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Bronchoscopy for specific situations
Published in Don Hayes, Kara D. Meister, Pediatric Bronchoscopy for Clinicians, 2023
Douglas Sidell, Christopher T. Towe, MyMy C. Buu
Both rigid and flexible bronchoscopy encompass a broad spectrum of procedures. These span the disciplines of pulmonary medicine, otolaryngology, critical care, and general surgery, among others. In the academic pediatric arena, there is often subtle overlap between procedures and specialties. Possibly of little surprise, few individuals perform all bronchoscopic procedures and instead tend to utilize bronchoscopy for purposes that lie within their own training and experience. Nevertheless, the past three decades have seen enhanced cross training between specialties and what is likely to be a significant improvement in patient care. This requires the dedicated bronchoscopist to understand the underlying principles of pulmonary bronchoscopy, laryngotracheal endoscopy, and other forms of interventional bronchoscopy alike. In addition, it requires a thorough understanding of the pathologic processes and training programs that define other disciplines outside of one's own specific training. Lastly, it requires an understanding of the equipment options available to perform bronchoscopy, the rationale for each endoscopic instrument's form and function, and the ability to appropriately apply these principles to the patient.
Personnel Training
Published in Kevin L. Erskine, Erica J. Armstrong, Water-Related Death Investigation, 2021
There are many benefits to agencies cross-training with each other. This is a great opportunity for agencies that may be responding to an incident together to build a rapport with one another. More importantly, incidents which have multiple agency responses need to be managed by one individual, who is aware of all teams’ capabilities and restrictions. More importantly, different agencies may have different types of dive equipment. Some departments still use weight belts and a basic scuba unit, while others may have an AGA or hard helmet type of mask and integrated weights. Imagine a rescue diver from one agency being deployed to assist a diver in trouble from another agency, only to not be able to drop the weight belt because that agency uses integrated weights. The results can be disastrous and deadly. Therefore cross-training which integrates equipment familiarization for all agencies is a must.
Qualitative Issues Related to the Transprofessional Model of End-Stage AIDS Care
Published in David Alex Cherin, G. J. Huba, AIDS Capitation, 2021
Lisa A. Melchior, Natasha De Veauuse, G. J. Huba
Cross training of staff. There should be cross training among the different types of staff so that each knows how the work of the other can benefit everyone. For example, training on how the medical information that nurses obtain in their work with patients can assist social workers in dealing with patients’ psychosocial issues, and vice versa. Furthermore, staff must learn that by making referrals to other disciplines, or types of staff, they are not admitting failure or inadequacies in their own abilities/knowledge. This form of cross training can be considered a cross awareness model, as opposed to more limited forms of cross training that are solely skills-based.
Building the foundation for a community-generated national research blueprint for inherited bleeding disorders: research priorities for ultra-rare inherited bleeding disorders
Published in Expert Review of Hematology, 2023
Diane Nugent, Suchitra S. Acharya, Kimberly J. Baumann, Camille Bedrosian, Rebecca Bialas, Kai Brown, Deya Corzo, Amar Haidar, Catherine P. M. Hayward, Peter Marks, Marzia Menegatti, Margaret E. Miller, Kate Nammacher, Roberta Palla, Skye Peltier, Rajiv K. Pruthi, Michael Recht, Benny Sørensen, Michael Tarantino, Alisa S. Wolberg, Amy D. Shapiro
Adequate infrastructure support is essential to all the centralized data collection, sample banking, expert network, and research collaboration initiatives identified. The important benefits of resource and expertise sharing may be most easily reaped between centers with similar foci, but are expected to extend throughout the network. A skilled workforce is needed to collect and expertly process samples, and for data entry. Centralized resources, such as a biorepository (potentially building upon the existing ATHN biorepository [73]) and a quality control or reagent standardization initiative, have the potential to improve diagnostic accuracy and reduce expenses. Expertise and funding will be required to design and execute complex molecular sample analyses (genotypes, epigenetics, genetic disease modifiers) evolving with technological advances. As explored in depth by WG6, workforce cross-training in innovative approaches to informatics, data science, epidemiology, and small clinical trial design will be key [57].
“Why People Gotta be so Judgy?”: The Importance of Agency-Wide, Non-judgmental Approach to Client Care
Published in Alcoholism Treatment Quarterly, 2022
Dana C. Branson, Jocelyn S. Martin, Olivia E. Westbrook, River J. Ketcherside, Christopher S. Bradley
The cross-training of staff in a variety of treatment modalities, theoretical frameworks, and therapeutic skills development is a continual recommendation within the literature (Brown, 2018; Dekkers et al., 2020; Jalali et al., 2019; Romero et al., 2017; Staiger et al., 2011). Although most social service agencies provide periodic trainings for staff as part of their dedication to staff development and quality care, it is important to revisit these topics to ensure that staff are engaging in best practices and to encourage new skill development. Additionally, training and providing periodic boosters on material is important due to the process of learning new skills (Romero et al., 2017; Savic et al., 2017). Due to the complexity of co-occurring SUD, mental health issues, and trauma, the trainings needed for treatment staff should be multifaceted. Comprehensive curriculum consisting of basic and clinical knowledge should be provided, including topics such as: SUD definitions and epidemiology; etiology of addiction; biological science concerning how chemicals work; psychological consequences of SUD; common lifestyle and subculture of SUD; basic diagnostic science; reducing stigma for SUD and mental health issues; behaviors common to mental health issues; trauma-informed care; neurological processes of trauma; common and paradoxical behaviors resulting from trauma; identifying and separating personal values and biases from professional duties; cultural competency; the importance of self-care; and practical ways to intentionally create welcoming and safe therapeutic environments.
Improving linkage and retention in treatment among people living with HIV and comorbid substance use
Published in AIDS Care, 2022
Kasey Claborn, Regan Hill, Avat Kioumarsi
This study explored HIV and SUD treatment providers’ perspective on linkage and retention in dual treatment. An important barrier to treatment linkage included gaps in provider knowledge of appropriate referral options. Future studies should understand cross-training needs among these provider groups. HIV providers should be trained in the ASAM addiction care continuum (ASAM, 2015) and appropriate SUD screening tools. SUD providers should be trained in PrEP and appropriate community resources for HIV prevention and treatment.