This document discusses Seema Singh's experience applying for an NIHR fellowship for her PhD in renal dietetics. It describes her motivation for pursuing a PhD in order to advance both her career and clinical practice. The document outlines the development of her project idea to modify dialysis delivery based on clinical referrals and reviews the key steps of crafting her application, including emphasizing past research experience, proposed collaborations, and support from supervisors. It also provides advice for the application and interview process, noting the importance of practice, preparation, and rehearsal. While challenging to organize, the fellowship provided new experiences in acquiring skills, unexpected findings, networking opportunities, and involvement in other initiatives.
Documenting Your Leadership/Administration Efforts In a Way that Countstatetomika
Learn more about documenting your leadership and administration efforts with Mayumi Nakagawa, MD, PhD
Professor of Pathology, College of Medicine
Co-Leader, Cancer Prevention and Population Sciences Program, Winthrop P. Rockefeller Cancer Institute
Drs. Mae and Anderson Nettleship Endowed Chair in Oncologic Pathology
UAMS
My presentation to medical faculty re:
Upon completion of this session, you will:
1. Explain the role of objectives in teaching
2. List 1 objective applicable to your practice for each of the 7 CanMed Roles.
Documenting Your Leadership/Administration Efforts In a Way that Countstatetomika
Learn more about documenting your leadership and administration efforts with Mayumi Nakagawa, MD, PhD
Professor of Pathology, College of Medicine
Co-Leader, Cancer Prevention and Population Sciences Program, Winthrop P. Rockefeller Cancer Institute
Drs. Mae and Anderson Nettleship Endowed Chair in Oncologic Pathology
UAMS
My presentation to medical faculty re:
Upon completion of this session, you will:
1. Explain the role of objectives in teaching
2. List 1 objective applicable to your practice for each of the 7 CanMed Roles.
Documenting Your Clinical Efforts In a Way that Countstatetomika
Learn more about documenting your clinical efforts with Daniela A. Ochoa MD FACS Associate Professor Department of Surgery Division of Breast Oncology Winthrop P. Rockefeller Cancer Institute UAMS and Nirvana A. Manning MD FACOG
Associate Professor Chair, Department of Obstetrics and Gynecology Service Line Director of Women’s and Infants Service Line UAMS
Evidence based dentistry strategies for new diagnostic and treatment methodol...devicharan11
If you think that you are facing difficulties covering your course on oral pathology, then it is high time to opt for lectures offered by Professor Dr. Devi Charan Shetty at ITS Dental College. He can help you understand the toughest concepts with his interactive approach.
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
Documenting Your Clinical Efforts In a Way that Countstatetomika
Learn more about documenting your clinical efforts with Daniela A. Ochoa MD FACS Associate Professor Department of Surgery Division of Breast Oncology Winthrop P. Rockefeller Cancer Institute UAMS and Nirvana A. Manning MD FACOG
Associate Professor Chair, Department of Obstetrics and Gynecology Service Line Director of Women’s and Infants Service Line UAMS
Evidence based dentistry strategies for new diagnostic and treatment methodol...devicharan11
If you think that you are facing difficulties covering your course on oral pathology, then it is high time to opt for lectures offered by Professor Dr. Devi Charan Shetty at ITS Dental College. He can help you understand the toughest concepts with his interactive approach.
In June 2016, training for doctors and nurses was held in the Kyzylorda and Mangistau regions. This presentation is a brief on the training outcomes and the reasons why we believe they were successful.
This was an event held at Brunel University
Monday June 16th 2014
Conference Organisers
Dr Priscilla Harries, Director of Occupational Therapy
Brunel Institute for Ageing Studies
Mr Brian Smith
Joint Lead Officer Crime and Disorder, Trading Standards Institute
The event was for professionals or organisations who work with adults at risk or are in a position to detect and prevent scams as well as researchers who are interested in research on financial abuse/ fraud and prevention of scams.
We plan to make this an annual event
The speakers were
Ms Marilyn Baldwin OBE – Think Jessica
Mr Nick Ellender, Former Chair of the London Safeguarding Adults Network - ‘Safeguarding from the Local Authority perspective’
Dr Cassandra Cross -Key note ‘Beyond money and borders: Seniors’ experiences of online fraud’
Chief Inspector Ronnie Megaughin and Mr Graham Vance, Financial Business Security Adviser at Scottish Business Resilience Centre – ‘Banks Detecting and Reporting Financial Harm’
DC Suzanne Grimmer, A/DS Hannah Nunn, A/D Jim Egley, Operation Amberhill Specialist Organised & Economic Crime Command – ‘Courier Fraud, Suspicious Activity Reports and the Little Book of Big Scams’
Brian Smith, Trading Standards - “At risk “ consumers being targeted by scammers; the Trading Standards response.
