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PubMed2005

[Influence of personality and learning styles in the choice of medical specialty].

BACKGROUND: Several studies indicate that doctors who work in the same area of the medical profession tend to behave somehow similarly. Thus, it has been suggested that personality relates to the medical specialty choice. However, it is not known whether people self-select into the medical specialties according to their personality or the professional practice in a particular field influences their behavior. AIM: To explore the possible association between the graduate's personality features and learning styles and their chosen specialty. SUBJECTS AND METHODS: The psychological preferences and learning styles of 65 students of the 2001-graduating cohort of the Pontificia Universidad Católica de Chile School of Medicine were evaluated with the Myers Briggs Type Indicator and the Kolb Learning Style Inventory, respectively. These variables were correlated with the information of their specialty choice or occupation two years after graduation. RESULTS: Graduates distributed unevenly in different areas of the medical profession. Surgical specialties concentrated a larger proportion of extraverted, intuitive and structured doctors, whereas in Pediatrics and Internal Medicine predominated intuitive and people-oriented MD's. Primary Care concentrated individuals with introverted, intuitive and flexible attitudes. Convergent learners (interested in problem-solving) preferred Surgery and Primary Care whereas Assimilator learners (abstract-reflexive) chose more frequently Internal Medicine, Pediatrics and Psychiatry. CONCLUSIONS: According to their personality and learning style, graduates tend to self-select into different medical specialties. This information may help medical graduates to guide their specialty choice process, and medical educators to develop learning experiences that take into account the individual differences of their residents.

Adult↗
PubMed1997

Moral tensions and obligations of occupational therapy practitioners providing home care.

Home care has been valued as a relevant context for the provision of occupational therapy since the inception of the field. The setting provides rich opportunities to restore meaningfulness in living for clients whose lives have been disrupted by illness or untoward events. Additionally the home care setting allows practitioners to exercise professional commitments and to meet ethical obligations congruent with the field of occupational therapy. Nevertheless, the home care arena is not exempt from the pressures that pervade the health care industry. To thrive in the provision of home care, occupational therapy practitioners must prepare themselves to deal with the philosophic, economic, and moral challenges inherent in the setting. This article explores the moral obligations of occupational therapy practitioners who provide home care. More specifically, it addresses obligations to self, to patients, to caregivers, to society, to the profession, to fellow health care providers, and to agencies and payers. Ethical principles associated with each are highlighted, and issues are raised. Home care practitioners who are attuned to the moral commitments imbedded in occupational therapy philosophy will most likely incorporate these tenets into their clinical decisions.

Ethics, Professional↗
PubMed1998

Shared goals, shared learning: evaluation of a multiprofessional course for undergraduate students.

Twenty-eight undergraduate degree students from seven health care professions attended a two-day pilot course. Using small multiprofessional groups, final-year students from occupational therapy, orthoptics, therapy radiography, nursing, physiotherapy, medicine and dentistry explored professional roles and clinical problem-solving using a theme-based approach. A balance of didactic and interactive small-group learning enabled them to identify issues surrounding multiprofessional teamworking and collaboration in the National Health Service. Evaluation results showed that the course increased knowledge and understanding of other health care professions, developed more positive attitudes and demonstrated the importance of multiprofessional teamwork and communication. Participating students believed that both early and regular opportunities for shared learning should be essential aspects of undergraduate courses.

Adult↗
PubMed2006

[Labour, silence and order: visualizing modern psychiatry--strategies for legitimizing Swiss asylum psychiatry in the context of occupational therapy in the interwar period].

In the 1930s Swiss psychiatrists were engaged in a singular public campaign to promote a new image of their profession. The result of this campaign was a series of booklets about psychiatric institutions. These asylum-monographs, as they were called, encompassed a large number of photographic illustrations, most of which showed patients at work. Taking the visual omnipresence of patients' work in the asylum-monographs as a starting point, this contribution examines the status of occupational therapy in psychiatric discourse and practice in Switzerland at the beginning of the 1930s. The first part of the contribution describes and outlines the development of patients' work in several psychiatric institutions after World War I. Then it turns to the discussion about the introduction of a new and more active form of occupational therapy ("aktivere Therapie") in this period. The second part of the contribution analyzes the meanings of therapeutic work in psychiatric discourse. It shows that the enthusiasm occupational therapy produced among Swiss psychiatrists was mainly due to its ability to change the visual appearance of the asylums. Furthermore it points to several traits of Eugen Bleuler's concept of schizophrenia, especially the assumption of different ranks of primary and secondary symptoms and the notion of autism, which were both crucial to the contemporary understanding and handling of occupational therapy. Finally, it argues that a medical interpretation of patients' work, which identified therapy with working discipline, was a necessary precondition for the omnipresence of patients' work in Swiss psychiatry's public campaign in the 1930s.

