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Results for “continuing professional development”

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Securing your family's future: the value of estate planning.

BACKGROUND: The authors provide an overview of general estate planning considerations, including minimization of federal estate taxes, estate planning techniques to be used to meet specific goals, and guidelines to ensure a well-drafted and well-organized plan. They also stress the importance of planning for incapacity. CONCLUSIONS: A well-thought-out and sound estate plan protects assets, minimizes estate taxes, ensures appropriate distribution to designated beneficiaries and prepares family members and business partners. In developing an estate plan, dentists should seek professional advice from a qualified attorney and a certified financial planner. Practice Implications. A sound estate plan should address business continuation or disposition with respect to the dental practice.

Advance Directives↗

The faculty in action.

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Education, Nursing, Continuing↗

Catheterisation: extending the scope of practice.

Continuing our series on issues surrounding the Scope of Professional Practice, this article describes the nurse's role in male and suprapubic catheterisation. It relates to UKCC Professional Development Categories: Care enhancement and Reducing risk.

Cystostomy↗

What an educator can bring to CME planning.

Health professionals are teaming up with professionally experienced or academically trained educators to plan, implement, and implement, and evaluate continuing education programs. This article explains the systematic methods educators bring to CE program development.

Administrative Personnel↗

[Microsurgery, a 'small' surgical revolution in the medical history of the 20th century].

Microsurgery in the twentieth century enabled surgeons to operate on very fine structures, which was impossible before the advent of the microscope. Since 1860 loupe magnification was employed in rare cases. In 1921 Nylén from Sweden transformed an ordinary laboratory microscope into an operation microscope for ear interventions. The eye specialists were the second group of doctors who employed the microscope in the operating theatre during the years 40-50 of this century. Since 1953 Zeiss in Germany has produced highly professional operation microscopes. In the sixties experimental laboratory studies were taken up to develop microsurgical techniques, microinstruments and suture material. Both plastic and reconstructive surgeons and neurosurgeons continued to develop microsurgery and indeed transformed their disciplines a great deal. Microsurgery is here to stay and still experiments are going on with video-assisted systems in order to further miniaturize the instruments for magnification and to gain a more comfortable working position for the surgeon.

History, 20th Century↗

[The family physician within the health care system].

Having in mind the importance, place and role of a family physician within the health care system and its contribution to health improvement both of individuals and groups, the authors present the most important statements from the World Health Organisation's Charter for General Practice Family Medicine, and its characteristics--accessibility, integrity, continuity, team work, orientation towards the person, family and community, confidentiality, coordination. The paper also gives conditions for development of family medicine, such as structural, organisational and professional, as well as specific quality concerning the activity of a family physician.

Delivery of Health Care↗

The forum of ESRD networks: past, present and future.

The increasing visibility and credibility of the Forum of ESRD Networks in the national ESRD landscape is due, in large part, to the Forum's longstanding and unwavering advocacy for improved ESRD patient outcomes through the application of continuous quality improvement methodologies and the development of a data infrastructure which encompasses a universal patient sample. This advocacy is untainted by the agenda of any single professional constituency, and its success is limited only by the commitment that all stakeholders (payers, providers, and patients) have to the process. The data infrastructure, SIMS-VISION, is almost a reality, and has the potential to significantly improve the quality of care through the provision of provider-specific profiles to drive quality improvement. The application of quality improvement principles themselves will take longer, and requires the commitment of facility medical directors, whom the Forum hopes to reach through its collaborative education project with the RPA. Through its clearinghouse activities, the Forum hopes to foster evidence-based medicine, increasing provider awareness of clinical practice guidelines and other literature which may improve the quality of patient care. The Forum's strategic plans for achieving its goals closely parallel the recommendations of the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry, and emphasize not only the information infrastructure, quality measuring/reporting, and evidence-based medicine, but also enhancing patient participation, building partnerships, and facilitating education and research. The Forum's strategic plan, as reconfigured according to the President's Advisory Commission domains, has been endorsed by the Renal Coalition as the national renal quality agenda, and the Coalition's constituent organizations are exploring projects and funding sources to achieve some of these goals as well.

Data Collection↗

Ensuring management excellence in the healthcare system.

We believe that if we improve healthcare management, we will improve quality, reduce cost, and open opportunities to expand access. The present support for healthcare management, however, needs improvement in every aspect. Beginning with attracting young people, progressing through entry education, continuing education, and the special preparation for senior management, what we need overall is a program of continuous improvement. We need specific goals, measures of how well we achieve those goals, and accountability for that achievement. We need programs that attract and reward excellence and that make mediocrity untenable. The purpose of this article is to identify and expand the elements of such a program.

Education, Continuing↗

Anything's possible.

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Attitude of Health Personnel↗

[Quality assessment, quality assurance and quality improvement in health care. Concepts and terminology].

