scholarly journals Program directors’ reflections on national policy change in medical education: insights on decision-making, accreditation, and the CanMEDS framework

2021 ◽  
Author(s):  
Kelly Dore ◽  
Bryce James Mack Bogie ◽  
Karen Saperson ◽  
Karen Finlay ◽  
Parveen Wasi
Keyword(s):  
Decision Making ◽  
Medical Education ◽  
Policy Change ◽  
Large Scale ◽  
Descriptive Analysis ◽  
National Policy ◽  
Program Directors ◽  
Policy Changes ◽  
Future Policy ◽  
High Level

Background: Outcomes of national policy change impact all levels of the organizational hierarchy. The medical education literature is sparse on how reflections from program directors (PDs) on past large-scale policy changes can inform future policy initiatives. To fill this gap, we conducted a national survey on PDs’ perceptions of, and reflections on, decision-making in medical education, accreditation procedures, and the CanMEDS framework implementation. Methods: The survey was distributed to former Canadian specialty medicine PDs (N = 684). Descriptive analysis was performed on quantitative data, thematic analysis was performed on qualitative comments, and comparisons between the quantitative and qualitative findings were performed to identify areas of convergence and/or divergence. Results: A total of 265 (38.7%) former PDs participated. Quantitative analysis revealed that 52.8% of respondents did not feel involved in decision-making regarding policy changes, 45.1% of respondents did not feel prepared to assess the CanMEDS Roles, and PDs were divided on the reasonableness of accreditation documentation. Qualitative analysis produced four themes: communication, resources, expectations of outcomes, and buy-in. Nine sub-themes were also identified. A high level of convergence was identified across the content, with only four areas of divergence identified. Conclusions: Our findings have the potential to inform future policy and/or accreditation changes. Without the lens of those charged with overseeing the implementation, policy evaluation and quality improvement will remain uninformed. PDs, therefore, bring unique insights into our understanding of national policy changes, and without the voices of these frontline implementers, the true success of policy change implementation will be hindered.

scholarly journals RESPON MALAYSIA TERHADAP KEBIJAKAN SINKING-SHIP INDONESIA

2019 ◽  
Vol 1 (1) ◽  
pp. 202-230
Author(s):  
Wulan Nurul Hakim
Keyword(s):  
Foreign Policy ◽  
Policy Change ◽  
Descriptive Analysis ◽  
Time Frame ◽  
Research Approach ◽  
Analysis Method ◽  
Policy Changes ◽  
Economic Stability ◽  
Rapid Responses ◽  
Foreign Policy Change

This research describes the Malaysian policy as a response to the Indonesian sinking-ship policy executed in 2014. This research uses qualitative research approach with descriptive analysis method. This research applied the concept of Foreign Policy Change by Tomas Niklasson with three indicators, the degree of foreign policy change (adjustment, reform, restructuring), time-frame for change (rapidly or gradually) and the scope of foreign policy changes (regulatory, security, trade and economic stability, national identity and autonomy). In this research categorizes that responses of sinking-ship policy at the level of adjustment (minor change) due to a little change and categorizes at the rapidly because of rapid responses and less than five years. In the scope of policy change indicators, this research found that the changes in two policies, security and economy.

scholarly journals IMPLIKASI PERUBAHAN KEBIJAKAN POLA PELUNASAN PEMBIAYAAN MURABAHAH PADA PT. BANK ACEH SYARIAH CAPEM SIGLI

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Uswatun Hasanah
Keyword(s):  
Policy Change ◽  
Descriptive Analysis ◽  
Analysis Method ◽  
Administrative Cost ◽  
Policy Changes ◽  
Before And After