History, 20th Century↗
PubMed2003

Perceived physical demands and reported musculoskeletal problems in registered nurses.

BACKGROUND: Nursing is physically demanding, and nurses have higher rates of musculoskeletal disorders (MSDs) than most other occupational groups. The physical demands of nursing may lead some nurses to leave the profession, contributing to the shortage of registered nurses in many workplaces that is a major concern today. As a first step toward reducing MSDs and their consequences, this study was designed to examine the relationship between perceived physical demands and reported neck, shoulder, and back MSDs in nurses. METHODS: Data were collected anonymously from 1163 randomly selected working nurses (74% response rate) using a cross-sectional survey. The 12-item survey scale (internal reliability coefficient=0.89), rated perceived physical demands such as force, awkward postures, and heavy lifting. Nurses with a presumed MSD case reported relevant past-year symptoms in the neck, shoulder, and/or back lasting >or=1 weeks, or at least monthly, with moderate or more pain, on average. RESULTS: Moderate and high perceived physical demands were significantly associated with reported neck, shoulder, and back MSD cases, even after adjustments for demographic and lifestyle-related covariates. Adjusted odds ratios for highly demanding work (vs low) ranged from 4.98 to 6.13 depending on body site. When analyses were restricted to staff nurses only, the odds ranged from 9.05 to 11.99. CONCLUSIONS: Perceived physical demands are associated with reported MSD in registered nurses, and the association is stronger in staff nurses.

Back↗
PubMed1985

The nature of explanation in qualitative evaluation.

In recent years evaluation has mushroomed dramatically as a discipline. A number of evaluation "models" or approaches have been conceived, and varieties of social science methods have been employed serving several evaluative purposes. Missing from the health profession's literature on evaluation is a discussion of the underlying explanatory purposes of evaluative inquiry. It can be argued that systematic accounts of a logical inquiry (evaluation) are inextricably bound to particular views or accounts of the logic of explanation. In this article those accounts of explanation that pertain to conventional and qualitative evaluation are reviewed and compared. The article describes what one has "bought off on" when applying the explanatory rationale underlying qualitative evaluation approaches. Problems and possibilities are described for the practice of qualitative evaluation in the health professions.

Evaluation Studies as Topic↗
PubMed1995

Multiple mentoring relationships facilitate learning during fieldwork.

Fieldwork provides a means by which students are socialized into their profession and their careers. During Level I and Level II fieldwork, students acquire and apply the knowledge, skills, and attitudes that will enable them to achieve entry-level competence The experiences that students have during Level II fieldwork influence their subsequent career choices. To support these experiences, students form a variety of helping relationships with faculty members, clinicians, peers, family, and friends. This article examines the role and responsibilities of the student as protégé and of the clinical educator as information peer, collegial peer, special peer, and mentor. In light of the challenges faced by most clinicians secondary to health care reform, an alternative to the one-to-one supervision model is presented. The multiple mentoring model of fieldwork supervision has several advantages: (a) fieldwork educators work with students according to their strengths and interests; (b) the model promotes collegiality and clinical reasoning skills because students use each other as resources and observe different fieldwork educators approaching similar situations; and (c) the model allows a fieldwork site to accept more students at one time, while minimizing stress on any one fieldwork educator. A framework defining the functions of the mentor-protégé relationship is provided, with an emphasis on the effect that clinical educators have in their roles as mentors, guides, role models, and teachers who provide opportunities for the student to develop entry-level competency in a chosen profession.

Humans↗
PubMed1998

Continuing competence in the health professions.

The health professions are confronted with external pressures to assure the public of the continuing competence of health care providers and internal pressures for self-regulation. This article describes the forces driving continuing competence, the difficulty defining the scope of professional competencies for experienced practitioners, the difficulty creating valid measures to evaluate continuing competence, and the need for shared responsibility and collaboration among regulatory boards, professional associations, and specialty certification programs. The article presents findings from the Study of Professions, which was based on literature review, document review, and telephone interviews with key informants from 13 regulated health professions.

