This document discusses revalidation in New Zealand for non-certified general practitioners. It defines key terms and explains why revalidation was implemented, including ensuring doctor competence and standardizing continuing professional development. The revalidation program includes requirements like an e-portfolio, annual and triennial activities, and a Regular Practice Review involving practice visits. Early results found most doctors viewed the review positively and many reported immediate practice changes. Follow-up surveys found later participants saw greater benefits including improved patient care. As the program continues, results are expected to provide firmer conclusions about its effectiveness and value.
Developing an effective local quality improvement programmeCarl Walker
I gave this presentation at Clinical Audit for Improvement conference in October 2016 on behalf of National Quality Improvement & Clinical Audit Network (@nqican)
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
The Research Design & Conduct Service recently gave a presentation to staff at the Cardiff School of Medicine to let people know about their services, advice and support, which they offer to health professionals who are in the process of developing research projects. The RDCS was funded in 2010 by the National Institute for Social Care and Health Research (NISCHR), part of the Welsh Assembly Government. Their partner organisations are Cardiff and Vale University HB, Cwm Taf HB, Aneurin Bevan HB and Powys Teaching HB.
Learn more about the RDCS by viewing the presentation below and by visiting their website: http://medicine.cf.ac.uk/rdcs/
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Developing an effective local quality improvement programmeCarl Walker
I gave this presentation at Clinical Audit for Improvement conference in October 2016 on behalf of National Quality Improvement & Clinical Audit Network (@nqican)
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
The Research Design & Conduct Service recently gave a presentation to staff at the Cardiff School of Medicine to let people know about their services, advice and support, which they offer to health professionals who are in the process of developing research projects. The RDCS was funded in 2010 by the National Institute for Social Care and Health Research (NISCHR), part of the Welsh Assembly Government. Their partner organisations are Cardiff and Vale University HB, Cwm Taf HB, Aneurin Bevan HB and Powys Teaching HB.
Learn more about the RDCS by viewing the presentation below and by visiting their website: http://medicine.cf.ac.uk/rdcs/
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care: A Team Approach to Prevention and Chronic Illness ...CHC Connecticut
This webinar explored the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It built on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care were also discussed including training, career ladders, and communication management.
This webinar was present April 21, 2016 3:00 PM.
Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a...CHC Connecticut
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies- Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a Postgraduate Residency Program?
This webinar discussed the roles and responsibilities of preceptors and supervisors in ensuring the success of postgraduate residency programs. Criteria for preceptors and supervisors as well as on-the-ground staff roles were discussed. Current preceptors and supervisors were featured and spoke about their experiences.
This webinar took place March 23, 2016 3:00 PM ET
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
Supervision, monitoring and evaluation of researchAshok Pandey
To train the health professionals on health system research proposal development,
To acquaint the participants with health research process, and
To train basic managerial skills required to manage proposed health research.
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
What does the 12-month postdoctoral clinical psychology residency program look like? This webinar will delve into the details of the structure, design, and content of the 12-month postdoctoral clinical psychology residency program. Topics such as recruitment, screening and selection of candidates, and core programmatic and curricula elements will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s postdoctoral clinical psychology residency program as well as guests from another FQHC based postdoctoral clinical psychology residency program.
This was presented as a webinar on Wednesday, Feb 24, 2016 3:00 PM ET
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
This webinar discussed the importance of research and evaluation in measuring successes and failures in the implementing of postgraduate residency programs within health centers. Different evaluative methods were explored in this webinar including self-assessment, standardized tools and journaling.
This webinar took place April 13, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Advancing Team-Based Care: A Team Approach to Prevention and Chronic Illness ...CHC Connecticut
This webinar explored the benefits of teamwork in allowing staff to more effectively deliver preventive services and manage chronic illness. It built on the content from previous webinars to describe how to optimize the core team to provide population management, self-management support and planned care. Infrastructure considerations to improve team-based care were also discussed including training, career ladders, and communication management.
This webinar was present April 21, 2016 3:00 PM.
Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a...CHC Connecticut
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residencies- Precepting, Supervision, Leadership, Logistics: What are the Staff Roles in a Postgraduate Residency Program?
This webinar discussed the roles and responsibilities of preceptors and supervisors in ensuring the success of postgraduate residency programs. Criteria for preceptors and supervisors as well as on-the-ground staff roles were discussed. Current preceptors and supervisors were featured and spoke about their experiences.