Bank Aceh Syariah has altered its policy on the installment pattern of murabahah financing as of December 2010. This changing was triggered by the decrease of margin in Bank Aceh Syariah. Therefore, this study aims at studying the mechanism of installment of murabahah financing before and after the policy changes. This article also intends to identify the risks that appears due to the decrease of margin in Bank Aceh Syariah and also analyze the view of Islamic economis towards the changes. Data for this study was gathered through intreview, observation and documentation study. The data was analyzed using descriptive analysis method. The findings show that there are two mechanisms of installment for murabaha financing at the bank. In first mechanism, bank only required its customers to pay the remaining installment plus the administrative cost, whereas in second mechanism after the policy change, bank provide discount to the customer. The risk encounter is the decrease of income for the bank itself. In Islamic economics perspective, the policy changes on murabahah financing is allowed with the condition no party is harmed and the agreed price on is the final price. =========================================== Bank Aceh Syariah telah melakukan perubahan kebijakan pola pelunasan pembiayaan murabahah periode maju pada awal Desember 2010. Perubahan ini disebabkan karena adanya penurunan margin pada Bank Aceh Syariah. Oleh karena itu, tulisan ini bertujuan untuk mengkaji mekanisme pelunasan pembiayaan murabahah periode maju sebelum dan sesudah adanya perubahan kebijakan. Tulisan ini juga akan mengidentifikasi resiko yang timbul akibat adanya penurunan margin pada Bank Aceh Syariah atas pembiayaan nasabah dan menganalisis pandangan ekonomi Islam terhadap perubahan tersebut. Data untuk penelitian ini dikumpulkan melalui wawancara dan observasi serta studi dokumentasi. Analisis data menggunakan metode deskriptif analisis. Hasil penelitian menunjukkan bahwa terdapat perbedaan mekanisme pelunasan pembiayaan murabahah periode maju sebelum dan sesudah adanya perubahan kebijakan. Pada mekanisme pertama, bank hanya mewajibkan nasabah untuk membayar sisa angsuran pokok ditambah dengan biaya administrasi, sedangkan mekanisme kedua setelah adanya perubahan kebijakan pola pelunasan periode maju, bank memberikan diskon atau potongan kepada nasabah. Resiko yang ditimbulkan akibat penurunan margin adalah berkurangnya pendapatan bagi pihak bank sendiri. Adapun pandangan hukum Islam terhadap perubahan kebijakan yang dilakukan pihak bank ini dapat bolehkan, karena tidak ada pihak yang akan dirugikan dan harga yang disepakati pada pembiayaan murabahah adalah harga akhir.

scholarly journals Ready for SDM: evaluating a train-the-trainer program to facilitate implementation of SDM training in Norway

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Simone Kienlin ◽  
Marie-Eve Poitras ◽  
Dawn Stacey ◽  
Kari Nytrøen ◽  
Jürgen Kasper
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Online Survey ◽  
Descriptive Analysis ◽  
Healthcare Providers ◽  
Expert Assessment ◽  
Quantitative Descriptive Analysis ◽  
Train The Trainer ◽  
Interprofessional Healthcare ◽  
Basic Course

Abstract Background Healthcare providers need training to implement shared decision making (SDM). In Norway, we developed “Ready for SDM”, a comprehensive SDM curriculum tailored to various healthcare providers, settings, and competence levels, including a course targeting interprofessional healthcare teams. The overall aim was to evaluate a train-the-trainer (TTT) program for healthcare providers wanting to offer this course within their hospital trust. Methods Our observational descriptive design was informed by Kirkpatrick´s Model of Educational Outcomes. The South-Eastern Regional Health Authority invited healthcare providers from all health trusts in its jurisdiction to attend. The TTT consisted of a one-day basic course with lectures on SDM, exercises and group reflections followed by a two-day advanced course including an SDM observer training. Immediately after each of the two courses, reaction and learning (Kirkpatrick levels 1 and 2) were assessed using a self-administered questionnaire. After the advanced course, observer skills were operationalized as accuracy of the participants’ assessment of a consultation compared to an expert assessment. Within three months post-training, we measured number of trainings conducted and number of healthcare providers trained (Kirkpatrick level 3) using an online survey. Qualitative and quantitative descriptive analysis were performed. Results Twenty-one out of 24 (basic) and 19 out of 22 (advanced) healthcare providers in 9 health trusts consented to participate. The basic course was evaluated as highly acceptable, the advanced course as complex and challenging. Participants identified a need for more training in pedagogical skills and support for planning implementation of SDM-training. Participants achieved high knowledge scores and were positive about being an SDM trainer. Observer skills regarding patient involvement in decision-making were excellent (mean of weighted t = .80). After three months, 67% of TTT participants had conducted more than two trainings each and trained a total of 458 healthcare providers. Conclusion Findings suggest that the TTT is a feasible approach for supporting large-scale training in SDM. Our study informed us about how to improve the advanced course. Further research shall investigate the efficacy of the training in the context of a comprehensive multifaceted strategy for implementing SDM in clinical practice. Trial registration: Retrospectively registered at ISRCTN (99432465) March 25, 2020.

