Patient care by residents is as good as by fully qualified doctors

Public release date: 27-Jun-2012
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Contact: Hilary Glover
hilary.glover@biomedcentral.com
44-203-192-2370
BioMed Central

Medical residents are an essential part of the hospital workforce. Although still in training the take on much of the day to day care of patients. A systematic review published in BioMed Central's open access journal BMC Medicine shows that patient by properly supervised residents care is safe and of equal quality to that of fully trained doctors.

Residency training is an essential part of a doctors education after they leave university. Once completed doctors are expected to provide high quality care and while many studies have looked at different aspects of residency training, the care provided by residents has not been comprehensively examined.

Researchers from the University of Amsterdam and University of California Los Angeles (UCLA) collated almost 100 articles published between 2004 and 2011 all of which were related to residency training, post graduate training, and patient treatment. Together these papers largely point to a positive message both for the residents and the people involved in their training.

The majority of studies included in this systematic review showed that patient care is safe and of equal quality, to fully qualified doctors, when delivered by residents, especially those whose inexperience was balanced with teaching by more experienced staff.

Rene van der Leeuw who led this study noted, "A minority of results found some negative patient outcomes and several studies found that patient outcomes improved throughout the residency period. We would recommend that for all residents, adequate supervision and evaluation, plus extra time to perform operations, is essential to maintain patient care."

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Notes to Editors

1. A systematic review of the effects of residency training on patient outcomes
Rene M van der Leeuw, Kiki MJMH Lombarts, Onyebuchi A Arah and Maas Jan Heineman
BMC Medicine (in press)

Please name the journal in any story you write. If you are writing for the web, please link to the article. All articles are available free of charge, according to BioMed Central's open access policy.

Article citation and URL available on request on the day of publication.

2. BMC Medicine is the flagship medical journal of the BMC series, publishing original research, commentaries and reviews that are either of significant interest to all areas of medicine and clinical practice, or provide key translational or clinical advances in a specific field.

3. BioMed Central is an STM (Science, Technology and Medicine) publisher which has pioneered the open access publishing model. All peer-reviewed research articles published by BioMed Central are made immediately and freely accessible online, and are licensed to allow redistribution and reuse. BioMed Central is part of Springer Science+Business Media, a leading global publisher in the STM sector.

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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

Public release date: 27-Jun-2012
[ | E-mail | Share ]

Contact: Hilary Glover
hilary.glover@biomedcentral.com
44-203-192-2370
BioMed Central

Medical residents are an essential part of the hospital workforce. Although still in training the take on much of the day to day care of patients. A systematic review published in BioMed Central's open access journal BMC Medicine shows that patient by properly supervised residents care is safe and of equal quality to that of fully trained doctors.

Residency training is an essential part of a doctors education after they leave university. Once completed doctors are expected to provide high quality care and while many studies have looked at different aspects of residency training, the care provided by residents has not been comprehensively examined.

Researchers from the University of Amsterdam and University of California Los Angeles (UCLA) collated almost 100 articles published between 2004 and 2011 all of which were related to residency training, post graduate training, and patient treatment. Together these papers largely point to a positive message both for the residents and the people involved in their training.

The majority of studies included in this systematic review showed that patient care is safe and of equal quality, to fully qualified doctors, when delivered by residents, especially those whose inexperience was balanced with teaching by more experienced staff.

Rene van der Leeuw who led this study noted, "A minority of results found some negative patient outcomes and several studies found that patient outcomes improved throughout the residency period. We would recommend that for all residents, adequate supervision and evaluation, plus extra time to perform operations, is essential to maintain patient care."

###

Notes to Editors

1. A systematic review of the effects of residency training on patient outcomes
Rene M van der Leeuw, Kiki MJMH Lombarts, Onyebuchi A Arah and Maas Jan Heineman
BMC Medicine (in press)

Please name the journal in any story you write. If you are writing for the web, please link to the article. All articles are available free of charge, according to BioMed Central's open access policy.

Article citation and URL available on request on the day of publication.

2. BMC Medicine is the flagship medical journal of the BMC series, publishing original research, commentaries and reviews that are either of significant interest to all areas of medicine and clinical practice, or provide key translational or clinical advances in a specific field.

3. BioMed Central is an STM (Science, Technology and Medicine) publisher which has pioneered the open access publishing model. All peer-reviewed research articles published by BioMed Central are made immediately and freely accessible online, and are licensed to allow redistribution and reuse. BioMed Central is part of Springer Science+Business Media, a leading global publisher in the STM sector.