Certification↗
PubMed1980

Has the time come to form the IIHA--the International Industrial Hygiene Association?

The possible need for and the value of an international organization in industrial hygiene is discussed. Such an organization could improve programs for the protection of employee health around the world, promote the exchange of industrial health related information and technologies, improve health related legislation and foster an understanding of industrial hygiene and its capabilities in areas where the profession is not known.

Environmental Health↗
PubMed1977

Survey of need for industrial hygienists.

Grass roots surveys of the need for industrial hygienists, areas of specialization, and related subjects can fill a real void in currently available information. AIHA local sections and other professional groups may wish to conduct regional studies similar to the one described here. A pooling of results by reporting to their national organizations would be beneficial to all in the profession.

Allied Health Personnel↗
PubMedDate not supplied

The development and state of health and safety in the workplace in west Africa: perspectives from Nigeria.

Occupational health practice originated in Europe following the systematic work of Bernadino Ramazzini in Italy at the turn of the 17th century. It grew mostly under the notion of Industrial health, concentrating on the chemical, mechanical and social conditions of labourers as well as the work of the arts and trades, until the work of Charles Turner Thackrah in Britain broadened its understanding to include the professions and certain civic ways of living. In West Africa, as in most of the developing world, occupational health and safety practice came to us mostly as side products of the colonial company health work, in their attempt to fulfil the requirements of their national health laws to their citizens here. The first organised effort to boost occupational health and practice for the Africans among the Africans, and involving mainly Africans, came in the 1960s with the first African Conference on Occupational health in Africa in Lagos in 1968. This process has gone on now, albeit rather slowly, until the citing of a Chair of Occupational health at the University of Ibadan by the Society of Occupational Health Physicians of Nigeria in the 1992/93 academic year. The health and safety in industries in Nigeria have however not been in anyway adequate from studies in that area, especially among the indigenous small and medium sized companies. This paper reviews these developments and proposes some suggestions on how to improve on the speed and accuracy of these developments, specifically in Nigeria; and by extrapolation, for the West Africa sub-region as well.

Developing Countries↗
PubMed1998

Occupational allergy caused by flowers.

We describe 14 consecutive patients with complaints due to the handling of flowers. The symptoms varied from allergic rhinoconjunctivitis and asthma to urticaria. Most patients had professions in the flower industry. Skin prick tests (SPT) were performed with home-made pollen extracts from 17 different flowers known to be the most commonly grown and sold in The Netherlands RAST against mugwort, chrysanthemum, and solidago was performed. The diagnosis of atopy against flowers was based on work-related symptoms due to the handling of flowers, positive SPT with flower extracts, and positive RAST. The concordance between SPT and case history was 74%, and that between SPT and RAST was 77% Extensive cross-sensitization was seen to pollen of several members of the Compositae family (e.g., Matricaria, chrysanthemum, solidago) and to pollen of the Amaryllidaceae family (Alstroemeria and Narcissus). Homemade flower extracts can be used to confirm IgE-mediated flower allergy. Mugwort can be used as a screening test for possible flower allergy. For most patients, the allergy led to a change of profession.

Adult↗
PubMed1987

[The role of the self-consciousness of schizophrenic patients in the socio-vocational readaptation].

Using clinical and special medico-psychological methods, the authors studied 154 patients with schizophrenia with different rates of the disease progression and at different stages of the disease. The authors studied the condition of the patients' self-consciousness in relation to the possibilities of their social and occupational readaptation. It has been established that the working ability of patients depends on a number of factors, including their profession and working conditions, the influence of the family, the degree of progression of the schizophrenic process and the severity of negative symptoms. At the same time the level of patients' self-consciousness exerts a considerable influence on their social and occupational readaptation which should be taken into account in developing rehabilitative measures and in the course of expert medical examination of working capacity in such patients.

Adolescent↗
PubMed2005

The association between a genetic polymorphism of coproporphyrinogen oxidase, dental mercury exposure and neurobehavioral response in humans.

