Objective: To analyze what information skills medical residents have in PDA use, evidence-based medicine (EBM), Loansome Doc use, and off-campus access to databases. Methods: A survey analysis was conducted of 217 medical residents from the 2005/06 East Tennessee State University Quillen College of Medicine class in surgery, family medicine, internal medicine, obstetrics/gynecology, psychiatry, pediatrics, and pathology with a return rate of 48.4%. Quantitative analysis was performed with the SPSS (v. 14.0 for Windows) software program. The results were expressed in percents in graphical or tabular form. The data were analyzed using descriptive statistics (frequencies, mean, median, and mode), and inferential statistics (Mann-Whitney U test and chi-square test.) Results: On a Likert-type scale of 1–7, medical residents rated their PDA skills at a mean of 5.11. By the KruskalWallis Analysis of Variance statistic, there were no signifi - cant differences between residency programs. By use of the Mann-Whitney U Test statistic, it was determined that there was no statistically signifi cant difference between the PDA skills or residents and their attendings. On a Likert-type scale of 1–7, medical residents rated their EBM skills at a mean of 4.82. There was a signifi cant differences between residency programs as determined by the Kruskal-Wallis Analysis of Variance statistic. Residents were infrequent Loansome Doc users, and a disturbing 49.5% did not know how to access medical databases from off-campus. Conclusions: Residents need more training by medical librarians in the clinical information skills of PDA use, EBM, Loansome Doc, and off-campus access.

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AbstractThis essay is about the visibility of everyday life in a nursing home. The thesis is based on the following questions: What characterizes the social life and conversation between staff and residents? What content has the social life and the conversation between these parties? What is the power relationship between the staff and residents?To answer these questions, we used the qualitative approach with open observations, along with interviews. The study is partly based on direct observation by an observer as a participant in a special housing, and on semi-structured interviews with seven respondents, three of them staff and four residents in the same nursing home. For the results and analysis section, we use the Grounded Theory as a method which constructs a parallel between data processing and analysis of the interviews, where we first encode, categorize and create themes. These we use then to tie our results to the symbolic interactionism, and role theory.

The nation is facing a physician shortage, specifically in relation to primary care and in rural underserved areas. The most basic function of a medical school is to educate physicians to care for the national population. The purpose of this study was to examine the physician practicing characteristics of the graduates of East Tennessee State University Quillen College of Medicine including factors that influence graduates’ specialty choices and practice locations, especially those related to primary care. Secondary data for this study were collected from the college’s student database system and the American Medical Association Physician Masterfile. The study population included all living graduates with Doctor of Medicine (MD) degrees who graduated from 1998 through 2009 (n=678). Statistical procedures included Pearson Chi-square, logistic regression, independent t tests, ANOVA, and multiple linear regression. Data analyses revealed that the majority of graduates were between 24 and 29 years of age, male, white, non-Hispanic, and from metropolitan hometowns. Most had completed the generalist track and initially entered a primary care residency training program. The majority passed USMLE Step 1 and Step 2 on the first attempt. The USMLE Step 2-CK average was 212.50. The average cumulative GPA was 3.44. Graduates were nearly evenly divided between primary care and nonprimary care practice, with the majority practicing in metropolitan areas. Graduates who initially entered primary care residency training were more likely to practice primary care medicine than those who entered nonprimary care programs; however, fewer graduates were practicing primary care than had entered primary care residency training. Graduates who attended internal medicine residency training were less likely to be practicing primary care medicine than those who attended family medicine, pediatrics, or OB/GYN programs. Women and Rural Primary Care Track graduates were significantly more likely to practice primary care than were men and generalist track graduates, respectively. Nonprimary care physicians had significantly higher USMLE Step 2-CK scores than did primary care physicians (PCPs). PCPs practiced in more rural locales than non-PCPs. Family physician graduates tended to practice in more rural locales than OB/GYNs or pediatricians. Hometown location predicted practice location over and above medical school track.

