scholarly journals An environmental scan of wellness initiatives and programs at Canadian academic emergency medicine programs: How far have we come?

CJEM ◽  
2020 ◽  
Vol 22 (6) ◽  
pp. 857-863
Author(s):  
Rodrick Lim ◽  
Brittany Cameron ◽  
Sara Gray ◽  
Louise Rang ◽  
Kristine Van Aarsen
Keyword(s):  
Emergency Medicine ◽  
Gender Equity ◽  
Wellness Programs ◽  
Lead Author ◽  
Environmental Scan ◽  
Fiscal Transparency ◽  
Canadian Association ◽  
Critical Issues ◽  
The University ◽  
Future Work

ABSTRACTObjectivesWe sought to conduct a major objective of the Canadian Association of Emergency Physicians (CAEP) Wellness Committee, an environmental scan of the academic emergency medicine programs across the 17 Canadian medical schools.MethodsAn 89-question questionnaire was distributed to academic heads or wellness leads. The responses were verified by the lead author to ensure that the questions were answered completely and consistently.ResultsWhile formal wellness programs may exist in varying degrees across the 17 universities, most were found to exist only at local, divisional, or departmental levels. A broad variability of established leadership positions exists. Shift practices varied greatly. In day to day practice, availability for food and debriefing were high and childcare, sleep rooms, and follow-up following critical incidents were low. Sabbaticals existed in the majority of centers. Roughly 50% of departments have gender equity program and annual retreats. Centers report programs for the initiation of leaves (82%), onboarding (64%), and reorientation (94%). Support of health benefits (76%) and pensions (76%) depended on type of appointment and relationship to the university. Fiscal transparency was reported in 53% of programs.ConclusionWellness and burnout are critical issues for emergency medicine in Canada. This comprehensive review of wellness programs identifies areas of strength, but also allows identification of areas of improvement for future work. Individual centers can identify common options when developing or expanding their wellness programs.

scholarly journals “The Future of Emergency Medicine” Inaugural address to the First Canadian EM Residents Workshop

CJEM ◽  
2000 ◽  
Vol 2 (04) ◽  
pp. 262-264 ◽  
Author(s):  
Isser Dubinsky
Keyword(s):  
Emergency Medicine ◽  
Emergency Services ◽  
Emergency Physicians ◽  
Inaugural Address ◽  
Health Network ◽  
Canadian Association ◽  
The Future ◽  
National Forum ◽  
The University

On June 10 to 11 this year, the Residents’ Section of the Canadian Association of Emergency Physicians (CAEP-RS) held its first official national forum for future emergency physicians — the First Canadian EM Residents Workshop, in conjunction with CAEP 2000. To celebrate the event, the RS decided to invite a nationally recognized emergency medicine leader, advocate, and teacher to be the first to address the Annual Residents’ Dinner. We were grateful for the privilege of having Dr. Isser Dubinsky be that person. Dr. Dubinsky, currently Chief of Emergency Services at the University Health Network in Toronto, was asked to speak about “The Future of Emergency Medicine.” Dr. Dubinsky's speech, filled with warmth, wisdom, and humanity, is transcribed below. — Jason Frank, MD, Chair CAEP-RS

scholarly journals An Environmental Scan of Academic Emergency Medicine at the 17 Canadian Medical Schools: Why Does this Matter to Emergency Physicians?

CJEM ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Ian G. Stiell ◽  
Jennifer D. Artz ◽  
Eddy S. Lang ◽  
Jonathan Sherbino ◽  
Laurie J. Morrison ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Schools ◽  
Pediatric Emergency ◽  
Teaching Hospitals ◽  
Lead Author ◽  
Environmental Scan ◽  
Academic Activities ◽  
Academic Practices ◽  
Major Teaching ◽  
Teaching Programs

