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1.
J Am Heart Assoc ; 9(14): e017443, 2020 07 21.
Artigo em Inglês | MEDLINE | ID: mdl-32476547

RESUMO

Coronavirus disease 2019 is a global pandemic affecting >3 million people in >170 countries, resulting in >200 000 deaths; 35% to 40% of patients and deaths are in the United States. The coronavirus disease 2019 crisis is placing an enormous burden on health care in the United States, including residency and fellowship training programs. The balance between mitigation, training and education, and patient care is the ultimate determinant of the role of cardiology fellows in training during the coronavirus disease 2019 crisis. On March 24, 2020, the Accreditation Council for Graduate Medical Education issued a formal response to the pandemic crisis and described a framework for operation of graduate medical education programs. Guidance for deployment of cardiology fellows in training during the coronavirus disease 2019 crisis is based on the principles of a medical mission, and adherence to preparation, protection, and support of our fellows in training. The purpose of this review is to describe our departmental strategic deployment of cardiology fellows in training using the Accreditation Council for Graduate Medical Education framework for pandemic preparedness.


Assuntos
Cardiologistas/organização & administração , Certificação/organização & administração , Infecções por Coronavirus/terapia , Assistência à Saúde/organização & administração , Educação de Pós-Graduação em Medicina , Necessidades e Demandas de Serviços de Saúde/organização & administração , Mão de Obra em Saúde/organização & administração , Admissão e Escalonamento de Pessoal/organização & administração , Pneumonia Viral/terapia , Betacoronavirus/patogenicidade , Cardiologistas/economia , Competência Clínica , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Humanos , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Especialização , Carga de Trabalho
2.
PLoS One ; 15(5): e0231073, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32365128

RESUMO

The Marine Stewardship Council (MSC) sets a standard by which sustainable fisheries can be assessed and eco-certified. It is one of the oldest and most well-known fisheries certifications, and an estimated 15% of global fish catch is MSC-certified. While the MSC is increasingly recognized by decision-makers as an indicator for fishery success, it is also criticized for weak standards and overly-lenient third-party certifiers. This gap between the standard's reputation and its actual implementation could be a result of how the MSC markets and promotes its brand. Here we classify MSC-certified fisheries by gear type (i.e. active vs. passive) as well as by length of the vessels involved (i.e. large scale vs. small scale; with the division between the two occurring at 12 m in overall length). We compared the MSC-certified fisheries (until 31 December 2017) to 399 photographs the MSC used in promotional materials since 2009. Results show that fisheries involving small-scale vessels and passive gears were disproportionately represented in promotional materials: 64% of promotional photographs were of passive gears, although only 40% of MSC-certified fisheries and 17% of the overall catch were caught by passive gears from 2009-2017. Similarly, 49% of the photographs featured small-scale vessels, although just 20% of MSC-certified fisheries and 7% of the overall MSC-certified catch used small-scale vessels from 2009 to 2017. The MSC disproportionately features photographs of small-scale fisheries although the catch it certifies is overwhelmingly from industrial fisheries.


Assuntos
Publicidade , Certificação , Conservação dos Recursos Naturais/métodos , Pesqueiros , Indústria Alimentícia , Alimentos Marinhos/provisão & distribução , Publicidade/classificação , Publicidade/métodos , Publicidade/normas , Animais , Certificação/organização & administração , Certificação/normas , Eficiência Organizacional , Pesqueiros/classificação , Pesqueiros/organização & administração , Pesqueiros/normas , Peixes/fisiologia , Indústria Alimentícia/classificação , Indústria Alimentícia/instrumentação , Indústria Alimentícia/organização & administração , Indústria Alimentícia/normas , Afiliação Institucional/organização & administração , Afiliação Institucional/normas , Alimentos Marinhos/classificação , Conselhos de Especialidade Profissional/organização & administração , Conselhos de Especialidade Profissional/normas
3.
BMC Health Serv Res ; 20(1): 242, 2020 Mar 23.
Artigo em Inglês | MEDLINE | ID: mdl-32293437

RESUMO

BACKGROUND: Hospital certification is an external assessment mechanism to assure quality and safety systems. Auditors representing the certification body play a key role in certification processes, as they perform the assessment activities and interact with the involved healthcare organizations. There is limited knowledge about the approaches and methods that auditors use, such as role repertoire, conduct, and assessment practice. The purpose of this study was to explore auditors' practice in hospital certification processes, guided by the following research questions: What styles do auditors apply in hospital certification processes, and how do auditors perceive their role in hospital certification processes? METHODS: The study was performed in two stages. In the first stage, non-participant observations (59 h) were conducted, to explore the professional practice of three lead auditors in certification processes of Norwegian hospitals. In the second stage, semi-structured interviews were conducted with these three observed lead auditors. The role repertoires and conducts identified were analyzed by using a deductive approach according to a surveyor (equivalent with auditor) styles typology framework. RESULTS: Two distinct auditor styles ("explorer" and "discusser") were identified among the three studied auditors. Both styles were characterized by their preference for an opportunistic and less structured type of interview practice during certification audits. All three auditors embedded a guiding approach (reflections about findings, stimulate improvements, experience transfer from other industries) to their perception and practice of certification audits, interacting with the auditees. The use of group interviews instead of individual interviews during certification audits, was the rule of their professional practice. CONCLUSION: The auditors' perceptions and styles demonstrated a multifaceted certification reality, in contrast to what is often presumed as consistent, stringent and independent practices. These findings may have implications for reliability judgements when developing hospital certification programs, and for the refinement of the current framework used here to study the different auditing practices.


