scholarly journals Preparedness of graduate paramedics for practice: a comparison of Australian and United Kingdom education pathways

2019 ◽  
Vol 16 ◽  
Author(s):  
David Reid ◽  
Kenneth Street ◽  
Shelley Beatty ◽  
Stefan Vencatachellum ◽  
Brennen Mills
Keyword(s):  
United Kingdom ◽  
Care Pathway ◽  
Tertiary Level ◽  
Theoretical Knowledge ◽  
Independent Practice ◽  
Practical Skills ◽  
Clinical Practicum ◽  
Face To Face ◽  
Emergency Ambulance ◽  
The Uk

IntroductionInternationally, emergency ambulance paramedic education has evolved from ‘on the job’ training by ambulance services to tertiary-level qualifications. However, across many countries and jurisdictions, clinical practicum requirements still differ substantially. For example, Australian paramedic students spend fewer hours on clinical practicum than their United Kingdom (UK) counterparts.MethodsFifteen semi-structured face-to-face interviews were conducted with Australian and UK paramedics and managers to identify their perceptions regarding the preparedness of graduate paramedics for practice. ResultsInterviewees in Australia and the UK identified that newly graduated paramedics require an internship period before independent practice. Interviewees in both jurisdictions recognised the robust theoretical knowledge and practical skills of graduates. Organisational operations, clinical judgement and decision-making, and care-pathway selection were areas where interviewees identified that an internship period consolidated the graduate’s learning. ConclusionThis research found that increased time spent by paramedic students on ambulances did not increase a new graduate’s ability to practice independently before an internship period. The time spent on ambulance practicums, objectives and supervisory model should be reviewed.

Student paramedics' views on placements in general practice as part of a degree

2019 ◽  
Vol 11 (12) ◽  
pp. 519-525
Author(s):  
Alyesha Proctor
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Pathway ◽  
Structured Interviews ◽  
Learning And Development ◽  
Alternative Care ◽  
Face To Face ◽  
The Uk ◽  
University Degree

Background: Frontline paramedics are increasingly attending to non-emergency problems and calls that could be managed by a primary care provider. Alongside this, there is a growing pressure to manage patients at home or use an alternative care pathway and reduce hospital conveyance. Student paramedic training, including both placement and taught elements at university, should therefore reflect this. However, placement opportunities for student paramedics in primary care settings is variable across the UK. Aim: To explore student paramedics' views on incorporating a placement within general practice as part of their degree and its effects on their learning and development as an autonomous paramedic. Method: A small pedagogic study as part of a postgraduate certificate in academic practice for higher education, involving a case study, qualitative approach using face-to-face, semi-structured interviews and thematic analysis, was carried out. Findings: Student paramedics feel that incorporating a placement in general practice as part of their degree will significantly help in their learning and development as autonomous paramedics. Specifically, they feel it: will help them understand the role of the GP and what the GP expects of them; will help them to focus their assessments and improve confidence in decisions not to convey patients; may lead to better knowledge of alternative care pathways; and, finally, may provide an insight into the role of the paramedic in general practice as a future career opportunity. There are a few reservations about whether students would be able to use the skills and knowledge gained in this setting, as they feel they do not have access to the tools or the authority in a frontline ambulance service. Students would prefer to have a placement in a GP surgery in the final year of their university degree. Conclusion: Placement within a GP surgery for student paramedics should be included as part of a paramedic science degree as a priority. This is necessary, particularly given the changing role of the contemporary paramedic who attends to non-emergency problems.

scholarly journals Cataract service redesign in the post-COVID-19 era

2020 ◽  
pp. bjophthalmol-2020-316917 ◽  
Author(s):  
Pei-Fen Lin ◽  
Hasan Naveed ◽  
Maria Eleftheriadou ◽  
Robert Purbrick ◽  
Mehran Zarei Ghanavati ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Care Pathway ◽  
Throughput Capacity ◽  
Face To Face ◽  
Digital Era ◽  
Release Capacity ◽  
Service Redesign ◽  
Integrated Practice ◽  
The Uk ◽  
Care Requirements

COVID-19 pandemic of 2020 has impacted all aspects of clinical practice in the UK. Cataract services suffered severe disruption due to necessary measures taken to reduce elective surgery in order to release capacity to support intensive care requirements. Faced with a potential 50% increase in cataract surgery workload per week in the post-COVID-19 world, eye units should use this event to innovate, not just survive but to also evolve for a sustainable future. In this article, we discuss the inadequacies of existing service rationing options to tackle the COVID-19 cataract backlog. This includes limiting rationing based on visual acuity, limiting surgery to first or only seeing eyes, and postponing clinic and surgical dates according to referral dates. We propose units use the lockdown time to reset and develop a comprehensive patient-centred care pathway using principles of value-based healthcare: the cataract integrated practice units. Developing an agile surgical database that incorporates all aspects of patient need from education to follow-up in their individual cataract journey will allow units to react and plan quickly in the early phase of recovery and beyond. We also discuss the considerations units should bear in mind on telemedicine, modifications for face-to-face clinics, theatre organisation and options of expanding cataract throughput capacity. The pause in elective surgery due to the pandemic may have provided cataract services a rare opportunity to reset and transform cataract service pathways for the digital era.