AbstractObjectiveWe sought to conduct a major objective of the CAEP Academic Section, an environmental scan of the academic emergency medicine programs across the 17 Canadian medical schools.MethodsWe developed an 84-question questionnaire, which was distributed to academic heads. The responses were validated by phone by the lead author to ensure that the questions were answered completely and consistently. Details of pediatric emergency medicine units were excluded from the scan.ResultsAt eight of 17 universities, emergency medicine has full departmental status and at two it has no official academic status. Canadian academic emergency medicine is practiced at 46 major teaching hospitals and 13 specialized pediatric hospitals. Another 69 Canadian hospital EDs regularly take clinical clerks and emergency medicine residents. There are 31 full professors of emergency medicine in Canada. Teaching programs are strong with clerkships offered at 16/17 universities, CCFP(EM) programs at 17/17, and RCPSC residency programs at 14/17. Fourteen sites have at least one physician with a Master’s degree in education. There are 55 clinical researchers with salary support at 13 universities. Sixteen sites have published peer-reviewed papers in the past five years, ranging from four to 235 per site. Annual budgets range from $200,000 to $5,900,000.ConclusionThis comprehensive review of academic activities in emergency medicine across Canada identifies areas of strengths as well as opportunities for improvement. CAEP and the Academic Section hope we can ultimately improve ED patient care by sharing best academic practices and becoming better teachers, educators, and researchers.

scholarly journals Food practices and their meanings in the daily routine of a university

2019 ◽  
Vol 32 ◽  
Author(s):  
Lilian Fernanda GALESI-PACHECO ◽  
Carla Maria VIEIRA ◽  
Milena Cristina Sendão FERREIRA ◽  
Maria Rita Marques de OLIVEIRA
Keyword(s):  
Research Team ◽  
Wellness Programs ◽  
Academic Community ◽  
Daily Routine ◽  
Healthy Foods ◽  
Wellness Program ◽  
Dietary Practices ◽  
Food Practices ◽  
Emerging Themes ◽  
The University

ABSTRACT Objective This study aimed at knowing and analyzing sociocultural meanings of the daily dietary practices revealed by a university community, in the context of a wellness program to their community and its surroundings. Methods The research team ran 28 workshops with the participation of 34 university units and 558 subjects in total. All workshops were recorded and transcribed verbatim. Content analysis was performed with the identification of emerging themes and categories. Results From the analysis of this material four categories emerged. There is the desire caused by the pleasure of having meals in a group of people and consuming foods rich in fat and sugar, but with its consumption shrouded by guilt. Healthy foods were considered important but related to obligation and displeasure. The community also wants to consume healthy foods daily in the academic environment, however, pointed out barriers such as an increasing pace of work and lack of time. Conclusion It was possible to identify barriers and desires related to food practices in the daily life of the university. This study demonstrated that changing the eating behavior of an academic community is a major challenge for wellness programs, even for an institution that produces and disseminates scientific knowledge.

scholarly journals Recommendations for patient engagement in patient-oriented emergency medicine research

CJEM ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 435-442 ◽  
Author(s):  
Patrick M. Archambault ◽  
Colleen McGavin ◽  
Katie N. Dainty ◽  
Shelley L. McLeod ◽  
Christian Vaillancourt ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Literature Review ◽  
Patient Engagement ◽  
Qualitative Interviews ◽  
Future Research ◽  
Translation Strategies ◽  
Medicine Research ◽  
Canadian Association ◽  
Knowledge Translation Strategies ◽  
National Patient

AbstractObjectiveTo make pragmatic recommendations on best practices for the engagement of patients in emergency medicine (EM) research.MethodsWe created a panel of expert Canadian EM researchers, physicians, and a patient partner to develop our recommendations. We used mixed methods consisting of 1) a literature review; 2) a survey of Canadian EM researchers; 3) qualitative interviews with key informants; and 4) feedback during the 2017 Canadian Association of Emergency Physicians (CAEP) Academic Symposium.ResultsWe synthesized our literature review into categories including identification and engagement, patients’ roles, perceived benefits, harms, and barriers to patient engagement; 40/75 (53% response rate) invited researchers completed our survey. Among respondents, 58% had engaged patients in research, and 83% intended to engage patients in future research. However, 95% stated that they need further guidance to engage patients. Our qualitative interviews revealed barriers to patient engagement, including the need for training and patient partner recruitment.Our panel recommends 1) an overarching positive recommendation to support patient engagement in EM research; 2) seven policy-level recommendations for CAEP to support the creation of a national patient council, to develop, adopt and adapt training material, guidelines, and tools for patient engagement, and to support increased patient engagement in EM research; and 3) nine pragmatic recommendations about engaging patients in the preparatory, execution, and translational phases of EM research.ConclusionPatient engagement can improve EM research by helping researchers select meaningful outcomes, increase social acceptability of studies, and design knowledge translation strategies that target patients’ needs.

