scholarly journals Increasing Trends in Orthopedic Fellowships Are Not due to Inadequate Residency Training

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
K. A. Almansoori ◽  
M. Clark
Keyword(s):  
Residency Training ◽  
Fellowship Training ◽  
Exploratory Research ◽  
Participation Rates ◽  
Surgical Skill ◽  
Research Survey ◽  
Perceptions And Attitudes ◽  
Motivating Factor ◽  
Medical Specialities ◽  
Increasing Trends

Orthopedic residents have one of the highest fellowship participation rates among medical specialities and there are growing concerns that inadequate residency training may be contributing to this trend. Therefore, a mixed-exploratory research survey was distributed to all 148 graduating Canadian orthopedic residents to investigate their perceptions and attitudes for pursuing fellowships. A response rate of 33% (n=49) was obtained with the majority of residents undertaking one (27%) or two (60%) fellowships. Surgical-skill development was reported as the most common motivating factor, followed by employment and marketability; malpractice protection and financial reasons were the least relevant. The overwhelming majority of residents (94%,n=46) felt adequately prepared by their residency training for independent general practice, and 84% (n=41) of respondents did not feel that current fellowship trends were due to poor residency training. Three common themes were expressed in their comments: the growing perceived expectation by healthcare professionals and employers to be fellowship-certified, the integration of fellowship training into the surgical education hierarchy, and the failure of residency training curriculums to accommodate for this trend. In conclusion, Canadian orthopedic residents are confident of their residency training and are increasingly pursuing fellowships to primarily develop their surgical skills and expertise.

scholarly journals The Effects of Mobbing on Organizational Cynicism: A Study on Hotels in Turkey

2014 ◽  
Vol 4 (1) ◽  
pp. 34 ◽  
Author(s):  
Elbeyi Pelit ◽  
Nil Pelit
Keyword(s):  
Sampling Method ◽  
The Other ◽  
Hotel Employees ◽  
Research Survey ◽  
Organizational Cynicism ◽  
Other Hand ◽  
Perceptions And Attitudes ◽  
Survey Technique ◽  
Data Collecting

The aim of this study is to determine the effects of the hotel employees' mobbing perceptions on organizational cynicism. In this respect, employees’ mobbing perceptions and attitudes related to organizational cynicism are evaluated separately, and then through putting forth the effect of mobbing on organizational cynicism on the sample of hotel business employees in Turkey. In this research, survey technique was utilized as a data collecting method, also the relevant mobbing and organizational cynicism scales were utilized. Survey way applied to 936 people selected through stage sampling method from employees of the five star hotel in Turkey which constitute the population of this research, and data collected for the aim of this study was analyzed and interpreted.According to the results of this research, it was determined that when hotel employees’ mobbing perceptions are considered in general, the highest mobbing perception is in “self-realization and attacks intended for communication formation” dimension; when their attitudes on organizational cynicism are considered in general, organizational cynicism with the highest average is behavioral cynicism. On the other hand, relations between employees’ mobbing perceptions and attitudes on organizational cynicism have been found significant in this research, also it is achieved that mobbing increases organizational cynicism.

scholarly journals Health advocacy training in urology: a Canadian survey on

2013 ◽  
Vol 1 (4) ◽  
pp. 363 ◽  
Author(s):  
Michael Leveridge ◽  
Darren Beiko ◽  
James W.L. Wilson ◽  
Robert Siemens
Keyword(s):  
Residency Training ◽  
Core Competency ◽  
Self Report ◽  
Cross Sectional ◽  
Health Advocacy ◽  
Resident Participation ◽  
Perceptions And Attitudes ◽  
Concept Of Health ◽  
Regulatory Bodies ◽  
Health Advocate

Introduction: Health advocacy is a well-defined core competency recognizedby medical education and regulatory bodies. Advocacy is stressed as a criticalcomponent of a physician’s function within his or her community andalso of performance evaluation during residency training. We sought to assessurology residents’ perceptions and attitudes toward health advocacy in residencytraining and practice.Methods: We administered an anonymous, cross-sectional, self-report questionnaireto all final-year urology residents in Canadian training programs. The surveywas closed-ended and employed a 5-point Likert scale. It was designedto assess familiarity with the concept of health advocacy and with its applicationand importance to training and practice. We used descriptive and correlativestatistics to analyze the responses, such as the availability of formaltraining and resident participation in activities involving health advocacy.Results: There was a 93% response rate among the chief residents. Most residentswere well aware of the role of the health advocate in urology, and a majority(68%) believed it is important in residency training and in the urologist’s rolein practice. This is in stark contrast to acknowledged participation and formaltraining in health advocacy. A minority (7%–25%) agreed that formal trainingor mentorship in health advocacy was available at their institution, and only21%–39% felt that they had used its principles in the clinic or community. Only4%–7% of residents surveyed were aware of or had participated in local urologicalhealth advocacy groups.Conclusion: Despite knowledge about and acceptance of the importance ofthe health advocate role, there is a perceived lack of formal training and a dearthof participation during urological residency training.

