Resident Involvement in Tactical Medicine: 12 Years Later

2019 ◽  
Vol 34 (02) ◽  
pp. 217-219
Author(s):  
Nicholas P. Petit ◽  
Jason P. Stopyra ◽  
Ricardo A. Padilla ◽  
William P. Bozeman
Keyword(s):  
Law Enforcement ◽  
Online Survey ◽  
The United States ◽  
Fellowship Training ◽  
Federal Law ◽  
Law Enforcement Agencies ◽  
Special Operations ◽  
Resident Involvement ◽  
Fellowship Programs ◽  
Tactical Medicine

Introduction:Interest in tactical medicine, the provision of medical support to law enforcement and military special operations teams, continues to grow. The majority of tactical physicians are emergency physicians with additional training and experience in tactical operations. A 2005 survey found that 18% of responding Emergency Medicine (EM) residencies offered their resident physicians structured exposure to tactical medicine at that time.Methods:This study sought to assess interval changes in tactical medicine exposure during EM residency and Emergency Medical Services (EMS) fellowship training. A secure online survey was distributed electronically to all 212 EM residency programs and 44 EMS fellowship programs in the United States.Results:Responses were received from 99 (46%) EM residency and 40 (91%) EMS fellowship programs. Results showed that 52 (53%) of the responding residencies offered physician trainees formal exposure to tactical medicine as part of their training (P < .0001 compared to 18% in 2005). In addition, 32 (72%) of the 40 responding EMS fellowships (newly established since the initial survey) offered this opportunity. Experiences ranged from observation to active participation during tactical training and call-outs. The EM residents and EMS fellows provide support to local, state, and federal law enforcement agencies. A small number of programs (six residencies and four fellowships) allowed a subset of qualified trainees to be armed during tactical operations.Conclusion:Overall, training opportunities in tactical medicine have grown significantly over the last decade from 18% to 53% of responding EM residencies. In addition, 72% of responding EMS fellowships incorporate tactical medicine in their training program.Petit NP, Stopyra JP, Padilla RA, Bozeman WP. Resident involvement in tactical medicine: 12 years later. Prehosp Disaster Med. 2019;34(2):217–219

scholarly journals Glomerular Disease Education Experience across Nephrology Fellowship Programs: An International Survey

2021 ◽  
Author(s):  
Harish Seethapathy ◽  
Sayna Norouzi ◽  
Kate J. Robson ◽  
Lida Gharibvand ◽  
Ali Poyan Mehr
Keyword(s):  
Online Survey ◽  
The United States ◽  
Fellowship Training ◽  
Glomerular Disease ◽  
Comfort Level ◽  
Diagnosis And Treatment ◽  
Multiple Choice Questions ◽  
Glomerular Diseases ◽  
Fellowship Programs ◽  
Disease Study

Introduction: Glomerular disease (GN) education is an important, albeit a challenging component of nephrology fellowship training. We hypothesized that trainee experience varies widely across programs, leading to differences in self-reported comfort levels in the diagnosis and management of glomerular diseases. Methods: The Glomerular Disease Study & Trial Consortium (GlomCon) conducted an anonymous online survey to determine the educational experience of nephrology trainees. We used multiple-choice questions to obtain data about a) curriculum-based education, b) dedicated specialty clinic, and c) exposure to pathology. We leveraged a visual analogue scale of 1-100 (with a higher number indicating a higher comfort level) to assess self-reported levels of clinical comfort. The survey was disseminated via email to the subscribing members of GlomCon, and through Twitter. Results: In total, there were 109 respondents to our survey, and 56% were from training programs in the United States. Exposure to a specialized GN clinic was reported by 45%, while 77% reported the presence of an onsite nephropathologist at their training program. Self-reported comfort scores were 59±25 and 52±25 for diagnosis and treatment of glomerular diseases respectively. Days spent in GN clinic per year, years of fellowship and dedicated nephropathology didactics were associated with higher diagnosis and treatment comfort scores. Conclusion: Trainees report a wide variation in glomerular disease education across fellowship programs. A lack of nephropathology exposure and a dedicated GN curriculum were associated with lower scores in self-reported clinical comfort in caring for patients with glomerular disease.

Examining the Clearance Rates of Violent and Non-Violent Offences in the United States: A Trend Analysis, 2011–2018

2020 ◽  
pp. 0306624X2094468
Author(s):  
Avdi S. Avdija ◽  
Arif Akgul
Keyword(s):  
United States ◽  
Law Enforcement ◽  
Trend Analysis ◽  
Clearance Rate ◽  
The United States ◽  
Local State ◽  
Federal Law ◽  
Clearance Rates ◽  
Law Enforcement Agencies ◽  
Violent Offenses