At present the topic "quality of health care" takes up a central position in the Danish debate, both among health professionals and politicians. In the present review the terms quality, quality assessment, and quality assurance are attempted defined and described. To assess the quality of health care deliveries it is necessary to establish indicators, criteria and standards. Indicators are defined variables which reflect deviations in quality. Criteria are established determinants of the optimal level of care while standards represent the degree of fulfillment of these. The relationship between indicators, criteria, and standards are illustrated. Quality assurance is a continuous process based on identifying quality problems for a given health delivery, and determining criteria and standards in relation to this. Quality assessment is the data collection and analysis through which the degree of conformity to predetermined standards and criteria are exemplified. If the quality, through this process is found to be unsatisfactory, attempts are made to discover the reason for this. On the basis of this, remedial actions are instituted and the quality reevaluated after a suitable time period. This stepwise process makes quality assurance a dynamic activity where criteria and standards are revised continuously with the overall purpose of improving the quality of health care services. Quality assessment and assurance should be incorporated as routine activities for health professionals. However, development, testing, and validation of the tools and methodologies for this new discipline are research activities.

Denmark↗

Executive competencies in healthcare administration: preceptors of the Army-Baylor University Graduate Program.

The purpose of this research was to identify the mentoring and executive competencies required among preceptors of the Army-Baylor University Graduate Program in Health and Business Administration, and to specify the requisite skills, knowledge, and abilities (SKAs) needed to achieve those competencies. In the first wave of inquiry, a list of 123 competencies and associated SKAs was elicited from a network of 80 current and past preceptor executives employing a Delphi methodology using e-mail. An expert panel, which consisted of seven past program directors, examined and sorted the list into four preceptor content domains, viz., Health Systems Management (HS Management), Leadership, Residency Administration, and Community Involvement. Frequency analyses showed that the HS Management domain constituted over half of the competencies, with particular emphasis on strategic thinking, planning, billing, finance, manpower, and contracting. In the second wave, the preceptor Delphi network reviewed the expertpanel list and made 7-pointSKA importance ratings on an 80-item structured questionnaire representative of the four domains. Findings indicated thataverage SKA ratings were reliable and agreed upon to a high degree among preceptors. Results, rank ordered by SKA item means within preceptor content domains and overall, suggested that the most important rated items centered on teamwork, negotiation, interpersonal skills, communication, leadership vision, and customer and healthcare business operations. Outcomes from the competency list are expected to be useful for preceptor mentoring, self-assessment, and for professional development. Additionally, specific SKAs can provide a means for developing job requirements and career performance criteria at a behavioral task level, and can contribute information for identifying continuing education and conference topical needs.

Competency-Based Education↗

[Systematic approach to family nursing: thoughtful considerations].

This study is part of the theoretical referential of doctorate in development thesis based on Bertalanffy, Vasconcellos and Capra's ideas. It searches from the systemic approach to comprehend the family as a inter-relations system among the members, an irreducible open unit to the continuous flow of entrance and exit of energy, a dynamic unit in which the whole and the parts are influenced mutually. It aims the development of a professional reflection for the Care of Nursing for the family not as context, but the familiar one. Its genesis is related to the many concerns that have surfaced from professional activities which have met answers in the new paradigmatic approach of the post-modern science of the complexity, instability, intersubjectiveness for the think/act of Nursing in the interdisciplinary development of their careful actions of joint way: the unit family.

Family Nursing↗

Reaching low-literate adults with printed nutrition materials.

A receiver-assisted pamphlet featuring snack information written in the language of the target audience was developed using the language experience approach and compared to a standard sender-produced version written by nutrition professionals. Information garnered through free recall, main idea, content continuation, and signaled stopping statements suggests that the receiver-assisted pamphlet was more easily understood and the perception of personal relevance was improved, although content recognition and oral miscue analyses indicated that some of the wording in the receiver-assisted version tended to be more difficult. Subjects who read semantic differential passages gave the receiver-assisted pamphlet more favorable ratings on the neighborly, helpful, sensible, and informative scales. Semantic differential scores of white and nonwhite respondents favored the receiver-assisted version, indicating that the materials are appropriate for use with a racially mixed target audience.

Adult↗

Building excellence in an academic medical center.

Providing cost-effective care while maintaining an academic medical center's high standards of excellence in the era of managed care is a challenge. Robert Wood Johnson University Hospital's (RWJUH) success in meeting this challenge is accomplished, in part, through a comprehensive effort in re-engineering and restructuring that has enabled us to remain agile. As a result, physicians, nurses, technicians, and other health care professionals can devote more of their time to working directly with patients and their families. In addition, we've developed very efficacious systems that enable us to continue to provide measurable quality care in the most cost-effective manner.

Academic Medical Centers↗

Learning style preferences of community mental health professionals.

Programs of continuing education in mental health are increasing at a rapid pace. This study examines-selected personal and occupational characteristics of enrollees in one such program and classifies the nature of enrollee motivation for participating in specialized programs of community mental health training. The learning-style preferences of these highly experienced professionals are also explored and recommendations are made concering the design of similar educational programs under development elsewhere.

Adult↗