative aftercare or patient dissatisfaction with ineffective communication remained unchanged. DISCUSSION: An increase in process risks that may be due to an increased workload can be mitigated by QM and digitization measures. This requires a quality and risk management system that is organized by the administration, supported by responsible and risk-aware employees and not imposed. CONCLUSION: Health professionals estimate that digitization and QM measures have the potential to reduce patients' treatment risks and help offset the increased workload. In particular, accreditations can help implement and maintain quality management measures.


Assuntos
Acreditação , Tecnologia da Informação , Assistência ao Paciente/normas , Gestão de Riscos , Certificação , Registros Eletrônicos de Saúde , Alemanha , Pessoal de Saúde , Humanos , Segurança do Paciente
13.
Harefuah ; 158(10): 626-629, 2019 Oct.
Artigo em Hebraico | MEDLINE | ID: mdl-31576705

RESUMO

BACKGROUND: In recent years, following public expectations for high quality medical care and a teaching system that can adapt to public needs, changes are being implemented in medical education. The Scientific Council of the Israeli Medical Association (IMA) is responsible, under the Physicians Ordinance, for the planning and supervision of the physicians' specialization system in Israel and promotes post graduate medical education of the highest quality for the advancement of medicine in Israel. In this issue, we highlight the key goals of medical education: knowledge acquisition, skills imparting and application of professional values, as well as the different tasks the Scientific Council has undertaken in order to advance them. This issue includes reports discussing amendments to specialization programs, creation of new specialties, changes to board certification examinations and accrediting and overseeing professional training. In addition, the issue will emphasize the significant changes being made in medical education in Israel while implementing Competency Based Medical Education (CBME).


Assuntos
Educação Médica , Medicina , Certificação , Humanos , Israel , Especialização
14.
Semin Vasc Surg ; 32(1-2): 18-20, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540650

RESUMO

The training of vascular surgeons in Canada has evolved over the past decade. Direct entry into a vascular surgery training program after medical school has been offered since 2012. At some institutions, it is the only option for surgery training. The smaller population of Canada and a single-payer health care system has resulted in unique opportunities and challenges for the training of vascular surgeons and providing opportunities for trainees to transition into clinical practice.


Assuntos
Certificação , Educação de Pós-Graduação em Medicina/métodos , Internato e Residência , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/economia , Canadá , Currículo , Humanos
15.
Semin Vasc Surg ; 32(1-2): 21-22, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540651

RESUMO

The development of the 0+5 integrated vascular training program allows training to begin after medical school and is a "new" paradigm in specialty surgery training. Whether community and academic surgeons in practice will accept this training program remains an unanswered question. My perspectives as an integrated vascular resident trainee who recently entered clinical practice provide insight on the adequacy of my training and the lessons I have learned as a vascular surgery specialist.


Assuntos
Escolha da Profissão , Certificação , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Fatores Etários , Atitude do Pessoal de Saúde , Competência Clínica , Currículo , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interpessoais , Descrição de Cargo , Avaliação de Programas e Projetos de Saúde , Cirurgiões/psicologia , Local de Trabalho/psicologia
16.
Semin Vasc Surg ; 32(1-2): 48-67, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540657

RESUMO

The evolving demands of surgical training have led to the successful implementation of skills examinations in the areas of laparoscopic and endoscopic surgery. Currently, there is no similar formal skills assessment in vascular surgery, despite endovascular intervention replacing open surgery in treatment of many vascular conditions. The adoption of less invasive techniques to treat aneurysm and occlusive disease has resulted in new training paradigms and technical challenges for trainees. The duty hour restriction for trainees and declining numbers of complex open vascular interventions have added to the challenges of vascular surgery training. Simulation is a promising avenue for both skills training and assessment. The ability to evaluate the fundamental skills of trainees would be an important step to ensure a degree of uniformity in trainees' technical abilities. The role of simulation-based training in acquiring, testing, and refining these skills is still in its infancy in the vascular surgery training paradigm. This article aims to impart a deeper understanding of the conditions for developing and implementing the fundamentals of vascular and endovascular surgery, and to provide guidance regarding the role of simulation-based training in a rapidly evolving specialty. There are various forms of simulation available, including benchtop models, high-fidelity simulators, and virtual-reality simulators, and each requires a different method of proficiency assessment. Both open surgery and endovascular skills can be assessed and the application of successful implementation in academic vascular surgery training program is presented.


