Professionalism in medical education

Medical professionalism in today's society requires the exhibition of a range of qualities deployed in the service of patients, rather than more traditionally defined aspects such as mastery, autonomy and self-regulation. These qualities incorporate demonstrated clinical competence; aspiring to excellence in practice while demonstrating humility and recognition of personal limitations; exercising professional judgement; and maintaining a fiduciary relationship with patients by the earning and maintenance of trust.     

Meditations on Pleasure: John Ruskin and the Value of Art in the Classroom

Life is multiplex; information is ubiquitous. We do our best to learn, but we struggle not to forget. The demand to “know” is powerful; the experience of living can often feel overwhelming. We desire a better way of looking at the world around us. John Ruskin reminds us that it is a good thing to start small. He asks us to look, to train our eyes to see detail. He teaches us to appreciate the one thing for its own sake; it is by appreciating the one thing that we are enabled to better appreciate the world around us.     

Portable computers for teachers and support services working with pupils with Special Educational Needs: An evaluation of the 1999 United Kingdom Department for Education and Employment scheme

This study arose from the distribution of portable computers ("portables") to special educational needs coordinators and support services by the Department for Education and Employment (DfEE) through Standards Grant 36 in mid 1999. The study comprised two successive questionnaires. The aim of the surveys was to elicit the benefits of portables in relation to the special educational needs coordinator/support service roles as well as to evaluate this process of distributing resources.
Questionnaire A to local education authorities (LEAs) was returned by 96 LEAs (a 64% return rate). There were 778 returns of questionnaire B from recipients of portables and 405 returns from the matched group of non-recipients.
Overall the distribution of portables under this grant was well-regarded by LEA personnel, particularly in the smaller authorities, with reservations relating mainly to the lack of time to administer the scheme. The guidance from the DfEE was regarded as helpful with inherent (valued) flexibility. Amount and level of training appeared to have varied greatly across LEAs but where training had been relatively substantial there was evidence of its impact on teachers' reported use of the portables. The scheme was welcomed by school and, particularly, support service staff. However all recipient groups tended to reflect some disappointment with what the portable provided in practice.
Three particular aspects are discussed in more detail. First, in relation to time and workload issues, it was reported that teachers were spending considerable "non work" time in learning to make good use of the portables. Second, there were considerable training needs for teachers and others, spanning a wide range of levels. Third, the position of support service staff warranted more attention as their apparently comparatively disadvantageous position has implications for wider changes concerning centralised LEA, as opposed to school-based, resources.     

Attentional Bias for Exercise-Related Images

Abstract

This research examined attentional bias toward exercise-related images using a visual probe task. It was hypothesized that more-active participants would display attentional bias toward the exercise-related images. The results showed that men displayed attentional bias for the exercise images. There was a significant interaction of activity level by gender, and simple slopes analysis showed that active women displayed attentional bias toward the exercise-related images and inactive women displayed attentional bias toward the control images. A similar analysis with explicit attention to the pictures as the outcome variable was not significant. These findings confirm that attention for exercise-related images can be captured automatically regardless of whether people report they are attending to them.     

Effects of treadmill versus overground soccer match simulations on biomechanical markers of anterior cruciate ligament injury risk in side cutting

This study aimed to investigate whether treadmill versus overground soccer match simulations have similar effects on knee joint mechanics during side cutting. Nineteen male recreational soccer players completed a 45-min treadmill and overground match simulation. Heart rate (HR) and rating of perceived exertion (RPE) were recorded every 5 min. Prior to exercise (time 0 min), at “half-time” (time 45 min) and 15 min post-exercise (time 60 min), participants performed five trials of 45° side-cutting manoeuvres. Knee abduction moments and knee extension angles were analysed using two-way repeated measures analysis of variance (α = 0.05). Physiological responses were significantly greater during the overground (HR 160 ± 7 beats ? min^?1; RPE 15 ± 2) than the treadmill simulation (HR 142 ± 5 beats ? min^?1; RPE 12 ± 2). Knee extension angles significantly increased over time and were more extended at time 60 min compared with time 0 min and time 45 min. No significant differences in knee abduction moments were observed. Although knee abduction moments were not altered over time during both simulations, passive rest during half-time induced changes in knee angles that may have implications for anterior cruciate ligament injury risk.