scholarly journals Effectiveness of face-to-face, blended and e-learning in teaching the application of local anaesthesia: a randomised study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Bock ◽  
Kristian Kniha ◽  
Evgeny Goloborodko ◽  
Martin Lemos ◽  
Anne Barbara Rittich ◽  
...  
Keyword(s):  
Blended Learning ◽  
Local Anaesthesia ◽  
Student Attitudes ◽  
Knowledge Gain ◽  
Learning Approach ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Face To Face ◽  
Significant Difference ◽  
E Learning

Abstract Background Local anaesthesia plays a key role in many aspects of a dentist’s work. The required skills to perform anaesthesia successfully are acquired at university. To take advantage of the possibilities for new teaching formats, a blended learning concept for the local anaesthesia course was developed. The aim of the study was to compare the effectiveness of face-to-face, blended and e-learning in teaching in local anaesthesia by assessing students’ knowledge gain, performance of practical skills and satisfaction with the course. Methods All participants (n = 37) were randomly allocated into three groups. After acquiring the theoretical background in the blended learning, e-learning or lecture groups, a test to assess knowledge gain was performed. The performance of the practical skills was assessed in a small-group seminar. Student attitudes were evaluated with a questionnaire. Results The blended group showed significantly better results (mean = 17, SD =1.5) in theoretical knowledge gain than the other two groups (e-learning group: mean = 14.7, SD = 2.2; lecture group: mean = 14.8, SD =2.3). When comparing the results of the clinical skills assessment, there was no significant difference among all three groups (p > 0.017). The participants confirmed a high overall satisfaction with the course, in particular with the blended learning approach. Conclusion This study indicates that blended learning improves the learning outcome for theoretical knowledge in teaching local anaesthesia more than either face-to-face learning or e-learning alone. Furthermore, the blended learning approach is highly appreciated by the students. For acquiring practical skills, this study shows that blended learning is as effective as other teaching methods.

scholarly journals Cardiffians’ perceptions of English in the UK

2020 ◽  
Vol 8 (1) ◽  
pp. 1-8
Author(s):  
Betsy E. Evans ◽  
Matthew Dunbar ◽  
Nicole Chartier
Keyword(s):  
United Kingdom ◽  
England And Wales ◽  
Face To Face ◽  
Perceptual Dialectology ◽  
The United Kingdom ◽  
Travel Experience ◽  
Dialect Variation ◽  
Composite Maps ◽  
The Uk ◽  
Face Exposure

AbstractThis Perceptual Dialectology (PD) study asked residents of Cardiff, Wales, about their perceptions of English in the United Kingdom (UK). In addition, because face to face exposure to dialect variation has rarely been included as a variable in PD studies, participants were asked about their travel experience to ascertain whether this might influence their responses to a PD map task. Participants’ responses to the map task were analyzed using ArcGIS to create composite maps. Results show that these Cardiffians perceive “dialect or regional” speech boundaries to be located around major cities in England and Wales but also southwest Wales. Composite maps and polygon counts suggest that the more traveled respondents have a more nuanced perception of dialect regions than those who claim to travel less, suggesting that travel experience may influence PD participants’ responses to map tasks.

scholarly journals 417 COVID-19 and the Return to Head and Neck Outpatient Activity in The United Kingdom: What Is the New Normal?

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
D Jaikaransingh ◽  
S Bola ◽  
S Winter
Keyword(s):  
United Kingdom ◽  
Head And Neck ◽  
Natural Ventilation ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Safety Measures ◽  
Face To Face ◽  
The United Kingdom ◽  
The Uk

Abstract Background We aim to investigate current head and neck outpatient practices across the United Kingdom during the COVID-19 pandemic. Method A cross-sectional study comprising of an online 20-item survey was emailed to members of the British Association of Head and Neck Oncologists (BAHNO). Topics covered included safety measures, protective equipment used and protocols around the use of flexible nasendoscopy (FNE) in clinic. Results 117 participants completed the survey covering 66 Trusts across the UK. There was a significant reduction in face-to-face clinic patients compared to pre-pandemic numbers. Room down-time after FNE ranged from 0-6 hours and there was a significant increase in allocated down-time after the patient had coughed or sneezed. Natural ventilation existed in 36% of clinics and the majority of responders didn’t know the calculated Air Change Per Hour (ACPH) of the room (77%). Where ACPH was known, it often did not match the allocated room down-time. Conclusions Adaptations are being made across the UK to maintain staff and patient safety, but more can still be done by liaising with hospital infectious diseases and the hospital estates team to clarify outpatient protocols.Outpatient activity will likely remain limited and alternative strategies will need to develop to manage the backlog in face-to-face clinics.

scholarly journals COVID-19 and the return to head and neck outpatient activity in the United Kingdom: what is the new normal?

