Academic literature on the topic 'Health residency'

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Journal articles on the topic "Health residency"

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Santalo, Oscar, Joelle Farano, Jacqualine Igwe, and Niaz Deyhim. "Survey of health-system pharmacy administration and leadership residencies." American Journal of Health-System Pharmacy 77, no. 6 (February 6, 2020): 449–56. http://dx.doi.org/10.1093/ajhp/zxz327.

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Abstract Purpose To perform an inquiry with response measurement from health-system pharmacy administration and leadership (HSPAL) residency program directors and residents to distinguish variances between the programs and identify enhancement opportunities for key stakeholders. Methods Members from the Pharmacy Administration Resident Collaboration Research Committee developed separate 20-question survey instruments to assess the strengths and areas of opportunity for HSPAL residency programs from the perspective of residency program directors and residents. The survey instruments were designed to evaluate the level of pharmacy service integration across HSPAL programs nationwide. Results Nearly half of the residency program directors within the listserv (40.74%, 33/81) participated in the survey. The recognized areas of opportunity by residency program directors include community pharmacy leadership, professional organization involvement, sterile compounding, and supply chain management. About a third (32.54%, 41/126) of the residents participated in the survey. Residents reported the least exposure to community pharmacy leadership, human resource management, informatics, professional organizations, and ambulatory care/specialty rotations. The overall recommendations for HSPAL residency programs are to incorporate C-suite–level experiences, improve alumni engagement, develop longitudinal human resource/financial experiences, and encourage resident credential obtainment. Conclusion In order to foster professional and leadership growth for HSPAL residents, residency programs should consider incorporating C-suite–level experiences, longitudinal human resource/finance experiences, alumni engagement opportunities, rotation variety, professional organization involvement, and support in credential obtainment.
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Faville, Elizabeth, Suzanne Turner, and John A. Armitstead. "Strengths in numbers: Assessing the use of StrengthsFinder 2.0 in a pharmacy residency program." American Journal of Health-System Pharmacy 77, Supplement_3 (July 28, 2020): S66—S70. http://dx.doi.org/10.1093/ajhp/zxaa156.

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Abstract Purpose To quantify the trends of StrengthsFinder 2.0 domains and traits in pharmacy residents within a single residency program. To recognize and discuss the application of resident StrengthsFinder 2.0 traits within a residency program. Methods This is a retrospective review of StrengthsFinder 2.0 domains and traits among first- and second-year postgraduate year (PGY) pharmacy residents over the past 6 years in a community-based health system. Perspectives on the utility of the StrengthsFinder 2.0 assessment within a residency program, from the viewpoints of a residency program director, a system director of pharmacy, and a current resident, were also obtained and recorded. Results A total of 34 residents with 170 StrengthsFinder 2.0 traits were included in this data analysis. The top StrengthsFinder 2.0 domains of all pharmacy residents were Strategic Thinking and Relationship Building, being exhibited by 36% and 28%, respectively. Learner, Achiever, Harmony, Input, and Restorative were found to be the most frequently reported StrengthsFinder 2.0 traits among all pharmacy residents examined. Learner and Harmony were found to be the top traits of first-year pharmacy residents (11% and 9%), while Achiever and Learner were the most common traits found in the second-year pharmacy residents (13% and 10%). The system pharmacy director, residency program director, and current resident agreed that the assessment tool enhances the resident experience. However, each has their own perspective on the benefits of the StrengthsFinder assessment with respect to the residency program. Conclusion Overall, the top 5 StrengthsFinder 2.0 traits seen in pharmacy residents who have completed a PGY1 or PGY2 residency at Lee Health were: Learner (18%), Achiever (9%), Harmony (7%), Input (6%), and Restorative (6%). Achiever, Harmony, Learner, Input, and Restorative were found to be the most common traits across all categories reported. These trends are similar to those reported in previous studies of StrengthsFinder 2.0 assessment of pharmacy students and residents. Evaluating individual StrengthsFinder 2.0 traits at the start of the residency year provides a framework for each resident to complete ongoing self-evaluations. In addition, familiarity with the common traits seen within residents allows residency leadership members to make more thoughtful decisions regarding resident assignments for learning experiences or committee appointments.
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Swan, Joshua T., Mary Giouroukakis, Brandon R. Shank, Daniel J. Crona, Karen Berger, and Eric Wombwell. "The Value of Pharmacy Residency Training for Health Systems." Journal of Pharmacy Practice 27, no. 4 (March 20, 2014): 399–411. http://dx.doi.org/10.1177/0897190013515707.

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Purpose: Identify and summarize articles that describe the value that pharmacy residency training offers to sponsoring health systems. Summary: There is a tremendous gap between the number of resident applicants and the number of pharmacy residencies available. Informing health-system administration executives about the proven value of residency training is key to expanding the number of available positions. To address this disparity, a comprehensive and systematic literature search to identify publications highlighting the value that pharmacy residency training provides to the sponsor hospital or health system was conducted. Articles were identified through query of PubMed and SciVerse SCOPUS and through review of bibliographies from relevant articles. Twenty articles were identified and summarized in this annotated bibliography that demonstrate perceived and quantitative value of pharmacy residency training for health systems that sponsor residency training. Conclusion: Pharmacy residency training programs are essential for pharmacists that will primarily engage in direct patient care activities. This annotated bibliography includes key publications that provide evidence of the value that pharmacy residents provide to the sponsoring health system. This manuscript will aid prospective residency directors interested in developing new residency positions at new institutions or for residency program directors interested in expanding the total number of resident positions available at the existing sites.
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Starosta, Kaitlin, Susan L. Davis, Rachel M. Kenney, Michael Peters, Long To, and James S. Kalus. "Creating objective and measurable postgraduate year 1 residency graduation requirements." American Journal of Health-System Pharmacy 74, no. 6 (March 15, 2017): 389–96. http://dx.doi.org/10.2146/ajhp160138.

