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Beyond Legal Compliance: Ethical Obligations for Lactation Accommodations in Dermatology Residency.

Women now comprise the majority of dermatology residents, and residency training coincides with a childbearing timeline that residents do not control. Federal legal and national accreditation frameworks establish meaningful minimum standards for lactation accommodations. Yet compliance with these standards does not guarantee that accommodations function in practice. The central ethical failure is not scheduling conflicts that inevitably arise and interfere with the usage of such accommodations, but the absence of a functional process through which a resident can flag that an accommodation is n…

A Consensus Based Research Agenda for Faculty and Learner Development in Competency Based Medical Education.

Competency based medical education (CBME) is an outcome-driven training model that assesses individual learners based on competencies and observable abilities. Although implementation of competencies and milestones by the Accreditation Council of Graduate Medical Education has provided some ground work, full adoption of CBME is in its infancy in emergency medicine. Successful implementation of CBME will require dedicated attention to faculty and learner development; however, there is limited data or best practices available for guidance. To address this need, the Society of Academic Emergency …

Falling NAPLEX pass rates are cause for concern.

INTRODUCTION: First-time pass rates of the North American Pharmacist Licensure Examination (NAPLEX) have declined 7% from 2019 to 2022 with more than a third of schools experiencing a decline of ≥10%. COMMENTARY: The cause of the decline is likely multifactorial and extends beyond the impact of the COVID-19 pandemic. Changes to the NAPLEX blueprint in 2021, curricular revisions in response to the implementation of Accreditation Council for Pharmacy Education Standards 2016, and changes to prerequisite course requirements in response to declining enrollment must also be evaluated as potential …

Improving Care at Correctional Facilities: Listening, Learning and Creating Change from a Patient Care Quality Office.

Correctional Health Services (CHS) became part of the Provincial Health Services Authority in British Columbia (BC) in October, 2017. There … n established within and external to the CHS in BC, including the Federal Correctional Services and Accreditation Canada, which have resulted in new relationships to better understand client issues, develop policies and support continuity of care between the community and the correctional facility.

Рамки качества " Эхокардиографии " : всеобъемлющий подход к обеспечению качества и непрерывному совершенствованию услуг с учетом интересов пациентов.

Система качества " Echocardicography Framework " (EQF) представляет собой уникальный, всеобъемлющий, целостный подход к совершенствованию всех аспектов службы эхокардиографии. EQF представляет собой ориентированную на пациентов программу, объединяющую обеспечение качества и непрерывное совершенствование обслуживания. Эта рамочная основа охватывает следующие показатели: i) качество эхокардографии, ii) воспроизводимость и последовательность, iii) образование и профессиональная подготовка и iv) обратная связь с клиентами. EQF масштабируется и адаптируется для использования любой эхокард

Совпадение в аннотации оригинала
Abstract The Echocardiography Quality Framework (EQF) is a unique, comprehensive, holistic approach to improving all aspects of an echocardi … or assessment is being developed, to be used as a standalone adjunct or linked to BSE Departmental Accreditation. The principles that underpin the EQF may be applied to other imaging disciplines and, ultimately, other medical or surgical specialties.

International Telepathology: Promises and Pitfalls.

Innovative technologies for digital imaging and telecommunications are changing the way we deliver health care. Telepathology collaborations … issues, sustainability, and cultural and environmental issues. Pathologists, vendors and laboratory accreditation agencies will need to embrace and capitalize on this new paradigm of international telepathology accordingly.

Medical student performance on an adolescent medicine examination.

PURPOSE: To examine the performance of third-year medical students on an adolescent medicine clinical practice examination. METHODS: The participants were third-year medical students (2010 [n = 145] and 2011 [n = 134]) at the University of Colorado School of Medicine. Student performance on adolescent contraceptive management was measured in three domains following Accreditation Council for Graduate Medical Education (ACGME) competencies in professionalism, communication, and history-taking skills. RESULTS: With regard to professionalism and communication skills, students performed very well…

A tobacco reconceptualization in psychiatry: toward the development of tobacco-free psychiatric facilities.

Tobacco dependence is the leading cause of death in persons with psychiatric and substance use disorders. This has lead to interest in the development of pharmacological and behavioral treatments for tobacco dependence in this subset of smokers. However, there has been little attention paid to the development of tobacco-free environments in psychiatric institutions despite the creation of smoke-free psychiatric hospitals mandated by the Joint Commission for Accreditation of Health Organizations (JCAHO) in 1992. This review article addresses the reasons why tobacco should be excluded from psych…

The use of the walking cast to repair fractures in horses and ponies.

The walking cast was used to repair 46 fractures of long bones (distal radius and tibia, metacarpus and metatarsus) and 10 fractures of firs … ressive, considering the type of fractures treated, we recommend the walking cast for international accreditation.

From cultural competence to cross-cultural fluency: a framework for transnational medical education in an era of global health workforce mobility.

