[Local health systems and the medical job market: results of a study on preferences as to geographic location].
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An evaluation research survey that focuses on educational services offered in a staff development department at a corporation of extended care facilities is discussed. Each facility was queired regarding existing inservice programs, including the use of evaluation tools. A response rate of 100% was achieved. No evaluation instrument was used for 72% of the inservice education programs offered. The data indicate the need for comprehensive and consistent program and learner evaluation.
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The cost of extending health care to rural areas in developing countries has hindered efforts to bring cosmopolitan or "western" medicine into those areas. As a cost-effective and realistic strategy for expanding the services needed in the countryside-in a context of finite resources-the writer proposes making women agents of health care in the rural care system and giving them training that includes both formal and traditional practices. The process offers the woman, as a mother, the opportunity to play a leading part in evaluating the health status of her children and other members of her family. Based on the experience acquired in a rural health project carried out in the Altiplano of Bolivia, specific recommendations are made for application of this approach, which is based in the community itself, and the difficulties encountered in its practical application are cited.
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Using computer simulation, a centralized transportation system was designed which resulted in 1) more time at the bedside for nurses and technicians, 2) fewer FTEs needed for transporting, 3) less waiting time for patients, and 4) better overall control of the transportation system.
PURPOSE: Genomic medicine is revolutionizing health care but requires health care professionals to update their understanding of genomics and its application to clinical practice for successful implementation. To meet this need, Health Education England developed the Master's in Genomic Medicine, a national multiprofessional program to increase genomic literacy in the National Health Service workforce. This study summarizes an evaluation of the program, which will inform its future development. METHODS: Underpinned by Moore's evaluation framework, a mixed methods approach was used to characterize (1) learner demographics, (2) perceptions of the program, (3) knowledge and/or qualifications achieved, and (4) the outcome(s) for practice in the workplace. RESULTS: Learners were a diverse cohort of health care professionals, including doctors, health care scientists, nurses and midwives. Participant satisfaction was high for all elements of the program, including the curriculum, learning environment(s), and multiprofessional cohort(s), despite the challenges of engaging working professionals in part-time learning. Both learners and their managers reported enhanced genomic practice after completion of their studies. CONCLUSION: The Master's in Genomic Medicine program is an effective approach to professional education in genomic medicine. This broad multiprofessional learning complements training aimed at specific groups of health care professionals.
Opportunity 2000 is an initiative designed to increase the role of women in the workforce and to promote equal opportunities in the workplace. The NHS Management Executive has set up a women's unit to put Opportunity 2000 into practice and to develop more 'women-friendly' working practices. The unit has produced a good practice handbook. The article discusses the eight goals produced by the NHSME to be achieved by health authorities and trusts by this year.
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