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[Does education influence the results of the Amsterdam Dementia-Screening Test (ADS)?].

The goal of this study was to explore the correlation between education and the results of five dementia screening tests. In a study of 551 consecutively enrolled psychogeriatric day care attendants individual differences in education explained only very small portions of variance (< or = 0.63%) in four tests (visual recognition memory, orientation, category fluency and alternating sequences) of the Amsterdam Dementia Screening Test, a standard neuropsychological battery. The only exception was graphical copying of two- or three-dimensional geometric designs, where education explained 6.25% of the variance in copying accuracy. The more education participants had (from incomplete or complete primary education, through extended primary education, lower technical and vocational training, and secondary to higher education), the better their copying performance was. There was however one exception, in that participants with secondary education copied designs significantly less accurately than participants with lower technical and vocational training. Differences in copying accuracy of subjects with higher versus lower educational attainment were largest for participants matched for high levels of cognitive function. More severe cognitive impairment attenuated education effects. Higher education did not protect against decline of copying performance as a consequence of increasing cognitive impairment. For each of three educational levels, premorbid copying performance was estimated by constructing a regression equation using an independent measure of cognitive functioning (in terms of visual recognition memory, orientation and category fluency) as the predictor variable. The results support the clinical utility of controlling for educational level when interpreting individual copying performance.

Aged↗

Training experiences immediately after medical school.

Trainees in all teaching hospitals in New South Wales were surveyed using a self-completion, postal questionnaire to assess perceptions of the quality and extent of training received for interactional and technical skills. The response rate was 67.1%. Mean age was 25.4 years and 38.8% were female. Overall, training was found to be generally poor in terms of time and educational strategies used. Interactional skills were found to receive lower levels of training than technical skills both prior to and during the intern year with significantly fewer (P < 0.000) educational strategies reported for training received in interactional skills than for technical skills. Trainees' perceptions of the adequacy of training was significantly more negative for interactional than technical skills (P < 0.001). Assessment of competence was also significantly lower for interactional than technical skills (P < 0.001). On average, fewer than one in three trainees considered themselves to be competent in interactional skills compared to two-thirds who reported themselves as competent for technical skills. The findings of this study highlight the need for improved efforts with regard to both the quality and quantity of training provided during the intern year. Considerable scope exists for improved educational experiences for both interactional and technical skill areas, but particularly for interactional skills. Overall, greater use of a range of basic educational strategies such as the provision of 'observation' and 'critical feedback' is indicated. Efforts also need to be directed toward the training of clinical educators to optimize the potential of the preregistration period.

Adult↗

The graduate technical assistance program: an alternative to traditional training for health administration students.

This paper presents a discussion of current modes of field training for graduate students in health services administration and details the educational goals and structural elements of the Graduate Technical Assistance Program (GTAP) at Arizona State University. The program's unique features include an emphasis on provider defined problems and projects, timely response to these problems by students, and the involvement of students, throughout their training, in consultant relationships with providers. The program also places the student in a new set of collaborative relationships with program faculty. The profiles of the 21 organizations requesting technical assistance, the skills required for project completion, and the range of projects are detailed.

Arizona↗

Real-world scenarios help improve selection of radiology employees.

Choosing the right candidate through the interview process is critical, particularly in light of rapidly changing skills in various technologies. The authors have changed the interviewing process at Jeanes Hospital in Philadelphia in order to examine and evaluate multiple objectives simultaneously. To do this, they created an instrument that elicits impromptu responses to real-world radiology situations. Such responses help assess a potential candidate's training, emotional strength, technical experience and growth potential. They also determine how much additional training the potential candidate will need to be effective in the department. Using the instrument helps sharpen the assessment of candidate traits such as face-to-face communication skills and response time. The impact on hiring is positive. Quality staff, improved patient care and improved patient safety are only some of the results. Many of the questions included on the instrument come from past problem situations and help the interviewers to determine whether a candidate understands underlying issues and the seriousness of situations. The goal is to ensure that patient care and productivity are not hampered by unusual situations. When a concrete difference is detected between a candidate's response and the department's needs, it is possible to assess the cost-effectiveness of training for the discrepancy. For entry-level candidates, the question is whether the person is trainable. Consistently using this interview document forces hiring managers to identify specific abilities, traits and experience desirable in the workplace.