---

[ | E-mail | Share ]

?

AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.

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The Sibikwe Arts Indigenous Orchestra in Celebration | Looking at ...

Heritage.
I am acutely uncomfortable with the subject of ?heritage? in South Africa. There is a sense in which many South Africans, of which I am one, are not sure just what belongs in the ?heritage? box. We are who we are and have few clear lines to trace back to a particular ethnic group, language or place. We are generic South Africans. That is, I suppose, our heritage. This is important to mention as a presupposition when dealing with a concept like the ?African Indigenous Orchestra? which is really something that is simply generically African, without too many clear lines back to something which existed in a pure form at any one place.

African Music Instruments.

The Sibekwa Africa Indigenous Orchestra play a variety of instruments from various parts of Africa, not only from Southern Africa and then they mix these with western instruments. The music they play would perhaps have frightened a group of 18th century herdsmen in their rural reaches. It certainly owes more to Motown?s influence than Princess Magogo?s efforts to save traditional Nguni music. This is not a criticism, just a reflection on the ?generic South African? thing. It is, as the press release says, ?a unique blend of sounds and rhythms reminiscent of the old and new South African music scene.?

The show itself had absolutely no didactic element whatsoever. I had expected one and it never materialised. I have been privileged, over the years, to attend shows where the kudu horns, dinaka pipes, kalimbas, uhadis and makubes have been demonstrated and played. Here they were just played and if one has the background one knows which instrument is which and if one does not have the background one can just settle in to enjoy the sound.

The sound is enjoyable indeed. Afro-pop, Latin American jazz, polyrhythms and traditional jazz all fuse to make a joyful noise. The orchestra has travelled widely, both internationally and in South Africa and they have now released their first CD, Celebration, which is as much fun as the show was. Tlale Makhene leads the orchestra in a variety of bright, cheerful, upbeat numbers which includes one of South Africa?s best known pieces of music, Meadowlands. It is easy and pleasant listening.

The musicians are Tlale Makene, Siya Makuzeni, Esther Maumela, Thokozani Nsibande, Lucky Tshimbudzi, Lydia Mokhele, Bebe Shongwe, Percy Mbonani, Siya Makuzeni, Siyabulela Sifatyi, Thandi Dube, and Mokhalinyana Mokhere.

I saw a performance of ?Celebration? on Youth Day, 16 June 2012, at The Market Theatre. For more information go to www.sibikwa.co.za or indigenousorchestra.blogspot.com. You can hear them on 4, 5 and 6 July at the National Arts Festival in Grahamstown.

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Multi-skilled, trained theologian (Christian), administrator and journalist, I conduct weddings, funerals and facilitate spiritual growth workshops. Theatre, music, dance and visual arts are my passions. I have been making my musical musings, theatre talks and dance dialogues public since February 1999 when I acquired access to the internet. Books are another passion, and I have a particular interest in South African ecology and history.

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ALKUYE ? Blog Archive ? LTC Insurance coverage for Baby Boomers

There may be diverse methods to strategy your foreseeable future well being treatment requirements, but extended term treatment insurance policy for baby boomers seems to be the best product or service that will ensure your peace of brain and your family?s.

No one is encouraged today to bolster his nest egg because no quantity of protecting will alter the fact that the value of treatment will boost twofold in 2026 and fourfold later on in 2030. This is not a presumption but a foresight which was based mostly on the inhabitants development of infant boomers above the age of 65 and the distinct varieties of wellness situations that typically set off long term care (LTC).

Some of these maladies include Alzheimer?s, stroke, heart diseases, and high blood pressure among other individuals. Individuals with these conditions usually wind up in nursing houses but since 89 % of the populace prefers to keep at house and acquire care from a property well being aide, there has turn into a fast improve in growing older-in-put projects amongst home builders.

Ageing-in-spot is the act of acquiring LTC in LTC Insurance Reviews the confines of your residence which is total with all the necessities of LTC.

Examples of these important items that should be integrated into your house in situation that you choose to get care listed here are wheelchair ramps, wheelchair lift, safety shower grips, electronic monitoring devices, and an Net connection.

Numerous aged individuals are vehemently versus the thought of currently being sent to a nursing residence since of the unpleasant reviews that are continuously currently being churned out by publication workplaces in relation to the therapy that nursing home inhabitants are receiving.