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Abstract Purpose The process of developing objective and measurable postgraduate year 1 (PGY1) residency graduation requirements and a progress tracking system is described. Summary The PGY1 residency accreditation standard requires that programs establish criteria that must be met by residents for successful completion of the program (i.e., graduation requirements), which should presumably be aligned with helping residents to achieve the purpose of residency training. In addition, programs must track a resident’s progress toward fulfillment of residency goals and objectives. Defining graduation requirements and establishing the process for tracking residents’ progress are left up to the discretion of the residency program. To help standardize resident performance assessments, leaders of an academic medical center–based PGY1 residency program developed graduation requirement criteria that are objective, measurable, and linked back to residency goals and objectives. A system for tracking resident progress relative to quarterly progress targets was instituted. Leaders also developed a focused, on-the-spot skills assessment termed “the Thunderdome,” which was designed for objective evaluation of direct patient care skills. Quarterly data on residents’ progress are used to update and customize each resident’s training plan. Implementation of this system allowed seamless linkage of the training plan, the progress tracking system, and the specified graduation requirement criteria. Conclusion PGY1 residency requirements that are objective, that are measurable, and that attempt to identify what skills the resident must demonstrate in order to graduate from the program were developed for use in our residency program. A system for tracking the residents’ progress by comparing residents’ performance to predetermined quarterly benchmarks was developed.
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Tartaglia, Kimberly M., Valerie G. Press, Benjamin H. Freed, Timothy Baker, Joyce W. Tang, Julie C. Cohen, Neda Laiteerapong, Kimberly Alvarez, Mindy Schwartz, and Vineet M. Arora. "The Neighborhood Health Exchange: Developing a Community Partnership in Residency." Journal of Graduate Medical Education 2, no. 3 (September 1, 2010): 456–61. http://dx.doi.org/10.4300/jgme-d-10-00067.1.

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Abstract Background The current system of residency training focuses on the hospital setting, and resident exposure to the surrounding community is often limited. However, community interaction can play an important role in ambulatory training and in learning systems-based practice, a residency core competency. The goal of the Neighborhood Health Exchange was to develop a community partnership to provide internal medicine residents with an opportunity to interface with community members through a mutually beneficial educational experience. Methods Internal medicine residents received training during their ambulatory block and participated in a voluntary field practicum designed to engage community members in discussions about their health. Community members participated in education sessions led by resident volunteers. Results Resident volunteers completed a survey on their experiences. All residents stated that the opportunity to lead an exchange was very useful to their overall residency training. Eight exchanges were held with a total of 61 community participants, who completed a 3-question survey following the session. This survey asked about the level of material, the helpfulness of the exchanges, and opportunities for improvement. We received 46 completed surveys from community members: 91% stated that the material was presented “at the right level” and 93% stated that the presentations were somewhat or very helpful. Eighty percent gave positive and encouraging comments about the exchange. Conclusion Effective community partnerships involve assessing needs of the stakeholders, anticipating leadership turnover, and adapting the Neighborhood Health Exchange model to different groups. Community outreach can also enhance internal medicine ambulatory training experience, provide residents with patient counseling opportunities, and offer a novel method to enhance resident understanding of systems-based practice, especially within the larger community in which their patients live.
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Weaver, Sally P. "Increasing Residency Research Output While Cultivating Community Research Collaborations." Family Medicine 50, no. 6 (June 8, 2018): 460–64. http://dx.doi.org/10.22454/fammed.2018.734196.

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Background and Objectives: Having a research curriculum in addition to hosting a resident research day stimulates research activity in residency programs. Research collaborations outside an individual residency program may also promote research in residency. This paper describes a community-wide health research forum that engages faculty and residents in research while bringing together potential research collaborators from the community. Methods: A yearly research forum has been held at a large community-based family medicine residency program for the past 10 years. This forum invites both residency faculty and residents to present scholarly works, and also invites researchers from the community to present health-related research. Presenters outside the residency come from hospital systems, the local university, other residency programs, and community private physicians. Results: Peer-reviewed research publications have increased greatly since the advent of the research forum in 2006, with six publications from 1997-2006 and 26 from 2007-2016. Greater increases in numbers of peer reviewed presentations were also seen. Collaborative research has occurred between residency faculty and multiple departments at the local university including the business school, social work, public health, physiology, and statistics. There are now 28 collaborative projects completed or in progress. Conclusions: Development and implementation of a regional health research event has been a success in increasing faculty and resident research productivity. The even greater success however, is the progress made in advancing research collaborations between the local university and the residency program.
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Pirrocco, Fiona, Ian Goodman, and Michael B. Pitt. "Leveraging Peer Teaching for Global Health Elective Preparation: Implementation of a Resident-Led Global Health Simulation Curriculum." Global Pediatric Health 6 (January 2019): 2333794X1985110. http://dx.doi.org/10.1177/2333794x19851108.

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Introduction. As more trainees engage in global health electives, the call for best practices in predeparture preparation grows. However, many residency programs may not have the infrastructure or staffing in place to consistently meet these expectations. Objective. To assess the feasibility, benefits, and limitations of having residents trained to facilitate and implement a global health preparatory simulation curriculum. Approach. In 2016, we had 5 residents undergo online Simulation Use for Global Away Rotations (SUGAR) facilitator training. Since then, we have conducted 3 simulation sessions from 2016 to 2018. Feedback was obtained from 75% of our participants, which was found to be similar to feedback obtained from attending-led models. Lessons Learned. A resident-led global health preparatory curriculum provides a sustainable model for residency programs without placing additional burden on attending faculty.
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Catalanotti, Jillian, David Popiel, Patrik Johansson, and Zohray Talib. "A Pilot Curriculum to Integrate Community Health Into Internal Medicine Residency Training." Journal of Graduate Medical Education 5, no. 4 (December 1, 2013): 674–77. http://dx.doi.org/10.4300/jgme-d-12-00354.1.

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Abstract Background Public health training has become an important aspect of residency education. The Institute of Medicine recommends public health training for all resident physicians, and internal medicine educational milestones include general public health skills. Objective We sought to integrate community health into internal medicine residency training by developing a community health elective (CHE) curriculum. Methods We developed a 2-week CHE curriculum for internal medicine residents, featuring facilitated discussion sessions, clinical experience at health centers targeting medically underserved populations, and a culminating presentation. We evaluated our pilot curriculum using pre-elective and postelective course surveys with Likert-type questions. Results Of 150 eligible residents, 32 (21%) enrolled in the elective. Nearly all participants (30 of 32, 94%) strongly agreed that learning about community health was an important part of their residency training. Residents' perceived competence at discharging hospital patients with follow-up at community health sites increased 13-fold after taking the elective (P < .001). There was no increase in reported likelihood to practice in an underserved community or in primary care. Conclusions The CHE addresses several Accreditation Council for Graduate Medical Education competencies and internal medicine Milestones and could be a replicable model for internal medicine residency programs that seek to provide community health training.
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Morbitzer, Kathryn A., Kamakshi V. Rao, Denise H. Rhoney, Ashley L. Pappas, Emily A. Durr, Said M. Sultan, Stephen F. Eckel, Scott W. Savage, B. Rowell Daniels, and Nicole R. Pinelli. "Implementation of the flipped residency research model to enhance residency research training." American Journal of Health-System Pharmacy 76, no. 9 (April 17, 2019): 608–12. http://dx.doi.org/10.1093/ajhp/zxz064.