This webinar took place March 23, 2016 3:00 PM ET
Advancing Team-Based Care: The Emerging Role of Nurses in Primary CareCHC Connecticut
In this webinar, we explored the emerging role of nurses in primary care. We explored the role of nurses in the team, in complex care management, and in independent nurse visits.
This webinar was presented March 31, 2016 2:00 PM ET
Advancing Team-Based Care: Enhancing the Role of the Medical AssistantCHC Connecticut
In this webinar, we explored the expanded role that medical assistants play in improving patient health outcomes. The role of the medical assistant was explored in population management, using electronic dashboards, and health coaching. We discussed how state-by-state variation and regulation may influence medical assistant practice.
American Public Health Association- Annual Meeting 2014 Presentation scherala
Title: Using Quantitative Data to focus Medical Home Facilitation Interventions in the Massachusetts Patient Centered Medical Home Initiative (MA PCMHI)
Supervision, monitoring and evaluation of researchAshok Pandey
To train the health professionals on health system research proposal development,
To acquaint the participants with health research process, and
To train basic managerial skills required to manage proposed health research.
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your ...CHC Connecticut
Advancing Team-Based Care: Building Your Primary Care Team to Transform Your Practice
Presented 2/18/2016 as part of the CHC Primary Care Workforce Development National Cooperative Agreement
What does the 12-month postdoctoral clinical psychology residency program look like? This webinar will delve into the details of the structure, design, and content of the 12-month postdoctoral clinical psychology residency program. Topics such as recruitment, screening and selection of candidates, and core programmatic and curricula elements will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s postdoctoral clinical psychology residency program as well as guests from another FQHC based postdoctoral clinical psychology residency program.
This was presented as a webinar on Wednesday, Feb 24, 2016 3:00 PM ET
Advancing Team-Based Care:Data Driven Dashboards to Support Team Based Care CHC Connecticut
This webinar highlighted the ways that practices utilize technology to improve individual patient care and track and meet the needs of their whole patient population. By using electronic health record data and clinical dashboards, members of the team can organize visits to resolve care gaps, optimize prevention, and improve clinical outcomes.
This webinar was presented April 7, 2016 3:00 PM Eastern Time
Final Year Project Proposal-Water purification SystemWickramarathne GT
Proposal presentation of our final year project...includes
- Water and life
- Water Purification Technologies
- Our proposed solution
- Estimated budget
-Etc.
Century Pharmacare to Optimize Access to 21st Century Therapies Day 1: Making Market Access Programs (MAPs) Work
Reflections on Provincial/Territorial Proposed Expensive Drugs for Rare Diseases Program
Plenary: Reflections on Provincial/Territorial Proposed Expensive Drugs for Rare Diseases Program Bill Dempster, 3Sixty Public Affairs
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Improving the Effectiveness & Outcomes of Clinical AuditCarl Walker
Dr Venkatesh Kairamkonda talks about how the neonatal unit at UHL have used root cause analysis & PDCA model to make the audits undertaken more effective as part of NQICAN Patient First conference 2016.
A service improvement focused on frailty using an R&D approach, pop up uni, 3...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Primary care co-commissioning: a survey of members’ views of their CCG and it...Nuffield Trust
Since their formation in 2012, Clinical Commissioning Groups (CCGs) have already faced formidable challenges, tasked with managing substantial commissioning budgets amid increasing financial pressure. In a further development from 1 April 2015, CCGs will now also be given the option to take up more devolved powers to co-commission primary care services with NHS England. This slide deck presents the third year of results from an annual survey with six CCGs. The survey sheds light on attitudes toward co-commissioning, as well as continuing to track levels of engagement and attitudes towards CCGs’ involvement in primary care development.
A presentation from a workshop held at The University of St Mark & St john in November, 2014. The session was an information exchange session on the new NICE guidelines PH54 (exercise referral schemes to promote physical activity)
This report looks at findings from web survey and depth interviews about use of the site amongst people looking for a new GP. It identifies what factors are important to people and provides feedback on some proposed new indicators.
