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Neural mechanisms involved in the control of the eye-head-neck co-ordinated movement: a review of literature with an emphasis on future directions for the chiropractic profession.

Pathways for visual (sensory) information into the CNS are explained. The hypothesized areas where this sensory information begins to initiate the motor program include the periarcuate area, superior colliculus, and the areas of the motor program such as the Cortex, superior colliculus and reticular formation, along with the control exerted on the systems via the cerebellum and vestibular nuclei. The information demonstrates that the co-ordinated movements of eye-head-neck towards a goal, involves a number of parallel independently active neural centres which initiate the movements. However, there is continuous monitoring of these separate pathways by areas of the CNS in order to achieve that salient feature of the CNS, co-ordinated motion. A method of assessing the system, which will provide valuable information for the clinician and will be a rewarding area of research for the chiropractic profession is herein described.

Animals↗

Constructing the cost of health professions education.

Pressures at the national, state, and institutional levels are forcing health professions education administrators to justify their budget requests. Because unit cost studies traditionally used by higher education have proved unsatisfactory, program constructed cost models have been developed. The advantages of the model for administrators lie in the fact that any input unit of the model can be adjusted and the effects of that adjustment can be measured against the cost per student. In times of budget restrictions, these adjustments permit administrators to model various combinations of student enrollment, faculty involvement, class size, and basic program structure to obtain the optimal education experience from available resources. The model is applied by way of example to all nonbaccalaureate dental hygiene education programs in the United States.

Costs and Cost Analysis↗

An interdisciplinary team approach to development of health professions education.

In this article, the authors provide a practical approach to developing interdisciplinary educational programs for health professions students from different colleges. A three-stage model that enables interdisciplinary teams of faculty members to collaborate during planning and implementing programs is described. These three stages are identifying interdependence, exploring roles and sources of influence, and developing work methods. Common problems occurring during each stage and suggested solution alternatives are cited. The value of this model is the translation of philosophical perspectives into workable methods.

Cooperative Behavior↗

Radiation therapy technology: profile of a profession.

This paper is a descriptive study of radiation therapy technology. Demographic, socioeconomic, and professional data were collected on the basis of questions sent to all registered radiation therapy technologists. In addition, opinions regarding the views on the education and entry level of the profession were solicited. The study was designed to provide baseline data for future study.

Adult↗

Pathways to impact evaluation in continuing education in the health professions.

This article examines evaluation in continuing education (CE) in the health professions as defined as impact on health care provider competence, health care provider performance, or patient health status. A rationale for engaging in impact evaluation is presented. Areas for impact evaluation, sources of impact data, data collection methods, evaluation study design, and data analysis strategies are discussed. A brief literature review of past CE impact studies, three case studies of CE impact evaluations, and three examples of evaluation instruments are presented to help practitioners design effective evaluations in their own health care settings.

Clinical Competence↗

Early outreach: career awareness for health professions.

"Early outreach" may be defined as a long-term, talent-development strategy designed to prepare a well qualified pool of disadvantaged and underrepresented minority applicants for entry into health professions schools, particularly medical schools. The concept of early outreach is to prepare, motivate, and educate talented, economically disadvantaged junior high or secondary school students to gain the necessary academic qualifications to make high school graduation, college attendance, and health careers a reality. In this paper the author defines the problem to which early outreach is addressed and discussed the contextual and historical background of the concept. A number of programs at the Health Sciences Center at the University of Illinois at Chicago designed and implemented to provide a model to achieve the concept of early outreach are described.

Career Choice↗

The impact of employment impasse and its resolution in the allied health professions.

Although conflict within organizations is inevitable, any of its damaging consequences may be minimized or controlled if a consensual process for its rational resolution exists. Since collective bargaining is becoming an increasingly prevalent mechanism for governing the relationships between employees and employers in the allied health professions, knowledge about the various formal conflict resolution mechanisms available is vital. The concept of impasse and its resolution in negotiations and in administration of a labor contract are analyzed. The impact of impasse resolution is summarized, in order to emphasize the interdependent nature of the employment relationship.

Collective Bargaining↗

Student reactions to a community-based experience for health professions education.

Student responses to a community health program in a rural Mexican-American town are presented. Off-campus training was provided for 104 health professions students, during which health evaluations were made of 741 elementary school children. The students reported that the program allowed them to apply clinical skills, that they were more interested in rural practice, and that their reaction to working in teams was overwhelmingly positive. The students reported that teaming offered as advantages greater knowledge and appreciation of other disciplines, more comprehensive patient care, increased knowledge of communication processes, and exposure to relevant clinical skills from other disciplines. Their perceptions of the advantages of teaming varied among the disciplines. The program provided a learning experience for the students and resulted in improved health care for the town.

Attitude of Health Personnel↗

Minority recruitment to the health professions: a matched comparison six-year follow-up.