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Abstract Purpose The attainment of fundamental research skills to create and disseminate new knowledge is imperative for the advancement of pharmacy practice. Research training is an important component of postgraduate residency training; however, the traditional model of performing residency research has several limitations that have hindered the ability of residents to complete high-quality research projects. Therefore, our institution developed and implemented the flipped residency research model with the 2013–2014 pharmacy practice residency class. Summary The flipped residency research model modifies the research timeline to better align research activities with residents’ abilities at specific time points during the year. In the 4 years following implementation of the flipped residency research model, our institution found improvements in a number of areas pertaining to the research process compared with an evaluation of the 7 years prior to implementation. A decrease in the number of reviews required from institutional review boards was observed, resulting in improved institutional review board efficiency. The flipped residency research model also addressed limitations surrounding manuscript development and submission, as demonstrated by an improved publication rate. Additionally, residents who participated in the flipped residency research model self-reported increased comfort with research-related abilities associated with study design, implementation, manuscript development and submission, and biostatistics. Conclusion The modified research timeline of the flipped residency research model better aligns research activities with resident experiences and abilities. This realignment has translated to demonstrable impact in the success of residency projects and dissemination of results. Research is needed to investigate the impact of the flipped residency research model on longer term scholarly success.
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Sepulveda, Debra, and Kalli Varaklis. "Implementing a Multifaceted Quality-Improvement Curriculum in an Obstetrics-Gynecology Resident Continuity-Clinic Setting: A 4-Year Experience." Journal of Graduate Medical Education 4, no. 2 (June 1, 2012): 237–41. http://dx.doi.org/10.4300/jgme-d-11-00158.1.

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Abstract Background Although many residency programs are instituting quality improvement (QI) curricula in response to both institutional and external mandates, there are few reports of successful integration of resident initiated projects into these QI curricula with documented impact on health care processes and measures. Intervention We introduced a multifaceted curriculum into an Obstetrics-Gynecology continuity clinic. Following a needs assessment, we developed a didactic session to introduce residents to QI tools and the how to of a mentored resident-initiated project. Resident projects were presented to peers and faculty and were evaluated. A postgraduation survey assessed residents' satisfaction with the curriculum and preparedness for involvement in QI initiatives after residency. We also assessed whether this resulted in sustained improvement in health care measures. Results The curriculum was presented to 7 classes of residents (n = 25) and 17 resident initiated projects have been completed. Twenty-one residents (84%) completed the preintervention survey and 12 of 17 (71%) residents who completed the entire curriculum completed the postintervention survey. Sustained change in surrogate health measures was documented for 4 projects focused on improving clinical measures, and improvement in clinical systems was sustained in 9 of the remaining 13 projects (69%). Most of the respondents (75%, n = 9) agreed or strongly agreed that the projects done in residency provided a helpful foundation to their current QI efforts. Conclusion This project successfully demonstrates that a multifaceted program in QI education can be implemented in a busy Obstetrics-Gynecology residency program, resulting in sustained improvement in surrogate health measures and in clinical systems. A longitudinal model for resident projects results in an opportunity for reflection, project revision, and a maintenance plan for continued clinical impact.
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Dissertations / Theses on the topic "Health residency"

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Waddington, Keirrie L. "New Graduate Residency." Thesis, Carlow University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10825506.

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Background: Shortly after the graduate nurses’ orientation period, the expectation is to rapidly function as a competent nurse. With this expectation, the graduate nurse experiences stress when attempting to quickly make the transition from student to practicing professional nurse. New nurses report that the primary reason they are leaving their employment within the first year is related to stress and thus low job satisfaction.

Purpose: The overall turnover rate for a community Catholic Hospital’s Critical Care Department is 60% within the past year. Combating the turnover, increasing satisfaction, and ensuring patient safety is what is needed for this hospital.

Methodology: The design for this project is comparative and correlational utilizing the Casey Fink New Graduate Nurse Survey. Residents involved in the revised residency program were surveyed on their job satisfaction and comfort-confidence after six months of residency. The results from the new residents were compared to nurses who had completed the previous residency program who had at least six months of experience.

Results: The results demonstrated the new residency program had no statistical significance on comfort, however, presented a statistically significant association with how new nurses experience the work environment of the Critical Care department.

Conclusions: The results of the study revealed a need for on-going assessment of the residents past the six month integration period. Another identified need that was noted was for on-going preceptor education and consistency. The study also discovered the need to explore other methods of increasing comfort during and after their residency period.

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Kamboj, Amritpal K. "Nurse residency| An answer to improve new graduate nurse competency." Thesis, Western University of Health Sciences, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3560103.

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The Institute of Medicine (IOM) report To err is human: Building a safer health system raised the very important concern of patient safety. The ultimate goal of this report was to provide a call-for-action that promoted patient safety at the point-of-delivery (Kohn, Corrigan, & Donaldson, 2000). Registered Nurses (RNs) represent the largest discipline providing and coordinating patient care redesign. The aim of creating safe and quality care would not be possible without the presence of competent nurses. Conversely, new graduate nurses are prone to errors due to lack of transitional support from academics to practice. With the growing shortage of experienced RNs nationally, there is a need to evaluate and promote programs to assist in the transition, retention, and recruitment of competent new nurses. Structured residency programs offer a means to increase the competency of newly graduated RNs. This study performed secondary data analysis of the Versant 18-Week Residency Program to provide evidence of the success of this approach in assisting new nurses in their transition from academia to practice.

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O'Donnell, Anne E. "Effective mentoring in physical therapy : approaches for residency training." Thesis, NSUWorks, 2012. https://nsuworks.nova.edu/hpd_pt_stuetd/13.

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PURPOSE: This study aimed to investigate how physical therapy mentors instill clinical judgment and competence during residency training. The researcher investigated effective mentoring behaviors and techniques in physical therapy residency training. SUBJECTS: Participants included physical therapy residency faculty, physical therapy residents currently enrolled in U.S. residency programs credentialed by the American Physical Therapy Association (APTA), and resident graduates (ie, within the past 2 years) from APTA programs. METHOD: A quantitative survey design was used to gain information about effective mentoring behaviors and techniques of physical therapy residency faculty who foster clinical expertise in physical therapy residents. Two online surveys were created: one for residency program faculty and one for current and past residents. RESULTS: Findings revealed that most mentors felt confident to mentor residents based on their past experiences instructing students and mentoring residents in physical therapy. Most mentor respondents had not taken APTA's Credentialed Clinical Instructor Program (CCIP), and fewer had taken Advanced CCIP (ACCIP). Mentor respondents who had taken both courses felt that CCIP was less helpful in mentoring residents than was ACCIP. Findings indicated important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs. Results revealed mentoring and teaching strategies that were most effective for different stages of residency programs. CONCLUSIONS: These findings will help guide residency program faculty in effective mentoring practices and have added to the literature about how mentoring methods impact development of clinical expertise in physical therapy residents. These results (a) revealed a need for advanced training specific to mentoring residents, (b) can be used to determine what mentoring behaviors and techniques work best with residents, and (c) can serve as a basis for further developing residency training curricula. RECOMMENDATIONS: Further investigation is needed to determine which components of mentoring help residency faculty feel prepared to mentor residents. Further development and testing of mentor training programs are warranted. Additional research using qualitative methodology and this study's findings related to important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs is necessary. Further research is also needed to investigate how reflection is used in mentoring in residency programs.
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Gouge, Natasha, Jodi Polaha, and Rebecca Powers. "Bringing a Behavioral Health Consultant to Residency: Implications for Practice and Training." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/ijhse/vol2/iss2/4.

