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PubMed1990

Biennial survey of clinical nutrition training programs.

Three posttraining program surveys have been done by The American Society for Clinical Nutrition Committee on Subspecialty Training to evaluate the status of training programs in clinical nutrition. This survey updates demographic data about programs and determines which classes are offered or required as a part of basic nutrition-science requirements for nutrition training programs. In addition, the importance of board certification and accreditation of training programs is examined.

Certification↗

PubMedDate not supplied

Residents' perception of evaluation procedures used by their training program.

OBJECTIVE: To determine the methods of evaluation used routinely by training programs and to obtain information concerning the frequencies with which various evaluation methods were used. DESIGN: Survey of residents who had recently completed internal medicine training. PARTICIPANTS: 5,693 respondents who completed residencies in 1987 and 1988 and were registered as first-time takers for the 1988 Certifying Examination in Internal Medicine. This constituted a 76% response rate. MAIN RESULTS: Virtually all residents were aware that routine evaluations were submitted on inpatient rotations, but were more uncertain about the evaluation process in the outpatient setting and the methods used to assess their humanistic qualities. Most residents had undergone a Clinical Evaluation Exercise (CEX); residents' clinical skills were less likely to be evaluated by direct observation of history or physical examination skills. Resident responses were aggregated within training programs to determine the pattern of evaluation across programs. The majority of programs used Advanced Cardiac Life Support (ACLS) certification, medical record audit, and the national In-Training Examination to assess most of their residents. Performance-based tests were used selectively by a third or more of the programs. Breast and pelvic examination skills and ability to perform sigmoidoscopy were thought not to be adequately assessed by the majority of residents in almost half of the programs. CONCLUSIONS: While most residents are receiving routine evaluation, including a CEX, increased efforts to educate residents about their evaluation system, to strengthen evaluation in the outpatient setting, and to evaluate certain procedural skills are recommended.

Attitude of Health Personnel↗

PubMed1990

A muscular endurance training program for symmetrical and asymmetrical manual lifting tasks.

The purpose of this study was to test whether the endurance limits of new employees engaged in symmetrical and asymmetrical manual lifting tasks can be significantly increased through a physical training program. Each subject participating in the training program performed a total of 16 sessions. A control group performed two sessions separated by a 4-week interval. The results of this study showed that endurance time increased by 248% for the symmetrical and 46% for the asymmetrical lifting tasks. Furthermore, the frequency of handling increased by 44% and 34% for these tasks, respectively. The control group showed no improvement in terms of endurance time and frequency of handling. The implementation of a physical training program as a tool to control overexertion injuries in industrial settings is outlined.

Accidents, Occupational↗

PubMed1978

Basic skills for hospital pharmacy technicians: development of a programmed training manual.

The development of a programmed training manual to teach basic skills to hospital pharmacy technicians is described. Steps in the development of the manual included reviewing pertinent literature, writing a job description for a pharmacy technician position, performing a task analysis, writing learning objectives and sequencing course content into a programmed format. Five units of the manual cover dosage forms and routes of administration, drug nomenclature, abbreviations, calculations and medication orders. The programmed format should help to provide quality, economic and efficient training for technicians.

Goals↗

PubMed1991

How are pediatric training programs preparing residents for practice?

The majority of pediatric residents continue to choose a career in practice on completion of their training. Despite knowing residents' career preferences, many training programs have focused on inpatient tertiary care at the expense of primary care. Perhaps this reflects service needs and the significant technology and extensive information resulting in the growth of pediatric subspecialties. To determine the spectrum of didactic and clinical experiences pediatric training programs offer residents to prepare them for managing a practice, we conducted a survey of pediatric training program directors in 1988. Although the majority of residency programs have a practice management curriculum, the number of hours devoted to this area is minimal. In addition, a significant number of residents are not experiencing a community office rotation. This survey indicates the need to develop a practice management curriculum if trainees are to be prepared for choosing the right career and for being competitive in practice.

Analysis of Variance↗

PubMed1992

Surgical satellite pharmacies in institutions with anesthesiology training programs for physicians.

The results of a survey on the use of surgical satellite pharmacies in hospitals with anesthesiology training programs are reported. In June 1990 a questionnaire was mailed to 158 directors of anesthesiology training programs for physicians. The questionnaire solicited information on the presence of surgical satellite pharmacies in the training hospitals and the nature of the services provided, including accounting for controlled substances. Responses were received from 102 program directors and their designees, for a 65% response rate. Some respondents returned questionnaires completed by affiliated hospitals; a total of 137 responses were accumulated. Surgical satellite pharmacies were present in 46 (34%) of the 137 hospitals. Of those 46 satellite pharmacies, only 14 dispensed all controlled substances to anesthetic-administration areas. Most of the satellite pharmacies provided services at least eight hours per day. All 46 pharmacies dispensed controlled substances, 31 provided i.v. admixtures, and 12 dispensed all i.v. solutions. Accountability for controlled drugs was provided through a daily inventory count (45 satellite pharmacies), daily comparison of agents received and returned (36), review of the anesthesia record (31), random audits of individual providers (18), or quantitative or qualitative analysis of residual drugs (16). Accountability was considerably better in hospitals with surgical satellite pharmacies than in hospitals without them. Surgical satellite pharmacies provided increased accountability for controlled substances in institutions with anesthesiology training programs but did not use all the available methods for preventing drug diversion.

