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Introduction to the management station
Published in Sukhpreet Singh Dubb, Core Surgical Training Interviews, 2020
There will be many episodes whereby poor communication has resulted in a conflict between a patient or even a colleague. You may be asked to give an example of this and how you resolved the situation. It is therefore very helpful to review your reflective practice examples and keep the examples to recall from. Demonstrate your level of organisation and consideration by communication with your team and allied health care professionals. Meticulous documentation and using the situation to further your professional development is a good example of maturity that the interviewers will look for.
Do you really want to become a doctor?
Published in Viyaasan Mahalingasivam, Marc A Gladman, Manoj Ramachandran, Secrets of Success: Getting into Medical School, 2020
Viyaasan Mahalingasivam, Marc A Gladman, Manoj Ramachandran
In addition to research programmes, there are a few educational academic programmes, in which trainees have formal teaching committments and undertake research in areas of medical education such as curriculum design. However, it should be remembered that medical teaching is not exclusive to educationalists and that all doctors are expected to supervise and teach students, colleagues and allied health-care professionals both formally and informally. The aim of these programmes is to encourage doctors to improve the overall delivery of medical education.
Ageing Unequally
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
There is much that healthcare professionals can do to improve the lives of the most disadvantaged older people. This chapter has suggested that the prevention, mitigation and management of health inequalities in later life requires the rejection of a one-size fits all approach. Instead, emerging geriatric concepts such as frailty can be used as a tool through which practitioners explore, mitigate and manage the multiple and intersecting disadvantages impacting older people. A person-centred approach should strive to collaborate with the older population. Community practitioners can capitalise on the expertise of allied health care professionals and local specialist geriatric medicine services to address patients’ priorities. Specific strategies, such as addressing barriers to health care for disadvantaged populations, should accompany individual patient advocacy.
Factors influencing care and support for older adults with traumatic injury in Australia: a qualitative study
Published in Disability and Rehabilitation, 2022
Joanna Schwarzman, Aislinn Lalor, Sandy Reeder, Libby Callaway, Mohammed Aburumman, Belinda J. Gabbe, Christina L. Ekegren
Several themes from this study have recently been highlighted within Australia’s recent Royal Commission into Aged Care Quality and Safety [10]. In particular, issues regarding the skills and capacity of the aged care workforce to care for people with complex needs, including injury-related disability, have been raised numerous times [27]. In coming years, pressures on the aged care workforce are only expected to increase. It has been estimated that the aged care workforce will need to grow from around 366 000 to 980 000 by 2050 to meet the needs of the increasing numbers of older Australians accessing aged care services [28]. The aged care sector is also competing with both the acute health sector and the disability workforce for staffing supply, particularly since the introduction of the NDIS [27]. The Royal Commission’s final report included recommendations about improving the training, pay, and conditions of the aged care workforce and the need for greater involvement of geriatricians, nurses, and allied health care professionals within the aged care sector in order to care for people with complex needs. Furthermore, the introduction of the Aged Care Quality and Safety standard “Consumer dignity and choice” in 2019, may facilitate a shift in the aged care workforce's approach to care delivery. The requirements under this standard reflect a focus on workforce and organisations' capacity to demonstrate how they respect people's diversity, support consumers to make choices about their care and allow consumers to take risks [29].
Never Let a Crisis Go to Waste: What Have We Learned About Clinical Pathways for Transcatheter Structural Heart Interventions?
Published in Structural Heart, 2021
Elizabeth M. Perpetua, Mark J. Russo
The multidisciplinary and multimodality aspects to provide standard care or be thoughtfully minimalist are in fact labor intensive. In other words, considerable time, effort, knowledge, skill, and routine oversight are necessary even with the most standard protocols to make the complex simple. The triage, surveillance, and care coordination described in these two articles involve highly trained clinicians and coordinators. Preventing fragmentation of care relies upon a team-based approach heavily dependent upon nursing and allied health care professionals who are resigning in droves and are not readily replaced. A survey of more than 22,000 nurses found that nearly 20% plan to leave their jobs in the next 6 months due to burnout.16 Canada required several years to replenish the nursing staff that left the profession after a 2003 SARS epidemic. In Toronto, this outbreak lasted several months and was localized to 17 SARS cases. The COVID pandemic is global and has spanned parts of three years.17 The consequences of the ”Great Resignation” are already constraining healthcare supply chain and service lines. Recovery, retention, and recruitment must be prioritized with resources and actions beyond the Triple Aim to the Quadruple Aim: clinician/staff satisfaction, experience, and well-being.
Task shifting in primary care to tackle healthcare worker shortages: An umbrella review
Published in European Journal of General Practice, 2021
Siew Lian Leong, Siew Li Teoh, Weng Hong Fun, Shaun Wen Huey Lee
Worldwide, there is increased interest in exploring the ability of allied health care professionals to extend their roles and scope of practice to overcome the lack of manpower, especially in primary care. This is even more important in pandemics where there is additional strain in healthcare resources and services. Results of the current review suggest a need to continuously engage with both the providers such as physicians as well as care recipients. As the change is not merely a delegation of work from physicians to other professionals but a new exploration of working together, this could potentially create problems to existing professional hierarchies. Thus, the rationale of change, mutual understanding and sharing a common goal should be emphasised across all parties to facilitate the sustainability of the reform [49].