2020 ◽  
Author(s):  
Sumrit Bola ◽  
Dominic Jaikaransingh ◽  
Stuart C Winter
Keyword(s):  
United Kingdom ◽  
Head And Neck ◽  
Natural Ventilation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Safety Measures ◽  
Web Based ◽  
Face To Face ◽  
The United Kingdom ◽  
The Uk

Abstract Purpose As surgical specialties now begin the graduated return to elective activity and face-to-face clinics, this paper investigates the current head and neck outpatient practices across the United Kingdom. Methods A cross-sectional study comprised of an online 20-item survey was distributed to members of the British Association of Head & Neck Oncologists (BAHNO). The survey was open on a web-based platform and covered topics including safety measures for patients, protective equipment for healthcare staff and protocols for the use of flexible nasendoscopy in the clinic. Results The survey was completed by 117 participants covering 66 NHS Trusts across the UK. There was a significant reduction in face-to-face Otolaryngology, Maxillofacial and Speech and Language clinic patients when compared to pre-pandemic numbers (p < 0.0001). Risk assessments for flexible nasendoscopy were done for 69% of clinics and 58% had an established protocol. Room downtime after flexible nasendoscopy ranged from 0 to 6 h and there was a significant increase in allocated downtime after a patient had coughed/sneezed (p < 0.001). Natural ventilation existed in 36% of clinics and the majority of responders didn’t know the Air Change Per Hour (ACPH) of the clinic room (77%). Where ACPH was known, it often did not match the allocated room downtime. Conclusion There is a wide variation in outpatient activity across the United Kingdom, but adaptations are being made to try and maintain staff and patient safety. However, more can still be done by liaising with allied teams to clarify outpatient protocols.

The Rise of English Youth Churches: What the Global Church Can Learn From This Latest British Invention

2005 ◽  
Vol 4 (2) ◽  
pp. 86-100
Author(s):  
Mark A. Lamport
Keyword(s):  
United Kingdom ◽  
Field Research ◽  
Theological Reflection ◽  
Theoretical Treatment ◽  
Face To Face ◽  
International Conference ◽  
Oxford University ◽  
The United Kingdom ◽  
Global Church ◽  
The Uk

The United Kingdom, where only ten percent of youth attend church weekly, has recently witnessed an upstart missional strategy. called "Youth Churches." It is as the name implies-churches composed entirely of youth and marketed to attract this alienated group through popular music and worship. The author attended an international conference at Oxford University at which lectures were presented on this growing phenomenon. It provoked such an interest that he subsequently traveled to England and spent some time doing field research, including interviews with leaders of several denominations. This paper presents what the author discovered. It is written as primarily a journalistic, theological reflection piece based upon observations and face-to-face interviews with protagonists and thoughtful commentators connected with youth church movements in the UK.1 It does not claim to be a fully formed theoretical treatment of the topic!2

Praktyki studenckie w zakresie nauk pedagogicznych w polskiej i angielskiej edukacji akademickiej. Pragmatyczny aspekt akademickiej edukacji pedagogicznej

2018 ◽  
Vol XIV ◽  
pp. 129-139
Author(s):  
Justyna Modrzejewska ◽  
Jolanta Walaszek-Latacz
Keyword(s):  
Participant Observation ◽  
University Education ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Educational Facilities ◽  
Future Teachers ◽  
Childhood Education ◽  
The United Kingdom ◽  
The Uk ◽  
Sheer Number

The presented comparative analysis of internship systems typical of university stud-ies in the pedagogy of early childhood education in Poland and the United Kingdom aims to indicate the significance of this sphere of practical expertise for the process of future teachers’ university education. Theoretical knowledge, which is acquired due to the participation in university lectures and classes, must be supplemented by practical skills that can be only attained due to participant observation and taking relevant ac-tions in educational facilities. The number of hours spent on pedagogy internship for future teachers differs significantly in the Polish and English university education, which becomes evident when one realizes that UK students spend nearly ten times more hours on pedagogy internship than Polish students. Does it mean that a pedagogy student educated in the UK is better prepared for their future vocation than his/her equal in Poland? Since pedagogy internship constitutes a very significant (albeit not the only one) element of university education in pedagogy, the following analyses and considerations aim to initiate a debate concerning the issue. At this point, one has to emphasize that the sheer number of hours spent on pedagogy internship is definitely less significant that the quality, diversity, adequacy and orientation towards practical issues that characterize a given type of traineeship.