Assuntos
Certificação/organização & administração , Hospitais , Humanos , Entrevistas como Assunto , Noruega , Observação , Pesquisa Qualitativa , Reprodutibilidade dos Testes
6.
Med Educ Online ; 25(1): 1710327, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31891332

RESUMO

BACKGROUND: Increasing accreditation requirements as well as transformations in medical school curricula necessitate administrative staff who are not only invested in the clerkship coordinator role but also view what they do as a career. To date, there has been a lack of professional development opportunities for clerkship administrators. METHODS: In 2003, the Central Group on Educational Affairs of the Association of American Medical Colleges recognized a need for professional development for clerkship administrators. The Clerkship Administrator Certificate Program emerged from that decision and presented for the first time in 2004 in Omaha, Nebraska. This article provides an overview of the program, how it has been evaluated, and how it continues to evolve. RESULTS: The program had two guiding principles: to offer professional development opportunities for clerkship administrators through interactive workshops and to ensure the program was feasible both in terms of completion and in cost. Over the past 16 years, the Clerkship Administrator Certificate Program workshops have been delivered to over 300 clerkship administrators. Of those, 206 have completed a project in order to receive their certificate. Projects have related to innovations in medical education (n = 41), grading (n = 26), professional development (n = 26), and patient care (n = 20) to name a few. DISCUSSION: In order to meet the demands for presenting the workshops, a train-the-trainer model has been employed to expand the number of individuals presenting the workshops. Additional research needs to be done to determine influence of the program on future professional development endeavors.


Assuntos
Certificação/organização & administração , Estágio Clínico/organização & administração , Educação Médica/organização & administração , Docentes de Medicina/educação , Desenvolvimento de Pessoal/organização & administração , Certificação/normas , Estágio Clínico/normas , Educação Médica/normas , Docentes de Medicina/normas , Humanos , Desenvolvimento de Programas
7.
Prehosp Emerg Care ; 24(1): 32-45, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31091135

RESUMO

On March 13, 2019 the EMS Examination Committee of the American Board of Emergency Medicine (ABEM) approved modifications to the Core Content of EMS Medicine. The Core Content is used to define the subspecialty of EMS Medicine, provides the basis for questions to be used during written examinations, and leads to development of a certification examination blueprint. The Core Content defines the universe of knowledge for the treatment of prehospital patients that is necessary to practice EMS Medicine. It informs fellowship directors and candidates for certification of the full range of content that might appear on certification examinations.


Assuntos
Certificação/organização & administração , Serviços Médicos de Emergência/organização & administração , Medicina de Emergência/educação , Currículo , Avaliação Educacional , Humanos , Especialização , Estados Unidos
8.
Obstet Gynecol ; 135(1): 141-147, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31809422

RESUMO

In recent years there has been a growing trend for physician groups to develop guidelines to establish levels of hospital care based on health care team expertise and physical resources. A growing number of fetal centers have been established as the field of fetal medicine continues to evolve. In 2015, the state of Texas began an initiative to develop guidelines for the certification of fetal centers. After significant input from clinicians, a series of rules was developed by the Department of Health and Human Services. Site visits for certification are expected to begin in the near future. Specific leadership, personnel, and facility requirements were developed. Maternal as well as fetal and neonatal outcomes were mandated to be transparent to the public through websites. A commitment to ongoing research and the education of future fetal interventionists was included. Lessons learned from this process should be considered when a national fetal center certification process is developed. Although the Texas legislation defined only a single level of fetal center, a multi-tier designation system, much like that used to define levels of neonatal and maternity care, would be a more acceptable approach. A level I center would offer diagnostic and needle-based procedures, and a level III center would offer all evidence-based fetal procedures. Because the field of fetal medicine and intervention continues to advance rapidly, a national certification process for fetal centers should be considered.


