scholarly journals The Impact of the SARS-CoV-2 (COVID-19) Pandemic on Gastroenterology Training

2021 ◽  
pp. 1-6
Author(s):  
Anthea Pisani ◽  
Isabelle Cremers ◽  
Pierre Ellul
Keyword(s):  
Psychological Impact ◽  
High Standard ◽  
Radical Change ◽  
Training Programme ◽  
Initial Height ◽  
Endoscopy Training ◽  
Team Meetings ◽  
Training Quality ◽  
Set Up ◽  
The Impact

<b><i>Introduction:</i></b> The SARS-CoV-2 (COVID-19) pandemic has brought about a radical change in our working patterns. These changes can affect the training that gastroenterology trainees undergo, especially endoscopy since these are aerosol-generating procedures. The aim of this survey was to assess the effect of the COVID-19 pandemic on gastroenterology training across the European countries. <b><i>Methodology:</i></b> A questionnaire was set up whereby the different elements of training were analysed. The questionnaire (online) was distributed among trainees through the National Representatives of the European Board of Gastroenterology and Hepatology. <b><i>Results:</i></b> In total, 86 trainees (females: 55%; mean age: 32.5 years [SD ±4.57 years]; mean training duration of 2.68 years [SD ±1.63]) from 22 different countries were recruited. From the cohort, 10.5% were considered as vulnerable for acquiring COVID-19. During their job, 4.7% acquired the infection and 26.7% were placed in quarantine. Most trainees noted that their various aspects of gastroenterology training were moderately or severely affected during the initial height of the pandemic: clinical gastroenterology training (67.4%), outpatients (75.5%), didactic teaching (88.3%), multidisciplinary team meetings (65.2%) and endoscopy training (75.6%). Later, when the number of COVID-19-related infections decreased across Europe, the above modalities returned to normal for &#x3c;50% of the trainees. <b><i>Conclusion:</i></b> This European-wide survey has demonstrated that gastroenterology training has been severely impacted during both the initial height of the pandemic and afterwards. Furthermore, the psychological impact on trainees, in terms of training quality, duration and exposure to COVID-19, is unknown. A re-assessment of each centre training programme should be done as to ensure that a high standard of training is still being delivered.

scholarly journals Trainees4trainees: an innovative peer support project for junior doctors across specialties

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S126-S126
Author(s):  
Sophie Behrman ◽  
Aisling Higham ◽  
Haido Vlachos ◽  
Gerti Stegen
Keyword(s):  
Peer Support ◽  
Support Groups ◽  
Psychological Impact ◽  
Working Hours ◽  
Well Being ◽  
Training Programme ◽  
Mental Wellbeing ◽  
Junior Doctors ◽  
Training Programmes ◽  
The Impact

AimsThe BMA's survey results (Caring for the Mental Health of the Medical Workforce, 2019) and HEE's NHS Staff and Learners’ Mental Wellbeing Commission report (2019) highlighted declining staff wellbeing. The COVID-19 pandemic has sharpened focus on this and the effects of moral injury on healthcare professionals. Shielding, social distancing and redeployment led to many medical trainees being increasingly isolated at a time of heightened anxiety and adversity. Psychiatry trainees tend to have good access to reflective groups, but this is not customary in other training programmes.MethodIntervention“Trainees4trainees” was set up by trainees across specialties as a HEE-TV well-being project, led by the Deanery Trainee Improvement Fellow. Peer support groups are run on Zoom, facilitated by 2 trainees with special training in peer support. Psychiatry trainees have been involved in designing and facilitating groups and training facilitators from other specialties; facilitators have regular supervision from a consultant psychiatrist in medical psychotherapy. Trainees are supported to discuss challenging experiences and think about their emotional responses in a supportive and validating group.ResultFeedbackWe are in the process of formal data collection to assess the impact of the intervention. Informal feedback suggests the groups are a powerful support to individuals who otherwise have no avenue to think about the psychological impact of their experiences. The groups have supported trainees to feel less isolated and bolstered their resilience.ConclusionFuture plansWe have faced challenges in the practicalities of establishing and maintaining groups. We are working with Training Programme Directors to move towards running the groups in protected time within working hours and advocate that reflective groups, such as our peer support groups, are a key part of future medical and surgical Training Programmes.

scholarly journals UK-wide study of the opinions of gastroenterology trainees: COVID-19, Shape of Training and the future workforce

