Educating health professionals in the early 21st century — The basic driving forces and the role of medical simulation

Author(s):  
C. Donald Combs
2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.


2014 ◽  
Vol 11 (01) ◽  
pp. 35-42
Author(s):  
M. Hermans

SummaryThe author presents his personal opinion inviting to discussion on the possible future role of psychiatrists. His view is based upon the many contacts with psychiatrists all over Europe, academicians and everyday professionals, as well as the familiarity with the literature. The list of papers referred to is based upon (1) the general interest concerning the subject when representing ideas also worded elsewhere, (2) the accessibility to psychiatrists and mental health professionals in Germany, (3) being costless downloadable for non-subscribers and (4) for some geographic aspects (e.g. Belgium, Spain, Sweden) and the latest scientific issues, addressing some authors directly.


2004 ◽  
pp. 129-140 ◽  
Author(s):  
M. Tretyakov

The article focuses on the analysis of the process of convergence of outsider and insider models of corporate governance. Chief characteristics of basic and intermediate systems of corporate governance as well as the changing role of its main agents are under examination. Globalization of financial and commodity markets, convergence of legal systems, an open exchange of ideas and information are the driving forces of the convergence of basic systems of corporate governance. However the convergence does not imply the unification of institutional environment and national institutions of corporate governance.


2020 ◽  
Vol 2 (68) ◽  
pp. 89
Author(s):  
Irina Ban ◽  
Anca Marina Ciobanu ◽  
Radu Botezatu ◽  
Nicolae Gică ◽  
Corina Gică ◽  
...  
Keyword(s):  

2014 ◽  
Vol 62 (2) ◽  

In Slovenia, the role of general practitioners in counselling physical activity for prevention of cardiovascular disease (CVD) is well recognized. The role of general practitioners in advising healthy lifestyle for individuals who are at risk of developing CVD is formally defined in the National Program for Primary Prevention of Cardiovascular Disease, which has been running since 2001. Part of the program is counselling on healthy lifestyle including physical activity, performed in all health centres across the country. First a screening and medical examination is performed. In case of higher risk for CVD (>20%) the physician should give advice on the particular risk factor and direct patients to health-education centres, where they can participate in healthy lifestyle workshops lead by health professionals. Physicians and other health professionals who are involved in the implementation of prevention activities within the program need knowledge and skills that are crucial for successful counselling on healthy lifestyle. The educational program “basic education in health promotion and prevention of chronic non-communicable diseases in primary health care/family medicine” consists of two parts. The first part of the training is open to all health professionals working within the program. The second part is intended for health professionals working in health-education workshops. In the last few years a new family practice model has been introduced and disseminated. Some duties of the family physician, including health promotion and counselling, are being transferred to graduate nurses who become part of the family practice team. This new division of work undoubtedly brings many advantages, both in terms of the work organization, and of high-quality patient care. Nevertheless preventive action cannot be fully passed on to graduate nurses. Careful planning and education are needed to ensure a comprehensive approach in healthy life style counselling.


2016 ◽  
Vol 5 (09) ◽  
pp. 4802
Author(s):  
Izabel Cristina Santiago Lemos ◽  
Giovana Mendes De Lacerda ◽  
Maysa de Oliveira Barbosa ◽  
Gyllyandeson de Araújo Delmondes ◽  
Patrícia Rosane Leite de Figueiredo ◽  
...  

Traditional knowledge emerges as a relevant figure in care used by mothers and caregivers for the management of acute respiratory infections, diarrhea and anemia. To understand the meaning given to the use of traditional knowledge by mothers or caregivers for the treatment of these illnesses, their reflexes to conventional treatment, as well as discuss the role of health professionals with regard to the use of plants and animals by mothers or responsible for the management the respiratory infections; diarrhea and anemia. The research was conducted in Santo Antônio community (Barbalha - CE). Techniques as “rapport” and “Snowball” were used for data collection, and a closed questionnaire and semi-structured interview were applied. For data analysis, the Collective Subject Discourse (CSD) was used. The sample included 54 informants. There were 19 key ideas identified, which revealed an appreciation of the use of natural resources to treat the respiratory infections; diarrhea and anemia, an association between conventional and traditional medicine in the management these common childhood illnesses and the need for health professionals value the popular knowledge in assistance provided. Health professionals are encouraged to include behaviors in their care practice that allow greater contact with local cultures, being able to measure what resources are used and how they can interfere on the prescribed therapy.


Author(s):  
Paul Stoneman ◽  
Eleonora Bartoloni ◽  
Maurizio Baussola

This chapter explores the factors that affect the firm’s decision to undertake product innovation. The discussion encompasses the driving forces that encourage product innovation, for example innovation by others or the ageing of an existing product line; however, the basic rationale is the search for profits. The chapter also addresses decisions about: the extent of innovation in general; horizontal and vertical product innovations separately; and the location of innovations in product space. The role of market structures in the product innovation decision, uncertainty in the innovating environment, and issues relating to emulation and copying are also addressed. Constraints to product innovation that survey data indicate are most important—innovation costs, risk and finance, and the availability of qualified labour—are also addressed.


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