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This study examined pediatric residents’ responsiveness and experiences in the context of a new pilot program, building an on-site Behavioral Health Consultant (BHC) into their primary care training site. Fifteen pediatric residents were divided so that 9 had access to an on-site BHC and 6 did not. Over the first year of the program, research assistants observed 322 patient visits to record concerns raised, residents’ responses, and visit length. Data regarding BHC activity and residents’ subjective impressions of the program were also collected. Results showed that at least one BH concern was raised in 24% of observed visits. Residents with access to the BHC initiated 89 on-the-spot referrals, resulting in 127 BHC-to-patient interactions. On average, residents spent 10 additional min/visit when BH concerns were raised but those with access to the BHC saved 8 min/visit when BH concerns were raised. Overall, residents utilized the service, particularly first and second year residents. Those with BHC access managed BH concerns in less time than those in the control group. Residents who utilized the BHC were very satisfied, perceived a better quality of care and patient outcomes, and desired future BHC collaboration. Implications for training residents in the area of pediatric behavioral health by using an on-site provider are discussed.
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Bird, Michele Marie. "Evaluation of a nursing residency program." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/808.

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Recruitment and retention of professional nurses are crucial issues for hospital departments of nursing. Recognizing the necessity to bridge the gap that persists between nursing education and nursing services, hospitals have designed programs to assist new nurses make the transition to current nursing practice. By helping individuals make the transition to current nursing practice it is hoped that staff nurses will be retained.
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Rush, Mary Catherine, Todd DO MSMS Leibowitz, Katherine DO Stone, Jodi PhD Polaha, and Leigh MD MPH Johnson. "Medical Scribes in a Family Medicine Residency Program: An Implementation Outcomes Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/129.

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The implementation of Electronic Health Records (EHR) has improved medical documentation in terms of accuracy, team communication, and ease of ordering tests and prescriptions; however, charting in an EHR strains the provider/patient relationship and contributes to physician burnout. Medical scribes are a promising potential solution to these problems. Our study aims to demonstrate that implementation of scribes into a medical residency program positively affects provider/patient satisfaction and improves quality and efficiency of EHR documentation. Our study evaluated the effectiveness and utility of scribes in a residency training program utilizing the established implementation framework “RE-AIM,” or Reach, Effectiveness, Adoption, Implementation (quality), and Maintenance. During the study’s initial “Training Phase,” 11 first and second-year Family Medicine residents conducted scribe-facilitated patient visits. Patient and provider satisfaction ratings were collected, note quality was evaluated, and time to note closure was measured. During the subsequent “Choice Phase,” residents were given the option of whether to utilize scribes, and the same data measures were collected. Resident satisfaction ratings during the Training Phase showed an average score of 6.03 (on a 1-7 scale where “7” = “strongly agree” with positive statements), and a pilot sample of 9 patients showed an average patient satisfaction rating of 4.77 (on a 1-5 scale where “5” = “strongly agree” with positive statements). Scribe-facilitated notes coded for quality had an average score of 3.375 (on a 1-5 scale where 5 is “extremely” high quality). Finally, residents’ average time to note closure was decreased by more than 8 hours in scribe-facilitated visits. During the Choice Phase, all 11 participating residents requested scribe-facilitated visits, again with very high patient satisfaction scores (4.67 on a 1-5 scale) as well as high clinician satisfaction scores (6.06 on a 1-7 scale). Choice Phase note quality and note-closure time are currently being assessed. These results demonstrate that scribes improve clinician and patient satisfaction, as well as quality and efficiency of EHR documentation. Limitations include a small sample size of clinicians and patients. Further research is needed with larger sample sizes to determine whether scribes in a medical residency program represent a sustainable and effective intervention.
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Kersting, Ann L. "Listeria monocytogenes, zoonotic exposure, rural residency, and prevention." Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1221751504.

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Whitfield, Benjamin, Leigh D. M. D. Johnson, and Jodi Ph D. Polaha. "Costs and Benefits of Patient Home Visits in a Family Medicine Residency Program." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/136.

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Home visits are a required training component of many Family Medicine residency programs in the United States. However, they are becoming less popular due to such factors as increasing resident responsibilities, decreasing reimbursement, and a decline in resident intention to incorporate home visits into future practice. This study’s aims are: (1) to evaluate the current practices of one Family Medicine residency training program’s time and resource expenditure to conduct home visits, and (2) to evaluate resident and faculty experiences of home visits. Residents and faculty in a Family Medicine training program were provided with a 12- question survey immediately after completing a home visit. A total of 19 surveys from residents and faculty were collected and analyzed. Average reported time spent per home visit was 90 minutes (range = 50-180 minutes), and the home visit teams included an average of 4 members (range = 2-6 members). The providers felt that they knew their patients and the patients’ circumstances better after the home visit with a score of 4.1 (on a 1-5 scale with 5 being a positively framed statement). Resident opinions were neutral (average score 3.1 on a 1-5 scale) regarding whether they found home visits to be educational to their residency training in Family Medicine. Residents also had mixed feelings (average score 2.9) regarding whether they would perform more home visits during their residency training if given the opportunity. Most faculty members (5/7) indicated they had done home visits during their residency training and all faculty (7/7) felt that home visits added value to their training in Family Medicine. Finally, qualitative recommendations were collected from respondents which may allow this training program to improve home visits in the future. Overall, significant time is currently being spent conducting home visits, with a difference in perceived efficacy between residents and faculty. Future research may include a cost analysis to quantify financial value, as well as expanding data collection to other Family Medicine residency training programs to improve generalizability.
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Saleta, Jennifer M. "The effects of utilizing high-fidelity simulation in medical residency programs." Thesis, St. John's University, School of Education and Human Services, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3537049.

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The purpose of this study was to examine the effects of utilizing high-fidelity simulation on the team performance, perceived level of learning, and satisfaction of resident physicians in a simulated cardiac resuscitation scenario. This study was significant because it filled a gap in the literature about how methods of education impact healthcare practitioners. While a body of research exists in education on adult learning principles, there are few studies on how applying adult learning principles to professional development is an effective method of instruction in healthcare.