Dr. Steven Jones, Co-Director for the Spectrum Centre for Mental Health Research at Lancaster University and CREST.BD member, describes recovery focused CBT for bipolar disorder. For many people living with bipolar disorder, the concept of personal recovery is a meaningful one. This seems to mean being able to engage in valued activities, having strategies for self-management of health and having an understanding of mood experiences. This webinar will describe the development and evaluation of a new measure of personal recovery in bipolar disorder and a new individualized psychological therapy designed to enhance personal recovery outcomes in individuals with a relatively recent diagnosis of bipolar disorder (less than 5 years).
Steven received his PhD and clinical training at the Institute of Psychiatry in London where he had an academic post before moving to the North West of the UK. There, he worked in the NHS as well as at the University of Manchester until 2008, when he became founding Director of the Spectrum Centre for Mental Health Research at Lancaster University. Since 2013, in recognition of the growth of the Spectrum Centre, a co-directorship model was initiated between Steven and Fiona Lobban (formerly associate director). Steven’s research interests have always centred on the psychology of severe mental health problems. For over 15 years, his primary interest has been in the psychology and psychological treatment of bipolar disorder and associated conditions. In line with this interest he has over 100 publications, mainly on the development of cognitive therapy approaches for bipolar disorder and on psychological models relevant to the development and recurrence of bipolar experiences.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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- 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
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
The outcomes & effectiveness of revalidation in New Zealand for non-certified general practitioners
1. Andrew Connolly
Chair, MCNZ
The outcomes & effectiveness of
revalidation in New Zealand for
non-certified general
practitioners
2. Definitions
• “Non-certified” are those general registrants
who have not achieved vocational (specialist)
registration and are not actively in an
accredited specialist training program
– Not restricted to General Practice, but vast
majority are working in this field
• Does not apply to PGY-1
• Will not apply to PGY-2 from 2016
3. Why do it?
• Council legally responsible for ensuring
practicing doctors are competent
• Long-established CPD requirements but a
lack of standardisation, consistency
• College programs all accredited via
Australian Medical Council & MCNZ
• Council recognised the lack of a general
registrant mandated program was a risk
4. Council decisions:
• Electronic format (“e-portfolio”)
• Mandatory unless “grandfathered” by existing
successful participation in an accredited
scheme
• Mix of annual and triennial requirements
– RPR & MSF three-yearly
• Prospective research evaluation by
independent company
5. The Program
• Introduced in May 2012
– Essentials quiz
– Collegial relationship with meetings mandated
– Professional development plan
– Audit
– CPD record
– Regular practice review: began July 2013
– Multi-source feedback
6. The numbers
• Currently some 1800 participants
• Very few non-compliant but Council has
escalation policy including suspension - has
been necessary in a very small number
• Most radical has been the Regular Practice
Review (RPR)
• RPR is prime focus of research
• Numbers are small, but knowledge is growing
7. • A formative assessment via the Best Practice
Advocacy Centre’s Inpractice programme
• Focus is on quality improvement by helping individual
doctors identify areas of improvement and build them
into professional development plan
- A mandatory requirement for doctors registered in a
general scope of practice
- Reviewers visit the participating doctors in their
practices for a one day visit involving review of notes,
observation and discussion
• Will be prospectively studied
The Regular Practice Review (RPR)
Programme
9. Methodology
• Survey at 2 weeks post RPR
• Repeated at 12 months post RPR
– Early cohort of follow-ups
– Later cohort of follow-ups
• “Early” and “Later” cohorts refer to RPR pre
or post July 2014
– Early cohort did not have 2 week survey
– Considerable on-going communication with the
profession about purpose & importance
– Later cohort also saw emphasis on reviewer skills
10. Doctors participating in the evaluation
• Surveys of participants two-weeks and twelve-months post-RPR
Later cohort
17 of 31 doctors
(55% response)
Early cohort:
32 of 45 doctors
(71% response)
Early cohort
Completed
RPR Jan-May
2014
Later cohort
Completing
RPR from June
2014 - ongoing
Two-week post-RPR
survey
Twelve-month post-RPR survey
Did not complete RPR
post survey - not yet
implemented
Completed twelve-
month survey
Closed
Completed two-week
survey
159 of 236 doctors
(67%) - Ongoing
Completed twelve-
month survey
Ongoing
11. The Participants
Doctor characteristics
Two-week
respondents
(n = 159)
12 month
early cohort
(n = 32)
12 month
later cohort
(n = 17)
Role
General
practice 68% 91% 76%
Other 32% 9% 24%
Trained in
New Zealand 36% 34% 35%
Other 64% 66% 65%
Years in
practice
0-10 45% 47% 18%
11-20 43% 38% 76%
30+ 12% 16% 6%
English
first
language
Yes 77% 84% 100%
No 23% 16% -
12. Improvements for patients: 2 weeks
• Just under half strongly agreed or agreed that participating in
RPR had improved the care they deliver to their patients
(44%) and improved their practice in other ways (49%)
13. Changes to practice: Two weeks after
RPR
• Nearly half (46%) said they had already made changes to
their practice as a result of RPR
• A further 13% said they intended to make changes
14. Overall views on RPR: 2 weeks
• The majority (71%) agreed that the practice visit
was a positive experience
• Over half found the report useful (63%) and would
positively recommend RPR to colleagues (56%)
15. Examples of immediate changes
• Improved records and note taking – most commonly mentioned
Ensuring appropriate documentation of clinical notes. Going
deeper into patient history beyond presenting complaint.
