Digital Commons Network^™

Point-Of-Care Assessment Of Medical Trainee Competence For Independent Clinical Work, Tara Kennedy, Glenn Regehr, G. Baker, Lorelei Lingard

Lorelei Lingard

BACKGROUND: Clinical supervisors make frequent assessments of medical trainees' competence so they can provide appropriate opportunities for trainees to experience clinical independence. This study explored context-specific assessments of trainees' competence for independent clinical work.

METHOD: In Phase One, 88 teaching team members from internal and emergency medicine were observed during clinical activities (216 hours), and 65 participants completed brief interviews. In Phase Two, 36 in-depth interviews were conducted using video vignettes. Data collection and analysis employed grounded theory methodology.

RESULTS: Supervisors' assessments of trainee trustworthiness for independent clinical work involved consideration of four dimensions: knowledge/skill, discernment of limitations, truthfulness, and …

The Steward’S Role In Bargaining, Ken Margolies

Ken Margolies

[Excerpt] Bargaining a new contract is one of the biggest events in the life of a union, and one that offers stewards many opportunities to build a stronger organization. For many stewards, though, the bargaining process consists of responding the three big questions from the members.

Communicating Across Cultures, Ken Margolies

Ken Margolies

[Excerpt] Communication is the key to so many things a steward does, and good communication skills are something experienced stewards develop. But even experienced stewards have special challenges when the communication is between people of different cultures.

Working It Out, Ken Margolies

Ken Margolies

[Excerpt] Every steward knows that it’s almost always better to work out problems with management informally, without having to resort to filing a grievance. And ever steward knows that if you do have to file a grievance, it’s better to win it at the first step than have to go through the headaches that come with moving higher up the food chain, or, even worse, risk leaving things in the hands of an arbitrator.

Time Management For Stewards, Ken Margolies

Ken Margolies

[Excerpt] Too much to do? Too little time to do it? Stewards face that problem every day – and the smart ones do something about it. It’s called time management.

Talking Vs. Communicating, Ken Margolies

Ken Margolies

[Excerpt] There is a saying, "When all is said and done, more is said than done." Stewards who attend union meetings to decide how to handle and issue or grievance sessions with management probably agree. Why is it so difficult to get past the talk and make decisions, agreements, and well, get things done?

Toward A Global Media Ethics: Theoretical Perspectives, Clifford G. Christians, Shakuntala Rao, Stephen J.A. Ward, Herman Wasserman

Shakuntala Rao

Theoretical debates about global media ethics have been marked by disagreements about the nature, possibility, and desirability of a global ethics. This article attempts to address those disagreements by developing an “ethics of universal being” as the philosophical basis for a global media ethics, an ethics expressed by such universals as the sacredness of life, truth, and nonviolence. The article aims to explore various theoretical positions on global media ethics by providing an overview of the literature and seeking ways in which common ground may be found between these different positions. This approach is developed in two ways. First, it …

Ethnographic Perspectives On Culture And Communication, Donal Carbaugh

Donal Carbaugh

No abstract provided.

China- Tibet Conflict, Allen Gnanam

Allen Gnanam

China- Tibet tensions are continually growing, as Tibetans are protesting for total independence from China, despite condemnation from their spiritual leader, the Dalai Lama, who is only seeking a sense of autonomy for Tibet (Sinder, 2008). As Tibetan protests are becoming violent and aggressive, the Dalai Lama has also threatened to resign as Tibet’s government in exile (Sinder, 2008), however, his rhetoric is not being exposed to the Tibetan people, due to government censorship in China. Therefore the Dalai Lama, an exiled institutional entrepreneur, has to find new methods that will enable his influential message, to be received by the …

Australian Core Skills Framework (Acsf), K Brewer, P Mclean, K Perkins, Dave Tout, L Wyse

David (Dave) Tout

The Australian Core Skills Framework (ACSF) describes levels of performance in the 5 core skills of: Learning; Reading; Writing; Oral Communication; and Numeracy. These skills are essential for people to participate in our society. People need to communicate effectively in many different ways, for diverse purposes, in a variety of contexts and to think critically about information and ideas. It is likely that each new role and responsibility we take on will require new or enhanced core skills. Therefore, we need a range of strategies to adapt to changing circumstances and new challenges, including strategies to help us learn. The …

Emergent Negotiations: Stability And Shifts In Process Dynamics, Mara Olekalns, Laurie Weingart

Mara Olekalns

Negotiation is a dynamic process in which negotiators change their strategies in response to each other. We believe mutual adaptation is best conceptualized as an emergent process and is a critical determinant of negotiators’ abilities to identify mutually beneficial solutions. We argue that two factors drive the process of negotiation and influence the quality of agreements: alignment of negotiators’ strategies across individuals (strategy sequences) and with the negotiation-wide dynamic (phases) and congruence of negotiators’ goals.

Evaluation Of A Preoperative Checklist And Team Briefing Among Surgeons, Nurses, And Anesthesiologists To Reduce Failures In Communication, Lorelei Lingard, Glenn Regehr, Beverley Orser, Richard Reznick, G. Baker, Diane Doran, Sherry Espin, John Bohnen, Sarah Whyte

Lorelei Lingard

OBJECTIVE: To assess whether structured team briefings improve operating room communication.

DESIGN, SETTING, AND PARTICIPANTS: This 13-month prospective study used a preintervention/postintervention design. All staff and trainees in the division of general surgery at a Canadian academic tertiary care hospital were invited to participate. Participants included 11 general surgeons, 24 surgical trainees, 41 operating room nurses, 28 anesthesiologists, and 24 anesthesia trainees.

INTERVENTION: Surgeons, nurses, and anesthesiologists gathered before 302 patient procedures for a short team briefing structured by a checklist. Main Outcome Measure The primary outcome measure was the number of communication failures (late, inaccurate, unresolved, or exclusive communication) …