A convenience sample of resident physicians from two hospitals that are part of a large health system was utilized for this study. Resident physicians participated in a simulated mock cardiac resuscitation scenario monthly. The Simulated Cardiac Resuscitation Team Performance Evaluation instrument was utilized to assess the team performance of the residents in the scenarios. A program evaluation form was administered to measure perceived level of learning and satisfaction with the simulation experience.

One-way multivariate analyses of variance were conducted to evaluate the relationships between year of residency and gender and the team performance score on the Simulated Cardiac Resuscitation Team Performance Evaluation. Significant differences were not found among the years of residency on the dependent measures. Significant differences were not found between the genders on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between year of residency and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found among the three years of residency on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between gender and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found between genders on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between prior use of simulation and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found between prior use of simulation on the dependent measures.

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Hess, Janet S. "Residency Education in Preparing Adolescent and Young Adults for Transition to Adult Care: A Mixed Methods Pilot Study." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5039.

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Background: There is considerable evidence that physicians lack sufficient training in facilitating transition from pediatric to adult care systems for adolescents and young adults (A/YA). While several primary care residency programs have introduced health care transition (HCT) curricula in recent years, there are few studies that assess the effectiveness of HCT teaching models. Purpose: To assess the impact of a residency education program that uses electronic health records (EHR) and other methods to teach residents how to prepare A/YA for transition to adult care. Methods: In a mixed methods, quasi-experimental research design, quantitative methods were used to measure change in knowledge, confidence and experience among 67 Pediatrics and Med-Peds residents who participated in the program. All residents and a comparison group were invited to complete a 35-item pre/post-survey; a retrospective chart review provided documentation of age-specific HCT preparation tasks completed by residents during well visits for A/YA aged 12-21. Descriptive and correlational analyses were conducted to compare differences between resident and control test scores for 5 outcome variables, and to measure resident utilization of the HCT tool in the EHR. Using the Reach Effectiveness-Adoption Implementation Maintenance (RE-AIM) evaluation model as a guide, semi-structured interviews were conducted concurrently with residents and faculty to assess program acceptability, feasibility, and other important attributes. Interviews were transcribed and analyzed using a constant comparative, iterative process. Results: Survey results showed residents (11 matched pairs) scored significantly higher than controls (13 matched pairs) in 2 of 5 outcomes: exposure to HCT learning activities (p=.0005) and confidence in providing primary care for YSHCN (p=.0377). Overall utilization of the EHR tool among 51 residents was 52.8% (57 of 108 patient visits). In interviews conducted with 16 residents and 6 faculty, both groups said that HCT training is a highly relevant need. Residents said they had little knowledge or experience in HCT prior to the intervention but felt more confident in their abilities afterwards. The HCT tool in the EHR was the only intervention element among multiple modalities that reached all study participants, with more than 80% of residents interviewed reporting they used the HCT tool "usually" or "always." Factors that influenced program adoption included accessibility of educational materials, ease of use, time constraints, patient age and health condition, and attending physicians' enforcement of the protocol. Conclusion: This study contributes to the body of knowledge concerning HCT by increasing our understanding of ways to effectively educate residents about transition preparation. Results show a positive intervention effect on selected dimensions of resident knowledge, confidence, and practice in HCT, highlighting program strengths and weaknesses. The program is distinctive in educating residents to prepare all A/YA for HCT, as recommended by major medical associations for pediatric and adult care physicians, and in its use of the EHR as a primary teaching tool, a consideration for reducing time-intensive didactic instruction. It provides a model that can be adapted by other residency and provider training programs, and suggests a need to integrate acquisition of health care self-management skills more broadly in child and adolescent health preventive care tools and policies.
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Books on the topic "Health residency"

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), Centers for Medicare &. Medicaid Services (U S. Medicare resident & new physician guide: Helping health care professionals navigate Medicare. 7th ed. [Baltimore, Md.]: Centers for Medicare & Medicaid Services, 2003.

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National Institutes of Health (U.S.). Clinical Center. The pharmacy residency program, at the National Institutes of Health. Bethesda, Md: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, The Clinical Center, 1994.

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National Institutes of Health (U.S.). Clinical Center. The pharmacy residency program, at the National Institutes of Health. Bethesda, Md: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, The Clinical Center, 1994.

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Psychotherapy: An introduction for psychiatry residents and other mental health trainees. Baltimore, MD: The Johns Hopkins University Press, 2004.

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Men who control women's health: The miseducation of obstetrician-gynecologists. New York: Teachers College Press, 1994.

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The real Grey's anatomy: A behind-the-scenes look at the real lives of surgical residents. New York: Berkley Books, 2010.

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Holtz, Andrew. The Real Grey's Anatomy. New York: Penguin USA, Inc., 2010.

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Office, General Accounting. VA health care: Changes in medical residency slots reflect shift to primary care : report to the Ranking Minority Member, Committee on Veterans' Affairs, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20548-0001): The Office, 2000.

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Erica, Bell. Rural medical education: Practical strategies. Hauppauge, N.Y: Nova Science, 2011.

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Affairs, Ontario Minister for Senior Citizens'. Elderly Residents in Ontario: Health. S.l: Minister for Senior Citizens Affairs, 1985.

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Book chapters on the topic "Health residency"

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Salzman, David H., Heather L. Heiman, Brigid M. Dolan, and Jennifer Trainor. "Readiness for Residency." In Comprehensive Healthcare Simulation: Mastery Learning in Health Professions Education, 271–86. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-34811-3_15.

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Ritsma, Amanda, and Lauren Forrest. "Causes of Chronic Stress and Impact on Physician Health." In Humanism and Resilience in Residency Training, 247–71. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45627-6_8.

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Jarecki, Joanna, Satyam Choudhuri, and Tara Riddell. "The Role of Self-Compassion in Health and Well-Being." In Humanism and Resilience in Residency Training, 49–78. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-45627-6_2.

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Kay, Jerald, and Victor Schwartz. "Psychiatry Residency Training in College Mental Health Services." In Mental Health Care in the College Community, 203–18. Chichester, UK: John Wiley & Sons, Ltd, 2010. http://dx.doi.org/10.1002/9780470686836.ch11.

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Tupesis, Janis P., Christine Babcock, Doug Char, Kumar Alagappan, Braden Hexom, and G. Bobby Kapur. "Chapter 10 Optimizing Global Health Experiences in Emergency Medicine Residency Programs: A Consensus Statement from the Council of Emergency Medicine Residency Directors." In International Disaster Health Care, 165–74. 3333 Mistwell Crescent, Oakville, ON L6L 0A2, Canada: Apple Academic Press, 2016. http://dx.doi.org/10.1201/9781315365787-11.