2021 ◽  
pp. flgastro-2021-101965
Author(s):  
Suneil A Raju ◽  
Rebecca Harris ◽  
Charlotte Cook ◽  
Philip Harvey ◽  
Elizabeth Ratcliffe
Keyword(s):  
Internal Medicine ◽  
General Internal Medicine ◽  
Training Programme ◽  
British Society ◽  
Specialty Training ◽  
Endoscopy Training ◽  
Electronic Survey ◽  
General Internal ◽  
The Impact ◽  
Training Opportunities

IntroductionThe COVID-19 pandemic has disrupted training. Gastroenterology higher specialty training is soon to be reduced from 5 years to 4. The British Society of Gastroenterology Trainees Section biennial survey aims to delineate the impact of COVID-19 on training and the opinions on changes to training.MethodsAn electronic survey allowing for anonymised responses at the point of completion was distributed to all gastroenterology trainees from September to November 2020.ResultsDuring the first wave of the COVID-19 pandemic, 71.0% of the respondents stated that more than 50% of their clinical time was mostly within general internal medicine. Trainees reported a significant impact on all aspects of their gastroenterology training due to lost training opportunities and increasing service commitments. During the first wave, 88.5% of the respondents reported no access to endoscopy training lists. Since this time, 66.2% of the respondents stated that their endoscopy training lists had restarted. This has resulted in fewer respondents achieving endoscopy accreditation. The COVID-19 pandemic has caused 42.2% of the respondents to consider extending their training to obtain the skills required to complete training. Furthermore, 10.0% of the respondents reported concerns of a delay to completion of training. The majority of respondents (84.2%) reported that they would not feel ready to be a consultant after 4 years of training.ConclusionsReductions in all aspects of gastroenterology training were reported. This is mirrored in anticipated concerns about completion of training in a shorter training programme as proposed in the new curriculum. Work is now required to ensure training is restored following the pandemic.

scholarly journals Impact of Vocational Training Courses Conducted by Krishi Vigyan Kendras of Punjab on Establishing an Enterprise

2019 ◽  
pp. 1-8 ◽  
Author(s):  
Manjot Kaur ◽  
Kanwaljit Kaur ◽  
Kiranjot Sidhu
Keyword(s):  
Vocational Training ◽  
Value Added ◽  
Training Programme ◽  
Long Duration ◽  
Household Products ◽  
Training Courses ◽  
Set Up ◽  
The Cost ◽  
The Impact ◽  
Vocational Training Programme

The attempts were made to assess the impact of vocational training courses conducted by Krishi Vigyan Kendras of Punjab on establishing an enterprise. All thirty long duration vocational training courses conducted by the Krishi Vigyan Kendras namely Bathinda, Ferozpur, Gurdaspur, Hoshiarpur and SBS Nagar from 2009-2013 were taken up for the study. A sample of 140 trainees was drawn by applying probability proportional to size (PPS) sampling method and data were collected personally from the selected trainees by using an interview schedule. The findings of the study revealed that the highest adoption status was achieved by value added household products & preparation and garment construction & enrichment training courses with 1.44 & 1.36 mean scores respectively. The lowest mean score of Management of family resources (0.68) and fabric painting & preparation of household products (0.62) indicated the low adoption status of these training courses. Major reasons for non-establishment of an enterprise after receiving training from KVKs as reported by the highest percentage of trainees were financial constraints and high cost of equipments. It can be concluded that the marketing components and linkages related to establishing an enterprise should be an integral part of the vocational training programme. KVKs should provide suitable facilities in the form of resource centre to their trainees for reducing the cost of initial set up of enterprise.

scholarly journals Construction of Ideal Remote Assessment Environments and the Impact of Self-Selected Music on Student Performance

2021 ◽  
Vol 12 (3) ◽  
pp. 1
Author(s):  
Joshua K. C. Tsang ◽  
Kyle J. Wilby
Keyword(s):  
Student Performance ◽  
Perceived Stress ◽  
High Standard ◽  
Care Plan ◽  
Online Assessment ◽  
Online Assessments ◽  
Remote Assessment ◽  
And Performance ◽  
Set Up ◽  
The Impact

Background: Remote online assessments require students to construct their own assessment environments, including selection of strategies (such as the use of music) to reduce stress. This study aimed to determine the impact of self-selected music on student performance during a remote online assessment and to identify factors important for constructing ideal assessment environments. Methods: Final year students were randomized to complete a voluntary remote online 2-hour care plan test. Those randomized to ‘music’ were required to play self-selected music during the assessment and those randomized to ‘non-music’ were asked not to play music. Prior to the assessment, perceived stress and resilience were measured. Performance between groups was compared and associations between stress, resilience, and performance determined. A post-survey identified music preferences/acceptability, and factors identified for ideal remote assessment environments. Results: A total of 79 students completed the study (n=40 music, n=39 non-music). The median assessment score in the music group was 90% (range 58 to 99%) and 88% (range 58 to 99%) in the non-music group (not significant). No associations were found between scores and perceived stress or resilience. The majority of students randomized to music (62.5%) found it helpful. Thirteen categories of factors were identified to contribute to an ideal remote assessment environment with the most common being lighting, location, quietness, distractions, and seating/set-up. Conclusion: Findings support the notion that remote online assessment environments should not come as ‘one size fits all’ and many factors (including self-selected music) may influence a student’s ability to perform to a high standard.

