The processes of psychiatric residency training. I. Selection of trainees and the outcome of training.
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Six international courses, Occupational Safety and Health in Practice, were arranged for trainees from developing countries and Eastern Europe. Each included seven week of scheduled activities and the planning, realization, and reporting of an individual action project. In total there were 158 trainees, of whom 86% fulfilled the requirements fo successful completion. In this article the program assump tions are stated. The trainees, course objectives, course format, and financing of the courses are described. Th courses are evaluated considering the fulfillment of the course requirements, the realization and quality of the proj ects, and the meeting of course objectives.
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To date, open stone surgery is now performed in a very limited number of selected cases. A review of our own cases revealed that open surgery constituted 1% of all procedures. These procedures were mostly ablative, or operations to deal with complications of failed minimally invasive therapies. Given two continuing trends towards sub-specialisation in urology on the one hand, and minimally invasive therapy on the other, the question arises whether and how sub-specialised stone surgeons should and can learn open stone surgery. Is it merely a lost art not to be bothered with, or is it something worthwhile preserving? This article discusses the pros and cons of the argument and suggests centralisation of complex stone cases as a possible way out of the dilemma.
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