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Kamenska, Anhelita, and Jekaterina Tumule. "Migrants’ Access to Social Protection in Latvia." In IMISCOE Research Series, 257–70. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_17.

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Abstract This chapter discusses the link between migration and welfare in Latvia. In general, the Latvian social security system may be described as a mixture of elements taken from the basic security (where eligibility is based on contributions or residency, and flat-rate benefits are provided) and corporatist (with eligibility based on labour force participation and earnings-related benefits) models. The country has experienced significant social policy and migration-related changed during the past decades. This chapter focuses on the current Latvian legislation, by closely examining the differential access to social protection benefits of resident nationals, foreigners living in Latvia and Latvian citizens residing abroad across five core policy areas: unemployment, health care, pensions, family benefits and social assistance. Our results show that the Latvian social security benefits are generally based on the principle of employment, social insurance contributions, and permanent residence. Most of the social benefits and services are available to socially insured permanent residents. At the same time, the state offers minimum protection to non-insured permanent residents. Foreigners with temporary residence permits who are not socially insured are the least socially protected group.
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Battaglia, John, Art Walaszek, and Claudia L. Reardon. "The Program of Assertive Community Treatment and the University of Wisconsin Psychiatry Residency." In Partnerships for Mental Health, 89–100. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-18884-3_7.

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Taub, Peter J., and Lester Silver. "Surgical Mission Trips as a Component of Medical Education and Residency Training." In The Role of Anesthesiology in Global Health, 325–30. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-09423-6_24.

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Suhail-Sindhu, Selena, Parth Patel, Judith Sugarman, and Helena Hansen. "Program for Residency Education, Community Engagement, and Peer Support Training (PRECEPT): Connecting Psychiatrists to Community Resources in Harlem, NYC." In Structural Competency in Mental Health and Medicine, 137–48. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10525-9_11.

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Kalliomaa-Puha, Laura. "Migrants’ Access to Social Protection in Finland." In IMISCOE Research Series, 149–64. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-51241-5_10.

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Abstract Finland has a universal and residence-based social protection system. As long as a migrant is considered a permanent resident, he/she is entitled to social welfare, health services and cash benefits on the same bases as national residents. Nationality is not a criterion. Eligibility for social benefits can also be gained through employment. The crucial point is thus to become a resident or a worker. Even though the eligibility rules for benefits and services are the same for everyone, nationals, EU citizens and third-country nationals have partly different rules for entering the country and for becoming permanent residents. Third-country nationals need, for example, a resident permit that allows them to work, whereas EU/EEA nationals can enter Finland freely to search for a job. Nationals can always enter the country without any resident permit. A certain period of residence is required to qualify for some of the benefits. However, these qualifying periods are required from all applicants, nationals included.
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Conference papers on the topic "Health residency"

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Green-McKenzie, Judith, and Edward Emmett. "1450 Outcomes of an innovative train-in-place occupational medicine residency program." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.294.

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Della Torre, DNP, EC Dias, and JM da Silva. "1349 Residency program in occupational medicine guided by the competences required to practice the specialty in brazil." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.291.

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Bauleo, María Fernanda, Frank van Dijk, and Katja Radon. "1273 It is the residency important for working conditions? a cross-sectional study on migrant domestic workers in argentina." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.349.

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Carlucci, Roberto, Aylin Akkaya Bas, Rosalia Maglietta, Vito Reno, Carmelo Fanizza, Aldo Rizzo, Roberto Crugliano, and Giulia Cipriano. "Site fidelity, residency and habitat use of the Risso’s dolphin Grampus griseus in the Gulf of Taranto (Northern Ionian Sea, Central-eastern Mediterranean Sea) by photo-identification." In 2018 IEEE International Workshop on Metrology for the Sea; Learning to Measure Sea Health Parameters (MetroSea). IEEE, 2018. http://dx.doi.org/10.1109/metrosea.2018.8657847.

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Passos, JR, AM Silveira, and EC Dias. "1535 Profile of physicians of the work in minas gerais graduates of the medical residency and accredited course of specialisation and the evaluation of the competences required for the exercise of the medicine of the work in brazil." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.481.

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Boettner, Daisie D., Cheryl A. Massie, and Darrell D. Massie. "Lessons Learned From Residential Experience With Proton Exchange Membrane Fuel Cell Systems for Combined Heat and Power." In ASME 2004 2nd International Conference on Fuel Cell Science, Engineering and Technology. ASMEDC, 2004. http://dx.doi.org/10.1115/fuelcell2004-2480.

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As part of a one-year Department of Defense demonstration project, proton exchange membrane fuel cell systems have been installed at three residences to provide electrical power and waste heat for domestic hot water and space heating. The 5 kW-capacity fuel cells operate on reformed natural gas. These systems operate at preset levels providing power to the residence and to the utility grid. During grid outages, the residential power source is disconnected from the grid and the fuel cell system operates in standby mode to provide power to critical loads in the residence. This paper describes lessons learned from installation and operation of these fuel cell systems in existing residences. Issues associated with installation of a fuel cell system for combined heat and power focus primarily on fuel cell siting, plumbing external to the fuel cell unit required to support heat recovery, and line connections between the fuel cell unit and the home interior for natural gas, water, electricity, and communications. Operational considerations of the fuel cell system are linked to heat recovery system design and conditions required for adequate flow of natural gas, air, water, and system communications. Based on actual experience with these systems in a residential setting, proper system design, component installation, and sustainment of required flows are essential for the fuel cell system to provide reliable power and waste heat.
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"Changes in Center of Mass during Preliminary Motion for Prediction of Direction Change." In Structural Health Monitoring. Materials Research Forum LLC, 2021. http://dx.doi.org/10.21741/9781644901311-35.

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Abstract. In recent years, the number of single elderly people has been increasing, and the needs of residents have been diversifying. Towards these backgrounds, we propose the concept of "Biofiled bulding". The aim of Biofied Building is to create living spaces where residents can live safely, securely and comfortably. Small robots are used as an interface between residents and living space in Biofied Building. The aim of using robots is to sense the position and movement of residents in real time and providing feedback to them. However,he present control systems of the robot do not have enough functions to estimate the risk of accidents such as falls and choose the pathways which do not disturb residents. Therefore, the purpose of this research is to recognize and predict human behavior in a living space by using a robot to realize Biofied Building. In particular, we focus on the direction change motion, which is an important behavior in a living space, and extract the prediction parameters. In particular, it is reported that the direction change motion account for about 20% of gait during the daily life. Therefore, our research group decided to focus on direction change motion. In this study, we focused on the center of the head to extract parameters for prediction of the direction change motion. There are features in the velocity change of the center of the head compared with straight-line gait. There was a velocity amplification of the opposite direction of the direction change before the start of the motion. It is assumed that the shift of the center of mass make it to easier to step out to the direction of the turn.
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Zang, Wei, Xue Mei Yang, and Ying Jie Zhao. "Thoughts on epidemic preventuon and control. Impact of population migration on epidemic preventon and control in labour-intensive cities and towns during spring festival." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/sxgm9037.