scholarly journals Perceptions And Attitudes of Saudi Arabia University Students Towards Adopting WhatsApp As Students-teachers’ Interactive Tool

2019 ◽  
Vol 6 (11) ◽  
pp. 93-109
Author(s):  
Amir Mohammed Albloy ◽  
Wijdan Mohieldeen Mohamed
Keyword(s):  
Study Data ◽  
Research Approach ◽  
Exploratory Research ◽  
Communicative Interaction ◽  
First Semester ◽  
Distant Learning ◽  
Interactive Tool ◽  
Perceptions And Attitudes ◽  
Group Data ◽  
English Classroom

This study was mainly grounded in the researchers’ personal experience of using WhatsApp as an interaction tool in an English classroom. This platform was used to enhance the communicative interaction between the students and their teachers. WhatsApp group was created during the first semester in 2018/2019 at the College of Science and Arts at Najran University - Branch of Sharurah, and the College of Sciences & Arts at Qassim University - Branch of Alasyah. The participants were bachelor degree students of English. The study employed a quantitative exploratory research approach, whereby a questionnaire was distributed to students who used WhatsApp as an interactive tool in their course of study. Data was obtained through a questionnaire with (40) purposively selected students of WhatsApp group. Data were analyzed quantitatively based on the SPSS program. The results show that WhatsApp had a positive effect in enhancing interaction between students and their teachers, WhatsApp makes interaction between teachers & their students easier than in the classroom. As a result, shy students can freely communicate & interact through WhatsApp with each other and their teachers, WhatsApp creates a friendly relationship between students and their teacher, and WhatsApp is an efficient tool of interaction in cases of distant learning. Therefore, student-teacher interaction becomes more effective in WhatsApp than inside the classroom.

A 15-year review of pediatric neurosurgical fellowships: implications for the pediatric neurosurgical workforce

2008 ◽  
Vol 1 (6) ◽  
pp. 429-432 ◽  
Author(s):  
Susan R. Durham ◽  
Scott A. Shipman
Keyword(s):  
Multivariate Analysis ◽  
Training Program ◽  
Residency Training ◽  
Significant Relationship ◽  
Residency Training Program ◽  
Fellowship Training ◽  
Demographic Information ◽  
Fellowship Program ◽  
Accreditation Council ◽  
Neurological Surgery

Object The Accreditation Council for Pediatric Neurosurgical Fellowships (ACPNF) was established in 1992 to oversee fellowship training in pediatric neurological surgery. The present study is a review of all graduates from 1992 through 2006 to identify predictors of American Board of Pediatric Neurological Surgery (ABPNS) certification. Methods Basic demographic information including sex, year of graduation from residency, residency training program, year of fellowship training, and fellowship program was collected on each graduate from each of the 22 ACPNF programs. Individuals who did not meet ACPNF requirements (39 trainees) and those currently practicing in Canada (11 individuals) were excluded. Univariate and multivariate analysis were used to identify predictors of ABPNS certification. Results Of the 193 ACPNF graduates, 143 individuals met the criteria for analysis. Currently, 70 (49%) are ABPNS certified. There is a mean period of 5.1 ± 2.4 years (range 2–13 years) between finishing fellowship and ABPNS certification. If those who are not expected to be sitting for the boards yet (2002–2006 graduates, 57 individuals) are removed, the rate of ABPNS certification is 66.3%. On average, 9.5 ±3.0 (range 4–16) fellows are trained per year. There is no statistically significant relationship between fellowship or residency training program and ABPNS certification. Conclusions Although the present training infrastructure has the theoretical capacity to train > 20 pediatric neurosurgeons each year, this analysis suggests that current levels will provide ~ 6 ABPNS-certified pediatric neurosurgeons annually. This raises the question of the sufficiency of the future pediatric neurosurgical workforce.

scholarly journals Mothers’ Perceptions and Attitudes towards Children’s Vegetable Consumption—A Qualitative, Cross-Cultural Study of Chilean, Chinese and American Mothers Living in Northern California