Introduction: Efforts to improve health care in the US are focusing on the Quadruple Aim which targets enhanced patient experiences, population health management, control of costs and improved provider satisfaction. Traditional academic centers have fallen behind in preparing pediatricians to practice in this new milieu; pediatric residents consistently report feeling least competent in systems-based practice. To better prepare residents to enter the work force, we introduced a team based care curriculum for pediatric residents in the 2016-2017 academic year. Methods: Participants in the new curriculum included all 21 residents in our academic based residency program. An inter-professional team developed a curriculum consisting of six core modules: team care, team communication, quality improvement, health care roles, champion teams and advanced communications. Prior to participation, residents completed a pre-test of knowledge and the validated Attitudes Toward Health Care Teams scale. The same instruments were administered after completion of the modules. Results: All 21 pediatric residents completed the pre and post-tests. Resident knowledge significantly improved from a pre-test score of 63% to a post test score of 70% (p< 0.05). The Quality Improvement and Team Roles subtests showed significant improvement (p<0.05). On the Attitudes Towards Health Care Teams scale, the residents had a favorable attitude toward team value and team efficiency; these did not significantly change from pre to post-test. Pediatric residents’ attitudes toward physicians shared role in the team improved significantly (p<0.01). They reported enhanced attitudes regarding two key constructs: 1) shared team leadership and responsibility and 2) limits on physician control of team function. Conclusions: While pediatric residents in general had a favorable view of team-based care, participation in a team-based care curriculum positively affected their views of the physician’s role on a team. Understanding shared labor within a team, may help residents to achieve the fourth Quadruple Aim of satisfaction in healthcare by all providers.

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Residents are main actors in the context of publicly funded sport events due to their role as taxpayers, and the importance of their support in an event’s success. The use of taxpayer dollars for hosting sport events is typically justified by event proponents (e.g., the local government) by highlighting purported positive event outcomes for the community. The extent to which such outcomes are attained may therefore influence the relationship between residents and their local government. Thus, the purpose of this dissertation was to investigate the long-term outcomes of publicly funded, non-mega sport events, and to examine the role of trust, knowledge, and power in the public/government relationship and event support in relation to these outcomes. To achieve this purpose, I focused on two publicly funded non-mega sport events, specifically the 2011 and 2019 Canada Winter Games, and drew on agency theory. The project progressed through three phases of research, each culminating in a research article. The first phase involved outlining the theoretical approach taken for this project. Next, I investigated the event objectives and long-term outcomes from resident and event provider perspectives. Finally, I investigated the public/government relationship by determining factors that predict general political trust and event support. The first article explains how agency theory, and the concepts of power, knowledge, and trust can be used to investigate political implications of publicly funded sport events. The second article suggests that while most residents evaluated their respective event positively, the interests of residents and event providers regarding event objectives and outcomes diverge. The final article revealed that event experiences positively predicted event support three- and 11-years following the event, and that residents’ power (i.e., ability to influence) negatively predicted political trust, while knowledge (i.e., understanding) positively impacted political trust in the event context. The three articles are preceded by a general introduction and are wrapped-up by a concluding chapter. Cumulatively, the results demonstrate that actors within the context of a publicly funded non-mega sport event may act as principals and agents in various moments of the event hosting process. Further, findings suggest that ensuring host residents are informed of the event will foster trust in the local government, and that community-focused tangible outcomes in particular will foster event support. This dissertation contributes conceptually and empirically to sport event management literature by taking a long-term post-event perspective on publicly funded, non-mega sport events. Practically, event providers should ensure that residents are fully informed of the event hosting process, and should ensure that tangible, and sustainable event outcomes occur as these seem to impact the most residents in a host community even from a long-term perspective. Finally, this work outlines the need for future research addressing methodological challenges in non-mega sport event research, investigating opportunism and monitoring in principal-agent relationships, and determining appropriate public engagement strategies for sustainable event outcomes.