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Novel coronavirus pneumonia strikes the city in 2020, making this year special. It also brings us to the attention of the city's public safety and health problem, which directly affects the city's healthy and sustainable development. During the Spring Festival, a large number of migrant workers in labour-intensive cities and towns returned to their places of residence, forming a large-scale population migration across the country, increasing the difficulty of controlling the epidemic. This paper analyzes the labour migration, medical support, government measures and residents of labour-intensive cities and towns, understands the underlying logic of the epidemic situation, puts forward some solutions for urban disaster prevention and control, and increases urban resilience. It mainly includes: 1) building a population mobility information platform, using big data and network to accurately locate, to guide the later epidemic prevention and control and to prevent secondary infection; 2)To solve the problem of insufficient implementation of urban medical supporting facilities and avoid infection on the way to medical treatment, we should set up a temporary medical treatment point according to the "cell neighbourhood" approach in the city; 3)Make good use of online official channels to shorten the time lag between governments in transmitting information and taking measures; 4) It is significant to encourage residents to join in the epidemic prevention and control, to improve the residents' awareness of prevention and control and the ability to distinguish the authenticity of information.
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Xin, Li, and Liao Danyan. "Practice research on community micro renewal from the perspective of healthy community." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/dxlj2564.

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With the acceleration of urbanization and the frequent occurrence of residents' physical and mental health problems, public health has become one of the most important factors in urban development. And building healthy communities is an effective measure to improve public health. In the context of smart growth planning, community renewal is an important part of building healthy communities. To a certain extent, introducing the concept of healthy city into community micro-renewal can promote residents' physical and mental health and social equity, among which we introduce the method of health impact assessment. Community health impact assessment points of three stages, including micro update assessment preparation, project evaluation analysis and implementation, in order to determine the factors affecting health, the health improvement measures and the results of evaluation, planning and design projects to residents health gain role play to the largest. This Assessment implementation mobilized public participation, strengthen the cooperation of the parties, also let residents pay attention to health problems. Taking the renewal of public space in Dashilan community courtyard as an example, this paper explores the application of health impact assessment in practical projects and summarizes the shortcomings in practice. It is a new exploration to introduce the concept of healthy community in community microrenewal, which provides new ideas for building healthy cities and improving public health in China.
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YU, Qiliang, and Binquan ZHANG. "The Design Strategy Analysis of A Green Healthy Residence." In 2016 International Conference on Architectural Engineering and Civil Engineering. Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/aece-16.2017.55.

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Reports on the topic "Health residency"

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Mellinger, P. J., and L. E. Sever. Health risks from indoor formaldehyde exposures in northwest weatherized residences. Office of Scientific and Technical Information (OSTI), October 1986. http://dx.doi.org/10.2172/5000923.

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McQueen, Ann. Humor-Related Social Exchanges and Mental Health in Assisted Living Residents. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.299.

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Powell, A., U. Pal, and J. van den Avyle. Optimal beam pattern to maximize inclusion residence time in an electron beam melting hearth. Office of Scientific and Technical Information (OSTI), February 1997. http://dx.doi.org/10.2172/432999.

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Stall, Nathan M., Kevin A. Brown, Antonina Maltsev, Aaron Jones, Andrew P. Costa, Vanessa Allen, Adalsteinn D. Brown, et al. COVID-19 and Ontario’s Long-Term Care Homes. Ontario COVID-19 Science Advisory Table, January 2021. http://dx.doi.org/10.47326/ocsat.2021.02.07.1.0.

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Key Message Ontario long-term care (LTC) home residents have experienced disproportionately high morbidity and mortality, both from COVID-19 and from the conditions associated with the COVID-19 pandemic. There are several measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes, if implemented. First, temporary staffing could be minimized by improving staff working conditions. Second, homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Third, the risk of SARS-CoV-2 infection in staff could be minimized by approaches that reduce the risk of transmission in communities with a high burden of COVID-19. Summary Background The Province of Ontario has 626 licensed LTC homes and 77,257 long-stay beds; 58% of homes are privately owned, 24% are non-profit/charitable, 16% are municipal. LTC homes were strongly affected during Ontario’s first and second waves of the COVID-19 pandemic. Questions What do we know about the first and second waves of COVID-19 in Ontario LTC homes? Which risk factors are associated with COVID-19 outbreaks in Ontario LTC homes and the extent and death rates associated with outbreaks? What has been the impact of the COVID-19 pandemic on the general health and wellbeing of LTC residents? How has the existing Ontario evidence on COVID-19 in LTC settings been used to support public health interventions and policy changes in these settings? What are the further measures that could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes? Findings As of January 14, 2021, a total of 3,211 Ontario LTC home residents have died of COVID-19, totaling 60.7% of all 5,289 COVID-19 deaths in Ontario to date. There have now been more cumulative LTC home outbreaks during the second wave as compared with the first wave. The infection and death rates among LTC residents have been lower during the second wave, as compared with the first wave, and a greater number of LTC outbreaks have involved only staff infections. The growth rate of SARS-CoV-2 infections among LTC residents was slower during the first two months of the second wave in September and October 2020, as compared with the first wave. However, the growth rate after the two-month mark is comparatively faster during the second wave. The majority of second wave infections and deaths in LTC homes have occurred between December 1, 2020, and January 14, 2021 (most recent date of data extraction prior to publication). This highlights the recent intensification of the COVID-19 pandemic in LTC homes that has mirrored the recent increase in community transmission of SARS-CoV-2 across Ontario. Evidence from Ontario demonstrates that the risk factors for SARS-CoV-2 outbreaks and subsequent deaths in LTC are distinct from the risk factors for outbreaks and deaths in the community (Figure 1). The most important risk factors for whether a LTC home will experience an outbreak is the daily incidence of SARS-CoV-2 infections in the communities surrounding the home and the occurrence of staff infections. The most important risk factors for the magnitude of an outbreak and the number of resulting resident deaths are older design, chain ownership, and crowding. Figure 1. Anatomy of Outbreaks and Spread of COVID-19 in LTC Homes and Among Residents Figure from Peter Hamilton, personal communication. Many Ontario LTC home residents have experienced severe and potentially irreversible physical, cognitive, psychological, and functional declines as a result of precautionary public health interventions imposed on homes, such as limiting access to general visitors and essential caregivers, resident absences, and group activities. There has also been an increase in the prescribing of psychoactive drugs to Ontario LTC residents. The accumulating evidence on COVID-19 in Ontario’s LTC homes has been leveraged in several ways to support public health interventions and policy during the pandemic. Ontario evidence showed that SARS-CoV-2 infections among LTC staff was associated with subsequent COVID-19 deaths among LTC residents, which motivated a public order to restrict LTC staff from working in more than one LTC home in the first wave. Emerging Ontario evidence on risk factors for LTC home outbreaks and deaths has been incorporated into provincial pandemic surveillance tools. Public health directives now attempt to limit crowding in LTC homes by restricting occupancy to two residents per room. The LTC visitor policy was also revised to designate a maximum of two essential caregivers who can visit residents without time limits, including when a home is experiencing an outbreak. Several further measures could be effective in preventing COVID-19 outbreaks, hospitalizations, and deaths in Ontario’s LTC homes. First, temporary staffing could be minimized by improving staff working conditions. Second, the risk of SARS-CoV-2 infection in staff could be minimized by measures that reduce the risk of transmission in communities with a high burden of COVID-19. Third, LTC homes could be further decrowded by a continued disallowance of three- and four-resident rooms and additional temporary housing for the most crowded homes. Other important issues include improved prevention and detection of SARS-CoV-2 infection in LTC staff, enhanced infection prevention and control (IPAC) capacity within the LTC homes, a more balanced and nuanced approach to public health measures and IPAC strategies in LTC homes, strategies to promote vaccine acceptance amongst residents and staff, and further improving data collection on LTC homes, residents, staff, visitors and essential caregivers for the duration of the COVID-19 pandemic. Interpretation Comparisons of the first and second waves of the COVID-19 pandemic in the LTC setting reveal improvement in some but not all epidemiological indicators. Despite this, the second wave is now intensifying within LTC homes and without action we will likely experience a substantial additional loss of life before the widespread administration and time-dependent maximal effectiveness of COVID-19 vaccines. The predictors of outbreaks, the spread of infection, and deaths in Ontario’s LTC homes are well documented and have remained unchanged between the first and the second wave. Some of the evidence on COVID-19 in Ontario’s LTC homes has been effectively leveraged to support public health interventions and policies. Several further measures, if implemented, have the potential to prevent additional LTC home COVID-19 outbreaks and deaths.
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Johnson, David B., and William, R. Arbeit. A baseline study of the health status of the residents in Kalapana, Hawaii, January--June 1987. Office of Scientific and Technical Information (OSTI), August 1988. http://dx.doi.org/10.2172/882391.

