No abstract available.
Hospitals, Teaching* ; Prospective Studies*

The work suggested in this paper addresses a method for collecting beam data for small circular fields. Beam data were obtained from Philips 6 and 8 MV LINAC at Dept. Radiation Therapy at Gainesville Incorporated and Shands Teaching Hospital. Specific quantities measured include tissue maximum ratio (TMR), off-axis ration (OAR) and relative output factor (ROF). In small field irradiation, special collimators were used to produce circular fields of 1 cm to 3 cm diameter in 2 mm steps, measured at SAD (soura axis distance) of 100 cm. Diode detector was chosen for primary beam measurement and compared with measurements made with photographic film and TLD dosimeters. The measured TMRs and OARs were formulated from limited measurements to generate basic beam data for reference set-up. The empirical formula were later, extended and generalized for any possible set-up using the trends of fitting parameters. The measured TMRs and OARs were well represented by the fitting formula developed.
Axis, Cervical Vertebra ; Hospitals, Teaching ; Particle Accelerators*

PURPOSE: to measure the nurses need for the Hospital Information System(HIS) and identify the change of nurses' attitude toward computerization in pre and post HIS implementation. METHOD: Prospective survey using repeated measures design. The subjects were 166 nurses working at surgical units in a tertiary and teaching hospital. Questionnaire was developed by researchers based on the Stronge and Brodt s study (1985). Cronbach' s coefficient was 0.80. RESULT: Nurses' attitudes toward computerization were positive in pre and post Hospital Information Systems. Favorable attitude of staff nurses significantly increased after computerization. Those who were higher position, highly educated, and working longer at their hospital had more favorable attitude toward computerization. Nurses wanted a computerization of works related to laboratory tests and order check most. After computerization, nurses evaluated works related to laboratory tests and order most convenient. CONCLUSION: Appropriate reflection of nurses' need on computerization improved their favorableness towards computerization.
Hospital Information Systems* ; Hospitals, Teaching ; Surveys and Questionnaires

No abstract available.
Hospitals, Teaching* ; Internal Medicine* ; Internship and Residency*

Awareness ; Curriculum ; Hospitals, Teaching ; India ; Tertiary Healthcare

PURPOSE: The creation and maintainance of radiology teaching materials is both laborious and very time-consuming but at a teaching hospital is important. Through use of the technology offered by today's worldwide web, this problem can be efficiently solved, and on this basis, we divised a multimedia radiology self-learning course for abdominal ultrasound and CT. MATERIALS AND METHODS: A combination of video and audio tapes has been used as teaching material; the authors digitized and converted these to Hypertext Mark-up Language(HTML) format. Films were digitized with a digital camera and compressed to Joint Photographic Expert Group (JPEG) format, while audio tapes were digitized with a sound recorder and compressed to Real Audio format. RESULTS: The self-learning course for abdominal ultrasound consists of 14 steps, and that for abdominal CT, 19 steps. Both provide images, voice anrrations, and related texts and graphics. The learner can navigate the course at his/her own speed, repeating or skipping any part, as required. CONCLUSION: 'Multimedia on the Worldwide Web' will facilitate easy management and maintenauce of a self-learning course. To make this more suitable for practical use, continual upgrading on the basis of experience is needed.
Hospitals, Teaching ; Hypermedia ; Internet* ; Joints ; Multimedia* ; Teaching Materials ; Tomography, X-Ray Computed ; Ultrasonography ; Voice

Clinical Competence ; Education, Medical, Continuing ; Hospitals, Teaching ; Humans ; Singapore ; Societies, Medical ; Teaching

PURPOSE: Delivering bad news (DBN) to a patient or patient's family is one of the most difficult tasks for physicians. As a complicated task, DBN requires better than average communication skills. This study investigated trainee's attitude and awareness of DBN based on a self-assessment of their experiences and performance in practice. Survey subjects were also asked to assess their perception and the need for education in conducting DBN. METHODS: A survey was carried out on their experiences with DBN, how they currently deal such situations, how they perceive such situations and the need for education and training programs. A SPIKES protocol was used to assess how they currently deal with DBN. RESULTS: One hundred one residents and fellows being trained in a teaching hospital participated in the survey. Around 30% had bad experiences due to improperly delivered bad news to a patient. In terms of self-assessment of how to do DBN, over 80% of trainees assessed that they were doing DBN properly to patients, using a SPIKE protocol. As for how they perceived DBN, 90% of trainees felt more than the average level of stress when they do DBN. About 80% of trainees believed that education and training is much needed during their residency program for adequate skill development regarding DBN. CONCLUSION: We suggest that education and training on DBN may be needed for trainees during the residency program, so that they could avoid unnecessary conflict with patients and reduce stress from DBN.
Disclosure ; Education ; Hospitals, Teaching ; Humans ; Internship and Residency ; Self-Assessment

BACKGROUND: To assess in a laboratory setting the ability to stay awake in a sample of workers of an Italian hospital and to investigate the association between that ability and the risk of occupational injury. METHODS: Nine workers at the University Hospital of Udine who reported an occupational injury in the study period (cases), and seven noninjured workers (controls) underwent a polysomnography and four 40-minute maintenance of wakefulness tests (MWT). Differences in sleep characteristics and in wakefulness maintenance were assessed using Wilcoxon's rank sums tests and Fisher's exact tests. RESULTS: Controls had greater sleep latency, lower total sleep time, fewer leg movements, and a higher percentage ratio of cycling alternating pattern, were more likely not to fall asleep during the MWT and were less likely to have two or more sleep onsets. Although not all the differences reached statistical significance, cases had lower sleep onset times in Trials 1-3. CONCLUSION: In the literature, the evidence of an association between MWT results and real life risk of accidents is weak. Our results suggest a relationship between the MWT results and the risk of injury among hospital workers.
Case-Control Studies ; Hospitals, Teaching* ; Leg ; Occupational Injuries* ; Polysomnography ; Wakefulness*

PURPOSE: The purpose of this study was to analyze the questions in the hip and pelvis section of the Korean Orthopaedic In-Training Examination (KOITE). MATERIALS AND METHODS: We analyzed all KOITE questions pertaining to hip and pelvis surgery between 2010 and 2014. A thorough analysis of the contents was performed after categorizing as tested topics, imaging modalities used, taxonomic classification, and recommended references. We also analyzed the scores of the hip and pelvis section of the KOITE. RESULTS: Seventy-five of five-hundred questions (weight, 15.0%) were related to the hip and pelvis. Trauma including fracture and dislocation (26/75, 34.7%) was asked more commonly than disease and basics. The description-only questions (65/75, 86.7%) were the most frequently asked. According to taxonomic classification, taxonomy 3 (decision; 39/75, 52.0%) was most frequently asked. Campbell's Operative Orthopedics (52/75, 69.3%) was the reference that covered most of the questions. CONCLUSION: This analysis of the hip and pelvis section of KOITE could be used for resident training programs in teaching hospitals.
Classification ; Dislocations ; Education ; Hip* ; Hospitals, Teaching ; Orthopedics* ; Pelvis*