scholarly journals SP2.2.16Hospital compound level endoscopy training quality performance: scoping the spectrum

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Catherine Eley ◽  
Christopher Brown ◽  
Neil Hawkes ◽  
Richard Egan ◽  
Wyn Lewis
Keyword(s):  
Training Programme ◽  
Advisory Group ◽  
Polyp Detection ◽  
Quality Performance ◽  
Endoscopy Training ◽  
Important Variation ◽  
Polyp Detection Rate ◽  
Training Quality ◽  
Unit Performance

Abstract Aims This study aimed to assess the quality of endoscopy training in a single UK Statutory Educational Body (SEB), related to individual hospitals,compared with the Joint Advisory Group on Gastrointestinal Endoscopy Training (JETS) certification standards. Methods Training procedures numbering 28,928 recorded by 211 consecutive cross-specialty trainee endoscopists registered with JETS in18 hospitals during 2019were analysed. Data included trainer and trainee numbers, training list frequency, procedures, Direct Observation of Procedural Skills (DOPS) completion and Key Performance Indicators (KPI). Results Annual median training procedures per hospital were 1395 (interquartile range (IQR) 465-2365). Median (IQR) trainers and trainees per unit were 11 (6-18) and 12 (7-16) respectively (ratio 0.8 (0.7-1.3)). Annual training list frequency per trainee was 13 (10-17), 35.0% short of JAG standard (n = 20, p = 0.001, effect size -0.56), and median points per adjusted training list were 11 (5-18). Median DOPS completion per trainee and trainer were 3 (1-6) and 4 (1-7) respectively; completing 0.2 DOPS (0.1-0.4) per list and amounting to 6 (2-12) per 200 procedures: less than half of the JAG standard (p &lt; 0.001, -0.61). Median KPI for OGD: J Manoeuvre 94% (90-96), D2 intubation was 93% (91-96); and for Colonoscopy: Caecal intubation 82% (72-90), and Polyp Detection Rate 25% (18-34). Compound hospital training quality score varied 3-fold, the highest performing hospital scoring 26; compared to the poorest performing scoring 9: median 17 (14-20). Conclusion Important variation in endoscopy unit performance were apparent with compound hospital training quality varying almost 3-fold. Trainees, Training Programme Directors alike, should be aware of such data when planning educational programmes to focus, optimise the quality of endoscopic training.

The Impact of Abuse and Trauma on the Developing Child: An Evaluation of a Training Programme for Foster Carers and Supervising Social Workers

2005 ◽  
Vol 29 (3) ◽  
pp. 68-81 ◽  
Author(s):  
Jeanette Allen ◽  
Panos Vostanis
Keyword(s):  
Conceptual Framework ◽  
Social Workers ◽  
Attachment Theory ◽  
Training Programme ◽  
Clinical Implications ◽  
Preliminary Evaluation ◽  
History Of ◽  
Set Up ◽  
Family Setting ◽  
The Impact

Jeanette Allen and Panos Vostanis describe the set-up and preliminary evaluation of a seven-week training programme for foster carers and supervising social workers based on attachment theory. It has long been recognised that parenting children with complex and challenging needs in a family setting is extremely demanding, with research indicating that foster carers' lack of confidence in managing such demands is a significant factor in placement breakdown. This study suggests that attachment theory provides a useful model to help carers understand and respond to the complex difficulties presented by children with a history of abuse and trauma, and that the provision of a conceptual framework may be a significant factor in improving foster carers' confidence to manage the difficulties presented by the children in their care. The clinical implications of this evaluation are discussed.

scholarly journals Psychiatry during the Covid-19 Pandemic: a survey on Mental Health Departments in Italy

2020 ◽  
Author(s):  
Bernardo Carpiniello ◽  
Massimo Tusconi ◽  
Enrico Zanalda ◽  
Guido Di Sciascio
Keyword(s):  
Mental Health ◽  
Psychiatric Patients ◽  
Radical Change ◽  
Fisher Exact Test ◽  
Mental Health Systems ◽  
Chi Square ◽  
Exact Test ◽  
Staff Members ◽  
Set Up ◽  
The Impact