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Sultana, Munawar. Culture of silence: A brief on reproductive health of adolescents and youth in Pakistan. Population Council, 2005. http://dx.doi.org/10.31899/pgy19.1006.

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Previous research on the reproductive health of adolescents and youth in Pakistan has not addressed the diversity of adolescent experiences based on social status, residence, and gender. To understand the transition from adolescence to adulthood more fully, it is important to assess social, economic, and cultural aspects of that transition. This brief presents the experience of married and unmarried young people (males and females) from different social strata and residence regarding their own attitudes and expectations about reproductive health. More young people aged 15–24 live in Pakistan now than at any other time in its history—an estimated 36 million in 2004. Recognizing the dearth of information on this large group of young people, the Population Council undertook a nationally representative survey from October 2001 to March 2002. The analysis presented here comes from Adolescents and Youth in Pakistan 2001–02: A Nationally Representative Survey. The survey sought information from youth aged 15–24, responsible adults in the household, and other community members in 254 communities. A total of 6,585 households were visited and 8,074 young people were interviewed.
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Brown, Kevin A., Nathan M. Stall, Thuva Vanniyasingam, Sarah A. Buchan, Nick Daneman, Michael P. Hillmer, Jessica Hopkins, et al. Early Impact of Ontario’s COVID-19 Vaccine Rollout on Long-Term Care Home Residents and Health Care Workers. Ontario COVID-19 Science Advisory Table, March 2021. http://dx.doi.org/10.47326/ocsat.2021.02.13.1.0.

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Mahling, Alexa, Michelle LeBlanc, and Paul A. Peters. Report: Rural Resilience and Community Connections in Health: Outcomes of a Community Workshop. Spatial Determinants of Health Lab, Carleton University, December 2020. http://dx.doi.org/10.22215/sdhlab/2020.1.

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Canadians living in rural communities are diverse, with individual communities defined by unique strengths and challenges that impact their health needs. Understanding rural health needs is a complex undertaking, with many challenges pertaining to engagement, research, and policy development. In order to address these challenges, it is imperative to understand the unique characteristics of rural communities as well as to ensure that the voices of rural and remote communities are prioritized in the development and implementation of rural health research programs and policy. Effective community engagement is essential in order to establish rural-normative programs and policies to improve the health of individuals living in rural, remote, and northern communities. This report was informed by a community engagement workshop held in Golden Lake, Ontario in October 2019. Workshop attendees were comprised of residents from communities within the Madawaska Valley, community health care professionals, students and researchers from Carleton University in Ottawa, Ontario, and international researchers from Australia, Sweden, and Austria. The themes identified throughout the workshop included community strengths and initiatives that are working well, challenges and concerns faced by the community in the context of health, and suggestions to build on strengths and address challenges to improve the health of residents in the Madawaska Valley.
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Stall, Nathan M., Allison McGeer, Antonina Maltsev, Isaac I. Bogoch, Kevin A. Brown, Gerald A. Evans, Fahad Razak, et al. The Impact of the Speed of Vaccine Rollout on COVID-19 Cases and Deaths in Ontario Long-Term Care Homes. Ontario COVID-19 Science Advisory Table, January 2021. http://dx.doi.org/10.47326/ocsat.2021.02.08.1.0.

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Key Message Accelerating the rollout of Ontario’s COVID-19 vaccine such that all LTC residents receive the first dose of a COVID-19 vaccine by January 31, 2021, would prevent a projected 600 COVID-19 cases and 115 deaths by March 31, 2021 when compared with the province’s current plan to vaccinate all LTC residents by February 15, 2021. Projections indicate that further acceleration of the rollout would prevent even more COVID-19 cases and deaths. If vaccine supply is limited, the early provision of first doses of a COVID-19 vaccine to LTC home residents is likely to be more beneficial than the on-schedule provision of second doses to health care workers outside of LTC homes. All LTC residents should receive the second dose according to approved vaccination schedules.
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Bartik, Timothy J., and George A. Erickcek. Higher Education, the Health Care Industry, and Metropolitan Regional Economic Development: What Can "Eds and Meds" Do for the Economic Fortunes of a Metro Area's Residents? W.E. Upjohn Institute, February 2007. http://dx.doi.org/10.17848/wp08-140.

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