This pre-conference workshop is designed to provide a foundation in osteopathic principles and practice and basic skills in osteopathic diagnosis and manipulative treatment for medical students, residents and family medicine faculty with little to no training in osteopathic medicine. It is also an excellent opportunity for doctors of osteopathic medicine (DOs) to refresh their skills. Upon completion of this session, participants should be able to: Understand the four tenets of osteopathic medicine and their applicability to allopathic as well as osteopathic medicine. Demonstrate the basic osteopathic assessment and treatment of 3–4 common diagnoses that present in outpatient and inpatient family medicine settings. Produce an outline of a training curriculum in osteopathic assessment and treatment for non-DOs within his/her own program using the tools provided by the workshop.

La thèse ambitionne d'analyser les processus et les mécanismes qui sont à l’origine de l’émergence d’une destination touristique intérieure, puis de l’articulation entre d’une part ce tourisme considéré ici comme un tourisme d’arrière-pays, et d’autre part le littoral et les grands pôles de compétitivité touristiques de proximité. Son deuxième objectif est d’évaluer jusqu’à quel point ce produit et ces territoires tendent à s’autonomiser par rapport aux destinations balnéaires et urbaines. Cette recherche prévoit aussi l’évaluation de la cohérence et les modes de coordination entre les différents acteurs en présence au regard de l’extrême diversité des représentations du patrimoine, des enjeux identitaires et économiques résultant des processus de mise en tourisme et de patrimonialisation, ceci toujours dans les arrière-pays. Parmi les acteurs qui se trouvent derrière ces dynamiques dans ces arrière-pays, les investisseurs étrangers occupent une très bonne place. Notre recherche propose d’aborder les principales questions posées dans la problématique générale à travers ces porteurs de projet, ces acteurs étrangers du territoire, investissent principalement dans des acquisitions ou de nouvelles réalisations de biens immobiliers. A travers les porteurs de projets étrangers, nous proposons le traitement des questions concernant le profil et le rôle de ces acteurs , les motivations de leurs installation et investissement dans cet arrière-pays, les perceptions mutuelles (population autochtone et étrangers) et puis la concrétisation du processus de la patrimonialisation grâce à la perception et l’image étrangère. Le terrain retenu pour les besoins de cette recherche est la zone des oasis du Draa et des vallées du versant sud du Haut Atlas central. / The project aims to analyze the processes and the mechanisms that are responsible of the emergence of an interior destination and also the relationship between tourism, that is considered here as a back-tourism countries, and also the other coastal destination. The principal objective is to evaluate how these territories tend to become autonomous in relation to urban and coastal destinations, The chosen land for the purposes of this research is the Draa oasis area of southern and valleys of the high atlas. This research also includes assessing the coherence and coordination mechanisms between the different actors involved in the light of the extreme diversity of representations of heritage, identity and economic challenges resulting from tourism developing process and patrimonialisation. Among the actors who are behind these dynamics in this land, investors have an important place. Our research proposes to discuss many questions through these investors who are foreign persons installed in the area and primarily invest in acquisitions or restore the old Kasbahs and ksours to use it as a guest house. Through their projects, the foreign investors develop a new activity. Through the holders of foreign projects, we propose addressing issues concerning the profile and role of these actors, the motivations of their installation and investment in the interior destination, mutual perceptions (indigenous and foreign population), and then the realization of tourism process through the foreign image.

Objective To assess whether utilization of a validated communication tool corresponds with faculty assessment and resident self-assessment on the pediatric communication milestone continuum. Methods Pediatric residents were recruited to participate in the communication skills assessment. Continuity clinic faculty completed an assessment of each residents communication skills utilizing the 6 pediatric milestones that address interpersonal and communication skills. Each participating resident completed a self-assessment of their own communication skills utilizing the same milestones. After being placed on the milestones, the residents participated in a standardized patient interview that was recorded and subsequently evaluated by a faculty observer utilizing the Common Ground Instrument. Results 16/16 of pediatric residents participated in the study. The milestones and common ground instrument were scored on a scale from 1 to 5 with 5 representing an expert rating. For PGY-1 residents, the average faculty score on the milestones was 3.17, self-assessed average score was 2.92 and common ground average score was 3.67. For PGY-2 residents, the average faculty score on the milestones was 4.40, self-assessed score average was 4.10 and common ground average score was 3.20. For PGY-3 residents, the average faculty score on the milestones was 4.70, self-assessed score average was 4.10 and common ground average score was 3.60. PGY-1s had significantly lower self and faculty assessments than PGY-2s or -3s. There were no significant differences among PGYs on the Common Ground Interview score. Faculty rated residents significantly higher than they rated themselves. Previous clinical skills training, standardized patient training, and English as a first language had no significant effect on the self-assessment, faculty assessment or Common Ground Instrument score. Conclusion Faculty and residents observe an improvement in communication skills as residents progress through training; however, scores on a validated communication tool do not reflect this improvement.