Studien utgör ett kandidatarbete som syftar till att ta reda frågeställningen om vad boende föredrar för byggnadskvaliteter i flerbostadshus. Utgångspunkten ligger i begreppet arkitektonisk kvalitet och berör aspekter inom funktion och skönhet. För att frågeställningen skulle kunna besvaras och syftet uppnås i arbetet gjordes en kvantitativ analys i form av en enkät som skickades ut till mäklare i branschen. Mäklarna skulle representera boenden i hushållen och utifrån deras kompetens och erfarenhet ge deras synpunkter på vad boenden kan tänkas föredra för byggnadskvaliteter. Anledningen till att mäklare blev urvalet har att göra med uppsatsens tidsbegränsning. Med tanke på att författaren till studien är visstidsanställd på JM underlättade det att fråga mäklarkollegor om hjälp. Istället för att skicka enkäter till slumpmässiga boenden.Mäklarna ansåg att säkerhet, ljudisolering, dagsljus, klimat och välfungerande kök – och badrum var de viktigaste aspekterna. Förklarningen till det är att boenden föredrar byggnadskvaliteter som underlättar deras dagliga behov och komfort. Efter en sammanställning av resultatet jämfördes resultatet med den tidigare studien som visade på både likheter och skillnader. Olikheterna i resultatet kan tyda på att boenden föredrar olika beroende på vem det är som tillfrågas. Förutsättningar som inkomst, bakgrund, område, målgrupp är exempel på faktorer som har en inverkan på vad en boende föredrar i en bostad. Därför är det särskilt viktigt att utföra marknadsanalyser i områden för att undersöka boendes behov och efterfrågan, och utifrån den informationen bygga framtida bostäder. / The study makes up a bachelor thesis aimed at answering the question of what housing qualities households prefer in multi-family houses. The starting point is the concept of architectural quality and focuses on aspects of function and beauty. In order for the question to be answered and the purpose of the work fulfilled, a quantitative analysis was conducted in the form of a survey sent to real estate agents within the industry. The real estate agents would represent people living in the households and, based on their knowledge and experience give their views on what building qualities people might prefer. The reason why real estate agents were selected has to do with time constraint of the essay. Given that the author of the study is a fixed-term employee at JM, it helped to ask colleagues for help instead of sending surveys to random households.The real estate agents were of the belief that safety, soundproofing, daylight, climate and well-functioning kitchen and bathrooms were the most important aspects. The explanation for it is that households prefer building qualities that facilitate their daily needs and comfort. After a compilation of the results, the results were compared with a previous study which showed both similarities and differences. The differences in the results may indicate that the households prefer different aspects depending on who is asked. Prerequisites such as income, background, living area and target group are examples of factors that affect what a household prefers in a home. Therefore, it is particularly important to conduct market analyzes in areas to investigate housing needs and demand, and based on the information build future housing.

Motel life has existed in the United States for over 100 years. However, it was not until the HEARTH Act in 2009 changed the federal definition of homelessness that those who live in motels more or less permanently were considered homeless persons. This project utilizes qualitative, semi-structured interviews with 18 families with children who are living in motels to explore their experiences with motel life and social service providers, their housing identity, and identity management strategies. Findings show that most of the motel residents did not identify with the conventional definition or image of homelessness and instead negotiated the term to fit their situation. Although they did not initially self-identify as homeless, when discussing policy recommendations all participants adopted a homeless social-identity (i.e., they identified as members of the homeless social category). As members of the homeless community, the participants agreed that homeless families in the area needed more attention and assistance. Participants were aware that outsiders would view them as homeless and during their interviews several identity management strategies were used. Motel residents described a hierarchy of homelessness and placed themselves at the top of it, perceiving themselves to be better people than even other motel residents. The identity management strategies employed by the participants were meant to show how they were good people who were just stuck in a motel because of circumstances outside of their control and how they were deserving of assistance to help their families move out of the motel and obtain adequate, permanent housing.