Issues in medical ethics. Understanding professionalism and its implications for medical education. Proceedings of a conference. New York City, New York, USA. November 3, 2000.
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1. In Korea, occupational health nurses have been working as health managers at the workplace and as part of a hospital based group occupational health service since 1991. The role of occupational health manager, required by law, includes providing preventive and primary care, safety management, and inspection of the work environment. 2. Recently, occupational health nursing practice-based lecture has increased, and more emphasis has been placed on the process of occupational health nursing in both undergraduate and graduate programs. 3. The Korean Association of Occupational Health Nurses and the Korean Academic Society of Occupational Health Nursing have been working to develop professional competence for occupational health nurses since 1991. 4. Until the mid 1990s, occupational health nursing research focused primarily on role and job satisfaction of occupational health nurses. However, the number of research studies has dramatically increased and, gradually, survey studies have been replaced by studies with experimental design.
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Standards of care and professional performance are the backbone of dermatology nursing practice as well as the basis for professional growth and development. The goal of developing Dermatology Nursing Standards of Clinical Nursing Practice is to gain formal recognition for the practice of dermatology nursing.
Clinical and ancillary staff need and welcome the opportunity to be involved in healthcare financial management. To provide them with the financial tools they need, a group of clinical and nonclinical professionals identified the key components of a curriculum that addressed financial, managerial, and cost accounting, along with training objectives that include understanding cost allocation, trend analysis, and variance analysis.
Riven by ideology, religion, and mistrust, the world seems more fragmented than at any time since, arguably, World War II. But however deep the political divisions, business operations continue to span the globe, and executives still have to figure out how to run them efficiently and well. In "What Is a Global Manager?" (first published in September-October 1992), business professors Christopher Bartlett and Sumantra Ghoshal lay out a model for a management structure that balances the local, regional, and global demands placed on companies operating across the world's many borders. In the volatile world of transnational corporations, there is no such thing as a "universal" global manager, the authors say. Rather, there are three groups of specialists: business managers, country managers, and functional managers. And there are the top executives at corporate headquarters who manage the complex interactions between the three--and can identify and develop the talented executives a successful transnational requires. This kind of organizational structure characterizes a transnational rather than an old-line multinational, international, or global company. Transnationals integrate assets, resources, and diverse people in operating units around the world. Through a flexible management process, in which business, country, and functional managers form a triad of different perspectives that balance one another, transnational companies can build three strategic capabilities: global-scale efficiency and competitiveness; national-level responsiveness and flexibility; and cross-market capacity to leverage learning on a worldwide basis. Through a close look at the successful careers of Leif Johansson of Electrolux, Howard Gottlieb of NEC, and Wahib Zaki of Procter & Gamble, the authors illustrate the skills that each managerial specialist requires.
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The German Agency for Quality in Medicine (AQuMed) and the Network for Evidence-based Medicine (EbM) have recently published the draft of an EbM Curriculum for continuing medical education. This standardised concept might lead to an improvement of the quality of EbM courses for physicians. Critical appraisal of the curriculum from a didactic point of view reveals both a substantial lack of teaching methods and teaching aids, and a lack of appropriate tools for the evaluation of the actual increase in professional competence. This includes specialised subject knowledge, methodological considerations as well as highly developed communication and social skills. We recommend incorporation of these components into the curriculum design to facilitate its successful implementation.
The purpose of this work was to assess the level of cardiological knowledge in a population of recently graduated physicians and to compare the examination results with pregraduation experiences. The results of the residency entrance examinations of 230 physicians from different universities were analyzed (Table 1). The examination consisted of 70 questions (69 by multiple choice and 1 of professional competence). The cardiovascular area was explored through 28 questions including basic and clinical subjects (Fig. 1). A qualitative and quantitative analysis of the examination was made based on difficulty and discrimination levels (Annex 1-2). A danger level was established when the answer involved a potential risk of death for the patient. Thirty percent of applicants passed the exam (60% of correct answers). Informative questions were easier than those of application and interpretation. A greater difficulty was evidenced with respect to questions in the clinical area (Fig. 3). A higher performance was noted in men, graduates from the University of Buenos Aires and those applicants with assistance and teaching experience. A remarkable positive correlation between average marks during the students career and the level of marks obtained in this exam (Fig. 2) was noted. Twenty-six percent of the physicians who failed gave potentially dangerous answers (Fig. 4). The examination results give us the opportunity to obtain information regarding features of university education.
The Kennedy Space Center (KSC) has been the premier launch and landing site for America's space program since the early 1960s. Visitors are cognizant of space vehicles, processing facilities and launch pads which are treasured national resources. However, most are unaware of the unique organization which supports launch and landing activities and manages the center's occupational medicine, environmental health, ecological and environmental monitoring functions, as well as human and plant research programs. Management of this multifaceted organization can be complex because funding its different functions comes from a number of sources. Additionally the diverse disciplines of personnel present a special challenge in maintaining professional competencies while assuring efficiency in cyclical operations. This article explains the organization's structure and reviews some of its accomplishments.
A continuing education project for registered nurses in a state psychiatric hospital was implemented collaboratively by a nurse administrator and two nurse consultants. This program sought to enhance the nurses' knowledge of psychiatric-mental health nursing practice and prepare them to take the American Nurses Association certification examination for psychiatric-mental health nursing. The project was based on the premise that the nursing departments that offer educational services for their nurses foster professional competency and maintain current standards of nursing care. Twenty-one registered nurses volunteered for and completed the 16-week program. Improvements in their knowledge base were evidenced by mean test scores. A t-test analysis indicated a significant difference. The pretest mean score was 70.2%, the posttest mean score 79.4%. Mean scores varied with the education level of the nurses.
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It is vital to the continued independence of optometry for its practitioners to exude professionalism. Professional principals, attitudes and ethics must be incorporated into the curriculum of optometric education at the earliest possible time and be reinforced by lesson and example throughout the educational experience.