The main objective of this study was to examine the clearance rates of violent and non-violent offenses in the United States for the years 2011 to 2018. This study focused specifically on the differences in clearance rates of incidents involving crimes against persons, crimes against property, and crimes against society. The analyses are based on the FBI’s NIBRS data that have been reported by local, state, and federal law enforcement agencies for 8 years combined. The analyses focused on the characteristics of the distribution of clearance rates by the types of incidents. The clearance rates were calculated based on the number of incidents that were cleared by arrest or exceptional means. The results show that the average clearance rate for incidents involving crimes against persons is 48.6%, for incidents involving property crimes is 18%, and for incidents involving crimes against society is 78%. The trend analyses show that the clearance rates are gradually decreasing for all three types of offense categories.

scholarly journals Perceptions and Attitudes Toward Single-Board Hematology Training in the United States: A Program Director Survey

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 3392-3392
Author(s):  
Rakhi P. Naik ◽  
Manuela Plazas Montana ◽  
Leslie S. Kersun ◽  
Srikanth Nagalla ◽  
Alfred I Lee
Keyword(s):  
United States ◽  
Online Survey ◽  
Program Directors ◽  
The United States ◽  
Fellowship Training ◽  
Program Director ◽  
Perceived Barriers ◽  
Advisory Committees ◽  
Academic Settings ◽  
Fellowship Programs

BACKGROUND: The American Board of Internal Medicine (ABIM) offers separate board examinations for adult hematology and medical oncology, yet the vast majority of fellowship training programs in the United States are structured as combined hematology/oncology programs. Single-board hematology tracks or programs may help increase recruitment and retention in non-malignant hematology; however, the barriers and attitudes toward hematology-only fellowship programs are unknown. We administered a survey to ACGME-accredited hematology/oncology program directors to explore their perceptions toward training in non-malignant hematology and their attitudes toward single-board hematology training. METHODS: In collaboration with the ASH Medical Educators Institute, we developed an anonymous online survey with 30 multiple-choice and open-ended questions to characterize attitudes toward specialization in non-malignant hematology and to assess program director interest and perceived barriers toward single-board hematology training. The survey was electronically administered to program directors of active hematology/oncology fellowship programs in the United States (n=139) in March/April 2019 using Qualtrics software. RESULTS: Of the 139 program directors who received the survey, 90 (65% response rate) completed the survey. The majority of program directors characterized their institutions as academic (87%), with only 9 (10%) describing their programs as community-based. Seventy-eight (87%) program directors believed that there is a shortage of exclusive non-malignant hematologists in the United States, and 59% felt that training more fellows to practice exclusive non-malignant hematology could help address the shortage (Table 1). Jobs for for exclusive non-malignant hematologists were perceived to exist only in academic settings by 47 (52%) respondents. In terms of fellowship training, program directors reported that an average of 5% of fellows per program pursued a career largely or exclusively focused on non-malignant hematology. In addition, 39 (43%) program directors felt that fellows were dissuaded from pursuing a career exclusively in non-malignant hematology. Regarding single-board hematology training, 73% of program directors believe that hematology-only training is both necessary and sufficient for fellows specializing in non-malignant hematology. The most commonly perceived barriers to single-board hematology fellowship programs were: 1) concerns for job availability for single-board hematology trainees, 2) concerns about limiting the training option to hematology only, and 3) lack of interested applicants to the program (Table 2). If barriers were addressed, 37% of programs directors reported that they would be interested in implementing a single-board hematology track at their institution. CONCLUSIONS: Combined hematology/oncology fellowship training is nearly exclusive to the United States. Our survey demonstrates that the percentage of fellows specializing in non-malignant hematology is significantly low (5%), a number that remains unchanged compared to a prior ASH program director survey in 2003. Our results also suggest that programs directors are interested in training fellows in non-malignant hematology and that single-board hematology training is generally acceptable among program directors. It will be important to address perceived barriers to hematology-only programs in order to promote implementation. Disclosures Naik: Elsevier: Other: Content Editor. Nagalla:Alnylam: Membership on an entity's Board of Directors or advisory committees.

“No Longer the Messiah”: Us Federal Law Enforcement Views of Religion in Connection with the 1993 Siege of Mount Carmel Near Waco, Texas

Numen ◽  
1996 ◽  
Vol 43 (2) ◽  
pp. 213-234 ◽  
Author(s):  
Lawrence Sullivan
Keyword(s):  
United States ◽  
Law Enforcement ◽  
The United States ◽  
Religious Community ◽  
United States Department ◽  
Federal Law ◽  
Department Of Justice ◽  
Law Enforcement Agencies ◽  
States Department ◽  
Federal Law Enforcement

AbstractAt the request of the United States Department of Justice and Department of the Treasury, the author reviewed the actions of Federal law enforcement agencies in Waco, Texas during the 1993 siege of the Branch Davidian religious community led by David Koresh, during which dozens of people died, including both federal officers and civilians. This article analyzes the views of religion which predominate among Federal law enforcement agents and which came to light during his review of the Waco incident.