İngiltere’den Türkiye’ye ‘Düzensiz’ Göçmen Dövizi Gönderme Davranışının Nedenleri Üzerine Nitel Bir İnceleme

2019 ◽  
Vol 6 (2) ◽  
pp. 173-190
Author(s):  
Fethiye Tilbe
Keyword(s):  
Cultural Values ◽  
Host Country ◽  
Regulatory Framework ◽  
Face To Face ◽  
Migrant Communities ◽  
The United Kingdom ◽  
Main Determinants ◽  
Money Transfers ◽  
The Uk ◽  
Migrant Groups

Bu makale, göçmen dövizi  akımlarında “düzensizlik” olarak ifade ettiğimiz, Türkiye’ye resmi kanallar dışında gönderilen enformel  göçmen dövizlerini, Birleşik Krallık’ta (özellikle Londra’da) yaşayan Türkiye kökenli göçmenler açısından incelemektedir. Her göçmen grubu, gerek ev sahibi ülkedeki düzenleyici çerçeve ve sosyo-ekonomik koşullar, gerek göçmen topluluğunun sosyo-kültürel değerleri tarafından belirlenen biçimde, farklı göçmen dövizi transfer biçimlerine eğilim sergilemektedir. Dolayısıyla farklı ülkelerdeki aynı kökenden göçmen toplulukları, ev sahibi ülkedeki dinamikler nedeniyle göçmen dövizlerinin formel ya da enformel (düzenli ya da düzensiz) gönderiminde farklılaşabilirken, aynı ülkedeki farklı ülke kökenli göçmen grupları da pek çok örüntünün etkisiyle farklı eğilim gösterebilmektedir. Nitel araştırma tasarımı kapsamında 27 göçmen ve 7 anahtar statüdeki katılımcıyla gerçekleştirilen yüz yüze görüşmelere dayalı olan bu çalışma, Birleşik Krallık’tan Türkiye’ye göçmen dövizi gönderimindeki düzensizlik olgusunu, her iki ülkenin sosyal, ekonomik ve kültürel dinamikleriyle ilişkilendirerek incelemeyi ve nedenlerini ortaya çıkarmayı amaç edinmektedir. Elde edilen sonuçlar, göçmenlik statüsü, gönderilen para miktar ve sıklığı ile geleneksel ilişki ağlarına olan güvenin yanında, Birleşik Krallık’taki sosyal yardım ve çalışma biçimine ilişkinin düzenleyici çerçevenin ve göçmenlerin sosyo-ekonomik durumlarının Türkiye’ye enformel göçmen dövizi gönderiminde temel belirleyici olduğunu ortaya koymaktadır.ABSTRACT IN ENGLISHA Qualitative Examination of Determinants of Remittances Sending Behaviour Among Immigrants from Turkey in the UKThis article examines the causes of irregularity in remittances flows from the United Kingdom (UK) to Turkey, from the perspective of migrants from Turkey living in the UK. Each group of migrants prefers different types of remittance sending methods, as determined by the regulatory framework and socio-economic conditions in the host country and the socio-cultural values of the migrant community. Therefore, migrant communities of the same origin in different countries may differ in using formal or informal sending methods of remittances due to the dynamics in the host country. Similarly, migrant groups of different nationalities in the same country may show different tendencies due to the influence of many patterns. Similarly, migrant groups of different nationalities in the same country may show different tendencies due to the influence of many patterns. This study aims to examine the phenomenon of irregularities in sending remittances by associating with the social, economic and cultural dynamics of both countries. For this purpose, face-to-face in-depth interviews were conducted with 27 immigrants and 7 key status participants by using qualitative research method. The obtained results reveal that the regulatory framework relating to social assistance and labour market in the UK, immigration status, the frequency and the amount of money sent and confidence in traditional relationship networks is the main determinants of informal money transfers to Turkey.

TBE in United Kingdom

2020 ◽  
Keyword(s):  
United Kingdom ◽  
Clinical Disease ◽  
England And Wales ◽  
Probable Case ◽  
The United Kingdom ◽  
South West ◽  
Louping Ill ◽  
The Uk ◽  
North And South ◽  
South West England

Until 2019, TBE was considered only to be an imported disease to the United Kingdom. In that year, evidence became available that the TBEV is likely circulating in the country1,2 and a first “probable case” of TBE originating in the UK was reported.3 In addition to TBEV, louping ill virus (LIV), a member of the TBEV-serocomplex, is also endemic in parts of the UK. Reports of clinical disease caused by LIV in livestock are mainly from Scotland, parts of North and South West England and Wales.4

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