Global perspectives on advocating for change in doctoral education

2010 ◽  
Vol 3 (1) ◽  
pp. 92-103 ◽  
Author(s):  
George A. Martinez ◽  
Maresi Nerad ◽  
Elizabeth Rudd
Keyword(s):  
Graduate Education ◽  
South African ◽  
Risk Taking ◽  
Doctoral Education ◽  
Workshop Report ◽  
Global Perspectives ◽  
Task Forces ◽  
Critical Issues ◽  
Key Issues ◽  
The University

This workshop report summarises the potentially far-reaching deliberations and results of a conference of experts in doctoral education from around the world. The conference was organised jointly by the U.S. Center for Innovation and Research in Graduate Education (CIRGE) at the University of Washington, Seattle and the German International Centre for Higher Education Research (INCHER) at the University of Kassel. Participants discussed critical issues in the globalisation of doctoral education, including global inequalities, diversity in types of students and modes of study, and intellectual risk-taking, and they sought to develop proposals for policy. The focus of the conference was on the research doctorate. This essay reports on the activities, discussions, and conclusions of the workshop. One of the task forces illustrated issues in the intellectual risk-taking faced by graduates by performing a highly realistic vignette written by a South African professor. We begin our workshop report with this vignette as a way to begin to frame the key issues.

Anton Bruckner

Music ◽  
2021 ◽  
Author(s):  
Mario Aschauer
Keyword(s):  
Focal Point ◽  
Full Time ◽  
University Of Vienna ◽  
Upper Austria ◽  
Anton Bruckner ◽  
Critical Issues ◽  
The Many ◽  
Music Theorist ◽  
The University ◽  
Full Time Employment

Bruckner was born in Ansfelden (rural Upper Austria) in 1824 and was originally trained as a schoolmaster. He only left this career path in his early thirties when he assumed the organist position at the Linz cathedral, his first full-time employment as a musician. It was also in Linz that he completed six years of training in harmony and counterpoint with Simon Sechter (1855–1861) as well as lessons in form and orchestration with Otto Kitzler (1861–1863) after which he commenced work on his first symphony in 1865. Bruckner’s three large masses also date from his Linz period. Concert tours to France in 1869 and England in 1871 brought Bruckner major successes as organ improvisor. In 1868 Bruckner became professor of counterpoint and thoroughbass as well as professor of organ at the Vienna conservatory. Success as a composer did not follow suit as quickly. His passionate admiration of Wagner—to whom he dedicated his Third Symphony in 1873—rendered Bruckner the target of hostility from the supporters of Brahms in Vienna, especially of music critic Eduard Hanslick. The latter was also instrumental in obstructing Bruckner’s employment at the University of Vienna until 1875, when Bruckner finally became lecturer of harmony and counterpoint at the university. Despite his fame as an organist and music theorist, Bruckner saw himself, above all else, as a symphonic composer and it is the development of the symphony as a genre that occupied most of his compositional interest throughout his career. Accordingly, the multiple versions of Bruckner’s symphonies have long been a main focal point of Bruckner scholarship. These revisions were variously motivated. Earlier works, including the three masses and symphonies 1–5, underwent reworking during Bruckner’s “revision period” (1876–1880), largely as a result of the composer’s evolving notions of phrase and period structure. Later revisions were often the results of performances or were made to prepare the manuscripts for publication. Bruckner’s former students, most notably Franz and Josef Schalk and Ferdinand Löwe, were involved in these revisions, although the extent of this involvement has never been entirely revealed. Starting in the 1920s, scholars began to raise questions about the validity of the revisions made during the preparations of the editions published during the 1880s and 1890s. While some accepted the authenticity of these texts, other influential figures—among them Robert Haas, coeditor of the first Bruckner complete edition—claimed that Bruckner’s students had urged the composer, wearied by rejection in Vienna, into making ill-advised changes or, worse yet, altered his scores without his knowledge and permission. The resulting debate, the Bruckner Streit, involved serious source-critical issues, but eventually devolved on ideological claims more than factual analysis. The process led to the first Bruckner Gesamtausgabe, which published the manuscript versions of Bruckner’s works starting in 1934, first under the editorship of Robert Haas and later of Leopold Nowak. However, these editions are now largely outdated due to the many manuscript sources that have become available since the mid-20th century. Haas’s work has also been criticized in more recent years for rather subjectively mixing sources. Therefore, two new complete editions have recently been started. Another topic that has fascinated Bruckner scholarship for much of the last century is the unfinished finale of the 9th symphony and its possible completion.