Racializing Crimmigration

2016 ◽  
Vol 3 (1) ◽  
pp. 82-95 ◽  
Author(s):  
Amada Armenta
Keyword(s):  
United States ◽  
Law Enforcement ◽  
The United States ◽  
Immigration Enforcement ◽  
Law Enforcement Agencies ◽  
Local Law Enforcement ◽  
Local Jail ◽  
Colorblind Ideology ◽  
Local Actors ◽  
Local Law

Deporting “criminal aliens” has become the highest priority in American immigration enforcement. Today, most deportations are achieved through the “crimmigration” system, a term that describes the convergence of the criminal justice and immigration enforcement systems. Emerging research argues that U.S. immigration enforcement is a “racial project” that subordinates and racializes Latino residents in the United States. This article examines the role of local law enforcement agencies in the racialization process by focusing on the techniques and logics that drive law enforcement practices across two agencies, I argue that local law enforcement agents racialize Latinos by punishing illegality through their daily, and sometimes mundane, practices. Investigatory traffic stops put Latinos at disproportionate risk of arrest and citation, and processing at the local jail subjects unauthorized immigrants to deportation. Although a variety of local actors sustain the deportation system, most do not see themselves as active participants in immigrant removal and they explain their behavior through a colorblind ideology. This colorblind ideology obscures and naturalizes how organizational practices and laws converge to systematically criminalize and punish Latinos in the United States.

Building Bridges Between Researchers and Police Practitioners in Small and Midsize Law Enforcement Agencies in the United States

2021 ◽  
pp. 104398622199988
Author(s):  
Janice Iwama ◽  
Jack McDevitt ◽  
Robert Bieniecki
Keyword(s):  
United States ◽  
Law Enforcement ◽  
The United States ◽  
Law Enforcement Agencies ◽  
Local Police ◽  
Police Agencies

Although partnerships between researchers and police practitioners have increased over the last few decades in some of the largest police agencies in the United States, very few small agencies have engaged in a partnership with a researcher. Of the 18,000 local police agencies in the United States, small agencies with less than 25 sworn officers make up about three quarters of all police agencies. To support future collaborations between researchers and smaller police agencies, like those in Douglas County, Kansas, this article identifies challenges that researchers can address and explores how these relationships can benefit small police agencies across the United States.

Veto Power

2021 ◽  
pp. 131-194
Author(s):  
Noah Tsika
Keyword(s):  
Law Enforcement ◽  
Police Officers ◽  
Sex Workers ◽  
Motion Pictures ◽  
The United States ◽  
Veto Power ◽  
Law Enforcement Agencies ◽  
Deep Roots ◽  
Black Residents ◽  
White Supremacists

Throughout the first half of the twentieth century, police censorship of motion pictures was a significant and always controversial index of the expansion of law enforcement agencies to include activities that many Americans deemed unbecoming of cops. As such, it offers considerable insight into contemporary debates over the scope of police power in the United States. Today’s arguments have deep roots, including in a practice that was far more prevalent—and far more contentious—than conventional histories allow. When it came to vetting motion pictures, the methods of municipal police departments varied widely. But they often illuminated broader problems: Detroit police officers who voted to ban anti-Nazi films were themselves outspoken white supremacists; Chicago cops who balked at cinema’s suggestions of eroticism were also, outside of departmental screening rooms, aggressively targeting sex workers; and Southern lawmen who sought to eliminate intimations of racial equality were known for their brutal treatment of Black residents. Police censorship of motion pictures took place not in a vacuum but within the ever-widening ambit of law enforcement, and it merits scrutiny as a measure of the authority, influence, and cultural identities of municipal cops.

Cloudy days ahead: Cross-border evidence collection and its impact on the rights of EU citizens

2019 ◽  
Vol 10 (3) ◽  
pp. 227-250
Author(s):  
Lawrence Siry
Keyword(s):  
Law Enforcement ◽  
Cloud Storage ◽  
The United States ◽  
Legal Assistance ◽  
The European Union ◽  
Law Enforcement Agencies ◽  
Cross Border ◽  
Use Of Data ◽  
Evidence Collection ◽  
The Impact

In recent years, the development of cloud storage and the ease of cross-border communication have rendered the area of evidence collection particularly difficult for law enforcement agencies (LEAs), courts and academics. Evidence related to a criminal act in one jurisdiction might be stored in a different jurisdiction. Often it is not even clear in which jurisdiction the relevant data are, and at times the data may be spread over multiple jurisdictions. The traditional rules related to cross-border evidence collection, the mutual legal assistance treaty (MLAT) regimes, have proved to be out-dated, cumbersome and inefficient, as they were suited for a time when the seeking of cross-border evidence was more infrequent. In order to tackle this problem, the United States has enacted the Clarifying Lawful Overseas Use of Data Act, which gives extraterritorial e-evidence collection powers to US courts. Simultaneously, the European Union (EU) has proposed similar sweeping changes which would allow for LEAs in Member States to preserve and collect cloud-based evidence outside of the MLAT system. This article critically evaluates these developments from the perspective of the impact on the rights of EU citizens.

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