We previously described a polymorphism in exon 4 of the gene encoding the heme biosynthetic pathway enzyme, coproporphyrinogen oxidase (CPOX4), which significantly modifies the effect of mercury exposure on urinary porphyrin excretion in humans. Here, we examined potential consequences of this polymorphism ("CPOX4") on performance within neurobehavioral domains, symptoms, and mood that are known to be affected by elemental mercury (Hg degrees ) exposure in human subjects. A behavioral test battery was administered on the day of urine and buccal cell collections for 194 male dentists (DDs) and 233 female dental assistants (DAs) occupationally exposed to Hg degrees for an average of 19 and 10 years, respectively. Subjects had no history of health disorders and were employed for a minimum of 5 years in the dental profession. Respective mean urinary mercury (HgU) levels in DDs and DAs were 3.32 (4.87) microg/l and 1.98 (2.29) microg/l. Corresponding indices of chronic occupational Hg degrees exposure, weighted for historical exposure, were 27.1 (20.6) and 15.2 (12.3). The frequencies of the homogygous common (A/A), heterozygous (A/C), and homozygous polymorphic (C/C) genotypes were 75%, 23% and 2% for DDs and 73%, 25%, and 2% for DAs, respectively. DDs and DAs were evaluated separately. Regression analyses controlled for age, premorbid intelligence, alcohol consumption, and education. Statistically significant associations with HgU (p<0.05) were found for nine measures among DDs (BEES Digit SpanForward and Backward, WMS-R Visual ReproductionN Correct, BEES Symbol DigitRate, BEES Finger TappingDom/Non-dom, and Alternate Partialed, Hand SteadinessFactor1, and BEES Tracking), and eight measures among DAs (BEES Digit SpanForward, BEES Symbol DigitRate, BEES Pattern Discrimination Rate, BEES Trailmaking B, BEES Finger TappingDom/Non-dom, and Alternate Partialed, Hand SteadinessFactor1, and Vibration SensitivityHits). CPOX4 status was associated with four measures in DDs (BEES Spatial SpanForward, BEES Pattern MemoryN Correct, BEES Symbol DigitRate, and BEES VigilanceHit) and five measures in DAs (BEES Digit SpanForward, WMS-R Visual ReproductionsN Correct, BEES Symbol DigitRate, BEES Simple and Choice Reaction TimeMove. Both groups experienced an additive effect (no interaction term) for HgU and the CPOX4 polymorphisms on the DigitRate whereas DAs also had additive effects for BEES Digit SpanForward and for Beck's Depression factor 'Worthlessness'. These exploratory findings suggest that the CPOX4 polymorphism may affect susceptibility for specific neurobehavioral functions associated with mercury exposure in human subjects.

Adult↗
PubMed1986

Theories of motivation in occupational therapy: an overview.

The motivational theories behind five theoretical approaches in occupational therapy that claim to be generic are explained. With the exception of the occupational behavior approach, the motivational perspectives are only implied features of the following other occupational therapy approaches discussed: object relations analysis, action consequence approach, recapitulation of ontogenesis, and developmental facilitation. These motivational explanations are developed and then applied to a case example. Finally, the occupational therapy approaches are analyzed in terms of the viability of their motivational perspectives to determine their adequacy as generic approaches for the profession.

Adult↗
PubMed1997

Occupational hazards of dentistry. A review of literature from 1990.

A brief survey of the scientific and clinical literature (1990-present) on occupational hazards in dentistry is presented. The hazards identified are associated with chemical and biological agents. Yet, dentistry is a relatively safe profession. Other adverse health risks arise as new technologies and materials are developed. However, once identified and recognized as a risk, new guidelines, precautions and protocols are rapidly instituted to greatly reduce or even eliminate the occupational hazard.

Anesthetics, Inhalation↗
PubMed1990

Occupational considerations for the prehospital care provider.

Contemporary prehospital personnel are facing the major issues of infectious disease exposure, malpractice, attrition, and career opportunities in their challenging and demanding profession. Successful prehospital emergency medicine is contingent not only on the effective and efficient functioning of the entire EMS system, but most important, on the sound performance of each prehospital care provider. For the emergency physician, awareness, understanding, and appreciation of the important occupational considerations confronting prehospital care providers are essential.

Burnout, Professional↗
PubMed1996

Managed care: opportunities and challenges for occupational therapy in the emerging systems of the 21st century.

Overall, occupational therapy seems reasonably well situated to prosper in a cost-conscious environment of the future. But the profession's standing in the next century will depend on its ability to build on its strengths and assist in cost containment by avoiding unnecessary or duplicative services and by fostering versatility through the education of generalists. Above all, the profession must recognize that patients will measure quality in terms of results and satisfaction related to the impact of their health on their everyday lives.

Cost Control↗