BACKGROUND: As medical education increasingly operates across national boundaries through institutional partnerships, offshore campuses, dua … onal and structural barriers inherent in cross-border educational partnerships, including divergent accreditation standards, regulatory misalignment, and institutional power asymmetries. The second tier focuses on pedagogical and clinical challenges arising from the multiplication of cultural contexts when faculty from one national setting teach students from a …

Establishing a dedicated laboratory management curriculum for cytopathology fellows: our institutional experience.

INTRODUCTION: The cytopathology laboratory is one of the most highly regulated clinical laboratories. The Accreditation Council for Graduate Medical Education (ACGME) milestones include competencies in laboratory management. Since many cytopathology fellows will be involved in laboratory management after completion of training, it is imperative to incorporate formal laboratory management instruction into their curriculum. MATERIALS AND METHODS: Our cytopathology department implemented a formal laboratory management curriculum in 2021, with emphasis placed on the Milestones (1.0 and 2.0) provi…

Mapping the global neurosurgery workforce. Part 2: Trainee density.

OBJECTIVE: A sustainable neurosurgery workforce depends on robust training pipelines, but the size and distribution of the global neurosurgery trainee workforce has not been described. The objective of this study was to identify the types of training programs that exist in the global neurosurgery workforce, the support that trainees receive, the diversity of trainee experiences, and the accreditation processes that exist to regulate training programs. METHODS: This study was a subanalysis of a cross-sectional survey administered online in all 193 countries and 26 territories, independent stat…

Incomplete recording of Indigenous identification status under-estimates the prevalence of Indigenous population attending Australian general practices: a cross sectional study.

BACKGROUND: Australian Aboriginal and Torres Strait Islander (Indigenous) peoples face major health disadvantage across many conditions. Recording of patients' Indigenous status in general practice records supports equitable delivery of effective clinical services. National policy and accreditation standards mandate recording of Indigenous status in patient records, however for a large proportion of general practice patient records it remains incomplete. We assessed the completeness of Indigenous status in general practice patient records, and compared the patient self-reported Indigenous stat…

Evaluation of the Quality of Printed Online Education Materials in Cosmetic Facial Plastic Surgery.

Importance: In the modern-day health care environment, it is expected that a large proportion of patients will utilize the Internet to gather health care-related information. However, online sources are often not subjected to adequate quality control measures. Objective: To evaluate the quality of printed online education materials (POEMs) pertaining to elective facial cosmetic surgery. Design, Setting, and Participants: This is a descriptive correlational study. Independent Internet searches for the terms "rhinoplasty," "rhytidectomy," "blepharoplasty," and "browlift" were carried out using t

Problems associated with the microbiological control of the breast milk from hospital milk bank units.

The microbiological tests on breast milk performed when samples of pasteurized breast milk are added to hospital milk banks are covered by French regulations dating from December 3rd 2007. They involve counts of the aerobic total flora and of Staphylococcus aureus in a sample of milk before pasteurization, and culture after pasteurization to check that the treated milk is sterile. The regulations specify the nature of the agar plates to be used, together with the conditions for plating and incubation, but they lack detail in other areas. We developed a quality assurance system, modified our pr

The Royal College experience and plans for the maintenance of certification program.

The Royal College of Physicians and Surgeons of Canada, in 2001, implemented a mandatory maintenance of certification (MOC) program that is required for fellows to maintain membership and fellowship. Participation in the MOC program is one of the recognized pathways approved by provincial medical regulatory authorities in Canada by which specialists can demonstrate their commitment to continued competent performance in practice. This article traces the historical beginnings of the MOC program, highlighting the educational foundation and scientific evidence that influenced its philosophy, goals

A study comparing characteristics of nurse anesthesia programs with the success rate on the certification examination.

This study was conducted to determine if a relationship exists between various characteristics of nurse anesthesia schools and their success rate on the national certification examination (NCE). Independent variables included the number of students per class, number of clinical rotation sites, program length, type of degree or certificate granted, program structure, and date of graduation. Data were collected by a questionnaire mailed to all anesthesia schools in the country. Statistical analysis of the data was by Pearson's Product Moment Correlation Coefficient and analysis of variance. No s

Essentials of Pediatric Emergency Medicine Fellowship: Clinical Updates From the Past Decade.

Ten years ago, a comprehensive series of articles was published in Pediatric Emergency Care detailing the state of pediatric emergency medicine (PEM) fellowship education. We intend to provide an update to the clinical elements of fellowship training, with a companion article to follow that will address the nonclinical domains. This article will summarize the core components of fellowship as mandated by the Accreditation Council for Graduate Medical Education (ACGME) and review significant changes and challenges to fellowship education that have occurred over the past decade. In light of upcom…

Global Sensitivity Analysis for Robust XAI: Quantifying Clinical Risk and Prediction Instability in Dermoscopic Image Classification.

The high nominal accuracy achieved by deep learning models in predicting malignant skin lesions is frequently undermined by their susceptibi … ed assessment. This approach is essential for establishing the level of confidence required for the accreditation and safe clinical deployment of AI-based diagnostic systems.