MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'competency'. Sat, 03 Sep 2011 02:20:37 +0100 http://www.medworm.com/index.php?rid=4893593&cid=t_119971_112_f&fid=34971&url=http%3A%2F%2Fblog.drmalpani.com%2F2011%2F06%2Fphysician-professionalism-crucial-core.html " As a former full-time faculty member, I regularly had to rate residents in six core competencies — six general categories of skills or assets needed for one to be considered a competent physician, one who could safely care for patients independently. I had often felt that the most crucial of them all, and the one that is the hardest, if not impossible, to teach is professionalism. Without it, all the others are moot.One can learn the pathophysiology of a disease (medical knowledge), know the appropriate tests to order and the gold standard of therapy (patient care), learn it through actual patient interaction (practice-based learning), utilize the rest of the health team (systems-based practice), and be able to explain it to the patient and the rest of the health team (interpersonal an... The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=4893593 Thu, 02 Jun 2011 09:24:00 +0100 4893593 http://www.medworm.com/index.php?rid=4820851&cid=t_119971_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fgastroenterologists-need-more-training-to-be-competent-with-colonoscopies%2F2011.05.13 Much more practice is needed than gastroenterological professional societies currently recommend, concluded Mayo Clinic researchers in Rochester, Minn. Current recommendations are that 140 procedures should be done before attempting to assess competency, but with no set recommendations on how to assess it, wrote the author of the research. But it takes an average of 275 procedures for a gastroenterology fellow to reach minimal cognitive and motor competency. Now, the American Society for Gastrointestinal Endoscopy is rewriting its colonoscopy training guidelines to reflect the need for more procedures and emphasize the use of objective, measurable tests in assessing the competency of trainees. (more…) *This blog post was originally published at ACP Internist* (Source: Bette... Better Health blogs http://www.medworm.com/rss/comments.php?id=4820851 Fri, 13 May 2011 19:00:00 +0100 4820851 http://www.medworm.com/index.php?rid=4549779&cid=t_119971_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F03%2F04%2Fbest-of-our-blogs-march-4-2011%2F Life is a work in progress. When I think about who I was 10 years ago, that girl was barely distinguishable from who stands before me today. Ever read an old journal and feel astonished by who you were? I feel the same way. I was lost, confused and did not know who I was or who I wanted to be. I was a slave to my emotions and my experiences. I let others create the road in front of me and define my worth. While I have grown a lot since then, I am still a work in progress. I don’t know where you are on your journey, but if you are struggling to get to where you want to be in your life, I hope a few of these top posts this week will bring you solace. It takes a lot to get to your goals. You may be dealing with depression, body image issues or struggling with your own self-identity. If ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4549779 Fri, 04 Mar 2011 12:44:20 +0100 4549779 http://www.medworm.com/index.php?rid=4119758&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2010%2F10%2Foccupational-therapy-assistants-in-ny.html Background fact:occupational therapy assistant (OTA) means someone who has not passed a NBCOT certification examination or who has not renewed their certification. NY State allows these people to practice.certified occupational therapy assistant (COTA) means someone who HAS passed a NBCOT certification examination and who HAS renewed their certification. NY State does not require this for occupational therapy assistants.******************************The recent NYS Department of Health ruling on qualified professionals to provide OT in NYS schools originally stated that one qualification for practice was: A certified occupational therapy assistant (COTA) “under the direction of” such a qualified licensed and registered occupational therapist, acting within his or her scope of practice u... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=4119758 Tue, 26 Oct 2010 18:35:00 +0100 4119758 http://www.medworm.com/index.php?rid=3812979&cid=t_119971_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmayo-clinic-center-for-social-media-%25e2%2580%2593-what-it-represents%2F2010.08.02 In a move that may represent a new level of social health organization within large institutions, the Mayo Clinic announced that it has launched The Mayo Clinic Center for Social Media. Mayo intends to “accelerate effective application of social media tools throughout Mayo Clinic and to spur broader and deeper engagement in social media by hospitals, medical professionals and patients to improve health globally.” Look for more information in Mayo’s press release which is diplomatically vague while at the same time lofty and enticing. So what does this really mean? The Mayo Clinic recognizes opportunity. The opportunity to formally offer comprehensive social media training to hospitals and medical schools is huge. The Mayo Clinic can and should leverage what they’ve done both to the... Better Health blogs http://www.medworm.com/rss/comments.php?id=3812979 Mon, 02 Aug 2010 14:00:50 +0100 3812979 http://www.medworm.com/index.php?rid=3683675&cid=t_119971_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F06%2F21%2Fshall-we-flow%2F “Like a graceful vase, a cat, even when motionless, seems to flow.” — George F. Will You have either had the experience or heard about it: Flow has been in the global consciousness since Mihaly Csikszentmihaly’s book Flow: The Psychology of Optimal Experience was released 35 years ago. Back then it was revolutionary, now it is woven into our popular language and culture. We’ve heard about it, read about it, and want it in our lives. But what is flow? It is a very enjoyable experience marked by a sense of timelessness and engagement. In his own words, Csikszentmihaly said it is “being completely involved in an activity for its own sake. The ego falls away. Time flies. Every action, movement, and thought follows inevitably from the previous one, like playing jazz. Your wh... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3683675 Mon, 21 Jun 2010 10:15:10 +0100 3683675 http://www.medworm.com/index.php?rid=2996046&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2009%2F11%2Fgood-question-from-student.html From: OT StudentSent: Sunday, November 15, 2009 11:55 AMTo: info@abctherapeutics.comSubject: OT student needs helpHi,I just visited your website and found your blog section very interesting. I am a current MOTS student from XXX that is working on a project looking at whether COTAs should be required to have a bachelors degree rather then just an associates.I am wondering if you are able to post this question on your blog as I need feedback from OTRs and COTAs on how they feel about this issue.I would be most grateful.Thank you in advance,OT Student**************************************************************************Dear OT Student,If you create an online survey (there are several free survey tools available) I will be happy to put the link on my blog.I am not aware of any evidence tha... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=2996046 Mon, 16 Nov 2009 16:17:00 +0100 2996046 http://www.medworm.com/index.php?rid=2305914&cid=t_119971_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F03%2F27%2Fcompetencies-for-recognising-and-responding-to-acutely-ill-patients-in-hospital%2F (Equality Impact Assessment) sets out a non-mandatory framework of competencies for recognising and responding to acutely ill patients in hospital. It supports NICE Guideline 50 (Acutely ill patients in Hospital - July 2007) and includes comments made during a consultation on the document that took place between March and June 2008. Posted in Accident and Emergency Departments, Competency Framework, Critical Care, Emergency Admission, Grey Literature, Hospitals, Quality Tagged: Competencies, Ctitical Care, Emergency Care, Grey Literature, Hospitals, Quality, Urgent Care (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2305914 Fri, 27 Mar 2009 16:18:43 +0100 2305914 http://www.medworm.com/index.php?rid=2144457&cid=t_119971_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F01%2F29%2Fnhs-pay-modernisation-in-england-%25e2%2580%2593-agenda-for-change%2F From the National Audit Office, NHS Pay Modernisation in England: Agenda for Change (Executive summary) examines: the implementation and costs of Agenda for Change and the Knowledge and Skills Framework; and whether the intended benefits have been achieved. Agenda for Change was to pay staff on a consistent basis by reference to the work they do and the skills and knowledge they apply. There were three main elements to the programme: New harmonised terms and conditions and a simplified single pay spine; A job evaluation scheme to assess the appropriate pay band for each point; and A new competency based staff development framework (the Knowledge and Skill Framework). Posted in Grey Literature, Human Resources, NHS, Pay   Tagged: Agenda for Change, Competency, Grey Lite... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2144457 Thu, 29 Jan 2009 16:18:28 +0100 2144457 http://www.medworm.com/index.php?rid=2041023&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2008%2F12%2Fassistants-aides-and-importance-of.html We have been advertising for physical therapist assistants recently, and I have been a little shocked at the high volume of calls we received from non-licensed people who believe they are qualified for the position. It is quite common to hear callers state "Well I worked as a physical therapist assistant and am not licensed but I am qualified for your position." I have never received similar calls when we advertise for occupational therapist assistants.New York State regulations that govern PT practice on this issue are quite clear. They state:New York State law restricts the practice of physical therapy to licensed physical therapists or certified physical therapist assistants. Individuals who are not licensed or certified may not provide physical therapy services. Aides may perform non-p... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=2041023 Tue, 16 Dec 2008 18:54:00 +0100 2041023 http://www.medworm.com/index.php?rid=1859409&cid=t_119971_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F07%2Fhow-to-achieve-world-class-commissioning-competencies-practical-tips-for-nhs-commissioners%2F Each autumn, a commissioning assurance process will assess whether primary care trusts (PCTs) are achieving better health outcomes for the local population. Part of this process will be an assessment of how well PCTs are performing against each of the 11 competencies.  How to Achieve World Class Commissioning Competencies. Practical tips for NHS Commissioners may help PCTs achieve the 11 competencies. Posted in Commissioning, Grey Literature, Health Economics, NHS, Practice Based Commissioning, Primary Care, Quality   Tagged: Commissioning, Competency, Grey Literature, Health Economics, Practice Based Commissioning, Primary Care, Quality, World Class Commissioning    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1859409 Tue, 07 Oct 2008 17:15:15 +0100 1859409 http://www.medworm.com/index.php?rid=1833731&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2008%2F09%2Fnysota-response-re-continuing.html I received an excellent response from Jeff Tomlinson about the recent continuing competency issues. I didn't want his response to get lost in comments, so I am posting it as an entry. There is a lot of good information here. I would really like to hear more about the direct access issue and problems in securing scripts for school aged children - sounds like something that could benefit from roundtable conversation.Anyway, here is Jeff's response:I have also been encouraged by another occupational therapist to check out this discussion.We were certainly surprised by the speed with which the physical therapists were able to pass their mandatory continuing education bill. It was quite an accomplishment in a legislative session that passed very few bills that regulated the professions. I will ... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=1833731 Fri, 26 Sep 2008 16:50:00 +0100 1833731 http://www.medworm.com/index.php?rid=1815387&cid=t_119971_133_f&fid=35128&url=http%3A%2F%2Fthiswayoflife.org%2Fblog%2F%3Fp%3D224 A very common question on online forums with US autistic people is whether or not an autistic person can or should be excused from jury duty. In other words, are we good jurors? I’ve served once, although I have been called twice (the other time, the defendant failed to show up, so we were all dismissed). The one I served on was for a relatively short criminal trial (one day), with about 6 hours of deliberations (we couldn’t agree for quite a while). It was a tough job, but one that I felt as prepared and able to do as I imagine others on the jury felt - that is, realizing it is very serious work and we are fallible humans, but realizing equally that everyone else is too. One of the common concerns autistic people have is that we are bad at reading facial expression. This isn&#... NTs Are Weird blogs http://www.medworm.com/rss/comments.php?id=1815387 Mon, 22 Sep 2008 13:39:35 +0100 1815387 http://www.medworm.com/index.php?rid=1798786&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2008%2F09%2Fprofessional-competence-how-do-you-weed.html We are making strides in promoting continuing competence and ongoing professional development in the occupational therapy profession but there is still work to be done. The current theme running through my head has to do with quacksalvers and quality in continuing education offerings.As far as I can tell, there are few if any standards for the quality in continuing education courses as it relates to the CONTENT of the offering. I read the IACET standards and was disappointed that Standard 7 didn't really delve deeply into the issue of regulation of the QUALITY and CONTENT of continuing education courses. So if the primary standard-setter of quality in continuing education does not address quality of CONTENT, what should be done?As an aside, I don't know that I blame IACET - how could they ... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=1798786 Wed, 17 Sep 2008 03:02:00 +0100 1798786 http://www.medworm.com/index.php?rid=1789135&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2008%2F09%2Fsilence-from-nysota-on-ot-continuing.html I recently posted on the status of continuing competency requirements for occupational therapists in NY State. In summary, my concern is that the bill for these requirements has been stalled in senate committees but a very similar requirement for physical therapists just passed. I wrote to NYSOTA asking about an update on this issue and have not received any response.Of course this is an issue that I have all kinds of historical interest in - and it is no secret to anyone that I am a long-term volunteer for the National Board for Certification in Occupational Therapy. This is where my passion over the issues of competence and competency was born and bred.Still, my feelings on this matter also have a lot to do with the perceived legitimacy of occupational therapy as a profession and broad p... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=1789135 Fri, 12 Sep 2008 15:27:00 +0100 1789135 http://www.medworm.com/index.php?rid=1692637&cid=t_119971_165_f&fid=36767&url=http%3A%2F%2Fabctherapeutics.blogspot.com%2F2008%2F08%2Fupdate-on-continuing-competency.html Over two years ago I wrote this article about continuing competency regulations for occupational therapists in New York State. Based on a review of the status of proposed regulations for continuing comptency as reported by the New York State Assembly website - there has been no action on this bill and it seems to be 'stuck' in the Higher Education Committee.The idea behind this proposed legislation would be to improve consumer protection by mandating that occupational therapy practitioners in New York State participate in some mandatory continuing education. As of right now, the therapist who is treating YOU in New York State may have graduated thirty years ago and never taken a continuing education course.Interestingly, a law requiring physical therapy continuing education in New York Sta... ABC Therapeutics Occupational Therapy Weblog blogs http://www.medworm.com/rss/comments.php?id=1692637 Fri, 08 Aug 2008 21:03:00 +0100 1692637 http://www.medworm.com/index.php?rid=1640211&cid=t_119971_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F18%2Fmodernising-allied-health-professions-ahp-careers%2F is a workforce initiative to maximise the contribution AHPs can make to transforming health and social care. There was a need to develop a flexible and responsive approach to allied health professions careers that reflects the diversity of the professions and the location and sectors they work in whilst, at the same time, maximising their potential to contribute to transforming patient care and promoting health and well-being. The MAHPC project has three areas of delivery in order to facilitate the development of a flexible and responsive AHP workforce. These are to: develop national workforce competences and ensure they are relevant to the work of AHPs and their staff irrespective of grade or location or sector map AHP roles on to the career framework encourage the use of the learning d... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1640211 Fri, 18 Jul 2008 05:50:51 +0100 1640211 http://www.medworm.com/index.php?rid=1368348&cid=t_119971_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F04%2F09%2Fnational-education-and-competence-framework-for-advanced-critical-care-practitioners%2F The National education and competence framework for advanced critical care practitioners describes: the role of an advanced critical care practitioner how the role should function within the critical care team the benefits of introducing the role in clinical practice a national framework of education and competence (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1368348 Wed, 09 Apr 2008 19:00:27 +0100 1368348 