BACKGROUND AND OBJECTIVES: East Tennessee State University’s (ETSU) Department of Family Medicine initiated Quality Improvement (QI) training in its three residency programs in 2008. The purpose of the project was to develop, implement, and assess a formal curriculum and experiential learning process to train family medicine residents in QI knowledge and skills. METHODS: Family medicine faculty members received training in QI theory and design. Rising second-year residents received a daylong workshop on the basics of QI principles. Residents worked in teams to develop and implement QI projects. Self-assessed QI proficiency was measured prior to and immediately following the workshop. QI knowledge was assessed with the Quality Improvement Knowledge Application Tool (QIKAT) at baseline and following project completion. RESULTS: Two groups of residents (n=37) received training and completed at least 1 year on their projects. Analyses revealed that residents’ self-assessed QI proficiency improved after receiving a day-long training workshop and was consistent for both groups of resident training. Application of QI knowledge as assessed by the QIKAT did not improve following QI project participation in resident Group 1 but did improve in resident Group 2. CONCLUSIONS: A formal QI curriculum was successfully developed and implemented into three family medicine residency programs. Residents’ QI knowledge and skills improved following training and experience conducting QI projects. Faculty and resident commitment to the program and competing time demands proved challenging to the introduction of QI training. Future studies should assess residents’ sustained learning and translating QI residency experiences into practice.

Objective: To develop and implement a formal didactics and experiential curriculum to train Family Medicine (FM) residents in Quality Improvement (QI) knowledge and skills. Method: 1) All FM faculty participated in seven workshops on QI theory and design. 2) All second year residents received a day-long workshop on knowledge and skills of QI and conducted QI projects for up to two years. Results: Knowledge and confidence scores significantly improved following training, p

No description available.

This MA thesis focuses on gentrification of Prague's Karlín district. It examines the issue through the optics of original residents and deals with the following questions: How do original residents perceive the change of their district? What is the impact of gentrification on their everyday lives? In order to answer these questions, qualitative research was used. The data was collected through interviews and participant and non-participant observation. The thesis provides an overview of leading theories of gentrification (such as Smith's Rent gap theory, Ley's consumer explanation theory, and Florida's creative class theory), which are applied to the obtained data. The theoretical chapter of the thesis summarizes these theories. This part also includes a brief history of the Karlín district and provides an overview of the existing research on Karlín's gentrification. The topics that appeared in the interviews with original residents form a structure of this chapter; these interviews are also quoted directly. Keywords: gentrification, Karlín, original residents, displacement

The importance of preceptorships, as a mechanism to transfer knowledge of evidence-based nursing practices and developing confidence in nurses, is well-known. However, the effectiveness of preceptorships to develop confidence in perinatal nurses who provide safe care to childbearing women is unknown. Guided by Kolb's model of experiential learning and using a narrative analysis approach, this study examined perinatal nurse residents' perceptions of experiences that enhanced learning and developed confidence during preceptorship. Twenty nurses who completed a perinatal nurse residency of 18 weeks or more in the past 12 months participated in audiotaped, structured interviews. Their answers were transcribed and data analysis software was used to organize the interview data. Words and sentences were analyzed for themes. The following 7 themes emerged as confidence-building elements in perinatal nurse residency programs: 'break larger tasks into smaller steps,' 'offer encouragement,' 'provide written instructions,' 'push me a little,' 'practice with drills and quizzes,' 'show me, then let me do it,' and 'debrief after the day'. Nurses' perceptions of incivility from health care providers and experienced staff nurses was an unexpected finding. Preceptors, educators, and facilities can use these themes to standardize and strengthen perinatal preceptorships. This study has implications for positive social change by ensuring that perinatal nurse residents benefit from preceptorships that focus on the best ways to teach, instill confidence, and subsequently, pregnant women will receive safe, evidence-based care from a confident perinatal nurse. Organizations can use the results to structure quality perinatal preceptorships, retain confident nurses at the bedside, and enhance patient satisfaction.

No description available.

Objective: To determine if the library resources being utilized most frequently by medical residents correlate to the cost of the resource and the clinical value of the resource. To determine the quality of medical library services provided to residents. 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: The most frequently used resources by residents were Google, PubMed, UptoDate, and free web resources. The resources that were rated with the highest clinical value and rated by at least 25% of the respondents were online journals, InfoRetriever, MDConsult, and the Cochrane databases. When clinical value, frequency of use, and cost were combined, the highest ranking resources were Google, free web resources, PubMed, and Up-ToDate. Conclusions: As suspected, medical residents heavily use the web for information. Although online journals are expensive, residents highly rate their clinical value. Medical librarians need to frequently measure the resource use patterns of their different patron groups to plan for training and to make wise purchase decisions.