Foods ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 519
Author(s):  
Karinna Estay ◽  
Amalie Kurzer ◽  
Jean-Xavier Guinard
Keyword(s):  
Parental Education ◽  
Dietary Habits ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Exploratory Research ◽  
Northern California ◽  
Cultural Variables ◽  
Cross Cultural Study ◽  
Perceptions And Attitudes ◽  
Education Levels

This exploratory research focused on the cultural variables involved in children’s vegetable consumption, through the analysis of mothers’ perceptions, attitudes, and feeding practices regarding their children’s intake, using qualitative consumer research methods. Twelve focus groups of mothers with children between 2–12 years old (Euro-Americans n = 20, Chinese n = 19, and Chilean n = 19) were conducted. All participants lived in Northern California, had higher education, and incomes that did not limit their vegetable purchase. Intercultural differences in vegetable preferences and consumption habits were found. Mothers across all groups agreed on the importance of children’s vegetable consumption, the influence that mothers have over their children’s vegetable intake, and how challenging it is to get children to eat a variety of vegetables. The ethnic groups differed regarding how they perceived the level of mothers' responsibility over children’s vegetable intake, the way that mothers defined the amount of vegetables that children should eat, the constraints that mothers had on increasing their children’s vegetable intake and mothers’ recommendations to encourage vegetable consumption. Our study suggests that under similar socio-economic and parental education levels, culture-specific strategies should be considered to foster healthy dietary habits in children.

50. Health advocacy in surgical training: A Canadian survey on attitudes and experience in urology residency

2007 ◽  
Vol 30 (4) ◽  
pp. 55
Author(s):  
D. R. Siemens ◽  
M. Leveridge ◽  
D. Beiko ◽  
J. W.L. Wilson
Keyword(s):  
Residency Training ◽  
Self Report ◽  
Formal Training ◽  
Cross Sectional ◽  
Health Advocacy ◽  
Perceptions And Attitudes ◽  
Concept Of Health ◽  
Physician Health ◽  
Health Advocate

We sought to assess surgical residents’ perceptions and attitudes toward health advocacy in residency training and practice by administering an anonymous, cross-sectional, self-report questionnaire to all final year urology residents in Canadian training programs. The survey was closed-ended and employed a 5-point Likert scale designed to assess familiarity with the concept of health advocacy and its application and importance to training and practice. Descriptive and correlative statistics were used to analyze the responses. There was a 93% response rate from the chief residents. Most residents were well aware of the role of health advocate in urology, and a majority (68%) believe it to be important in residency training and in the urologist’s role in practice. However, a minority (7-25%) agreed that formal training or mentorship in health advocacy was available at their institution, and only 21-39% felt that they had employed its principles in the clinic or community. Only 4-7% or residents surveyed were aware of or had participated in local urologic health advocacy groups. Despite knowledge and acceptance of the importance of the health advocate role, there is a perceived lack of formal training and a dearth of participation during urologic residency training. Verma S, Flynn L, Seguin R. Faculty’s and Residents’ Perceptions of Teaching and Evaluating the Role of Health Advocate. Acad Med. 2005; 80:103–108. Oandasen I. Health advocacy: bringing clarity to educators through the voices of physician health advocates. Acad Med. 2005 (Oct); 80(10 Suppl):S38-41. Frank JR. (Ed). The CanMEDS 2005 physician competency framework. Better standards. Better physicians. Better care. Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005.

Letters to the Editor

PEDIATRICS ◽  
1967 ◽  
Vol 39 (6) ◽  
pp. 943-943
Author(s):  
LEWIS M. FRAAD
Keyword(s):  
Residency Training ◽  
Training Programs ◽  
Fellowship Training ◽  
Considerable Degree ◽  
Outpatient Department ◽  
Outpatient Services ◽  
Letters To The Editor ◽  
Outpatient Departments

Dr. Wineberg's letter would have had a considerable degree of validity 10 to 15 years ago. However, times are indeed changing for various reasons. Outpatient departments in most teaching centers, which include large voluntary hospitals with residency training programs, have competent and well paid directors of pediatric outpatient services. Some recently appointed professors of pediatrics are products of the outpatient department: Haggerty, Morris Green, Olmstead. A number of institutions have fellowship training in outpatient departments.

scholarly journals Mapping a competency-based surgical curriculum in urology: Agreement (and discrepancies) in the Canadian national opinion

