Australian Orthodontists Utilization and Attitude Toward a Government Funded Cleft Scheme

2021 ◽  
pp. 105566562198912
Author(s):  
Morgan Wishney ◽  
Aziz Sahu-Khan ◽  
Peter Petocz ◽  
M. Ali Darendeliler ◽  
Alexandra K. Papadopoulou

Objectives: To (1) survey Australian orthodontists about their involvement with a government-funded scheme for patients with clefts, the Medicare Cleft Lip and Cleft Palate Scheme (MCLCPS) and (2) investigate their attitude toward treating patients with clefts and their training in this respect. Design: A 13-question online survey was distributed to members of the Australian Society of Orthodontists. The survey gathered information regarding respondent demographics, the number of MCLCPS-eligible patients seen in the past 12 months and usual billing practices. Results: A total of 96 complete responses were obtained. About 70% of respondents had treated MCLCPS-eligible patients in the past 12 months and 55% saw between 2 and 5 patients during this time. The likelihood of treating patients with clefts increased by a factor of 4.8 (95% CI: 1.2-18.9) if practicing outside of a capital city and 1.5 times for each decade increase in orthodontist’s age (95% CI: 1.0-2.2). The MCLCPS was utilized by 81% of orthodontists with 26% of these respondents accepting rebate only. Most orthodontists felt their university training could have better prepared them to treat patients with clefts. A minority of orthodontists felt that a rebate increase would make them more likely to treat these patients. Conclusions: Australian orthodontists who treat patients with clefts tend to be older and work outside of capital cities. The decision to treat these patients tends to not be financially motived. Specialty orthodontic training programs could improve the preparedness of their graduates to treat patients with clefts.

2010 ◽  
Vol 56 ◽  
pp. 1-46 ◽  
Author(s):  
Ellen Adams

Early states functioned under entirely different circumstances from modern nation states, which politically and administratively require a capital city. The nature and extent of centralization in ancient societies is much harder to define. A comparative study of two similar geographical entities, such as islands, can shed light on the diverse and complex relationships between ancient polities and central places. Scholars have, at times, assigned capital cities to the Late Bronze Age island cultures of Crete and Cyprus – namely Knossos and Enkomi respectively. Differences in these cultures and settlements notwithstanding, this paper seeks to explore the multi-layered and diverse nature of past and present interpretations through a comparative approach. It is argued that we need to acknowledge the roles that recent politics and archaeological practices have had on previous and current narratives of the past. The often-troubled transformations undergone by modern nation states, and the expectation that such entities possess capitals, have coloured previous interpretations of the past more than is generally recognized. The categories constructed and models applied have guided our approaches but they have also imposed potentially anachronistic frameworks. This paper seeks further historical depth, and to better understand the complex and varied roles ancient central places had in their wider context.


2022 ◽  
Author(s):  
Mahdi Biabani ◽  
Saeed Dastgiri ◽  
Elham Davtalabesmaeili

The aim of this study was to provide the natural history and epidemiology of cleft lip and cleft palate in the northwest region of Iran between 2000 and 2019. Since 2000, infants born with birth defects have been registered in the Tabriz Registry of Congenital Anomalies (TRoCA). For this study, the information and data were collected using the TRoCA registry system. Prevalence of cleft lip and cleft palate was 1.48 (95% CI 1.34; 1.62) per 1000 live births over the past two decades in the region. The occurrence of cleft lip and cleft palate was more common in males than females. The fetal death ratio was 5 percent of live born children. The proportion of infants with cleft lip and cleft palate surviving to the second week was 54 percent. The results may have a role in planning and evaluating the strategies for primary prevention of cleft lip and cleft palate, particularly in high-risk populations.


2019 ◽  
Vol 6 ◽  
pp. 205435811987598
Author(s):  
Richard Hae ◽  
Daniel Samaha ◽  
Pierre-Antoine Brown ◽  
Rory McQuillan ◽  
Swapnil Hiremath ◽  
...  

Background: Controversy exists as to whether the insertion of temporary hemodialysis catheters (THDCs) should remain a mandatory requirement of nephrology fellowship training in Canada. A survey conducted by our group in 2012 showed that many nephrology trainees reported inadequate training to achieve procedural competence. Objective: To determine the current practices and training of the insertion of THDCs in nephrology fellowship programs in Canada and how this has evolved since 2012. Design: A survey study was designed comprising the following sections: demographics, details regarding the number and types of THDCs inserted within the past 6 months of fellowship training, adherence to sterile techniques, the use of ultrasound guidance during THDC insertion, training for THDC insertion received before and during nephrology fellowship, and self-perceived adequacy of training and competence in THDC insertion. Setting: The survey was distributed by e-mail in May 2018 either directly or through Canadian nephrology training programs. Participants: Current trainees of Canadian adult nephrology training programs. Measurements: Descriptive statistics were used to analyze the summarized data. The means and interquartile ranges (IQRs) were used to summarize the number of THDC insertions performed, and the categorical data, including data on training and self-perceived competency, were reported using frequencies and percentages. A chi-squared test was used to evaluate the relationship between those who received simulation-based training and self-perceived confidence in either internal jugular or femoral catheter insertion. Methods: An online survey, available in both English and French, was distributed to all adult nephrology trainees in Canada in May 2018 either directly or through their respective programs. Results: Completed surveys were received from 46 of 136 nephrology trainees across Canada (34%). Of those who responded, the median (IQR) number of combined femoral and/or internal jugular THDCs inserted in the past 6 months of fellowship training was 3 (1-6). Eight respondents (17%) indicated that they had not inserted a THDC in the past 6 months. However, only 7 of 42 respondents (17%) indicated that they did not feel competent or adequately trained to perform either femoral or internal jugular THDC insertion. Limitations: Limitations of the study include participation of trainees at different stages of their training. Many trainees indicated that it was not a requirement to keep a formal log of their procedures performed and likely had recall bias when reporting their procedure details. Conclusions: Nephrology fellows in Canada are performing fewer THDC insertions compared to 2012 but report higher levels of self-perceived competence and better training. This may be as a result of significantly more simulation-based training. Our data suggest that training to procedural mastery using simulation-based techniques may be a path to ensuring adequate training for THDC insertion despite fewer procedures being performed during training.