Anesthesiology↗

PubMed1989

Occupational medicine residency training programs. The role occupational health nurses play.

An experienced occupational health nurse with suitable academic qualifications is able to assist in providing a well-rounded education and teaching physicians to be effective members of occupational health teams. Nurses are involved in teaching occupational health to physicians in the academic and practicum phases of occupational medicine residency training programs. However, the involvement of nurses in training physicians is inconsistent among the accredited residencies. Most of the nurses involved in teaching occupational health to physicians are at least master's degree prepared. Nurses are involved in the didactic, clinical, and administrative components of the training programs. Though nurses are involved in residency training programs to an extent, the lack of consistent involvement limits the diversity of points of view and fosters an imbalance in the training of occupational medicine residents.

Curriculum↗

PubMedDate not supplied

Effects of ubidecarenone in an exercise training program for patients with chronic obstructive pulmonary diseases.

A study was undertaken to determine the usefulness of ubidecarenone in pulmonary rehabilitation in exercise training programs in the management of chronic obstructive pulmonary disease (COPD). The subjects were 20 patients with COPD who had been participating in an exercise training program for at least four weeks. The patients were randomly assigned either to receive 50 mg of oral ubidecarenone daily or to enter a control group during the program. Oxygen consumption, expired volume, and heart rate were measured during exercise tests before and after training. Maximum oxygen consumption increased 13% in the ubidecarenone-treated patients and 7% in the controls, and maximum expired volume increased 10% in each group. The increases were significant in the ubidecarenone group but not in the controls. Heart rate increased 2% in both groups. It is concluded that ubidecarenone deserves further evaluation in exercise training programs for patients with COPD.

Coenzymes↗

PubMed1978

[Empirical examination of training programs for the treatment of speech anxiety].

This study is the result of an attempt to get effective methods in order to reduce the students' speaking anxiety in seminars. In a prepost-design, two training programs are compared: systematic desensitization and assertive training. Success is controlled with the help of a subjective anxiety scale, the "Freiburger Persönlichkeitsinventar" (FPI), and by scanning how often and how long somebody is speaking in a seminar. The main results are: both of the training programs reduce speaking anxiety signficantly (perhaps with a little more success of SD), SD also reduces "Gehemmtheit" (FPI-Scale 8). There is a lot of difficulties with regard to the observation of the behavior variables but it seems to be that Ass increases speaking frequency in relation to the groups' mean, while this effect could not be supposed according to SD. At the end of the article, the results are discussed and some questions are raised with regard to the further research of training programs.

Adult↗

PubMed1976

Exploratory investigation of the ability of attendants to plan their own training program.

A study was made of the ability of attendants in residential institutions for mentally retarded persons to plan an attendant-training program. A mailback survey of attendants in two midwestern institutions yielded 173 respondents. Planning-related responses were for originality, practicality, and completeness. Measures of job satisfaction, attitudes toward mental retardation, and demographic information were also obtained. It was hypothesized that the majority of attendants would be able to outline a training program for attendants and that planning ability would be related to the other variables measured. Tryon and Bailey's cluster analysis method was used, and four relatively independent clusters were found: rated training suggestions, job satisfaction, segregation-exclusion attitude, and tenure. An object-cluster analysis was performed on each attendant's cluster scores, identifying individual score profiles and isolating seven major 0-types. These were discussed in terms of predicted attendants' ability to plan a training program. It was concluded that some attendants are capable of making meaningful contributions to the training process but that this ability does not appear to be related to the other variables such as tenure or job satisfaction.

Adult↗

PubMed1979

[Clinical training programs. 12. Planning of clinical training at Japan Red Cross Central College for Women. II. Planning of clinical training in pediatric nursing].

Explore the source record for details and available documents.

Child↗

PubMed1977

Cost-effectiveness of cardiopulmonary resuscitation training programs.

A model is presented to analyze the cost-effectiveness of programs to train large numbers of citizens in the techniques of cardiopulmonary resuscitation (CPR). From a planner's estimates of certain key factors, the model determines the probability of intervention for various numbers of trained citizens and for several allocation strategies and patterns of population density. These key factors are the maximum distance from which a person with CPR training could intervene in an emergency, the cost of training, and loss of skill with time. The model is used to analyze possible training efforts in Houston, Texas.

Cost-Benefit Analysis↗

PubMed1975

Some characteristics of psychiatric residency training programs.

The author summarizes responses to a major questionnaire survey of psychiatric residency training programs. In addition to providing objective data on residents, training staff, and on the training institution and its related facilities, the author presents information drawn from the narrative responses to questions on major issues facing psychiatry. These include training for dealing with critical social problems, recruitment of minority group trainees and faculty, and training in interdisciplinary collaboration and preparation for work with paraprofessionals. It is hoped that these data will facilitate answers to questions about the training psychiatrists should receive in the future by providing information about training programs in the immediate past.