scholarly journals Situational awareness for distributed mobile robot teams under limited communication

2020 ◽  
Author(s):  
M. Kenzin ◽  
I. Bychkov ◽  
N. Maksimkin
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
Situational Awareness ◽  
Autonomous Mobile Robots ◽  
Team Members ◽  
Basic Understanding ◽  
Agent Interaction ◽  
Cooperative Decision Making ◽  
High Level

A high level of team situational awareness is essential during complex, large-scale missions of autonomous mobile robots. When a situation appears that needs inter-agent interaction for cooperative decision-making, the basic understanding of the current conditions ought to be identical within the group. To achieve this requirement, all emergent information of acute importance must be promptly shared among team members. It is a non-trivial problem for large-sized and distributed robotic teams, especially under hard communication constraints. The problem considered in this paper is to nd an ecient emergency broadcasting strategy for search and survey operations of the robotic groups providing the fastest way for any agent to aware the remaining team in case of any unexpected changes. A number of simple ruled-based heuristics is proposed to treat the problem. The comparison between the suggested approaches is made regarding both the quality of the obtained solutions and the working speed.

scholarly journals Decision-Making at National Level for the Support of Research Infrastructures

2019 ◽  
Vol 3 ◽  
Author(s):  
Jeannette Ridder-Numan
Keyword(s):  
Decision Making ◽  
Large Scale ◽  
National Level ◽  
Scientific Research ◽  
Research Infrastructures ◽  
Special Request ◽  
Support Of Research ◽  
Set Up ◽  
High Level ◽  
Scientific Collections

The presentation will elaborate on the Dutch decision-making process concerning large-scale research infrastructures at national and European levels. The process involves several stakeholders, from scientists, to funders to Ministries. The Permanent Committee for Scientific Infrastructures (http://www.onderzoeksfaciliteiten.nl/permanente-commissie) plays a high-level decision-making and vision role in this effort. The committee is independent and part of NWO, the Netherland's Research Organisation for Scientific Research, on special request of the Minister of Education, Culture and Science. This level of decision making is necessary to participate at the next level within the vision of the European Roadmap for Research Infrastructures. This Roadmap is set up by the European Strategy Forum for Research Infrastrcutures (ESFRI, https://www.esfri.eu) and is a portfolio of Research Infrastructures regarded as crucial to shape the European Landscape of scientific Research Infrastrcutures. DiSCCo (Distributed System of Scientific Collections), led by Naturalis (Leiden) is a recent and good example of such an infrastructure that gained a place in the European research infrastructure environment connecting 115 Museums, Botanical Gardens and collection-holding Universities in 21 European countries.

scholarly journals Two-sided matching based on I-BTM and LSGDM applied to high-level overseas talent and job fit problems

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Qing Yang ◽  
Xinshang You ◽  
Yiye Zhang
Keyword(s):  
Decision Making ◽  
Fuzzy Sets ◽  
Large Scale ◽  
Fuzzy Decision Making ◽  
Computer Algorithms ◽  
Job Fit ◽  
Intuitionistic Fuzzy ◽  
The Many ◽  
The One ◽  
High Level

