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PubMedDate not supplied

Supervision and boundaries in a combined family practice and psychiatry residency training program: the National Capital Consortium experience.

OBJECTIVES: The combined discipline of family practice and psychiatry was created in 1995. There are no established guidelines for 1) teaching residents how to integrate these two specialties, 2) providing appropriate supervision, and 3) helping residents develop personal and professional boundaries. The authors share their approach and aim to stimulate dialogue and promote the establishment of standards for combined programs. METHOD: The authors review some of the difficulties encountered in supervising family practice-psychiatry residents and the rationale for their approach. RESULTS: Providing residents with clear boundaries of practice and supervision that initially separate the two specialties during training facilitates the development of specialty knowledge and skills as well as the capacity to form clear boundaries. CONCLUSION: Our experience suggests that only when residents learn the appropriate practice and boundaries of each specialty can they successfully integrate the two without boundary or role confusion.

Education↗
PubMedDate not supplied

Academic occupational safety and health training programs.

Occupational safety and health encompasses four core disciplines: industrial hygiene, occupational safety, occupational medicine, and occupational health nursing. This chapter traces the growth of these specialties throughout the 20th century in response to growing demands of the workplace. Graduate and certification programs are described for each of these four areas.

Curriculum↗
PubMed1996

Increasing the effectiveness of frontline workers through a model mental health training program.

The Ontario Ministry of Housing provides permanent, affordable, independent housing for mental health consumers. This approach, not contingent on consumer participation in support service programs, is part of a continuum of housing options. To help integrate consumers into social housing communities, the ministry engaged a Senior Advisor, Mental Health, to develop alternate ways to maintain housing for this group. A province-wide mental health training initiative aimed at frontline housing staff, which uses unique techniques such as popular theatre, experiential exercises and partnership building/strategic alliance development will be described in this paper.

Activities of Daily Living↗
PubMed1982

An allergy-clinical immunology training program for pediatric residents.

A four-week structured experience for pediatric residents in allergy-clinical immunology is described. Outlined are the educational goals and objectives developed by the teaching faculty in three areas: clinical allergy, clinical immunology and clinical laboratory aspects of allergy-immunology. Finally, assessment is made of the effectiveness of this approach to resident training.

California↗
PubMed1993

[Sanitary and epidemiologic wellbeing of children and adolescents and training programs for physicians].

New requirements to sanitary and epidemiological conditions of the population life which are to be introduced according to the law of the Russian Federation demand comprehensive knowledge of general hygiene, epidemiology, nutrition, labor hygiene, human ecology, etc., by general practitioners. The network of existing prophylactic, educational and scientific centers should not be destroyed, but improved to train skilled specialists.

Adolescent↗
PubMed1993

Muscle strengthening in a post-polio subject through a high-resistance weight-training program.

A 48-year-old woman started experiencing increased muscle weakness and fatigue at age 44, 40 years after the onset of acute poliomyelitis. The acute poliomyelitis resulted in severely weak lower limb muscles and as a result, she had used crutches for more than 40 years. Computer-aided force transducer systems were used to determine isometric muscle strength. Both quadriceps and left ankle dorsiflexors were severely weak and could not generate any measurable force. Isometric muscle strength of her right ankle dorsiflexors was 77 Newtons (N) (approximately 1/3 normal); isometric muscle strength of right elbow flexors (171N) and left elbow flexors (160N) were within normal range, although she complained of weakening based on her inability to climb two stairs at a time with crutches as she was used to. She underwent high-resistance weight training of her right ankle dorsiflexors and left elbow flexors for one year. Weight training was three times per week, five sets of ten repetitions per session; total duration of muscle contraction (excluding rest periods) was two and one half minutes per session, 30 minutes per month. Muscle strength (N) was remeasured after four, eight, and 12 months. Muscle strength of right ankle dorsiflexors increased by 61%, whereas that of the left elbow flexors increased by 32% after one year of weight training. She also expressed a subjective feeling of increased muscle strength. High-resistance, short duration muscle strengthening exercise programs should therefore be given a serious consideration in the rehabilitation management of moderately weak muscles of post-polio subjects.

Exercise Therapy↗
PubMed1998

Outcomes of extracapsular cataract extraction and phacoemulsification performed in a university training program.

BACKGROUND AND OBJECTIVES: As the number of older Americans increases, more patients will need cataract extraction surgery. Outcome studies will be necessary to assess and improve the quality of care. This study documents the outcomes of extracapsular cataract extraction (ECCE) performed at Oak Forest County Hospital (OFH) and phacoemulsification (PE) performed at the University of Chicago Hospitals (UCH) by residents who were training at the University of Chicago. PATIENTS AND METHODS: Residents train using ECCE during their second year at OFH, and learn PE at the UCH during their third year. The authors performed a chart review of all patients who had undergone ECCE at OFH (N = 52) and all patients who had undergone PE at the UCH (N = 343) from 1995 through 1997. Complete preoperative, intraoperative, and postoperative clinical data were recorded on the American Society of Cataract and Refractive Surgery database. RESULTS: There were no intraoperative complications at OFH, and 23 of 52 (44%) of the eyes had a final best-corrected visual acuity (BCVA) of 20/40 or better. At the UCH, vitreous loss occurred in 16 of 343 (5%) of the PE patients. A final BCVA of 20/40 or better was achieved in 300 of 343 (87%) of the PE eyes. CONCLUSIONS: The visual outcomes of patients who undergo ECCE at a county hospital are poor, but the surgical complications are minimal. The visual outcomes of patients who undergo PE at a university hospital are good, but the complication rates are slightly higher.

Adolescent↗
PubMed2000

Development of an advanced life support patient transfer training program.

Bayne-Jones Army Community Hospital is relatively isolated from major military or civilian medical centers. Patients there who require a higher level of care are transferred to tertiary facilities. It is standard for nurses or physicians to accompany patients requiring Advanced Cardiac Life Support care during transfer to another facility. A 2-day course was developed to provide nurses and physicians with advanced training in caring for patients during transport. The purpose was to develop a pool of nurses and other health care providers who would be trained and experienced as medical attendants on ground ambulance, rotary-wing aircraft, and fixed-wing aircraft. Nurses were awarded 16.6 contact hours of continuing education, and the course has been submitted for continuing medical education units. On after-action reports, students indicated favorable results but needed more scenario and intubation training. The course is being offered quarterly, has been updated, and continues to be evaluated.

Air Ambulances↗