2016 ◽  
Vol 10 (5-6) ◽  
pp. 161
Author(s):  
Keith Francis Rourke ◽  
Andrew E. MacNeily
Keyword(s):  
Residency Training ◽  
Fellowship Training ◽  
Web Based ◽  
Boari Flap ◽  
Open Radical Prostatectomy ◽  
Urological Procedures ◽  
Significant Disagreement ◽  
Competency Based ◽  
Parametric Testing ◽  
Open Pyeloplasty

Introduction: Urology residency training in Canada is quickly evolving from a time-based to a competency-based model. We aim to better define core surgical competencies that would comprise a surgical curriculum and assess any discrepancies in opinion nationally.Methods: A web-based survey was validated and sent to the 536 practicing members of the Canadian Urological Association (CUA) in August and October 2014. The survey consisted of questions regarding practice demographics, fellowship training, and evaluated the 76 most common urological procedures (using a five-point Likert scale) in the context of the question, “After completion of residency training in Canada a urologist should be proficient in…” A core procedure was defined as one for which there was ≥75% agreement. Descriptive statistics and non-parametric testing were used to summarize the findings.Results: A total of 138 urologists completed the survey (25.7% response rate) with representation from all geographic regions. Respondents included 40.6% community and 59.4% academic urologists. The survey identified 16 procedures with 90‒100% agreement and a total of 30 core procedures with ≥75% agreement. When comparing community and academic urologists, there was statistically significant disagreement on 27 procedures, including 11 core procedures, most notably cystectomy (88.5% agreement vs. 67.1%; p=0.002), open pyeloplasty (84.6% vs. 65.8%; p=0.04), simple prostatectomy (78.9% vs. 69.7%; p=0.03), perineal urethrostomy (80.8% vs. 67.1%; p=0.02), open radical prostatectomy (96.1% vs. 80.3%; p=0.007), and Boari flap (90.4% vs. 76.3%; p=0.004). Regional discrepancies were also found, demonstrating eight procedures deemed uniquely core and three core procedures deemed less important regionally.Conclusions: This national survey has provided some consensus on 30 procedures that should comprise a core surgical curriculum in urology. However, there are some key differences of opinion (most notably between community and academic urologists) that must be considered.

Postgraduate Specialization Fellowship Training for Audiologists: Survey Results From Educators, Supervisors, and Students

2020 ◽  
Vol 29 (2) ◽  
pp. 290-299
Author(s):  
Julie G. Arenberg ◽  
Ray H. Hull ◽  
Lisa Hunter
Keyword(s):  
Fellowship Training ◽  
Professional Organization ◽  
Student Responses ◽  
Academic Affiliation ◽  
Job Opportunities ◽  
Working Groups ◽  
Survey Results ◽  
Active Research ◽  
Funding Opportunities ◽  
Exceptional Patient

Purpose From the Audiology Education Summit held in 2017, several working groups were formed to explore ideas about improving the quality and consistency in graduate education in audiology and externship training. The results are described here from one of the working groups formed to examine postgraduate specialization fellowships. Method Over the course of a year, the committee designed and implemented two surveys: one directed toward faculty and one toward students. The rationale for the survey and the results are presented. Comparisons between faculty and student responses are made for similar questions. Results Overall, the results demonstrate that the majority of both students and faculty believe that postgraduation specialization fellowships are needed for either 1 year or a flexible length. There was a consensus of opinion that the fellowship should be paid, as these would be designed for licensed audiologists. Most believed that the fellowships should be “governed by a professional organization (e.g., American Speech-Language-Hearing Association, American Academy of Audiology, American Doctors of Audiology, etc.),” or less so, a “separate body for this specific purpose.” Potential topics for specialization identified were the following: tinnitus, vestibular, cochlear implants, pediatrics, and intraoperative monitoring. The highest priority attributes for a specialization site were “abundant access to patient populations,” “staff of clinical experts,” and “active research.” The weight put toward these attributes differed between faculty and students with faculty prioritizing “university/academic centers,” and “access to academic coursework in the fellowship area.” The faculty rated “caseload diversity,” “minimum hours,” “research,” and “academic affiliation” as requirements for a fellowship site, with less weight for “coursework” and “other.” Finally, the students valued “improved personal ability to provide exceptional patient care,” “the potential for increased job opportunities,” and the “potential for a higher salary” as benefits most important to them, with lower ratings for “recognition as a subject matter expert” or “potential pathway to Ph.D. program.” Conclusions As a result of the survey, further exploration of a postgraduate specialization fellowship is warranted, especially to determine funding opportunities to offset cost for the sites and to ensure that fellows are paid adequately.

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