Lou Baxter, National Scam Team – The role of the National Trading Standards Scams Team
Maria Gray and Sam Falkner – Capability and Support Central Safeguarding Team - An Adult Protection Framework
Dr Priscilla Harries, Brunel University – Evidence based training tools
Hosted by Professor Priscilla Harries and Professor Carolyn Unsworth.
Including talks by Professor Desmond O'Neill, Dr Tadhg Stapleton, Ed Passant, Professor Priscilla Harries, Professor Carolyn Unsworth, Dr Carol Hawley, Dr Kate Radford, Dr Britta Lang and Dr Elizabeth White.
This event took place at Brunel University on 23/6/2016.
Top 10 fellowship coordinator interview questions and answersspearscami
In this file, you can ref interview materials for fellowship coordinator such as types of interview questions, fellowship coordinator situational interview, fellowship coordinator behavioral interview…
Each month, join us as we highlight and discuss hot topics ranging from the future of higher education to wearable technology, best productivity hacks and secrets to hiring top talent. Upload your SlideShares, and share your expertise with the world!
Not sure what to share on SlideShare?
SlideShares that inform, inspire and educate attract the most views. Beyond that, ideas for what you can upload are limitless. We’ve selected a few popular examples to get your creative juices flowing.
this gives a deep outline about to develpo a project proposal using evidence based practice in nursing sectors. it also tells about the various methods & tools of data collection ,sample,timeline for research and its elements.
Craig Lewis (QAHC) outlines the steps in producing a motivational interviewing inspired workook for HIV negative gay men and discusses the process and outcomes. This presentation was given at the AFAO HIV Educators' Conference 2008.
Evidence based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients/clients.
Integration of the best research evidence with clinical expertise and patient values and using the best available research findings “to make clinical decisions that are most effective and beneficial for patients.
- It is a movement away from always doing things in the way in which we were taught and from decisions based on personal opinion. It requires that we look for and appraise research evidence to inform decisions about tests, treatments, patterns of practice, and policy.
Ask Converting information needs into clear questions
Acquire Seeking evidence to answer those questions
Appraise Evaluate the evidence for its validity and usefulness.
Apply Integrating findings with clinical expertise, patient needs, applying the finding.
Assess Evaluating performance.
Let's Talk Research 2015 - Joanna Harrison - CLAHRC NWC Internship scheme NHSNWRD
Collaboration for Leadership in Applied Health Research and Care North West Coast (CLAHRC NWC) Research Internship Scheme
Joanna Harrison
Research Capacity Delivery Manager
At the end of this presentation you will be able to:
Define evidence-based practice
Describe process & outline steps of EBP
Understand PICO elements & search strategy
Identify resources to support EBP
The focus of this presentation is nursing practice, although it is still of value to physicians and other health care professionals.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Seema Singh- Insights from a recent successful applicant
1. Applying for an NIHR
fellowship: My
PhD experience
Seema Singh
Renal Dietitian
NIHR Clinical doctoral research fellow
Clinical Academic Training Programme for Nurses, Midwives and Allied Health Professionals
2. Why I decided to do a PhD
Career choice:
Researcher or manager
Service delivery
Quality of care
Theory & practice
Patient contact
Clinical Outcomes
Changing practise
3. My project idea: Modifying dialysis delivery
Triggered by reason for clinical referral
Rationale based literature review
Correct cause rather than effect
Simple uncomplicated design
Design choice & recruitment
Help from renal team
Development of skills
4. Research project
Keep design simple
Background reading
Demonstrate patient benefit
Incorporate patient reported
outcomes
Involve patients in design
Peer-review your project design
5. Completing the application
form
Past research experience
Use additional info section to sell yourself
Suggest agreed or possible collaborations
Advertise use of patient involvement
Support career intentions
Supervisors – accessible & approachable
Get help with costing & finance form
Allow plenty of time
6. Interview
5 min presentation with 15 min questions
Practice practice and practice again
Prepare list of possible questions
study design
recruitment
patient benefit
supervisors
career intention
…. and rehearse answers!
7. Timelines
April 2010 June 2010
Application
deadline
Invited for
interview
Sept 2010
Interview
Nov 2010
Notification
Mar 2011
Thesis
submission
Commencement
of Fellowship
Feb 2015 May 2015
Viva
My name is Seema Singh
I’m a renal dietitian and have just finished my NIHR fellowship and awaiting viva
I’m going to give you an insight into my project, highlighting the things I found challenging but also what I’ve got out of the whole experience so far.
I’ve been a real dietitian for over 20 years but in the last 15 I have been analysing clinical outcomes and involved in translational research. So although I had a number of publication as 2nd and 3rd author and presented at international and national conferences.