Then there are people individuals that refuse to be appeared down upon by other people.

According to them, the residence for the aged and nursing houses are often imagined of as places for weak and dependent people. Little one boomers are so as opposed to their dad and mom from the silent era as they are by nature more impartial, adventurous, and smart.

Prolonged Expression Treatment Insurance policy for Baby Boomers

Senior child boomers can?t stand currently being treated like a paraplegic so even if they need to have support in various routines LTC Insurance Reviews of everyday residing (ADL) they want to retain their independence and delight. At least in their personal homes they have the assurance that they will be well used care of by a certified caregiver or a house overall health aide.

Bulk of extended term care insurance policy purchasers have opted for the thorough LTCI coverage because with this variety of insurance coverage you can obtain care anywhere you desire.

Possibly the only downside to obtaining a comprehensive coverage is the fact that it is much more costly than other types of policies. Nevertheless, with an insurance coverage agent who specializes in LTC by your facet you will comprehend that all the factors of your coverage are negotiable.

Extensive procedures enable individuals to receive care at house, in an assisted dwelling facility, a nursing property, or where ever he desires unlike the facility treatment only which primarily focuses on providing treatment in a certain variety of institutional or group-primarily based LTC facility.

By means of long phrase care insurance coverage for little one boomers preparing your future overall health care will definitely be much easier.

LTC Insurance Reviews

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Spalding Parks and Recreation Announces Football Signups for ...

Football Signups ages 7-12

The Spalding Parks and Recreation Department reminds you it?s time to start thinking about registering your child for Recreation Football! Due to the cost of providing this very popular program the fees will be a bit higher. This program has not seen an increase in fees for several years; however, due to the increased costs of field maintenance, utilities and the mandated replacement of helmets, an increase in registration fees could not be avoided. This registration fee also includes a $10.00 per player ?user fee? which is being charged to all youth sports participants to help cover the increasing costs of utilities and maintenance for each program. A limited amount of partial scholarships will be available on a first come basis.

Football registrations will be accepted on Saturdays only beginning July 14 through August 4 at City Park Community Center from 10:00am to 2:00pm. Please note that lines are shorter during the first few weeks of registration!

A birth certificate must be presented at sign ups. The age control date is the player?s age as of September 1, 2012.

Any youth registering must be accompanied by their parent or guardian.

All registrants must be weighed at registration.

Tackle leagues for ages 7-12 is $90.00.

Flag Football league for ages 5-6 is $60.00.

Football equipment will be issued during registration hours.

For program or coaching information, please contact Angie Stokes or Robby Milner at

770-467-4750.

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Spain requests bank aid, awaits Moody's cut

MADRID (Reuters) - Spain formally requested European aid for its indebted banks on Monday but the lack of details rekindled investor doubts over the financial sector, hours before Moody's was expected to cut the ratings of all Spanish lenders.

Two financial sources told Reuters the Moody's downgrade, which follows a June 13 downgrade of Spain's sovereign rating by three notches, was likely to happen on Monday night.

In a letter to Euro group Chairman Jean-Claude Juncker sent early on Monday, Spanish Economy Minister Luis de Guindos said he wanted to take up the EU offer of up to 100 billion euros and hoped to finalize the package by July 9.

He did not specify how much money Spain will seek to recapitalize the indebted lenders and said the final amount and conditions of the assistance were still under discussion.

Spanish banking stocks fell 2.6 percent in afternoon trade slightly underperforming the blue-chips index, which was off 2.5 percent. And Spain's country risk, as measured by the spread between German and Spanish benchmark bonds, rose to 504 basis points.

De Guindos said an independent audit of the banking sector released last Thursday would be used as a starting point to determine the capital needs, to which an additional security buffer will be added.

The audit showed Spanish banks, badly hit by a property crash four years ago, need up to 62 billion euros to weather a severe economic downturn.

Analysts say the euro zone's fourth largest economy, which has become the focus of the debt crisis, will struggle to get out of recession unless the banking problems are solved.

According to financial and government sources, four nationalized banks - Bankia, CatalunyaCaixa, NovaGalicia and Banco de Valencia - will get the bulk of the aid. These banks could need a cash injection of around 40 billion euros as soon as July, the sources said.

The bailout mechanism - European Stability Mechanism or European Financial Stability facility - which will be used to raise the money will be chosen at a later stage.