AbstractWith the increasing number of overseas talent tasks in China, overseas talent and job fit are significant issues that aim to improve the utilization of this key human resource. Many studies based on fuzzy sets have been conducted on this topic. Among the many fuzzy set methods, intuitionistic fuzzy sets are usually utilized to express and handle the evaluation information. In recent years, various intuitionistic fuzzy decision-making methods have been rapidly developed and used to solve evaluation problems, but none of them can be used to solve the person-job fit problem with intuitionistic best-worst method (BWM) and TOPSIS methods considering large-scale group decision making (LSGDM) and evaluator social network relations (SNRs). Therefore, to solve problems of intuitionistic fuzzy information analysis and the LSGDM for high-level overseas talent and job fit, we construct a new hybrid two-sided matching method named I-BTM and an LSGDM method considering SNRs. On the one hand, to express the decision-making information more objectively and reasonably, we combine the BWM and TOPSIS in an intuitionistic environment. Additionally, we develop the LSGDM with optimized computer algorithms, where the evaluators’ attitudes are expressed by hesitant fuzzy language. Finally, we build a model of high-level overseas talent and job fit and establish a mutual criteria system that is applied to a case study to illustrate the efficiency and reasonableness of the model.

Radiological safety and assessment of the performance of X-ray systems in veterinary facilities

2020 ◽  
Author(s):  
S. Economides ◽  
C.J. Hourdakis ◽  
C. Pafilis ◽  
G. Simantirakis ◽  
P. Tritakis ◽  
...  
Keyword(s):  
Decision Making ◽  
Radiation Protection ◽  
Atomic Energy Commission ◽  
Atomic Energy ◽  
Regulatory Control ◽  
Continuous Training ◽  
X Ray ◽  
The Public ◽  
Radiological Safety ◽  
High Level

This paper concerns an analysis regarding the performance of X-ray equipment as well as the radiological safety in veterinary facilities. Data were collected from 380 X-ray veterinary facilities countrywide during the on-site regulatory inspections carried out by the Greek Atomic Energy Commission. The analysis of the results shows that the majority of the veterinary radiographic systems perform within the acceptable limits; moreover, the design and shielding of X-ray rooms as well as the applied procedures ensure a high level of radiological safety for the practitioners, operators and the members of the public. An issue that requires specific attention in the optimization process for the proper implementation of veterinary radiology practices in terms of radiological safety is the continuous training of the personnel. The above findings and the regulatory experience gained were valuable decision-making elements regarding the type of the regulatory control of veterinary radiology practices in the new radiation protection framework.

Analisis SWOT (Strength, Weakness, Opportunities, Threats) Melalui Inkuiri Terbimbing Pada Materi Kegiatan Ekonomi Mahasiswa Pendidikan Guru Sekolah Dasar

2019 ◽  
Vol 1 (2) ◽  
pp. 141
Author(s):  
Iis Yeni Sugiarti
Keyword(s):  
Swot Analysis ◽  
Descriptive Analysis ◽  
Qualitative Approach ◽  
Guided Inquiry ◽  
Analysis Method ◽  
Economic Activities ◽  
External Analysis ◽  
High Level ◽  
Center Area ◽  
Trade Competition