Pregraduate Training in Emergency Medicine

1993 ◽  
Vol 8 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Louis Binder ◽  
Desmond Colohan ◽  
Wolfgang Dick ◽  
Bernard Nemitz ◽  
Yoel Donchin ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Undergraduate Education ◽  
Medical Center ◽  
Disaster Medicine ◽  
World Congress ◽  
Medical Organization ◽  
University Of Toronto ◽  
Texas Tech University ◽  
The University ◽  
Seventh World

AbstractA panel session on undergraduate education in Emergency Medicine from a worldwide perspective was conducted at the Seventh World Congress of Emergency and Disaster Medicine in Montreal, in May, 1991. Desmond Colohan MD, of the University of Toronto (Canada) was the panel moderator. Panel speakers were: Louis Binder MD, Texas Tech University Health Services Center (USA); Wolfgang Dick MD, University of Mainz (Germany); Bernard Nemitz MD, Faculty de Medicine d'Ameins (France); Yoel Donchin MD, Hadassa Medical Organization (Israel); and Noriyoshi Ohashi MD, Tsukuba Medical Center (Japan).

scholarly journals Triage at a non-covid hospital during the COVID-19 pandemic

2021 ◽  
Vol 2 (3) ◽  
pp. 220-227
Author(s):  
Marina Đikić ◽  
Dušica Gujaničić ◽  
Ivana Milićević-Nešić ◽  
Marko Ercegovac ◽  
Slobodan Dželebdžić ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Critically Ill ◽  
Main Task ◽  
Emergency Center ◽  
Clinical Center ◽  
Epidemiological Risk ◽  
Body Temperature Measurement ◽  
Spread Of Infection ◽  
The University ◽  
Taking Care

At the time of the COVID-19 pandemic, the Emergency Center of the University Clinical Center of Serbia (EC-UCCS), although a non-covid hospital, had to adapt to taking care of a large number of critically ill and, at the same time, potentially contagious patients. In this paper, we present the ways that the EC-UCCS has adjusted to the conditions of the pandemic, where no precise protocols had previously been established for acting in these types of situations. In March 2019, the Admissions Triage Facility of Emergency Medicine (ATFEM) was established. The main task of this facility was to separate patients with epidemiological risk (ER) from patients without risk and to carry out their further isolated care. ER assessment involves completing an epidemiological questionnaire, a targeted brief history, body temperature measurement, and assessment of the patient's respiratory status. The complete triage process, initial diagnosis, and treatment of patients with ER is the task and responsibility of emergency medicine specialists. Between March 15, 2020 and March 15, 2021, about 155,000 patients were examined in triage, of whom 9,519 had ER and were taken care of in the ATFEM. This triage method minimizes the spread of infection while taking care of all critically ill patients, regardless of ER. However, both patients with low and high risk of COVID-19, were all admitted to the same facility, due to the shortage of available space. Also, triage relates only to "covid triage" and not to triage according to the degree of urgency of the patients, which is the primary task of every modern emergency center.

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