This question is important because the ESM has a preferred debtor status which would push private bondholders down the queue for repayment of their investments.

NO LOSSES FOR BONDHOLDERS

Luxembourg's prime minister, Jean-Claude Juncker, who chairs monthly meetings of euro zone finance ministers, said he had received the request and would give an answer "in due course".

"We expect to give a mandate to the Commission, in liaison with the ECB and the EBA, to negotiate the necessary policy conditionality for the financial sector, including restructuring plans in accordance with EU state aid rules, which shall accompany the financial assistance," he said in a statement.

The European Commission usually requires banks which receive aid to sell assets, close branches and restructure.

This would however not involve imposing losses on banks' bondholders, something De Guindos ruled out on Friday.

Secretary of State for Economy Fernando Jimenez Latorre said on Monday the aid should reach the banks within three or four months and that transitory liquidity mechanisms would be used for the entities which require a lifeline earlier.

"In the next weeks, we will clear doubts about the seniority of the European aid, the conditions for the credits, the maturity, if it will affect the deficit," he said.

He added that the possibility of channeling the European aid directly to the banks was still an option. The request letter however said Spain's bank restructuring fund, known as the FROB, would receive the money and distribute it to the lenders.

DIRECT AID?

Documents released on Friday after the independent audit showed Spain will carry out yet another stress test of its banks by October with a focus on seven lenders that might not need aid right away but could still be vulnerable.

Doing the extra test gives Spain at least two more months to negotiate for direct recapitalization of the banks. The government wants to avoid taking on the aid itself and then channeling it to the banks, which would affect the public debt, potentially ramping up borrowing costs and dragging it further into the debt crisis.

Foreign Minister Jose Manuel Garcia-Margallo said on Monday that Spain would insist in having long maturities and low interest rates on the loans. He also said direct European aid for the banks was still an option.

"The question of whether the aid is given directly to the banks remains open. This question was discussed in Rome between the four European leaders and no solution has been found yet," he said in Luxembourg, on the sidelines of a meeting of European Union foreign ministers.

Spain has escaped conditionality for its economic policy in return for the financial assistance but it will be placed under increased scrutiny from its EU partners.

"The way Spain complies with any and all of its commitments will be looked at with more attention than for a country which has not sought financial assistance," said EU competition chief Joaquin Almunia on Monday.

Almunia will be in charge of supervising the restructuring of the banking sector and maintaining a level playing field with other lenders in Europe which did not receive state aid.

(Additional reporting by Carlos Ruano in Santander Robert Hetz and Emma Pinedo in Madrid and Luke Baker in Brussels; editing by Fiona Ortiz and Anna Willard)

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Star Snapshots: Family Fun

Katie and Suri show off matching summer looks in N.Y.C. Plus, see more photos of celebs spending time with their loved ones!

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Sports lab in Ranchi on anvil

Ranchi, June 23: Sportspersons in Jharkhand have reason to rejoice. Soon a state-of-the-art sports lab will come up in the capital, equipped to treat injuries sustained on field and during practice.

The sports lab, a brainchild of arts, culture, sports and youth affairs minister and deputy chief minister Sudesh Mahto, will have a team of doctors and expert medical technicians on board to conduct tests and treat athletes.

While honouring sportspersons during the State Olympics Award ceremony organised by Jharkhand Olympic Association (JOA) on the occasion of Olympic Day today, Mahto said our sportsmen sacrifice a lot of sweat and blood for the sake of the state and thus deserve all help when injured.

The lab will also be equipped to study an athlete and suggest the best disciplines suited for him or her according to their body structure, Mahto said. ?We will provide scientific support to our players to help them excel,? he added.

According to him, a sports university was also in the pipeline.

The awards for 2010-11 and 2011-12 were presented to sportsmen in the function. Lawn bowl player Sunil Bahadur received the Jaipal Singh Award for best player for 2010-11 while archer Vinod Swansi bagged the award for 2011-12.

World number one archer Deepika Kumari received the Peter Thangraj Award for best woman player for 2010 while national hockey captain Asunta Lakra bagged it for 2011. Deepika?s mother received the award on her behalf as the archer is away preparing for the London Olympics.

JOA president R.K. Anand said the state has tremendous potential in terms of talent and infrastructure. But even after the national games, the equipment were not being looked after.

Earlier in the morning, a run was organised from Albert Ekka Chowk to Birsa Munda stadium at Morabadi.

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