• The consultation – style and interaction with patients
Tried to change consultation style, trying to prioritise patient
questions.
Communicating more effectively with patients
• Review of prescribing and ordering lab tests
I am a bit more critical about which lab tests I order.
•Improving cultural competence
Taking specific interest in Māori and Pacific cultural aspects of
patients and trying to integrate them in consultations.
16. Changes to professional development plans
(PDPs) at two weeks
• Doctors evenly divided between those who had and
had not made changes to their PDP
• One-third (34%) had discussed their PDP with the
reviewer
• Just over half (52%) agreed that their professional
development plan is a useful tool to improve their
practice
17. Changes to practice: Twelve months after
RPR
59%
19%
I have made changes to my practice
Early cohort
Later cohort
• Early group lacked knowledge of the process & of the
importance of the program; later reviewers were more skilled
• Improved relationship with collegial supervisor
• Small numbers, but encouraging
18. Improvements for patients: Twelve
months
• The later cohort were much more likely to agree that RPR had
improved care (53% compared to 18%)
19. Changes to PDP: 12 months – Early cohort
• Similar proportions – about one-fifth – reported making
changes to their PDP, the way they manage it, and that
changes have made it more useful
20. Changes to PDP: 12 months – later cohort
• Later cohort was much more likely to agree that RPR led
them to make changes to their PDPs and that those changes
made their PDPs more useful
21. Overall views on RPR: Twelve
months
• Later cohort much more likely to view RPR as
useful or very useful - 53% compared to 31%
• Later cohort much more likely to recommend RPR
to their colleagues – 65% compared to 28%
22. What about the RPR reviewers?
• Almost every reviewer provided an example of a benefit to
themselves. Some benefits were personal:
Seeing a variety of different GPs in their practices and consulting
has been extremely interesting.
• Online survey and interviews in 2014 – to be repeated in
2015/16. All nineteen reviewers responded in 2014.
23. Reviewer comments
• I learn from the positives I observe in sitting through
consults of my colleagues and use it in my own
practice.
• It has also been an opportunity to chew the fat over
both ordinary and contentious issues and to hear fresh
and diverse perspectives. I too feel under the looking
glass by those I review so it puts pressure on me to
ensure I am really up to date so I appear credible.
24. Summary
• Early experience is encouraging
• Better knowledge of the purpose and
importance of revalidation appears crucial to
sustained success
• Reviewer skills and understanding are
important
25. Other Groups
• Obstetrics & Gynaecology – voluntary
• General Practice specialists – voluntary
• Orthopaedics- mandatory
– 95% pre-RPR were opposed
– 95% post-RPR were in favour
• Greatest benefits in work/life balance, scope of practice
26. Conclusions to Date
• Early indications of value of RPR
– higher proportions reporting sustained benefits
• Positive influence on professional
development
• Improved collegial relationships
• Positive influence on practice
• Positive influence on patient care
27. Next Steps
• Continue to highlight the importance of
revalidation
• Continued 2-week and 12 month follow-ups
• As numbers grow we will be able to firm our
conclusions
– Including begin to look at competence concerns
• Further survey of reviewers
• Map progress into vocational training
• Ultimately see processes adopted by other
vocational groups