An experiential program was designed to attract minority students to health careers and to affect the supply and distribution of health manpower in a medically underserved area. A six-year follow-up study of participants and a matched comparison group of nonparticipants indicate the value of the program. Participants were found to by employed in health careers and to achieve long-term career preferences more often than nonparticipants, even though they experienced slightly more obstacles to career attainment. Although more of the participants appeared to remain in the underserved area to practice their health profession, respondents from both groups who had achieved a health career and who had been educated in the underserved area were more likely to remain in the area to practice. This study is evidence of the value of long-term follow-up evaluation.

Career Choice↗

Wiser than the laws?: the legal accountability of the medical profession.

This Article argues that many seemingly disparate questions in health law are related to the issue of how experts are to be held accountable to non-experts--how the principle that decisions should be made by those most affected is to be reconciled with the principle that decisions should be made by those with experience and training in the area. The basic subject matter of health law comprises a number of relationships between medical professionals, on the one hand, and laymen, on the other. In dealing with the proper allocation of decision-making authority within these relationships, the Article considers the social role of medical profession, the theoretical issues in the accountability of expertise, and the nature of medical expertise. On the basis of this discussion, the Article develops principles that can be applied throughout health law.

Humans↗

[Neurological assessment of the fitness of young people for learning their future profession].

2195 pupils finishing the Grammar School were examined neurologically in view of their future professions. Contraindications were determined related to the type of the future work. The contraindications were found in 34.7% of the young people. Many of them were disqualified from professional training in exposure to neurotoxic substances and physical hazards. The limitations related to future work were referred to those exhibiting symptoms of organic nervous system diseases, considerably intensified nervous irritability, headache and those in whom certain of those symptoms coexisted.

Adolescent↗

[Participation of the Association of Nursing Schools of Ecuador in the development of the profession].

A brief summary is given of the development of nursing in Ecuador, particularly since the introduction of the national nursing policy in 1972. The training course is divided into two parts. The first qualifies the nurse to give comprehensive care to the patient in the areas of mental health, maternal and child health, surgical medicine, community health, and administration--after which she engages in rural practice for one year. The second part involves further studies in the areas mentioned and research by those who wish to go on to the licenciate degree. Also described are the functions of the Association in regard to teaching the nursing service, and the interests of the profession.

Ecuador↗

The predictive ability of the allied health professions admission test.

Multiple regression models are formulated which analyze the usefulness of AHPAT as a predictor of success in allied health programs. The models are estimated by using data from the four baccalaureate programs in the School of Allied Health Professions at the State University of New York at Stony Brook. We attempt to reconcile differences in the usefulness of AHPAT that have been noted in the literature. Estimation results indicate that AHPAT is indeed a useful predictor, but the new explanatory power of the models suggests that other factors need to be considered.

Allied Health Personnel↗

The dilemma of allied health professions credentialing.

The number of allied health professions seeking certification and licensure has increased sharply in recent years, leading to intense debate over the necessity, appropriateness, and possible effects of widespread issuing of credentials.

Credentialing↗

[Violence--an element of the psychiatric profession].

In an article on principles it is shown that violence plays a significant part in psychiatry: The patients bring violence into the psychiatric institution as a symptom as well as an origin of their disorders. The institution itself can again not be free of structural violence. Add to this a resonance in the personal aggressive emotions of the professionals. In this way violence becomes an element of the psychiatric profession. In the centre of this appears the specific competence of the psychiatrist to judge about the ability of judgement ("reality-control") of other people in an authoritarian manner. This competence which cannot be eliminated from the psychiatric work gives power and has a latent totalitarian aspect. Thus taking over the responsibility to limit the violence that is set free through psychic disorders we have to limit this responsibility in the same time.

Adolescent↗

[The ideal physician: medical students' image of the profession].

OBJECTIVE: To investigate the view medical students have of the medical profession. DESIGN: Cross sectional study of year cohorts, Utrecht. METHOD: The attitudes of 445 medical students towards the 'ideal physician' were studied. It is often assumed that medical students' attitudes change to a less care-oriented direction as they proceed in their education. It is also assumed that female students' attitudes are more care-oriented than male students' attitudes. Traits of the ideal physician were described in a scale of 18 care-versus cure oriented items. Validity and reliability of the measuring instrument were sufficient. The scores of pre-clinical and clinical, male and female students were obtained. RESULTS: Contrary to expectation, ideals of clinical students. In were more care-oriented than ideals of beginning students. In general, students' ideals were neutral to slightly care-oriented. As was expected, female students' ideals were more care-oriented than male students' ideals. CONCLUSION: Medical students did not lose their slightly care-oriented ideals as they progressed. Female students held more care-oriented attitudes than their male colleagues.

Adult↗

Clinical supervision for an accountable profession.

Clinical supervision has been mooted as the answer to the many challenges nurses will face in the future. In this paper, the author offers a definition of what clinical supervision is and what it will mean to the profession. She argues that nurses need to embrace the concept if they are to deliver good quality care, and outlines the central aims of clinical supervision as safeguarding standards of nursing care, developing professional expertise and delivery of quality care.

Humans↗