Assuntos
Certificação/organização & administração , Doenças Fetais , Guias como Assunto , Cuidado Pré-Natal , Área de Atuação Profissional/normas , Feminino , Terapias Fetais , Instalações de Saúde , Hospitais Especializados , Humanos , Obstetrícia , Equipe de Assistência ao Paciente , Papel do Médico , Gravidez , Texas
11.
Clin Nurse Spec ; 33(6): 273-278, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31609911

RESUMO

PURPOSE: The aims of this study are to describe a program to achieve disease-specific care (DSC) certification from The Joint Commission and highlight the value of the advanced practice nurse in the certification outcome. DESCRIPTION OF PROGRAM: The expertise in clinical practice, performance improvement, and leadership skills demonstrated by the clinical nurse specialist (CNS) can be instrumental in building a strong foundation for a DSC certification program. As an organization prepares for a DSC on-site review, the CNS can guide the program stakeholders in identifying gaps in care, developing action plans to meet certification standards, and preparing team members for the DSC on-site review. OUTCOME: At this Midwestern, 504-bed facility, The Joint Commission DSC certifications were achieved in 5 separate categories: diabetes, stroke, sepsis, total hip replacement, and total knee replacement. CONCLUSION: By influencing a certain patient population throughout the organization, population-focused CNSs are in a unique role to lead an interprofessional team or serve as an expert consultant in pursuing DSC certification from The Joint Commission.


Assuntos
Certificação/organização & administração , Enfermeiras Clínicas , Artroplastia de Quadril/enfermagem , Artroplastia do Joelho/enfermagem , Diabetes Mellitus/enfermagem , Humanos , Joint Commission on Accreditation of Healthcare Organizations , Sepse/enfermagem , Acidente Vascular Cerebral/enfermagem , Estados Unidos
12.
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
15.
Acad Med ; 94(8): 1103-1107, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31135402

RESUMO

Collaboration among the national organizations responsible for self-regulation in medicine in the United States is critical, as achieving the quadruple aim of enhancing the patient experience and improving population health while lowering costs and improving the work life of clinicians and staff is becoming more challenging. The leaders of the national organizations responsible for accreditation, assessment, licensure, and certification recognize this and have come together as the Coalition for Physician Accountability. The coalition, which meets twice per year, was created in 2011 as a discursive space for group discussion and action related to advancing health care, promoting professional accountability, and improving the education, training, and assessment of physicians. The coalition offers a useful avenue for members to seek common ground and develop constructive, thoughtful solutions to common challenges. Its members have endorsed consensus statements about current topics relevant to health care regulation, advanced innovation in medical school curricula, encouraged a plan for single graduate medical education accreditation for physicians holding MD and DO degrees, supported interprofessional education, championed opioid epidemic mitigation strategies, and supported initiatives responsive to physician workforce shortages, including the Interstate Medical Licensure Compact, an expedited pathway by which eligible physicians may be licensed to practice in multiple jurisdictions.


Assuntos
Educação de Pós-Graduação em Medicina/normas , Médicos/normas , Responsabilidade Social , Acreditação/organização & administração , Certificação/organização & administração , Humanos , Colaboração Intersetorial , Licenciamento em Medicina , Estados Unidos
18.
Aerosp Med Hum Perform ; 90(5): 484-487, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-31023410

RESUMO

INTRODUCTION: This study explores the safety risk due to delayed detection of hazardous health conditions that would result from increasing the duration of U.S. first-class aeromedical certificates from 6 mo to 12 mo for pilots ages 40 yr old through 60 yr old.METHODS: All pilots who submitted a U.S. first-class application in 2014 with no electrocardiogram and with the previous exams 4.5 to 7.5 mo prior were selected from the FAA pilot medical database. Proportions of Federal Aviation Administration (FAA) denial pathology codes and Aviation Medical Examiner (AME) deferrals were compared for these exams within and between age groups from 40 yr old through 75 yr old. The absolute incidence rates for delayed detection were calculated and relative incidence of these proportions was compared graphically.RESULTS: The relative risk between age groups for delayed identification of disqualifying medical conditions showed that the 56-60-yr-old group would be at about twice the risk as the 40-45-yr-old group. The absolute incidence for the 56-60-yr-old group was 0.46% for denial conditions and 0.60% for AME deferrals over 6 mo.DISCUSSION: Increasing FAA first-class medical certificate duration from 6 mo to 12 mo would put 56-60-yr-old pilots at double the currently accepted risk for delayed detection of significant medical conditions. The absolute risk for this 6-mo delayed identification for the 56-60-yr-old group would average 0.53%.Mills WD, DeJohn CA. Safety implications of 6-month vs. 1-year first-class aeromedical certificates. Aerosp Med Hum Perform. 2019; 90(5):484-487.


Assuntos
Medicina Aeroespacial/organização & administração , Certificação/organização & administração , Pilotos/legislação & jurisprudência , Segurança/normas , Avaliação da Capacidade de Trabalho , Acidentes Aeronáuticos/prevenção & controle , Adulto , Medicina Aeroespacial/normas , Fatores Etários , Idoso , Aviação/legislação & jurisprudência , Aviação/estatística & dados numéricos , Certificação/normas , Diagnóstico Tardio/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Exame Físico/normas , Exame Físico/estatística & dados numéricos , Pilotos/estatística & dados numéricos , Medição de Risco , Fatores de Tempo , Estados Unidos
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