Child Psychiatry↗

PubMed1978

The evaluation of a model speech training program for deaf children.

Systematic speech training procedures were employed with a group of 20 hearing-impaired children ranging in age from 7 to 10 years. Using a primarily auditory-oral approach, the speech training program employed a hierarchical sequence in order to teach the suprasegmental patterns of English to the children. The children's performance on the speech training hierarchy was monitored on a daily basis using a checklist system. Based on their rate of progress in the development of speech skills, the children were divided into three groups post hoc: rapid, slow but steady, inordinately slow. Although the system worked well, on the average, approximately one-third of the children encountered serious difficulites at one or more levels of the hierarchy. Examination of the children's background information and audiological data revealed that those children who encountered difficulty had an extremely limited amount of residual hearing and/or problems other than a hearing handicap.

Child↗

PubMed1990

Variation in lengths of training among residents enrolled in pediatrics and internal medicine training programs.

Data were gathered in 1987 from 180 pediatrics and 302 internal medicine residency training programs about (1) the length of vacation provided their residents, (2) time allowed them for absence from work for reasons other than vacation, (3) how many of them during the previous three years had been required to extend their training to make up absences from work, and (4) whether a system was in place to cover their unexpected absences from work. All these variables affect the duration--but not necessarily the quality--of training that residents actually experience. The data show that these variables demonstrated wide ranges that depended on the postgraduate year of training, the discipline, the program size, and the program type (university, university-affiliated, freestanding, or military). The Accreditation Council for Graduate Medical Education, training program directors, and the American Board of Pediatrics and the American Board of Internal Medicine each need to consider these variables in making their respective decisions about accrediting training programs, verifying the clinical competence of trainees, and certifying program graduates.

Accreditation↗

PubMed1989

Effect of running versus isometric training programs on healthy elderly at rest.

Left ventricular function and hemodynamic alterations at rest were measured echocardiographically following running or isometric training in 40 healthy elderly. They were randomly assigned into two groups. Twenty (67 +/- 4 years) were engaged in running and 20 (67.8 +/- 3.8 years) in isometric training programs. All subjects underwent a 12-week program, 3 times a week 30 min each session. The running exercise (REX) group had an aerobic exercise conditioning program at 70% of their VO2max. The program for the isometric exercise (IEX) group included weight lifting utilizing large muscle mass at 30% of their maximal voluntary contraction. After training, the REX group increased significantly (p less than 0.05) their VO2max from 2.08 +/- 0.37 to 2.36 +/- 0.41 liter/min and ejection fraction 56 +/- 5.9 to 62 +/- 6.1%. They decreased significantly their heart rate, from 73 +/- 7 to 65 +/- 7 beats/min. No change occurred in the IEX group in left ventricular function and hemodynamic parameters. These data suggest that left ventricular responses at rest differ between the two groups following a short-term training with a favorable response after REX training. In addition, this study demonstrated that a controlled aerobic training program is a better way to improve physical capacity than is a weight lifting program for trained healthy elderly.

Aged↗

PubMed1977

Regional training program of laparoscopy: impact on regional care.

In response to large numbers of requests for laparoscopic sterilization, the University of North Carolina began a training program to provide this service on a regional basis throughout the state. This report reviews the final distribution of centers providing these services: one within 50 miles of every person in the state. The clinical experience of 30 private physicians (excluding experience of residency training programs) was reviewed and found to parallel the national experience in provision of services, in complications, and in pregnancies. The brief but intense training program (2 days at the University of North Carolina and one morning at the physician's hospital) was found to result in rates of complications and failures similar to national levels of performance. Should the demand for laparoscopic sterilization increase in the coming years, the region has sufficient numbers of safely trained physicians to respond.

Female↗

PubMed1991

An evaluation of CAST: a Computer-Aided Speechreading Training program.

This study assessed the effectiveness of CAST (Computer-Aided Speechreading Training program). Two groups of 8 normal-hearing adults completed a pretraining visual speech perception test protocol that consisted of a Visual-Consonant Recognition Test, a test of Sentence Understanding Without Context, a test of Sentence Understanding With Context, and a semiautomated modified Continuous Discourse Tracking activity available with CAST. One group completed the CAST program. A posttraining test protocol was administered to the subjects 2 weeks following the maximum time provided to complete the training program (i.e., 10 weeks). Independent t tests revealed no differences between the control group and the experimental group in the percentage improvement score obtained on the following measures: viseme recognition score, Sentence Understanding Without Context (key word and total word recognition scores), and Sentence Understanding With Context (key word recognition score). Significant differences between the groups were found for the total word recognition score on the Sentence Understanding With Context test and the CAST modified Continuous Discourse Tracking activity. The results indicate that CAST was most effective in developing aspects of synthetic visual speech perception skills.

Adult↗