I hadn’t ever set up a research project from start to finish
My clinical quality outcomes and registry role came about from reaching what I perceived to be a glass ceiling. I was no longer learning or experiencing new challenges. The conventional next step from being the lead renal dietitian at St Marys was to go into management and I could think of nothing worse!
So I involved myself in every audit and research project that I could. Often doing all data collection for renal registrars / consultants who then wrote up the work and very kindly gifted me with 2nd and 3rd authorship on publications. That’s when I knew that research was really what I wanted to do But I had a family and mortgage and couldn’t just go back to being a full time student so I did an MSc
St Marys then merged with the Hammersmith in 2005 and I took advice /advantage of a more academic and motivated dietetic dept. I took advice from Mary Hickson and ended up applying for an NIHR fellowship which pays your salary and all research and training costs
I knew that these areas were important to me and motivated my work so I decided to take the 2nd road and see how I got on
In my opinion the research project is paramount. Others applied at the same time and they were arguable better dietitians but may have just opted for too big or complicated a project. At doctoral level they are expecting a project which is realistic and doable.
Background and rational are important as patient benefit is an assessment criteria. Also a PhD project is supposed to be novel so carrying out a literature review will make sure someone hasn’t done something similar already
It’s very important to involve patients in both study design. For example I did a patient questionnaire to find out how many patients would even agree to do a 6 hour dialysis so I “coverred” my self wrt to question on recruitment. You can contact specialist support groups to gauge opinion
The other thing is also to review patient experience or have patients reporting their own outcomes or perception. I conducted quality of life questionnaires and also patient interviews.
Get other mdt members to review your project idea and take their advice, including costings.
Plug any past research or audit experience and use the additional info sections to sell yourself.
The aim is to create a research specialist who will interact and collaborate with others to promote both patient benefit within the speciality and profession. I contacted a unit which specialises in long dialysis and provisionally agreed to visit the unit to learn from their practises.
Make sure that you advertise your efforts to involve patients in design and ask opinions of your patients.
Try and put some info on how you believe the project will develop your clinical skills – will you be using a technique that you don’t currently have access to – I incorporated body composition. The monitors are expensive and so were not widely used.
Try and demonstrate how developing your skills will support future career intentions
Make sure you choose supervisors you find approachable and who actually have time and interest in you. No point in picking the best in the field if they are away presenting and lecturing all year round and you never see them or equally have such a heavy clinical commitment.
Get help with costing – include attending conferences
Finally allow plenty of time – the forms require signatures etc and with my luck the will be on holiday the one day I need them or else the trust it system will crash on submission day
All shortlisted candidates are invited to interview.
Its strictly timed and I would just say that the panel are actually very positive and aren’t looking to catch you out they just want you to show them that the aren’t wasting their NHS money.
I was conducting a clinical trail but dialysis is not novel I was just slowing it down and lengthening it and so I didn’t complete an additional form and one of the panel members pointed that out and I remember thinking I wont get it now I have nothing to lose.
I rehearsed my presentation to anyone that would listen. I probably did it 6/7 times to a panel audience ad tweaked it a bit each time – that might seem disheartening but ultimately leads to a really polished powerpoint.
Also prepare a list of possible questions and prep gold standard answers.
It took a few months to refine the project idea and get the application completed so start as early as possible.
I elected to undertake my fellowship part time at 75% and so took 4 years instead of 3. I don’t think there’s any advantage either way its very much an individual choice. I personally felt that I didn’t want to lose touch with the service changes.
I don’t particularly enjoy stress so my OCD went into over drive.
No matter what you have on the next day –an oral presentation or abstract submission. Muddy Rugby kit still needs washing and beautiful daughter still needs to get to piano practice etc.
Life goes on and you have to make sure its not a endurance exercise.
Organising my time let me enjoy time with my family with I was away from work or my desk and made me focus when I least wanted to
Learn to trouble shoot, finding solutions to logistical problems. I’m recruiting from 4 sites I was alarmed to find blood samples in the pathology lab fridge not analysed from the night before. The lab explained their difficulties & we have now agreed that they will batch analyse samples.
Putting an application into ethics was a new experience for me and I learnt that being a clinician and being a researcher involve different practices. Collation and storage of clinical data as a researcher is more rigorous and legislated very differently than as a clinician.
These range from centrifuging blood samples, to using new equipment such as BIA machine to organisation skills which go to a different level altogether when you are working from so many sites.
Also you have to remember that a novel project may have unexpected findings. I found that there was variance in recruitment rate & that effect on treatment schedules were impacting. So now part of my study is surveying staff and organisation aspects regarding feasibility
Incorporating presentations and