Humans↗

An OR nurse internship program that focuses on retention.

Today's health care environment has pushed OR managers to reconsider the skill mix of staff members and to use more surgical technologists and unlicensed assistive personnel, Health care administrators want to decrease the RN: surgical technologist ratio in an effort to cut costs. This financial constraint and the unavailability of experienced OR nurses has created the problem of having enough trained nurses in the OR. One tactic that may prevent the available positions for RNs from being filled by unlicensed assistive personnel is to train more nurses. Training programs organized around optimal patient outcomes may be more cost-effective than training focused on technical proficiency alone. This article describes retention strategies (ie, classroom study, OR training, work with preceptors) used in an OR nurse training program conducted at a southeastern teaching hospital.

Hospitals, Teaching↗

The role of human patient simulators in health-care training.

The use of human patient simulators in UK health-care training is increasing. These devices are educational tools for imparting knowledge, teaching technical skills, drill training and human factors training for single or multidisciplinary groups. This article explores some of the ways in which they are used, illustrated with examples of simulation training at Barts and the London Medical Simulation Centre.

Clinical Competence↗

[The training of public school cafeteria staff: an analysis of the instructional material developed by Instituto de Nutrição Annes Dias - Rio de Janeiro (1956-1994)].

The present study aims at analyzing educational approaches in the training of public school cafeteria staff members from 1956 to 1994 through the study 17 instructions brochures developed by Instituto de Nutrição Annes Dias in the municipality of Rio de Janeiro. The analysis of the documents has considered two periods: the first one, from 1956 to 1971, is characterized by the foundation of the institute and its first training activities; the second period goes from 1972 to 1994, which is characterized by the consolidation of the institute's organizational structure and the presence of educational concepts in its training activities. Training focused on technical aspects and recurrently alluded to hygiene and organization. Discussions on the training of school cafeteria staff members should define what kind of workers is expected before defining what skills and abilities they are expected to develop.

Academies and Institutes↗

Hiring pharmacists and technical personnel: Part 3: Orientation and training.

Training new employees is an important and necessary component of the creation of a team to provide pharmacy services. A structured, focused review of application materials, a tailored training program planned in advance, and the use of multiple trainers can lead to an effective training program and a satisfied, productive new employee. The planned training program leads to a consistent approach to physician, nurse, and patient customers and sets expectations for skills, interaction, behavior, and quality that are the basis of a long-term relationship. Employees may continue this training process over the entire course of their career. A well-designed training program will also provide portable skills and meet the goals and needs of the employee as well.

Curriculum↗

Maintaining technical quality of care in the introduction of Cyclofem in a national family planning program: findings from Indonesia.

This paper discusses the technical dimensions of "quality of care" in contraceptive service delivery in both the Cyclofem Introductory Trial, as well as in routine service delivery of other injectables in Indonesia. Although the quality of care in the Cyclofem trial was generally acceptable, substantial weaknesses in screening, clinical technique, the management of side-effects, and knowledge concerning re-injection time frames were identified in the provision of injectable contraceptives in routine service delivery. The findings suggest that in order for Cyclofem and other injectables to be delivered in the routine program with an adequate standard of care, considerable managerial adaptation and strengthening of providers' technical capabilities would be necessary prior to actual introduction. This would include providing training and updated technical guidelines concerning both Cyclofem and other contraceptives to providers, with an emphasis on technical issues including contraceptive indications and contraindications, re-injection time frames, maintenance of asepsis and the management of side-effects. Strengthening the existing management information system and logistics systems to facilitate differentiation between injectable contraceptives provided by the program so as to ensure sufficient supplies of both contraceptives and associated materials such as needles and syringes will also be necessary.

Contraceptive Agents, Female↗