Abstract Background To date, very little knowledge is available with regard to the way in which mental health systems worldwide are facing the current global health emergency. The present paper reports the data emerging from a survey conducted to study the impact of the current emergency on the functioning of the Italian Departments of Mental Health (MHD).Methods Heads of MHDs received a 40-item multiple choice questionnaire relating to Community Mental Health Centres (CMHC) and related facilities, and a 30-item questionnaire focused on General Hospital Psychiatric Wards (GHPW). Statistical analysis was carried out by means of Chi Square test with Yates correction or the Fisher Exact test, as needed.Results: 71 questionnaires returned from the 134 MHDs (52.9%) and 107 of the 318 (32.6%) GHPWs. Less than 20%of CMHCs have been closed; approximately 25% have restricted access hours. The usual mode of operation in CMHCs changed substantially. Urgent psychiatric consultations are continuing as usual, in the same way as interventions for compulsory treatments, and prison consultations. All other activities have been reduced to some extent. Remote contacts with users have been set up in approx. 75% of cases. Cases of COVID positivity were reported amongst both staff members (approx. 50 % of CHMCs), and facility users (52% of CHMCs). 20% of CMHCs reported cases of increased aggressiveness or violence, among community patients, although only 8.6% regarding severe cases. Major issues in the supply of personal protective equipment (PPE) for staff members were reported. A reduced number of GHPWs (-12%), beds (approx.-30%) and of admissions was registered (87% of GHPWs). 8% of GHPWs reported an increase in compulsory admissions, and an increased rate of violence toward self or others among inpatients. Patient swabs were carried out in 50% of GHPWs. 60% of GHPWs have reported the admission of symptomatic, COVID+ psychiatric patients to General COVID-19 Units; severely ill and non-collaborative COVID+ patients are generally admitted to specific “COVID-19” GHPWs, or to purpose-adapted isolated areas of the wards. Conclusions The COVID-19 pandemic has heralded a radical change in the mental health system of Italy, and a consequent series of challenging issues.

MOTIF DAN DAMPAK PERNIKAHAN DINI DI INDARUNG NGALAU BATU GADANG

2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Murisal Murisal
Keyword(s):  
Young Men ◽  
Early Marriage ◽  
Marriage Law ◽  
Men And Women ◽  
Home Life ◽  
Family Household ◽  
Set Up ◽  
The Impact ◽  
Husband And Wife

Motif and Impact of Early Marriage in Indarung Ngalau Batu Gadang.Penelitian is motivated by teenagers who married early on. Today, young men and women have a tendency to be less prepared to enter the home life, they are only ready to marry (ready here can be interpreted, maturity in terms of financial, understand what the meaning of marriage according to marriage law) is the bond of inner birth between a man and a woman as husband and wife for the purpose of forming a happy and eternal family (household) based on the Supreme Godhead while they are not ready to set up a home, whereas to build a household requires preparation both physically and spiritually . The purpose of this study to determine the motives underlying adolescents to make early marriage and the impact caused in the household as a result of the marriage.

Perception of Professionals towards Effectiveness of Human Resource Information System

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Bharti Motwani
Keyword(s):  
Information System ◽  
Human Resource ◽  
Training Programme ◽  
Middle Level ◽  
Human Beings ◽  
Human Resource Information System ◽  
Resource Information ◽  
Future Challenges ◽  
Operational Decision Making ◽  
The Impact

Organizations are facing stiff market and other external pulls and pushes, thus HR will become vital source for managing future challenges. HRIS is an information system that makes use of computers to monitor, control, and influence the movement of human beings from the time they indicate their intention to join an organization till the time they separate from it. The purpose of the HRIS is to provide service, in the form of accurate and timely information, to the clients of the system. As there are a variety of potential users of HR information, it may be used for strategic, tactical, and operational decision making (e.g., to plan for needed professionals in a merger), to avoid litigation (e.g., to identify discrimination problems in hiring), to evaluate programmes, policies, or practices (e.g., to evaluate the effectiveness of a training programme), and/or to support daily operations (e.g., to help managers monitor time and attendance of their professionals). However, in order to maximize HRIS success, researchers and practitioners have to know more about its underlying drivers. The study is undertaken looking to the importance of HRIS in the organizations. The paper identifies the factors of HRIS as perceived by professional users. This study is also an attempt to study the impact of designation on identified factors of Human Resource Information System (HRIS). The results of this research will increase researchers comprehension on difference in factors that influence effectiveness of senior and middle-level professionals.

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