http://www.medworm.com/index.php?rid=1289284&cid=t_119971_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F03%2F09%2Fprofessor-from-ucla-speaks-openly-about-her-experience-with-schizophrenia%2F Elyn Saks, a professor from UCLA, speaks candidly about her experience with schizophrenia throughout her childhood, as a student at Vanderbilt, Oxford and Yale, and her career. Saks said she had “nice enough” parents and a reasonably normal childhood, but she started having phobias, night terrors and obsessions at age five. During her teen years she suffered from anorexia and had a brief bought with drug use. However, her illness really took a turn for the worse when she went away to college at Vanderbilt. At Vanderbilt Saks became interested in philosophy, which she believed gave her life order, but she still suffered from major psychotic episodes. Saks, now associate dean of research at UCLA law school and well-known scholar on competency and the right to refuse treatments in patie... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1289284 Sun, 09 Mar 2008 15:45:10 +0100 1289284 http://www.medworm.com/index.php?rid=623786&cid=t_119971_133_f&fid=35128&url=http%3A%2F%2Fthiswayoflife.org%2Fblog%2F%3Fp%3D171 There’s a common view - both among NTs and, sadly, some autistics - that autistics are incapable of true self-advocacy. One form of this belief is held by those who hold to theories that aren’t supported by most autistic people - we find out that we aren’t really autistic, and that real autistic people can’t disagree with them. Thus, the parent (often these are parents, although they can also be doctors, researchers, or support staff) is doing “real” advocacy while all those pesky autistic people who disagree with them are just “Asperger’s adults,” “high functioning,” or even “just nerds and geeks, not disabled.” I’ve writen about this before, but when this is done in the name of advocacy - and people start... NTs Are Weird blogs http://www.medworm.com/rss/comments.php?id=623786 Sat, 19 May 2007 19:52:07 +0100 623786 http://www.medworm.com/index.php?rid=4060815&cid=t_119971_109_f&fid=34859&url=http%3A%2F%2Fblog.davemsw.com%2Farchives%2F2006%2F06%2Fhispanic_teens_at_greater_risk.php I tripped over a surprising bit of news over at Anxiety, Addiction and Depression Treatments. Hispanic teens are suffering the highest rates of mental health and chemical health issues according to a recent CDC press release. In the recent upsurge in interest regarding immigration issues, many Hispanics youths, who themselves are American citizens are being swept up in racism and ill-advised nationalism. No matter where you fall on the issues, the health of American citizens should be something that everyone can agree on. With upwards of 10 and 15% of Hispanic youths reporting attempted suicide, this survey should serve as a clear call to action. The issue is about children of Hispanic parents, a large proportion of their parents are Spanish speaking immigrants. This creates problems un... Ψ Dare To Dream... blogs http://www.medworm.com/rss/comments.php?id=4060815 Sat, 10 Jun 2006 01:26:44 +0100 4060815 http://www.medworm.com/index.php?rid=4060843&cid=t_119971_109_f&fid=34859&url=http%3A%2F%2Fblog.davemsw.com%2Farchives%2F2006%2F03%2Fcultural_competency_resources.php I've added an archive of resources for Health and Mental Health Professionals on Cultural Competency Link here: http://dare-to-dream.us/cultural_diversity/ Let me know if you have some more resources and links I can add. (Source: Ψ Dare To Dream...) Ψ Dare To Dream... blogs http://www.medworm.com/rss/comments.php?id=4060843 Wed, 29 Mar 2006 04:39:29 +0100 4060843 http://www.medworm.com/index.php?rid=4060844&cid=t_119971_109_f&fid=34859&url=http%3A%2F%2Fblog.davemsw.com%2Farchives%2F2006%2F03%2Fwhat_is_happening_with_young_a.php The NY Times published an article last week quoting some sobering statistics about inner city black youth. Six in 10 black men in their 30s who had dropped out of school had spent time in prison. Fifty percent of black youths don't finish high school. Unemployment for black high school dropouts has peaked at 72%. Orlando Patterson, a professor of sociology at Harvard, wrote a courageous article in the NY Times today. Despite recent economic advances of other minorities and African American women, generations of African American young men continue to failed to integrate in the larger culture. He challenges the the traditional explanations of bad schools, discrimination and few jobs. He suggest the African American culture is a major contributing factor. The culture has evolved in just 145... Ψ Dare To Dream... blogs http://www.medworm.com/rss/comments.php?id=4060844 Tue, 28 Mar 2006 18:46:46 +0100 4060844