Abstrak. Desa Trusmi merupakan sentra batik sekaligus kuliner di Kabupaten Cirebon. Banyaknya pemegang usaha di bidang produksi batik mengakibatkan persaingan dagang diwilayah tersebut. Penelitian ini bertujuan untuk menganalisis SWOT (Strength, Weakness, Opportunities, Threats)  di salah satu usaha batik milik H. Edi Baredi atau sering dikenal dengan EB Batik Tradisional melalui inkuri terbimbing. Analisis meliputi profil usaha, aspek produksi, aspek tenaga kerja, aspek pemasaran dan aspek keuangan. Jenis penelitian ini menggunakan pendekatan kualitatif dengan metode deskripstif analisis. Berdasarkan analisis internal dan eksternal analisis SWOT, strategi yang  dilakukan oleh EB Batik Tradisional yaitu menghindari kehilangan penjualan dan profit yang disebabkan banyaknya persaingan dagang di kawasan sentra batik Trusmi dengan munculnya inovasi baru. Penguatan karakter pada produksi batiknya dapat mengatasi pesaingan dagang dan menambah daya tarik pembeli. Kata Kunci: SWOT, Inkuiri Terbimbing, dan Kegiatan Ekonomi Abstract. Trusmi village is a center of batik as well as culinary in Cirebon Regency. A large number of business holders in the field of batik production has resulted in trade competition in the region. This study aims to analyze SWOT (Strength, Weakness, Opportunities, Threats) in one of the batik business owned by H. Edi Baredi or often known as EB Traditional Batik through guided injury. The analysis includes the business profile, production aspects, labor aspects, marketing aspects, and financial aspects. This type of research uses a qualitative approach with descriptive analysis method. Based on internal and external analysis of the SWOT analysis, the strategy carried out by EB Traditional Batik is to avoid losing sales and profits due to the high level of trade competition in the Trusmi batik center area with the emergence of innovations. Strengthening the character of batik production can overcome trade competition and increase the attractiveness of buyers. Keywords: SWOT, Guided Inquiry, and Economic Activities

Social inequality in the evolution of human societies

2019 ◽  
pp. 98-120
Author(s):  
Georgi Derluguian
Keyword(s):  
Social Inequality ◽  
Large Scale ◽  
Human Beings ◽  
Mass Violence ◽  
Public And Private ◽  
Tangible Assets ◽  
Transition To Agriculture ◽  
New Institutions ◽  
High Level ◽  
Political Economic

The author develops ideas about the origin of social inequality during the evolution of human societies and reflects on the possibilities of its overcoming. What makes human beings different from other primates is a high level of egalitarianism and altruism, which contributed to more successful adaptability of human collectives at early stages of the development of society. The transition to agriculture, coupled with substantially increasing population density, was marked by the emergence and institutionalisation of social inequality based on the inequality of tangible assets and symbolic wealth. Then, new institutions of warfare came into existence, and they were aimed at conquering and enslaving the neighbours engaged in productive labour. While exercising control over nature, people also established and strengthened their power over other people. Chiefdom as a new type of polity came into being. Elementary forms of power (political, economic and ideological) served as a basis for the formation of early states. The societies in those states were characterised by social inequality and cruelties, including slavery, mass violence and numerous victims. Nowadays, the old elementary forms of power that are inherent in personalistic chiefdom are still functioning along with modern institutions of public and private bureaucracy. This constitutes the key contradiction of our time, which is the juxtaposition of individual despotic power and public infrastructural one. However, society is evolving towards an ever more efficient combination of social initiatives with the sustainability and viability of large-scale organisations.

Decision making power of college girls in relation to clothing

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Parul Gill ◽  
Poonam Malik ◽  
Pankaj Gill
Keyword(s):  
Decision Making ◽  
Satisfaction Level ◽  
College Going ◽  
Level Of Satisfaction ◽  
High Level ◽  
Garment Design ◽  
Structured Questionnaire

The present study was undertaken to explore the decision making patterns of college girls in relation to clothing and their satisfaction level with these decision making patterns. Thirty under graduate college girls from Panipat city were approached to record their responses regarding decision making in relation to clothing and satisfaction level through a well structured questionnaire. It was found that most of the girls (56.66%) themselves made the decisions about the type of garment (Indian, western or both) they wear and majority of girls (70%) were highly satisfied with this decision making. Parents performed the role of buyers for their college going daughters' garments in most of the cases (63.33%) and the 73.33% girls had high level of satisfaction with this. In most of the cases (60%) the decision about the garment design was made by the girls themselves and they were highly satisfied with it. Keywords: clothing, college, girls, decision making.

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