Assuntos
Certificação , Instrução por Computador/métodos , Educação de Pós-Graduação em Medicina/métodos , Internato e Residência , Treinamento por Simulação/métodos , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Certificação/normas , Competência Clínica , Instrução por Computador/normas , Currículo , Educação de Pós-Graduação em Medicina/normas , Humanos , Curva de Aprendizado , Treinamento por Simulação/normas , Cirurgiões/normas , Procedimentos Cirúrgicos Vasculares/normas
17.
J Environ Manage ; 250: 109508, 2019 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-31518797

RESUMO

Although academia has concentrated on issues related to green building recently, Green Star, considered as the primary green rating system in New Zealand, has not caught adequate attention, leading to its slow development with a modest number of certified projects. This research aims to explore the perspectives of the key stakeholders in the New Zealand construction industry towards the use of Green Star, as well as its relationship and possible integration with Building Information Modelling (BIM). Specifically, six themes including 1) benefits of Green Star certification uptake; 2) challenges/barriers to Green Star certification uptake; 3) solutions for Green Star certification uptake; 4) relationship between BIM adoption and Green Star certification uptake; 5) barriers/challenges to the integration of BIM between Green Star; and 6) solutions for the integration between BIM and Green Star were highlighted. The data was collected from 21 semi-structured interviews with industry experts. The results identified a range of benefits and barriers/challenges to the use of Green Star. The research offers a variety of suggestions to encourage Green Star development, with more extensive education playing a critical role, combined with greater integration of BIM with Green Star. The results could be considered baseline information for the construction professionals and academia to have effective strategies towards BIM and Green Star adoption.


Assuntos
Indústria da Construção , Certificação , Nova Zelândia
18.
Artigo em Alemão | MEDLINE | ID: mdl-31420714

RESUMO

In Germany there is a threat of a shortage of junior general practitioners (GPs). One third of currently employed GPs are 60 years and older. Every year, 1700 GPs leave the profession, while only about 1350 new GP-specialist approvals are issued. The Advisory Council on the Assessment of Developments in the Health Care Sector estimates that there will be around 20,000 unmet replacement needs by 2025. By 2017, 2600 GP seats were already vacant.Based on the results of the KarMed study, this paper examines the questions as to how many residents intend to become general practitioners after graduation and how they develop during postgraduate training. Furthermore, the consequences of the increasing proportion of female physicians in primary care in terms of the possible volume of work will be investigated. Finally, measures that could reduce a possible personnel shortage are discussed.The attractiveness of general practice has increased considerably during residency over the last six years of observation. The preference for GP work is linked to parenthood. More female doctors strive for part-time work and an employment contract instead of a private practice. On this basis, it can be estimated that the volume of work performed by these female GPs will be half that of the traditional (male) working model in private practice.The forecasted numbers of new recruits are unlikely to be sufficient to cover the demand for GP care in Germany. Possible effective measures would be, for example, the introduction of a gatekeeper system, creation of multi-professional centers, a quota system for access to postgraduate training of specialists, a reformed national planning of GP supply in the country, and a shortening and flexibilization of postgraduate training for general practice.


Assuntos
Escolha da Profissão , Medicina Geral/tendências , Clínicos Gerais/provisão & distribução , Mão de Obra em Saúde , Internato e Residência , Certificação , Avaliação Educacional , Feminino , Alemanha , Humanos , Masculino , Prática Privada , Conselhos de Especialidade Profissional , Carga de Trabalho
19.
Nurs Manag (Harrow) ; 26(2): 37-41, 2019 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-31468762

RESUMO

Reflection is a hallmark of professional practice and an important element of the Nursing and Midwifery Council revalidation process. Following two previous continuing professional development articles, on reflection and professional learning and on reflection and personal learning, this article will aim to explore the specific elements of reflection required for revalidation. This publication should help demystify and support registrants embarking on the process.


Assuntos
Certificação/organização & administração , Enfermeiras e Enfermeiros/psicologia , Pensamento , Humanos , Sociedades de Enfermagem , Reino Unido
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