2017 ◽  
Vol 41 (160) ◽  
pp. 238-255
Author(s):  
Marjaana Niemi

AbstractCapital cities play a significant role in interpreting a country’s past and charting its future. In the aftermath of the First World War nine new European states, Finland and Ireland among them, were confronted with the question of how to create a capital city befitting their new status and national identity. Instead of designing and constructing an entirely new capital city which would have marked a clean break from the past, all these states chose an existing city as the capital. This article will examine processes through which two capitals, Helsinki and Dublin, were renewed physically and symbolically to make the political change ‘real’ to people, but also to reinterpret the past and create a ‘teleology for the present’. The aim is to discuss the ways in which the changes, planned and implemented, both reflected and reinforced new interpretations of the history of the city and the nation, and the continuities and discontinuities the changes created between the past and the present. Some elements and versions of the past were chosen over others, preserved and reinvented in the cityscape, while others were ignored, hidden or denied.


Author(s):  
Christian M Rogerson ◽  
Jayne M Rogerson

Although African cities are significant tourism destinations scholarship on African tourism is rural biased. This paper centres on one aspect of the neglected urban tourism research agenda of Africa, namely the state of tourism research in Africa’s national capital cities. A review of extant research is conducted on tourism in Africa’s capital cities. It pinpoints an upturn of research over the past decade with a concentration of scholarly contributions on a small group of cities and with many capitals lacking any research on aspects of the local tourism industry. Prominent thematic foci in research on capital cities are tourism and planning related issues and the development and impacts of various forms of niche tourism, most commonly of heritage and culture. Only minimally represented in Africa literature is investigations of the role of ‘capitalness’ in defining and impacting the character of capital city tourism. Arguably, therefore, Africa’s capital cities provide the setting for examining a variety of issues in tourism and hospitality research albeit that ‘capital city tourism’ is scarcely evident in contemporary scholarship about urban Africa.


2008 ◽  
Vol 18 (1) ◽  
pp. 24-31
Author(s):  
Martha Wilder Wilson ◽  
Elizabeth Zylla-Jones

Abstract The goal of university training programs is to educate speech-language pathology and audiology students to become competent and independent practitioners, with the ability to provide high quality and professional services to the public. This article describes the behaviors of “at-risk” student clinicians, so they may be identified early in their practica and remediation may be implemented. The importance of establishing a student at-risk protocol is discussed as well as a remediation plan for these students. This article summarized the Auburn University Speech and Hearing Clinic’s Student At-Risk Protocol, which may serve as a model for university training programs. The challenges of implementing such a protocol are also discussed.


2007 ◽  
Vol 30 (4) ◽  
pp. 66
Author(s):  
N. Tenn-Lyn ◽  
S. Verma ◽  
R. Zulla

We developed and implemented an annual online survey to administer to residents exiting residency training in order to (1) assess the quality of the residency experience and (2) identify areas of strength and areas requiring improvement. Long-term goals include program planning, policy-making and maintenance of quality control. Survey content was developed from an environmental scan, pre-existing survey instruments, examination of training criteria established by the CFPC and the CanMEDS criteria established by the RCPSC. The survey included evaluation benchmarks and satisfaction ratings of program director and faculty, preparation for certification and practice, quality of life, quality of education, and work environment. The response rate was 28%. Seventy-five percent of respondents were exiting from Royal College training programs. Results of descriptive statistics determined that the overall educational experience was rated highly, with 98.9% of respondents satisfied or very satisfied with their overall patient care experience. Ninety-six percent of respondents were satisfied or very satisfied with the overall quality of teaching. Preparation for practice was identified as needing improvement, with 26% and 34% of respondents giving an unsatisfactory rating to career guidance and assistance with finding employment, respectively. Although 80% of respondents reported receiving ongoing feedback and 84% discussed their evaluations with their supervisors, only 38% of evaluations were completed by the end of the rotation. The results indicate that residents are generally satisfied with their experiences during residency training, especially with their overall educational experience. Areas of improvement include preparation for practice and timeliness of evaluations. Further iterations of this survey are needed to refine the instrument, identify data trends and maintain quality control in residency training programs. Frank JR (ed.). The CanMEDS competency framework: better standards, better physicians, better care. Ottawa: The Royal College of Physicians and Surgeons of Canada, 2005. Merritt, Hawkins and Associates. Summary Report: 2003 Survey of final-year medical residents. http://www.merritthawkins.com/pdf/MHA2003residentsurv.pdf. Accessed May 1, 2006. Regnier K, Kopelow M, Lane D, Alden A. Accreditation for learning and change: Quality and improvement as the outcome. The Journal of Continuing Education in the Health Professions 2005; 25:174-182.


Author(s):  
Nguyen Van Dung ◽  
Giang Khac Binh

As developing programs is the core in fostering knowledge on ethnic work for cadres and civil servants under Decision No. 402/QD-TTg dated 14/3/2016 of the Prime Minister, it is urgent to build training program on ethnic minority affairs for 04 target groups in the political system from central to local by 2020 with a vision to 2030. The article highlighted basic issues of practical basis to design training program of ethnic minority affairs in the past years; suggested solutions to build the training programs in integration and globalization period.


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